ANCC Psychiatric-Mental Health Nursing 3

Question 1

Which theory of depression focuses on negative cognitive triad (negative views of self, world, and future)?

Accepted Answer

Cognitive-behavioral theory (Beck)

Answer

Psychoanalytic theory

Answer

Interpersonal theory

Answer

Biopsychosocial model

Question 2

A psychiatric nurse is applying the Recovery Model of mental illness. Which principle best reflects this model?

Accepted Answer

A meaningful life is possible even with ongoing symptoms

Answer

Symptom elimination is the primary goal of treatment

Answer

Patients have limited capacity for self-determination

Answer

Medication compliance is required for recovery

Question 3

Which neurotransmitter imbalance is most associated with the development of schizophrenia according to the dopamine hypothesis?

Accepted Answer

Excess dopamine activity in mesolimbic pathways

Answer

Excess serotonin in the limbic system

Answer

Deficiency of GABA in frontal lobes

Answer

Excess norepinephrine in the locus coeruleus

Question 4

During a mental status exam, a patient demonstrates flight of ideas. This finding is most consistent with which condition?

Accepted Answer

Manic episode

Answer

Major depressive disorder

Answer

Schizophrenia

Answer

Generalized anxiety disorder

Question 5

A nurse practicing trauma-informed care should prioritize which of the following?

Accepted Answer

Creating an environment of safety, choice, and collaboration

Answer

Detailed discussion of traumatic events at every visit

Answer

Confronting trauma avoidance behaviors directly

Answer

Focusing exclusively on PTSD diagnosis and pharmacotherapy

Question 6

Which is the correct legal standard for involuntary psychiatric hospitalization in the United States?

Accepted Answer

Patient presents a danger to self or others, or is gravely disabled

Answer

Patient refuses to take prescribed medications

Answer

Patient has a history of psychiatric illness

Answer

Family members request hospitalization for the patient