Psychiatric-Mental Health Nurse Practitioner Exam Comprehensive Mental Health and Psychiatric Nursing 5

Question 1

A patient describes feeling detached from their own body and observing themselves from the outside during periods of stress. This symptom is BEST described as:

Accepted Answer

Depersonalization

Answer

Depersonalization is the subjective experience of feeling detached from or outside of one's own body, thoughts, or feelings.

Question 2

A PMHNP applies the Recovery Model when working with patients with serious mental illness. Which principle is MOST central to this model?

Accepted Answer

Self-determination and building a meaningful life despite illness

Answer

The Recovery Model emphasizes self-determination, hope, and building a meaningful, satisfying life even in the presence of ongoing psychiatric symptoms.

Question 3

A patient with major depressive disorder has not responded to two adequate SSRI trials. The PMHNP considers augmentation. Which agent is FDA-approved for adjunctive treatment of MDD?

Accepted Answer

Aripiprazole

Answer

Aripiprazole is FDA-approved as an adjunctive therapy to antidepressants in adults with major depressive disorder who have had an inadequate response.

Question 4

Under the duty to protect (Tarasoff ruling), a PMHNP is legally obligated to act when a patient:

Accepted Answer

Makes a specific, credible threat against an identifiable third party

Answer

The Tarasoff duty to protect is triggered when a patient makes a specific, serious, and credible threat against an identifiable victim, requiring the clinician to warn the potential victim and/or notify law enforcement.

Question 5

A patient with ADHD and comorbid bipolar disorder requires pharmacological treatment. Which approach is MOST appropriate?

Accepted Answer

Stabilize the bipolar disorder with a mood stabilizer before treating ADHD

Answer

In ADHD-bipolar comorbidity, the bipolar disorder must be stabilized first with a mood stabilizer to prevent stimulants from triggering mania or rapid cycling.

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Comprehensive Mental Health and Psychiatric Nursing 5