LATESTPMHNP Exam Review Questions and Answers |Fall
2025/2026 Update | 100% Correct Latest
Question 1
An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a
therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's readiness to terminate
therapy when the patient demonstrates:
A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.
B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety.
C. free association, and considers the nurse practitioner's interpretation of the patient's dreams.
D. new adaptive skills and responses after completing "homework assignments."
Correct Answer
A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.
Page 1 of 29
,Question 2
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 sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic medication for a brief period.
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a post trauma support group
Correct Answer
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
Question 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
Correct Answer
A. Attempting to understand a patient's subjective world
Page 2 of 29
, Question 4
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.
Correct Answer
B. has failed to master object constancy.
Question 5
An adult psychiatric and mental health nurse practitioner uses a cognitive-behavioral approach to help an adolescent
patient change self-defeating behaviors. After identifying the initial stressor that is causing the inappropriate behavior, the
therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor.
Correct Answer
D. rational and irrational beliefs about the stressor.
Page 3 of 29
2025/2026 Update | 100% Correct Latest
Question 1
An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a
therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's readiness to terminate
therapy when the patient demonstrates:
A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.
B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety.
C. free association, and considers the nurse practitioner's interpretation of the patient's dreams.
D. new adaptive skills and responses after completing "homework assignments."
Correct Answer
A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.
Page 1 of 29
,Question 2
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 sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic medication for a brief period.
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a post trauma support group
Correct Answer
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
Question 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
Correct Answer
A. Attempting to understand a patient's subjective world
Page 2 of 29
, Question 4
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.
Correct Answer
B. has failed to master object constancy.
Question 5
An adult psychiatric and mental health nurse practitioner uses a cognitive-behavioral approach to help an adolescent
patient change self-defeating behaviors. After identifying the initial stressor that is causing the inappropriate behavior, the
therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor.
Correct Answer
D. rational and irrational beliefs about the stressor.
Page 3 of 29
