Georgette Review PMHNP Exam 1
2026 MENTAL HEALTH Georgette Review
PMHNP Exam COMPLETE VERIFIED
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR EXAM
The nurse admits a client with depression to the mental health unit. The client reports difficulty
concentrating, has lost 10 pounds in 2 weeks, and is sleeping 12 hours a day. Which outcome is most
important for the client to meet by discharge?
A.Tries to interact with a few peers and staff
B.Reports feeling better and less depressed
C.Sits attentively with peers in group therapy
D.Easily awakens for morning medications
March 4, 2026
, Georgette Review PMHNP Exam 2
ANS: B
The client is experiencing symptoms of depression, and the outcome by discharge for this client would
be that the client reports feeling better and less depressed (B). The client may interact with peers and
staff (A) and sit attentively in groups (C) without any improvement in depression. Difficulty awakening
is usually caused by the medication regimen for depression, so awakening (D) is not an indication of
improvement.
A client mumbles out loud whether anyone is talking to her or not and the client also mumbles in
group when others are talking. The nurse determines that the client is experiencing hallucinations.
Which intervention should the nurse implement?
A.Respond to the client's feelings rather than the illogical thoughts
B.Identify beliefs and thoughts about what the client is experiencing.
C.Provide the client with hope that the voices will eventually go away.
D.Ask the client how she has previously managed the voices.
ANS: D
The nurse should promote symptom management and determine how the client previously managed
the voices (D). (A and B) are interventions that are useful with clients who are experiencing delusions.
(C) is important, but the most important intervention is to promote symptom management.
A client in an acute care facility has been taking antipsychotic medications for the past 3 days with a
decrease in psychotic behaviors and no adverse reactions. On the fourth day, the client experiences
an increase in blood pressure and temperature and demonstrates muscular rigidity. Which action
should the nurse initiate?
A.Place the client on seizure precautions and monitor frequently.
B.Take the client's vital signs and notify the health care provider immediately.
C.Describe the symptoms to the charge nurse and document them in the client's record.
D.No action is required at this time because these are known side effects of her medications.
ANS: B
This is an emergency situation, and the client requires immediate management in a critical care setting
(B). These symptoms are descriptive of neuroleptic malignant syndrome (NMS), an extremely serious
and life-threatening reaction to neuroleptic drugs. The major symptoms of this syndrome are fever,
rigidity, autonomic instability, and encephalopathy. Respiratory failure, cardiovascular collapse,
arrhythmias, and/or renal failure can result in death. (A) is not indicated in this situation. (C) does not
consider the seriousness of the situation. (D) is an incorrect statement.
On admission, a depressed client tells the nurse, "I can't eat because my tongue is rubber." Which is
the best action for the nurse to implement?
A.Provide packaged foods for the client to eat.
B.Begin the client on total parenteral nutritional (TPN) therapy.
March 4, 2026
, Georgette Review PMHNP Exam 3
C.Provide a well-balanced liquid diet for the client.
D.No action is necessary because the client will eat when hungry.
ANS: C
The nurse should strive to provide a safe environment (adequate nutrition is part of a safe
environment) and should not argue with the client's delusions. (C) is the least invasive while providing
nutrition that does not argue with the client's delusion. (A) is given to those with paranoid delusions.
(B) is invasive and would be used as a last resort. (C) should be tried first. This client's delusion could
be life threatening and should not be ignored (D).
Which topics should the nurse include in an education program for clients with schizophrenia and their
families? (Select all that apply.)
A.Importance of adherence to medication regimen
B.Current treatment measures for substance abuse
C.Signs and symptoms of an exacerbation
D.Prevention of criminal activity
E.Behavior modification for aggression
F.Chronic grief associated with long-term illness
ANS: A, C, F
Medication adherence is an important component of successful rehabilitation (A). Clients and their
families also need to know the signs and symptoms of an exacerbation or relapse of the disease (C),
which is frequently associated with poor medication compliance. Acknowledging the chronic sorrow
associated with severe and persistent mental illness (F) helps individuals negotiate the grieving
process. (B, D, and E) are not universal problems associated with schizophrenia.
On admission, a highly anxious client is described as delusional. Delusions are most likely to occur with
which disorder?
A.Dissociative disorders
B.Personality disorders
C.Anxiety disorders
D.Psychotic disorders
ANS: D
Delusions are false beliefs characteristic of psychosis (D). Delusions are generally not characteristic of
(A, B, and C).
A 33-year-old client is admitted to a psychiatric facility with a medical diagnosis of major depression.
When the nurse is assigning the client to a room, which roommate is best for this client?
A.A 35-year-old client who recently attempted suicide.
B.A manic client who has started lithium carbonate treatment.
March 4, 2026
, Georgette Review PMHNP Exam 4
C.A client who is bipolar and is pacing the floor while telling jokes to everyone.
D.A paranoid client who believes that the staff is trying to poison the food.
ANS: B
(B) appears to be the most stable client described since treatment was begun with lithium carbonate
(treatment of choice for manic depression). Being around another depressed individual might
enhance this client's own depression and possibly support suicidal ideation (A). Clients in the manic
stage of bipolar disease (C) enhance the level of anxiety of those around them, which would not be
therapeutic for the client at this time. Paranoid ideation (D), which is characterized by suspiciousness,
would also increase anxiety in this client.
A client who was admitted 2 days earlier to a drug rehabilitation unit tells the nurse, "I'm going to do
what you people tell me to do so I can get out of here and get a job." What is the most accurate
interpretation of this client's statement?
A.The treatment program is effective and the client is highly motivated.
B.Defense mechanisms are being used to decrease anxiety.
C.Manipulation is being used to achieve the client's personal goals.
D.The client has insight into his behaviors, so privileges should be given.
ANS: C
Drug abusers tend to be manipulative, so (C) is the best interpretation of the client's statement at this
time in the client's treatment. He has been in treatment only 2 days, which is not enough time to
benefit from the program, so (A and D) are highly unlikely. Although defense mechanisms (B) are
frequently used to decrease anxiety, this statement is more likely because of (C).
What instructions should the nurse include in the discharge teaching plan of a client who has recently
been prescribed oxazepam (Serax)? (Select all that apply.)
A.Take the medication in the morning for best results.
B.Do not combine this medication with alcohol.
C.This medication is typically used for short-term treatment.
D.Stop the drug immediately if sleepiness occurs.
E.Avoid driving or operating equipment while taking this drug.
ANS: B, C, E
Harm can occur if oxazepam is taken with alcohol or other central nervous system (CNS) depressants
(B). Oxazepam is a benzodiazepine used for the short-term treatment of anxiety (C). Sleepiness is an
expected side effect; therefore, driving or operating equipment should be avoided (E). The drug
should be taken in the evening because of sedation effects (A) and should be tapered, not
immediately stopped, because of withdrawal effects (D).
While in group therapy, a client who is diagnosed with posttraumatic stress disorder (PTSD) is
processing an experience from the war in Iraq when another client tips over a chair. What action
March 4, 2026
2026 MENTAL HEALTH Georgette Review
PMHNP Exam COMPLETE VERIFIED
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR EXAM
The nurse admits a client with depression to the mental health unit. The client reports difficulty
concentrating, has lost 10 pounds in 2 weeks, and is sleeping 12 hours a day. Which outcome is most
important for the client to meet by discharge?
A.Tries to interact with a few peers and staff
B.Reports feeling better and less depressed
C.Sits attentively with peers in group therapy
D.Easily awakens for morning medications
March 4, 2026
, Georgette Review PMHNP Exam 2
ANS: B
The client is experiencing symptoms of depression, and the outcome by discharge for this client would
be that the client reports feeling better and less depressed (B). The client may interact with peers and
staff (A) and sit attentively in groups (C) without any improvement in depression. Difficulty awakening
is usually caused by the medication regimen for depression, so awakening (D) is not an indication of
improvement.
A client mumbles out loud whether anyone is talking to her or not and the client also mumbles in
group when others are talking. The nurse determines that the client is experiencing hallucinations.
Which intervention should the nurse implement?
A.Respond to the client's feelings rather than the illogical thoughts
B.Identify beliefs and thoughts about what the client is experiencing.
C.Provide the client with hope that the voices will eventually go away.
D.Ask the client how she has previously managed the voices.
ANS: D
The nurse should promote symptom management and determine how the client previously managed
the voices (D). (A and B) are interventions that are useful with clients who are experiencing delusions.
(C) is important, but the most important intervention is to promote symptom management.
A client in an acute care facility has been taking antipsychotic medications for the past 3 days with a
decrease in psychotic behaviors and no adverse reactions. On the fourth day, the client experiences
an increase in blood pressure and temperature and demonstrates muscular rigidity. Which action
should the nurse initiate?
A.Place the client on seizure precautions and monitor frequently.
B.Take the client's vital signs and notify the health care provider immediately.
C.Describe the symptoms to the charge nurse and document them in the client's record.
D.No action is required at this time because these are known side effects of her medications.
ANS: B
This is an emergency situation, and the client requires immediate management in a critical care setting
(B). These symptoms are descriptive of neuroleptic malignant syndrome (NMS), an extremely serious
and life-threatening reaction to neuroleptic drugs. The major symptoms of this syndrome are fever,
rigidity, autonomic instability, and encephalopathy. Respiratory failure, cardiovascular collapse,
arrhythmias, and/or renal failure can result in death. (A) is not indicated in this situation. (C) does not
consider the seriousness of the situation. (D) is an incorrect statement.
