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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:

1. A 24-year-old woman who signed a voluntary admission late yesterday evening is requesting discharge this morning. She reports having a temporary "breakdown" and threatening suicide after arguing with her boyfriend of four months. She is now saying that she and her boyfriend "worked it out." The patient's boyfriend and mother are in the lobby waiting. The young woman appears happy, slightly embarrassed, and apologetic for "wasting the hospital's time." What is the nurse practitioner's best course of action in this situation?

A) Inform the patient that the hospital has 72 hours to do their admission assessment, and it needs to be completed before a decision can be made on discharge
B) Instruct the patient that she needs to stay in the hospital for her safety
C) Prepare the patient for discharge
D) Ask the patient about her protective factors

2. What virtue is associated with the successful resolution of the psychosocial stage Ego Integrity vs. Despair?

A) Fidelity
B) Care
C) Love
D) Wisdom

3. During a mental status examination, the nurse evaluates the thought process of a client diagnosed with obsessive-compulsive disorder (OCD). Which of the following thought processes is commonly associated with OCD?

A) Flight of ideas
B) Circumstantiality
C) Loosening of associations
D) Obsessive rumination

4. Which of the following examples least illustrates countertransference in a nurse practitioner?

A) Intense emotional reactions during the first encounter with the patient
B) Following up with the patient via phone to reinforce the importance of medication adherence
C) Preoccupation with or dreaming about the patient
D) Resistance to others treating or interacting with the patient

5. What is one of the most common reasons that patients seek individual psychotherapy?

A) Character issues such as narcissism or aggressiveness
B) Alcoholism and other substance use disorders
C) Life coach support
D) Court-ordered treatment such as anger management

Solutions: