ANCC Psychiatric-Mental Health Nursing

Question 1

A patient diagnosed with schizophrenia is experiencing command hallucinations. Which nursing intervention is the priority?

Accepted Answer

Assess whether the patient intends to act on the commands

Answer

Assessing the patient's intent to act on command hallucinations is the priority because it determines the immediate safety risk.

Question 2

Which medication class is considered first-line pharmacotherapy for generalized anxiety disorder (GAD) in adults?

Accepted Answer

SSRIs/SNRIs

Answer

SSRIs and SNRIs are first-line treatments for GAD due to their efficacy and more favorable safety profile compared to benzodiazepines.

Question 3

A nurse is using motivational interviewing with a patient who abuses alcohol. Which statement best reflects the 'rolling with resistance' technique?

Accepted Answer

'It sounds like you're not ready to make changes yet, and that's okay.'

Answer

Rolling with resistance means acknowledging ambivalence without confrontation, validating the patient's current position.

Question 4

Which of the following is the hallmark symptom that distinguishes bipolar I disorder from bipolar II disorder?

Accepted Answer

At least one full manic episode

Answer

Bipolar I disorder requires at least one full manic episode, while bipolar II involves hypomania without full mania.

Question 5

A patient taking lithium reports nausea, vomiting, coarse tremor, and confusion. What is the nurse's priority action?

Accepted Answer

Hold the lithium and notify the provider immediately

Answer

These symptoms indicate lithium toxicity, which requires immediate medication hold and provider notification to prevent serious harm.

ANCC - American Nurses Credentialing Center Practice Test