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

Aaron Beck's cognitive theory identifies the negative cognitive triad as a core feature maintaining depression.

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

The Recovery Model emphasizes hope, self-determination, and meaningful community participation regardless of symptom status.

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

The dopamine hypothesis proposes that excess dopamine activity in mesolimbic pathways underlies positive symptoms of schizophrenia.

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

Flight of ideas — rapidly shifting, loosely connected thoughts — is a hallmark feature of manic episodes.

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

Trauma-informed care prioritizes physical and emotional safety, patient choice, collaboration, and empowerment.

ANCC - American Nurses Credentialing Center Practice Test