Georgette Review PMHNP Exam 1
MENTAL HEALTH Georgette Review
PMHNP Exam 1 COMPLETE VERIFIED
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR EXAM
A male client with mental illness and substance dependency tells the mental health nurse that
he has started using illegal drugs again and wants to seek treatment. Since he has a dual
diagnosis, which person is best for the nurse to refer this client to first?
The emergency room nurse.
His case manager.
The clinic healthcare provider.
His support group sponsor.
March 4, 2026
, Georgette Review PMHNP Exam 2
His case manager.
The case manager is responsible for coordinating community services. Since this client has a
dual diagnosis, the nurse should refer the client to the case manager to explore available
treatment options. The other referrals are not indicated.
A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY
fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?
Reassure the client by telling him that his fear of the admission procedure is to be expected.
Tell the client that no one is accusing him of murder and remind him that the hospital is a safe
place.
Assess the content of the hallucinations by asking the client what he is hearing.
Ignore the behavior and make no response at all to his delusional statements.
Assess the content of the hallucinations by asking the client what he is hearing.
Further assessment is indicated and the nurse should obtain information about what the client
believes the voices are telling him--they may be telling him to kill himself or the nurse. The
other actions are not indicated.
An older female client is admitted to the psychiatric unit with a diagnosis of major depression.
Which client statement indicates to the nurse that further assessment is indicated?
I will die if my cat dies.
I don't feel like eating this morning.
I just went to my friend's funeral.
Don't you have more important things to do?
I will die if my cat dies.
Clients who use an analogy, such as a cat's death, may be describing themselves and can
March 4, 2026
, Georgette Review PMHNP Exam 3
indicate the client's thought of suicide, which needs further assessment. The other statements
are examples of decreased energy and mood levels and are not suicidal ideation at this time.
On admission to a residential care facility, an older female client tells the nurse that she enjoys
cooking, quilting, and watching television. Twenty-fours after admission, the nurse notes that
the client is withdrawn and isolated. Which activity should the nurse encourage the client to
become involved and participate?
Clean the unit kitchen cabinets.
Participate in a group quilting project.
Watch television in the activity room.
Bake a cake for a resident's birthday.
Participate in a group quilting project.
Peer interaction in a group activity that is identified by the client has a hobby or diversion
helps to engage the client with others, which prevents social isolation and withdrawal. The
other activities do not involve peer interaction and may promote social isolation.
Physical examination of a school-aged child reveals several bite marks in various locations on
the body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse
that the child is always having accidents. Which initial response is best for the nurse to make?
I need to inform the healthcare provider about your child's tendency to be accident prone.
Tell me more specifically about your child's accidents.
I must report these injuries to the authorities because they do not seem accidental.
Boys this age always seem to require more supervision and can be quite accident prone.
Tell me more specifically about your child's accidents.
Using an open ended, non-threatening statement is best to seek more information. The other
responses are not indicated.
March 4, 2026
, Georgette Review PMHNP Exam 4
A nurse working in the emergency room of a children's hospital admits a child whose injuries
could have resulted from abuse. Which statement most accurately describes the nurse's
responsibility in cases of suspected child abuse?
The nurse should obtain objective data such as x-rays before reporting suspicions to the
authorities.
The nurse should confirm any suspicions of child abuse with the healthcare provider before
reporting to the authorities.
The nurse should report any case of suspected child abuse to the nurse in charge.
The nurse should note in the client's record any suspicions of child abuse so that a history of
such suspicions can be tracked.
The nurse should report any case of suspected child abuse to the nurse in charge.
It is the nurse's legal responsibility to report all suspected cases of child abuse. Notifying the
charge nurse starts the legal reporting process.
A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the nurse if he can
go for a walk on the grounds of the treatment center. When he is told that his privileges do not
include walking on the grounds, the client becomes verbally abusive. Which approach should
the nurse take?
Call a staff member to escort the client to his room.
Tell the client to talk to his healthcare provider about his privileges.
Remind the client of the unit rules.
Calmly address the client's inappropriate behavior.
Calmly address the client's inappropriate behavior.
Calmly addressing inappropriate behavior minimizes escalation of the issue, specifically that the
behavior is unacceptable. The other approaches are not indicated.
The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in
a group home. Which statement is most indicative of the need for careful follow-up after
March 4, 2026
MENTAL HEALTH Georgette Review
PMHNP Exam 1 COMPLETE VERIFIED
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR EXAM
A male client with mental illness and substance dependency tells the mental health nurse that
he has started using illegal drugs again and wants to seek treatment. Since he has a dual
diagnosis, which person is best for the nurse to refer this client to first?
The emergency room nurse.
His case manager.
The clinic healthcare provider.
His support group sponsor.
March 4, 2026
, Georgette Review PMHNP Exam 2
His case manager.
The case manager is responsible for coordinating community services. Since this client has a
dual diagnosis, the nurse should refer the client to the case manager to explore available
treatment options. The other referrals are not indicated.
A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY
fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?
Reassure the client by telling him that his fear of the admission procedure is to be expected.
Tell the client that no one is accusing him of murder and remind him that the hospital is a safe
place.
Assess the content of the hallucinations by asking the client what he is hearing.
Ignore the behavior and make no response at all to his delusional statements.
Assess the content of the hallucinations by asking the client what he is hearing.
Further assessment is indicated and the nurse should obtain information about what the client
believes the voices are telling him--they may be telling him to kill himself or the nurse. The
other actions are not indicated.
An older female client is admitted to the psychiatric unit with a diagnosis of major depression.
Which client statement indicates to the nurse that further assessment is indicated?
I will die if my cat dies.
I don't feel like eating this morning.
I just went to my friend's funeral.
Don't you have more important things to do?
I will die if my cat dies.
Clients who use an analogy, such as a cat's death, may be describing themselves and can
March 4, 2026
, Georgette Review PMHNP Exam 3
indicate the client's thought of suicide, which needs further assessment. The other statements
are examples of decreased energy and mood levels and are not suicidal ideation at this time.
On admission to a residential care facility, an older female client tells the nurse that she enjoys
cooking, quilting, and watching television. Twenty-fours after admission, the nurse notes that
the client is withdrawn and isolated. Which activity should the nurse encourage the client to
become involved and participate?
Clean the unit kitchen cabinets.
Participate in a group quilting project.
Watch television in the activity room.
Bake a cake for a resident's birthday.
Participate in a group quilting project.
Peer interaction in a group activity that is identified by the client has a hobby or diversion
helps to engage the client with others, which prevents social isolation and withdrawal. The
other activities do not involve peer interaction and may promote social isolation.
Physical examination of a school-aged child reveals several bite marks in various locations on
the body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse
that the child is always having accidents. Which initial response is best for the nurse to make?
I need to inform the healthcare provider about your child's tendency to be accident prone.
Tell me more specifically about your child's accidents.
I must report these injuries to the authorities because they do not seem accidental.
Boys this age always seem to require more supervision and can be quite accident prone.
Tell me more specifically about your child's accidents.
Using an open ended, non-threatening statement is best to seek more information. The other
responses are not indicated.
March 4, 2026
, Georgette Review PMHNP Exam 4
A nurse working in the emergency room of a children's hospital admits a child whose injuries
could have resulted from abuse. Which statement most accurately describes the nurse's
responsibility in cases of suspected child abuse?
The nurse should obtain objective data such as x-rays before reporting suspicions to the
authorities.
The nurse should confirm any suspicions of child abuse with the healthcare provider before
reporting to the authorities.
The nurse should report any case of suspected child abuse to the nurse in charge.
The nurse should note in the client's record any suspicions of child abuse so that a history of
such suspicions can be tracked.
The nurse should report any case of suspected child abuse to the nurse in charge.
It is the nurse's legal responsibility to report all suspected cases of child abuse. Notifying the
charge nurse starts the legal reporting process.
A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the nurse if he can
go for a walk on the grounds of the treatment center. When he is told that his privileges do not
include walking on the grounds, the client becomes verbally abusive. Which approach should
the nurse take?
Call a staff member to escort the client to his room.
Tell the client to talk to his healthcare provider about his privileges.
Remind the client of the unit rules.
Calmly address the client's inappropriate behavior.
Calmly address the client's inappropriate behavior.
Calmly addressing inappropriate behavior minimizes escalation of the issue, specifically that the
behavior is unacceptable. The other approaches are not indicated.
The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in
a group home. Which statement is most indicative of the need for careful follow-up after
March 4, 2026