On admission, a depressed client tells the nurse, "I can't eat because my tongue is rubber." Which is
the best action for the nurse to implement?
A.Provide packaged foods for the client to eat.
B.Begin the client on total parenteral nutritional (TPN) therapy.
March 4, 2026
, Georgette Review PMHNP Exam 3
C.Provide a well-balanced liquid diet for the client.
D.No action is necessary because the client will eat when hungry.
ANS: C
The nurse should strive to provide a safe environment (adequate nutrition is part of a safe
environment) and should not argue with the client's delusions. (C) is the least invasive while providing
nutrition that does not argue with the client's delusion. (A) is given to those with paranoid delusions.
(B) is invasive and would be used as a last resort. (C) should be tried first. This client's delusion could
be life threatening and should not be ignored (D).
Which topics should the nurse include in an education program for clients with schizophrenia and their
families? (Select all that apply.)
A.Importance of adherence to medication regimen
B.Current treatment measures for substance abuse
C.Signs and symptoms of an exacerbation
D.Prevention of criminal activity
E.Behavior modification for aggression
F.Chronic grief associated with long-term illness
ANS: A, C, F
Medication adherence is an important component of successful rehabilitation (A). Clients and their
families also need to know the signs and symptoms of an exacerbation or relapse of the disease (C),
which is frequently associated with poor medication compliance. Acknowledging the chronic sorrow
associated with severe and persistent mental illness (F) helps individuals negotiate the grieving
process. (B, D, and E) are not universal problems associated with schizophrenia.
On admission, a highly anxious client is described as delusional. Delusions are most likely to occur with
which disorder?
A.Dissociative disorders
B.Personality disorders
C.Anxiety disorders
D.Psychotic disorders
ANS: D
Delusions are false beliefs characteristic of psychosis (D). Delusions are generally not characteristic of
(A, B, and C).
A 33-year-old client is admitted to a psychiatric facility with a medical diagnosis of major depression.
When the nurse is assigning the client to a room, which roommate is best for this client?
A.A 35-year-old client who recently attempted suicide.
B.A manic client who has started lithium carbonate treatment.
March 4, 2026
, Georgette Review PMHNP Exam 4
C.A client who is bipolar and is pacing the floor while telling jokes to everyone.
D.A paranoid client who believes that the staff is trying to poison the food.
ANS: B
(B) appears to be the most stable client described since treatment was begun with lithium carbonate
(treatment of choice for manic depression). Being around another depressed individual might
enhance this client's own depression and possibly support suicidal ideation (A). Clients in the manic
stage of bipolar disease (C) enhance the level of anxiety of those around them, which would not be
therapeutic for the client at this time. Paranoid ideation (D), which is characterized by suspiciousness,
would also increase anxiety in this client.
A client who was admitted 2 days earlier to a drug rehabilitation unit tells the nurse, "I'm going to do
what you people tell me to do so I can get out of here and get a job." What is the most accurate
interpretation of this client's statement?
A.The treatment program is effective and the client is highly motivated.
B.Defense mechanisms are being used to decrease anxiety.
C.Manipulation is being used to achieve the client's personal goals.
D.The client has insight into his behaviors, so privileges should be given.
ANS: C
Drug abusers tend to be manipulative, so (C) is the best interpretation of the client's statement at this
time in the client's treatment. He has been in treatment only 2 days, which is not enough time to
benefit from the program, so (A and D) are highly unlikely. Although defense mechanisms (B) are
frequently used to decrease anxiety, this statement is more likely because of (C).
What instructions should the nurse include in the discharge teaching plan of a client who has recently
been prescribed oxazepam (Serax)? (Select all that apply.)
A.Take the medication in the morning for best results.
B.Do not combine this medication with alcohol.
C.This medication is typically used for short-term treatment.
D.Stop the drug immediately if sleepiness occurs.
E.Avoid driving or operating equipment while taking this drug.
ANS: B, C, E
Harm can occur if oxazepam is taken with alcohol or other central nervous system (CNS) depressants
(B). Oxazepam is a benzodiazepine used for the short-term treatment of anxiety (C). Sleepiness is an
expected side effect; therefore, driving or operating equipment should be avoided (E). The drug
should be taken in the evening because of sedation effects (A) and should be tapered, not
immediately stopped, because of withdrawal effects (D).
While in group therapy, a client who is diagnosed with posttraumatic stress disorder (PTSD) is
processing an experience from the war in Iraq when another client tips over a chair. What action
March 4, 2026
