ANCC PMHNP 2025/2026 SAMPLE TEST QUESTIONS AND ANSWERS (VERIFIED & CORRECT ANSWERS)
A patient with borderline personality disorder experiences intense anxiety when an adult
psychiatric and mental health nurse practitioner goes on vacation. The best explanation for
this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification.
B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially,
the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy,
and appearance have now begun to improve. Which statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased.
D. The patient's suicide potential is increased.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals
A. Attempting to understand a patient's subjective world
4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse
practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours
after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted