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PMHNP ANCC EXAM REVIEW LATEST U PDATE
2025 ACTUAL EXAM|COMPLETE ACCURATE
QUESTIONS AND VERIFIED ANSWERS ( 100%
CORRECT ANSWERS) ALREADY GRADED A+
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:
- Infancy
- Early childhood
- Late childhood
- School age - Correct Answer - B. These signs indicate developmental
failure of early childhood.
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?
- Pleasure principle
- Psychic determinism principle
- Reality principle
- Unconsciousness principle - Correct Answer - B. The psychic
determinism principle states that all behavior has purpose and meaning, often unconscious in nature, and that no behaviors occur randomly or by coincidence. 1 / 4
pg. 2 An example of a mature, healthy defense mechanism is
- Denial
- Rationalization
- Repression
- Suppression - Correct Answer - D. Suppression is the only defense
mechanism listed in which the client channels conflicting energies into growth-promoting activities.
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
- Immature regressive defense mechanism
- Denial of reality
- Immature fantasy defense mechanism
- Repressive behavior - Correct Answer - A. Immature regressive
defense mechanism is a return to a behavior common to an earlier stage of development.
Defense mechanisms are best viewed as a function of the ego
- To alert us to harm and danger
- To alert us to problems
- Used to resolve a conflict
- Used to protect the id - Correct Answer - C. Defense mechanisms are
a function of the ego used to resolve a conflict. 2 / 4
pg. 3 One of the health care changes that has occurred as a result of the affordable care act (ACA) is that doctors/hospitals/clinic groups or health systems are coming together and assuming the responsibility for quality care to large groups of individuals insured by Medicare. The health care clinics/systems doctors or hospitals that join together are called which of the following?
- Health Maintenance Organization (HMO)
- Preferred Provider Network (PPO)
- Accountable Care Organization (ACO)
- Individual Health Plan (IHP) - Correct Answer - C. ACO's are groups
of doctors or other health care providers who voluntarily come together and assume the care provided to Medicare patients.
The role of neurotransmitters in the central nervous system is to function as
- A communication medium
- A gatekeeper for transmissions
- A building block for amino acids
- An agent to break down enzymes - Correct Answer - A.
Neurotransmitters in the central nervous system function as a communication medium.
Serotonin is produced in which of the following locations:
- Locus ceruleus
- Nucleus basalis
- Raphe nuclei 3 / 4
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- Substantia nigra - Correct Answer - C. Serotonin is produced in the
raphe nuclei.
Dopamine is produced in which of the following locations:
- Locus ceruleus
- Nucleus basalis
- Raphe nuclei
- Substantia nigra - Correct Answer - D. Dopamine is produced in the
substantia nigra.
A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is responsible for the normal regulation of these functions?
- Thalamus
- Hypothalamus
- Limbic system
- Hippocampus - Correct Answer - B. Appetite, sleep, and libido are
regulated by the hypothalamus.
In considering whether to order an MRI of the head for a client, which of the following would be a contraindication to this diagnostic test?
- Prosthetic limb
- History of head trauma
- Pacemaker
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