ANCC PMHNP Exam Practice Test 2026 Study Guide [UPDATED]

1) A patient struggles to count backward from 100 to 7 during cognition evaluation. The practitioner documents this as a potential indication of:

2) Sudden mood swings and impulsivity faced by a 45-year-old patient with a history of borderline personality disorder. The psychiatric-mental health nurse practitioner's immediate action is to:

3) A 22-year-old patient presents with complaints of auditory hallucinations and disorganized thinking. The psychiatric-mental health nurse practitioner suspects schizophrenia. What type of hallucination is commonly associated with this disorder?

4) What is the nurse practitioner's initial response when a patient with bipolar disorder expresses interest in a research study involving an experimental drug?

5) In evaluating alternative thresholds for the VADPRS comorbidity scales, what is the rationale behind prioritizing sensitivity over specificity?

6) What condition should the PMHNP consider when a patient presents with mood swings, impulsivity, inflated self-esteem, and decreased need for sleep?

7) The psychiatric-mental health nurse practitioner is reviewing the use of modafinil and armodafinil. In addition to narcolepsy, what off-label use of these agents is supported by small studies?

8) As part of the interprofessional team caring for a patient, the psychiatric-mental health nurse practitioner plays a crucial role in ensuring the safety and efficacy of pharmacotherapy by:

9) A 45-year-old client has been struggling with depression. During a therapy session, the client feels overwhelmed by a sense of failure due to past life events. The therapist employs a technique that involves externalizing the problem and encourages the client to view their experiences as separate from their identity. In this case, which therapeutic approach is the therapist most likely utilizing?

10) A patient on long-term medication experiences dose-related adverse reactions. The psychiatric-mental health nurse practitioner contemplates modifying the dose or eliminating precipitating factors. This approach is most applicable when adverse reactions involve:

11) A psychiatric-mental health nurse practitioner teaches a colleague about receptor binding and effect. How does the law of mass action govern the binding of ligands (drugs) to receptors?

12) A patient with nonspecific leg pain has elevated alkaline phosphatase. The nurse practitioner's action is to:

13) In social or occupational functioning, a patient presents with persistent difficulty initiating or maintaining sleep, along with daytime fatigue and impairment. The nurse practitioner suspects:

14) In psychoeducational groups for trauma survivors, the nurse practitioner's primary goal is to:

15) A 45-year-old patient, recently started on a new antipsychotic medication, reports involuntary movements and muscle stiffness. The psychiatric-mental health nurse practitioner recognizes these symptoms as indicative of:

16) In a presentation on stigma reduction, the nurse practitioner should emphasize:

17) Which strategy would be most effective for initiating the change process when a psychiatric-mental health nurse practitioner is implementing change within a community mental health clinic?

18) A 22-year-old female with a history of bipolar disorder presents with mood swings and irritability that occur throughout her menstrual cycle. How should the psychiatric-mental health nurse practitioner differentiate between bipolar disorder and premenstrual dysphoric disorder (PMDD)?

19) A 6-year-old child exhibits weakness in arms, difficulty speaking, and excessive drooling. The nurse practitioner suspects a neurodevelopmental disorder. What condition aligns with these symptoms?

20) A patient exhibits signs of distress and does not speak English but struggles to communicate verbally. To ensure effective communication, what action should a psychiatric-mental health nurse practitioner take?

21) A 16-year-old patient exhibits distractibility and sadness. How can the nurse practitioner distinguish between Attention-Deficit/Hyperactivity Disorder (ADHD) and Major Depressive Disorder in this case?

22) The psychiatric-mental health nurse practitioner suspects lithium toxicity when a 28-year-old patient with bipolar disorder, stabilized on lithium, presents with polyuria, polydipsia, and mild tremors. The immediate action is to:

23) Despite antipsychotic treatment, a 55-year-old patient with schizophrenia continues to experience persistent cognitive impairment. The nurse practitioner considers adjunctive treatment with the following:

24) With a history of alcohol use disorder, a patient expresses persistent sadness, loss of interest, and feelings of worthlessness during a therapy session. The PMHNP suspects a coexisting depressive disorder. What is the appropriate initial step in managing this patient?

25) A 55-year-old patient is asking about the potential benefits of complementary and alternative medicine (CAM), diagnosed with PTSD. The psychiatric-mental health nurse practitioner should:

26) Feelings of sadness, loss of interest, and difficulty concentrating for over six months were reported by a 45-year-old patient. The psychiatric-mental health nurse practitioner suspects:

27) A patient is diagnosed with social anxiety disorder. He expresses reluctance to attend social gatherings due to fear of judgment. The psychiatric-mental health nurse practitioner's initial response is to:

28) In a psychiatric hospital, a patient with suicidal tendencies is assessed using the AUDIT screening tool. What is the rationale for utilizing the AUDIT in this setting?

29) In telehealth medication management, what distinguishes it as a convenient option, and what aspect requires in-person visits for controlled substances?

30) While considering electroconvulsive therapy (ECT), a 50-year-old patient with major depressive disorder. The nurse practitioner's role is to:

31) Considering evidence-based practices, the patient is interested in creative therapies. How can the nurse practitioner incorporate creative therapies into the treatment plan when a psychiatric-mental health nurse practitioner is treating a patient with depression?

32) Despite active suicidal ideation, a 32-year-old patient with depression refuses hospitalization. The psychiatric-mental health nurse practitioner's ethical responsibility is to:

33) A 30-year-old patient who has a history of trauma is seeking therapy. The patient expresses a fear of discussing certain topics during therapy sessions. The therapist's most appropriate response is to:

34) A parent seeks guidance on early prevention strategies for neurodevelopmental disorders. The psychiatric-mental health nurse practitioner advises that, for genetic and environmental conditions, proper prenatal care can:

35) A 45-year-old patient refuses to participate in the development of a treatment plan during the initial assessment when a patient with a history of schizophrenia is admitted to a psychiatric facility. How should the psychiatric-mental health nurse practitioner approach?

36) What type of thought process does the psychiatric-mental health nurse practitioner likely observe if a patient speaks rapidly and exhibits disorganized thoughts during a mental status examination?

37) A 27-year-old patient presents with severe localized pain and insists on extensive medical tests despite multiple negative results. The nurse practitioner observes an overriding fear of a rare, life-threatening condition. What diagnostic considerations should the nurse prioritize?

38) A 22-year-old patient is prescribed methylphenidate and diagnosed with attention deficit hyperactivity disorder (ADHD). The psychiatric-mental health nurse practitioner considers the drug's pharmacokinetics. Why is it important to monitor the patient's response over time?

39) During a therapy session, a patient reveals persistent thoughts of self-harm and a desire to end their life. The psychiatric-mental health nurse practitioner's immediate action is to:

40) A patient with bipolar disorder expresses interest in joining a research study testing an experimental drug. The nurse practitioner's initial response should be:

41) A 22-year-old patient with schizophrenia is prescribed clozapine, a drug known for potential variations in drug response due to genetic factors. What precautions should the psychiatric-mental health nurse practitioner consider when managing this patient's medication?

42) A 25-year-old patient with depression is prescribed fluoxetine. The psychiatric-mental health nurse practitioner considers potential drug interactions and determines that fluoxetine increases the plasma levels of certain medications by:

43) At school, a 10-year-old child with a history of trauma presents with disruptive behaviors. The initial intervention of the psychiatric-mental health nurse practitioner is to:

44) How should the nurse practitioner interpret the inconsistency when a patient denies hallucinations despite exhibiting behavior suggesting otherwise?

45) In an interprofessional team caring for a patient, what role does the psychiatric-mental health nurse practitioner play in ensuring the safety and efficacy of pharmacotherapy?

46) Which class of mental illness is most likely associated when a patient exhibits symptoms of preoccupation with weight, food, and body image, leading to severe disturbances in eating behaviors?

47) A patient on psychiatric medications presents with nasal congestion. What intervention should the psychiatric-mental health nurse practitioner recommend to manage this side effect?

48) A patient with bipolar disorder presents with a recent onset of elevated mood, increased energy, and impulsivity. The psychiatric-mental health nurse practitioner considers pharmacotherapy, recognizing the first-line treatment for acute mania is:

49) An 8-year-old child is prescribed medication for attention-deficit/hyperactivity disorder (ADHD). The psychiatric-mental health nurse practitioner recognizes the need for specialized monitoring due to the child's age. What consideration should be prioritized in the management of potential adverse drug reactions for this pediatric patient?

50) A 40-year-old patient with a history of anxiety reports experiencing vivid nightmares and night sweats. The nurse practitioner attributes these symptoms to dysregulation in the:

51) Sudden-onset panic attacks with chest pain and shortness of breath are reported by a 50-year-old patient with a history of panic disorder. The psychiatric-mental health nurse practitioner's immediate action is to:

52) A 14-year-old reports leg pain, normal examination, and elevated alkaline phosphatase. The nurse practitioner interprets this as:

53) When preparing a patient for electroconvulsive therapy (ECT), the psychiatric-mental health nurse practitioner orders a set of baseline laboratory tests. What specific assessments are typically included in the pre-ECT evaluation to ensure patient safety?

54) A brief screening tool is preferred by a patient with suspected anxiety. Which alternative scale is appropriate for rapid anxiety assessment in primary care, focusing on the first two questions of the GAD-7?

55) A 22-year-old patient who is diagnosed with an eating disorder expresses a strong desire for rapid weight loss and requests the psychiatric-mental health nurse practitioner to prescribe a medication not indicated for this purpose. The appropriate response is to:

56) A 29-year-old female presents with irritability, mood swings, and sleep disturbance occurring regularly before menstruation. She reports a history of these symptoms for at least two consecutive menstrual cycles. What is the most appropriate initial action for the psychiatric-mental health nurse practitioner?

57) When developing a therapeutic presentation for clients with social anxiety disorder, the nurse practitioner should focus on:

58) A 35-year-old patient reports chronic suicidal thoughts and a desire to explore assisted suicide options. The nurse practitioner's response should prioritize:

59) Which of the following medications would be the most appropriate initial treatment for a 25-year-old patient presenting with depression, insomnia, and decreased appetite?

60) A 16-year-old patient exhibits severe irritability, persisting over many months. The psychiatric-mental health nurse practitioner suspects disruptive mood dysregulation disorder (DMDD). How does DMDD differ from bipolar disorders in terms of mood presentation?

61) Why is the goal-oriented approach of Cognitive-Behavioral Therapy (CBT) beneficial for individuals seeking therapy?

62) A 7-year-old child displays persistent challenges with social interactions, repetitive behaviors, and limited interests. The nurse practitioner suspects a neurodevelopmental disorder. What condition aligns with these symptoms?

63) A patient with bipolar disorder expresses interest in an experimental drug study. The nurse practitioner's initial response should be:

64) A 20-year-old patient who has bipolar disorder asks about qigong for mood stabilization. The nurse practitioner should:

65) Distressing nightmares are reported by a patient with post-traumatic stress disorder (PTSD). What is the rationale for using prazosin in post-traumatic stress disorder (PTSD) when a nurse practitioner considers prazosin as an adjunctive treatment?

66) A 25-year-old patient diagnosed with schizophrenia is prescribed clozapine. The nurse practitioner monitors for potential adverse effects, emphasizing the importance of regular blood tests to assess:

67) A 50-year-old patient, Buspar, was diagnosed with generalized anxiety disorder. Which laboratory test should the nurse prioritize before starting treatment?

68) In a patient with alcohol use disorder, increased liver function values and:

69) A patient aged 30 who has panic disorder is undergoing cognitive behavioral therapy (CBT). The patient expresses frustration about not being able to control their anxious thoughts during a session. The PMHNP responds by:

70) A 60-year-old patient is prescribed medication for a psychiatric condition, and the nurse practitioner is concerned about potential complications due to the patient's fluid status and body habitus. What aspect of drug distribution is the nurse considering?

71) In diagnosing mental health disorders, why is familiarity with the Diagnostic and Statistical Manual of Mental Disorders (DSM5) crucial for therapists?

72) A 28-year-old patient who is diagnosed with chronic depression seeks therapy. This patient expresses difficulty in maintaining relationships and feelings of isolation. In this case, which type of psychotherapy would be most suitable for addressing the patient's concerns?

73) Recurrent panic attacks accompanied by palpitations, sweating, and a sense of impending doom are experienced by a 50-year-old patient. The psychiatric-mental health nurse practitioner suspects:

74) While falling asleep, a 28-year-old patient with anxiety reports difficulty. The first-line recommendation of the nurse practitioners is:

75) How should the nurse practitioner best explain the concept when a psychiatric-mental health nurse practitioner is discussing privacy and confidentiality with a newly admitted patient and the patient asks about the distinction between privacy and confidentiality?

76) A 30-year-old patient diagnosed with major depressive disorder is contemplating electroconvulsive therapy (ECT). The nurse practitioner explains the neurophysiological mechanism of ECT, emphasizing its impact on:

77) A 28-year-old patient diagnosed with major depressive disorder reports persistent fatigue and difficulty concentrating. The psychiatric-mental health nurse practitioner recognizes these symptoms as potential indicators of:

78) In psychiatric medication management, which psychotropic agent requires weekly CBC with differential during the initial six months of treatment to monitor for potential complications?

79) A patient demonstrates fair insight into their depression but poor judgment during a mental status examination. The nurse practitioner interprets this finding as:

80) How does the lack of specificity impact the ethical considerations when a patient makes a vague threat without a clearly identified victim and a psychiatric-mental health nurse practitioner is consulting?

81) The psychiatric-mental health nurse practitioner is assessing a patient with insomnia. Which medication, with its appropriate initial dose, would be suitable for a male patient experiencing difficulty falling back asleep after waking up in the middle of the night?

82) When a patient taking a new medication seeks information, which of the following methods is most effective for providing psychoeducation in a telemedicine setting?

83) A 6-year-old child exhibits extreme resistance to attending school and leaving his mother's side. The psychiatric-mental health nurse practitioner suspects a developmental issue related to:

84) A PMHNP observes dysfunctional family dynamics. He aims to introduce strategies to strengthen the family as a system. In this case, which aspect of structural family therapy is the PMHNP focusing on?

85) A patient reports feeling hopeless, experiencing a loss of appetite, and having trouble sleeping during a mental health assessment. The nurse practitioner suspects:

86) A 40-year-old patient, newly diagnosed with schizophrenia, is provided psychoeducation. The nurse practitioner anticipates improved treatment compliance, recognizing that psychoeducation:

87) A 25-year-old patient with depression expresses interest in trying complementary and alternative medicine (CAM) for symptom management. The psychiatric-mental health nurse practitioner's initial response is to:

88) A patient with fibromyalgia exhibits inadequate response to pregabalin therapy. What skill is essential for the psychiatric-mental health nurse practitioner to employ in optimizing the patient's treatment plan?

89) A 28-year-old patient presents with disorganized speech, delusions, and impaired social functioning, with a history of schizophrenia. The psychiatric-mental health nurse practitioner's priority intervention is:

90) A patient undergoing drug abuse screening reports experiencing "blackouts" or "flashbacks" due to drug use. Which class of drugs is commonly associated with these symptoms?

91) Debilitating panic attacks are experienced by a 22-year-old patient with generalized anxiety disorder. What is the first-line medication when the psychiatric nurse decides on pharmacological intervention?

92) A 30-year-old patient with depression has inquired about Bach Flower remedies and wishes to explore complementary and alternative medicine (CAM) options. The nurse practitioner's response should be:

93) A 50-year-old patient without evidence of medical pathology presents chronic somatic symptoms. The psychiatric-mental health nurse practitioner suspects:

94) What distinguishes voluntary admission from involuntary commitment when a patient with severe depression is considering inpatient treatment?

95) A new antipsychotic medication is prescribed to a patient diagnosed with schizophrenia. During the medication discussion, the psychiatric-mental health nurse practitioner emphasizes the importance of informed consent. The patient asks, "What does informed consent mean?"

96) A 35-year-old patient is considering medication-assisted treatment having a history of substance use disorder. The psychiatric-mental health nurse practitioner's primary consideration should be:

97) A 40-year-old patient diagnosed with major depressive disorder is prescribed an antidepressant. The psychiatric-mental health nurse practitioner orders genetic testing to assess the patient's cytochrome P450 enzyme system. What is the primary purpose of this genetic testing?

98) What adjunctive therapy should the PMHNP consider to stabilize the mood of a 55-year-old patient who is experiencing recurrent manic episodes despite a diagnosis of bipolar disorder?

99) A patient develops an itchy rash, upper airway edema, and hypotension after taking a new medication. The psychiatric-mental health nurse practitioner identifies these symptoms as indicative of:

100) When considering psychiatric medication management, why is it important for the psychiatric-mental health nurse practitioner to emphasize the collaborative nature of the treatment plan?

101) A 30-year-old patient is prescribed a new psychiatric medication with a history of anaphylactic reactions. What term describes the situation where retaking the medication could harm the patient?

102) A 35-year-old patient with schizophrenia exhibits disorganized thinking and impaired executive function. The nurse practitioner recognizes these symptoms are linked to dysfunction in the:

103) A 25-year-old patient reports a recent onset of irregular menstrual periods with schizophrenia and has been stable on risperidone (Risperdal) for two years. The initial action of PMHNP is to:

104) Concern about a child's sudden behavioral changes is expressed by a parent. The initial step of a psychiatric-mental health nurse practitioner is:

105) A 45-year-old patient with a history of schizophrenia presents with tongue protrusion and lip-smacking movements. The psychiatric-mental health nurse practitioner identifies this as a side effect of:

106) A 28-year-old patient with schizophrenia is prescribed clozapine. The psychiatric-mental health nurse practitioner reviews the patient's genetic profile and notes a deficiency in the gene associated with clozapine metabolism. What consideration should the nurse prioritize based on this information?

107) In a patient with alcohol use disorder and increased liver function values, which finding is concerning?

108) A 10-year-old child with neurodevelopmental disorders exhibits disruptive behaviors causing distress. What could be the possible underlying cause of these negative interactions?

109) There is a client with a history of substance abuse. During a therapy session, he expresses reluctance to change his behavior despite acknowledging its negative impact. In this case, which stage of the Transtheoretical Model (TTM) is the client likely in?

110) Which therapy model is most likely to be effective in addressing symptoms of dissociation and avoidance behaviors in a 45-year-old patient with a history of trauma?

111) A 50-year-old patient with acute akathisia receives pharmacologic treatment. The psychiatric-mental health nurse practitioner administers a medication commonly used to manage akathisia. What is the primary pharmacologic intervention?

112) Which of the following disorders is consistent with the presentation of a 30-year-old patient who exhibits excessive fear of separation from their spouse, leading to avoidance of leaving home?

113) A 45-year-old patient on an atypical antipsychotic reports a compelling urge to move and exhibits repetitive leg movements. The psychiatric-mental health nurse practitioner plans to manage the symptoms. What is the most appropriate intervention specific to akathisia?

114) A 30-year-old patient, prescribed haloperidol for schizophrenia, presents with high fever, rigid muscles, and altered mental status. The nurse practitioner recognizes the symptoms. What should be the immediate action?

115) A 45-year-old patient with a history of alcohol dependence presents with increased liver function values. The nurse practitioner suspects alcohol-related liver disease. Which laboratory findings support this suspicion?

116) Which class of medications would be most appropriate for long-term symptom management when a patient with generalized anxiety disorder experiences chronic worry and muscle tension?

117) A psychiatric-mental health nurse practitioner treats a patient with decreased serum protein levels due to malnutrition. How might this nutritional status impact the pharmacological effects of protein-bound medications?

118) A 15-year-old patient is diagnosed with attention-deficit/hyperactivity disorder (ADHD). The patient exhibits difficulty in maintaining peer relationships and struggles academically. The psychiatric-mental health nurse practitioner recognizes this as a potential manifestation of:

119) In prescribing tricyclic antidepressants (TCAs) for a patient with major depressive disorder, what considerations should the psychiatric-mental health nurse practitioner keep in mind to ensure safe and effective treatment?

120) A patient diagnosed with a bacterial infection is on a stable dose of an antipsychotic medication and prescribed an antibiotic. The psychiatric-mental health nurse practitioner anticipates potential interactions related to the following:

121) A 45-year-old patient prescribed first-generation antipsychotic presents with abnormal posturing, repetitive movements, and muscle contractions. The psychiatric-mental health nurse practitioner recognizes these symptoms as:

122) A patient diagnosed with neuroleptic malignant syndrome (NMS) has delayed treatment. What complications could the nurse practitioner anticipate in this situation?

123) A 45-year-old patient with epilepsy is prescribed tiagabine. What caution should the psychiatric-mental health nurse practitioner exercise regarding the initiation of tiagabine in patients concurrently taking enzyme-inducing medications?

124) A patient on lithium for bipolar disorder is admitted with symptoms of lithium toxicity. The psychiatric-mental health nurse practitioner correctly identifies the potential cause as:

125) A 45-year-old patient is concerned about his mental health and has a family history of schizophrenia. The psychiatric-mental health nurse practitioner's initial action is to:

126) A child has sudden, repetitive, involuntary vocalizations and movements. What neurological disorder frequently co-occurring with ADHD might the nurse practitioner consider?

127) Which activity would be most appropriate during the "Refreeze" stage when a PMHNP evaluates the effectiveness of a change initiative using Lewin's Change Model?

