Contact Hours for Family Nurse Practitioner Review and Resource Manual

Expiration Date: December 31, 2010. No CE contact hours (CH) will be given after this date.

This continuing education module should be taken ONLY by those who have purchased the Psychiatric/Mental Health Nurse Practitioner Review and Resource Manual 2nd Edition. During the process of purchasing this CE module, you will be asked to input the proof of purchase code which can be obtained by sending an e-mail to revmanuals@ana.org.

To earn CE contact hours for the manual, you must pay an additional fee of $36 if you are an ANA member and $46 if you are not. You must also pass a short, open-book test. The actual test questions have been posted below for your review. The link to the test is at the bottom of the page.

When you purchase the CE module, you will be issued a password which will allow you to access all CE modules purchased on the NursingWorld Web site. This password is NOT to be confused with the proof of purchase code you received when you purchased the manual. It is important that you remember this password, as you MUST use it if you wish to log out of the system and return at a later time to take the test or to print duplicates of your certificate of completion.

IMPORTANT NOTE: The test for Contact Hours Psychiatric/Mental Health Nurse Practitioner Review and Resource Manual 2nd Edition contains 25 questions. You may find that you are not able to complete the entire test in one sitting. If this is the case, simply click on "Grade My Test" at the bottom of the test page even though you have not yet completed the test. This will allow the system to store your test for your return visit.

When you wish to return, click on "Log Back In" from the CE home page menu and input the CE password you were issued when you first registered for ANA's online CE. Again, DO NOT input the purchse code you were issued as proof of purchase of the manual. Once you are logged back into the system, you will see a list of the ISMs you have completed and ones that are incomplete. Click on "Take Test" next to any incomplete ISM and you will be told how many questions you have completed and how many are left to complete.

Best version for printing 

The above PDF document requires that you have Adobe Acrobat Readersoftware installed on your computer.It is best viewed with the Adobe Reader version 7.0 or above. If you do not have the Reader, or if you are using version 6.0 or below, you can download the latest version of the Acrobat Reader freefrom the Adobe site.