128) There is a 6-year-old child who has difficulty understanding abstract concepts and struggles with hypothetical situations. During which stage of cognitive development is this behavior most likely to occur, as described by Piaget?

129) A family with teenage children seeks therapy due to escalating conflicts and communication breakdowns. The psychiatric-mental health nurse practitioner (PMHNP) suggests a therapy approach focusing on restructuring family dynamics. What theoretical framework aligns with this approach?

130) A 40-year-old patient with bipolar disorder reports having difficulty swallowing, sweating excessively, and an elevated heart rate. What should the nurse practitioner prioritize in the assessment?

131) The PMHNP decides to use the Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) when assessing a 9-year-old child referred for ADHD. What does this tool specifically screen for besides ADHD symptoms?

132) The nurse practitioner notes a lack of emotional expression while evaluating a patient's affect during the mental status examination. This finding is consistent with:

133) A patient exhibits depersonalization symptoms following substance use. The psychiatric-mental health nurse practitioner needs to differentiate between substance-induced symptoms and depersonalization/derealization disorder. What factor aids in this differentiation?

134) A client reveals a traumatic experience during a therapy session. The therapist acknowledges the client's emotions but feels overwhelmed. In this situation, what action is most appropriate by the therapist to ensure effective therapeutic facilitation?

135) A 25-year-old patient with pediatric bipolar disorder is prescribed a combination of mood stabilizers and atypical antipsychotics. The nurse practitioner's rationale for this specific treatment approach is primarily based on the following:

136) A 25-year-old patient expresses concerns about the potential side effects of antidepressant medications as the patient is diagnosed with major depressive disorder. The psychiatric-mental health nurse practitioner's initial response should be:

137) Forgetfulness is the cause of medication non-adherence in a patient with schizophrenia. The nurse practitioner explores technology-based interventions. To increase medication adherence, what is an example of a technology-based intervention?

138) The PMHNP suspects developmental issues in a 5-year-old child who consistently exhibits aggressive behavior towards classmates. The Practitioner asks the parents about the child's early social interactions. In this case, what aspect of development is the PMHNP primarily focusing on?

139) A family attends therapy sessions to address unresolved conflicts and communication breakdowns. To promote understanding and empathy, the therapist encourages family members to share personal stories and perspectives. Which core aspect of narrative therapy is being implemented by the therapist?

140) A 45-year-old patient has a history of alcohol use disorder. He has been contemplating seeking treatment but is feeling unsure of where to start. According to the Transtheoretical Model, what intervention strategy aligns with the patient's current stage?

141) With a history of substance abuse, a 45-year-old patient helps manage stress without medication. The psychiatric-mental health nurse practitioner's response is to:

142) A patient is at risk for a serious drug interaction as both a monoamine oxidase inhibitor (MAOI) and a selective serotonin reuptake inhibitor (SSRI) are prescribed. The psychiatric-mental health nurse practitioner recognizes this risk primarily involves:

143) A typical antipsychotic is prescribed to a 50-year-old patient with schizophrenia. The nurse practitioner should educate the patient about the potential side effects of:

144) During a therapy session, a client discloses suicidal ideation. In this case, how can the psychiatric-mental health practitioner appropriately manage this crisis while maintaining a therapeutic alliance?

145) During a mental status examination, a patient expresses intense fear of leaving their home and avoiding public spaces. The psychiatric-mental health nurse practitioner recognizes this as:

146) In pharmacodynamics, drugs can interact with various protein targets. What drug interaction occurs when a drug binds a receptor but does not activate it, preventing its normal action?

147) How should the nurse respond to address the patient's concerns and facilitate engagement in the recommended program when a 65-year-old patient with substance use disorder questions the need for a 12-step program?

148) For fear of experiencing panic-like symptoms, a 50-year-old patient avoids using public transportation and open spaces. Which diagnosis should the psychiatric nurse consider?

149) A client with a history of childhood trauma becomes emotionally overwhelmed and starts to dissociate during a therapy session. The psychiatric-mental health nurse practitioner notices distress and rapid breathing of the client. In this situation, what should be the most appropriate action of PMHNP?

150) A psychiatric-mental health nurse practitioner prescribes a lipophilic medication with a large volume of distribution (Vd) to a patient with significant adipose tissue. How does the patient's adipose tissue influence the Vd of the drug?