Get Acrobat Reader

Test Questions

1. Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following is the best example of a primary prevention care strategy for community behavioral health?
  • a. Aftercare program for chronically mentally ill clients recently discharged from the hospital
  • b. Court-ordered counseling for abusive parents
  • c. 24-hour crisis hotlines
  • d. Parenting skills classes for pregnant adolescents
2. Which of the following statements best reflects the difference between the nurse–client relationship (N–C) and a social relationship?
  • a. In the N–C relationship, the primary focus is on the client and his needs
  • b. Goals in the N–C relationship are deliberately left vague and unspoken so that the client can work on any issue
  • c. In the N–C relationship the nurse is solely responsible for making the relationship work
  • d. In the N–C relationship there is no place for social interaction
3. Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or what time appointments are scheduled, and he has stated that he thinks these are just random behaviors that have no particular meaning. Which Freudian-based psychodynamic principle assumes that all behavior and actions are purposeful and meaningful?
  • a. Pleasure principle
  • b. Psychic determinism principle
  • c. Reality principle
  • d. Unconsciousness principle
4. Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most likely an example of
  • a. Immature regressive defense mechanism
  • b. Denial of reality
  • c. Immature fantasy defense mechanism
  • d. Repressive behavior
5. A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of dependency. These behaviors indicate developmental failure of which of the following stages of development:
  • a. Infancy
  • b. Early childhood
  • c. Late childhood
  • d. School age
6. A woman is the only survivor of a fire that kills her two housemates. As the PMHNP caring for her, you ask her how she is doing, and she replies, “I don’t remember a thing about the fire.” The best explanation of this is:
  • a. Undoing
  • b. Suppression
  • c. Denial
  • d. Repression
7. The primary excitatory neurotransmitter is
  • a. GABA
  • b. Serotonin
  • c. Dopamine
  • d. Glutamate
8. The goal of the psychiatric assessment process performed by the PMHNP is to:
  • a. Gain an understanding of the life experiences of the client
  • b. Correctly diagnose the client
  • c. Identify the mental health needs of the client
  • d. Be able to communicate with other staff about the client’s health needs
9. Which communication technique is the PMHNP using in the following situation? CLIENT: “Sorry I was late. I didn’t realize what time it was.” PMHNP: “This is the third time now that you have been late for our sessions. I am wondering how committed you are to our working on your problems.”
  • a. Theming
  • b. Recognizing
  • c. Validating
  • d. Sequencing
10. A client comes into the clinic with a long-standing history of depression and chronic renal failure. He is on an antidepressant and a diuretic and complains of increased depression, mild confusion, irritability, and overall apathy from being too tired to do anything. The best initial PMHNP action to take at this time is:
  • a. Readjust his dose of antidepressant medication to better capture symptoms
  • b. Change him to another antidepressant for better symptom control
  • c. Obtain a serum calcium level
  • d. Obtain a serum magnesium level
11. When working with a dysfunctional family, you find that the father Jim worries excessively and is resistant to change. You give Jim a paradoxical directive to worry extremely well for 1 hour per day, knowing that he will likely be noncompliant, and thus change will occur. With this technique, you are using which type of therapy?
  • a. Experiential therapy
  • b. Structural therapy
  • c. Strategic therapy
  • d. Solution-focused therapy
12. The SSRI class of antidepressants is considered the first-line drug of choice for depression for which of the following reasons:
  • a. Need to stair step initial dosages
  • b. Sedating and calming effect of the medication
  • c. Safe use in suicidal overdose clients
  • d. Ability to obtain therapeutic serum drug levels
13. Which of the following drugs would need to be dosed using a “stair-stepped” approach, increasing the dose slowly over time to reach optimal dose ranges?
  • a. Elavil
  • b. Prozac
  • c. Paxil
  • d. Zoloft
14. The biological theory of anxiety states that the etiology of anxiety is:
  • a. Serotonin receptor hypersensitivity
  • b. GABA deregulation
  • c. Dopamine deregulation
  • d. Structural defects in hypothalamus and other limbic areas
15. A client is diagnosed with PTSD and is receiving Ativan 2 mg po qid. While the PMHNP prepares to assess the client, her husband comments that lately the patient seems “fuzzy and sort of out of it.” The best action for the PMHNP to take is:
  • a. Perform an MSE, and compare findings to the client’s known baseline
  • b. Assess for probable co-morbidity
  • c. Plan to start family therapy to address the needs of the whole family unit
  • d. Increase the client’s medication dose, as these symptoms are significant for and consistent with exacerbation of PTSD
16. Ms. Deering, a client at the local mental health center, has been diagnosed with schizophreniform disorder. In doing care planning with her, she asks you how this illness is different from schizophrenia. Your best answer is:
  • a. The illnesses are the same, but because she is only 18 years old, schizophreniform is the correct diagnosis.
  • b. Schizophrenia is a complication of the milder condition schizophreniform.
  • c. The symptoms of both illnesses are the same, but she has not had symptoms long enough to be diagnosed with schizophrenia.
  • d. Schizophreniform has a psychological cause, while schizophrenia is caused by a biochemical imbalance.
17. The most common pairing to experience shared psychotic disorder is:
  • a. Husband and wife
  • b. Sisters
  • c. Brother and sister
  • d. Parent and child
18. The subtype of schizophrenia most commonly experienced by men is:
  • a. Paranoid
  • b. Catatonic
  • c. Disorganized
  • d. Undifferentiated
19. Typical antipsychotic medications would be expected to be most effective for which of the following target symptoms:
  • a. Social isolation
  • b. Apathy
  • c. Hallucinations
  • d. Amotivation
20. Clients taking typical antipsychotics (e.g., Haldol, Thorazine) often have high rates of noncompliance because the medications have the potential to produce extensive neurological side effects such as EPS. These side effects are most commonly correlated with the drug's:
  • a. Action on the 5HT1a receptor system
  • b. Action on the Alpha 1 receptor system
  • c. Action on the muscarinic receptor system
  • d. Action on the D 2 receptor system
21. Because of the severe problems caused by chronic EPS side effects, a client on long-term use of antipsychotics must be carefully monitored for the development of EPS symptoms. The most commonly used test to monitor for EPS development is the:
  • a. Abnormal Involuntary Movement Scale (AIMS)
  • b. Beck Depression Inventory (BDI)
  • c. Hamilton Rating Scale for Depression (HAM–D)
  • d. Zung Self-Rating Depression Scale
22. The most common form of dementia is:
  • a. Alzheimer’s type
  • b. Vascular type
  • c. HIV type
  • d. Substance-induced type
23. The best assessment question to ask a client with substance dependence to alcohol to determine his or her risk of possible withdrawal is:
  • a. Tell me what you know about your addiction.
  • b. Tell me the longest time you have gone recently without drinking and how you felt during that time.
  • c. Tell me when you were last treated for your alcoholism.
  • d. How has your general health been, and how you have been feeling lately?
24. It is unusual for a diagnosis of personality disorder to be given to a child for which of the following reasons:
  • a. Children are not old enough to understand the meaning of their behavior.
  • b. Diagnostic criteria require that a person be at least age 18 years so that he or she can participate in the evaluation process before receiving the diagnosis.
  • c. Sufficient life experiences must be accumulated so that the chronicity of maladaptive behavior can be observed.
  • d. Clients must develop abstractive thought processes before the nature of maladaptive personality behaviors can be observed.
25. When working with clients with transient insomnia, sleep hygiene is an effective intervention. Sleep hygiene practices that can be recommended by the PMHNP include all of the following except:
  • a. Reduce stress
  • b. Avoid late-day stimulant use
  • c. Spend long periods of time in sleeping area to improve comfort with environment
  • d. Avoid late-day exercise

Previous: Pre Test
Next: Take test