Georgette Review PMHNP Exam 1
MENTAL HEALTH Georgette Review
PMHNP Exam 2 COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
Within several days of hospitalization, a client is repeatedly washing the top of the same
table. Which initial intervention is best for the nurse to implement to help the client cope
with anxiety related to this behavior?
A) Administer a prescribed PRN antianxiety medication.
B) Assist the client to identify stimuli that precipitates the ritualistic activity.
March 4, 2026
, Georgette Review PMHNP Exam 2
C) Allow time for the ritualistic behavior, then redirect the client to other activities.
D) Teach the client relaxation and thought stopping techniques.
Initially, the nurse should allow time for the ritual (C) to prevent anxiety. (A) may help
reduce the client's anxiety, but will not prevent ritualistic behavior resulting from the client's
ineffective coping ability. (B) is a long-term goal of individual therapy, but is not directly
related to controlling the behavior at this time. (D) lists techniques that can be used to assist
the client in learning new ways of interrupting obsessive thoughts and resulting ritualistic
behavior as treatment progresses.
Correct Answer(s): C
A 72-year-old female client is admitted to the psychiatric unit with a diagnosis of major
depression. Which statement by the client should be of greatest concern to the nurse and
require further assessment?
A) I will die if my cat dies.
B) I don't feel like eating this morning.
C) I just went to my friend's funeral.
D) Don't you have more important things to do?
Sometimes a client will use an analogy to describe themselves, and (A) would be an
indication for conducting a suicide assessment. (B) could have a variety of etiologies, and
while further assessment is indicated, this statement does not indicate potential suicide.
Normal grief process differs from depression, and at this client's age peer/cohort deaths are
more frequent, so (C) would be within normal limits. (D) is an expression of low self-esteem
typical of depression. (B, C, and D) are examples of decreased energy and mood levels which
would negate suicide ideation at this time.
Correct Answer(s): A
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
discharge?
A) Crickets are a good source of protein.
B) I have not heard any voices for a week.
March 4, 2026
, Georgette Review PMHNP Exam 3
C) Only my belief in God can help me.
D) Sometimes I have a hard time sitting still.
The most frequent cause of increased symptoms in psychotic clients is non-compliance with
the medication regimen. If clients believe that "God alone" is going to heal them (C), then
they may discontinue their medication, so (C) would pose the greatest threat to this client's
prognosis. (A) would require further teaching, but is not as significant a statement as (C). (B)
indicates an improvement in the client's condition. (D) may be a sign of anxiety that could
improve with treatment, but does not have the priority of (C).
Correct Answer(s): C
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?
A) The nurse should obtain objective data such as x-rays before reporting suspicions to the
authorities.
B) The nurse should confirm any suspicions of child abuse with the healthcare provider
before reporting to the authorities.
C) The nurse should report any case of suspected child abuse to the nurse in charge.
D) The nurse should note in the client's record any suspicions of child abuse so that a history
of such suspicions can be tracked.
It is the nurse's legal responsibility to report all suspected cases of child abuse. Notifying the
charge nurse starts the legal reporting process (C).
Correct Answer(s): C
Physical examination of a 6-year-old reveals several bite marks in various locations on his
body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse that
her child is always having accidents. Which initial response by the nurse would be most
appropriate?
A) I need to inform the healthcare provider about your child's tendency to be accident
March 4, 2026
, Georgette Review PMHNP Exam 4
prone.
B) Tell me more specifically about your child's accidents.
C) I must report these injuries to the authorities because they do not seem accidental.
D) Boys this age always seem to require more supervision and can be quite accident prone.
(B) seeks more information using an open ended, non-threatening statement. (A) could be
appropriate, but it is not the best answer because the nurse is being somewhat sarcastic and
is also avoiding the situation by referring it to the healthcare provider for resolution.
Although it is true that suspected cases of child abuse must be reported, (C) is virtually an
attack and is jumping to conclusions before conclusive data has been obtained. (D) is a cliché
and dismisses the seriousness of the situation.
Correct Answer(s): B
A client is receiving substitution therapy during withdrawal from benzodiazepines. Which
expected outcome statement has the highest priority when planning nursing care?
A) Client will not demonstrate cross-addiction.
B) Co-dependent behaviors will be decreased.
C) Excessive CNS stimulation will be reduced.
D) Client's level of consciousness will increase.
Substitution therapy with another CNS depressant is intended to decrease the excessive
CNS stimulation that can occur during benzodiazepine withdrawal (C). (A, B, and D) are all
appropriate outcome statements for the client described, but do not have the priority of (C).
Correct Answer(s): C
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The client
seeks out this particular nurse and imitates her mannerisms. The nurse knows that the client
is using which defense mechanism?
A) Sublimation.
B) Identification.
C) Introjection.
D) Repression.
March 4, 2026
MENTAL HEALTH Georgette Review
PMHNP Exam 2 COMPLETE VERIFIED
QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR
EXAM
Within several days of hospitalization, a client is repeatedly washing the top of the same
table. Which initial intervention is best for the nurse to implement to help the client cope
with anxiety related to this behavior?
A) Administer a prescribed PRN antianxiety medication.
B) Assist the client to identify stimuli that precipitates the ritualistic activity.
March 4, 2026
, Georgette Review PMHNP Exam 2
C) Allow time for the ritualistic behavior, then redirect the client to other activities.
D) Teach the client relaxation and thought stopping techniques.
Initially, the nurse should allow time for the ritual (C) to prevent anxiety. (A) may help
reduce the client's anxiety, but will not prevent ritualistic behavior resulting from the client's
ineffective coping ability. (B) is a long-term goal of individual therapy, but is not directly
related to controlling the behavior at this time. (D) lists techniques that can be used to assist
the client in learning new ways of interrupting obsessive thoughts and resulting ritualistic
behavior as treatment progresses.
Correct Answer(s): C
A 72-year-old female client is admitted to the psychiatric unit with a diagnosis of major
depression. Which statement by the client should be of greatest concern to the nurse and
require further assessment?
A) I will die if my cat dies.
B) I don't feel like eating this morning.
C) I just went to my friend's funeral.
D) Don't you have more important things to do?
Sometimes a client will use an analogy to describe themselves, and (A) would be an
indication for conducting a suicide assessment. (B) could have a variety of etiologies, and
while further assessment is indicated, this statement does not indicate potential suicide.
Normal grief process differs from depression, and at this client's age peer/cohort deaths are
more frequent, so (C) would be within normal limits. (D) is an expression of low self-esteem
typical of depression. (B, C, and D) are examples of decreased energy and mood levels which
would negate suicide ideation at this time.
Correct Answer(s): A
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
discharge?
A) Crickets are a good source of protein.
B) I have not heard any voices for a week.
March 4, 2026
, Georgette Review PMHNP Exam 3
C) Only my belief in God can help me.
D) Sometimes I have a hard time sitting still.
The most frequent cause of increased symptoms in psychotic clients is non-compliance with
the medication regimen. If clients believe that "God alone" is going to heal them (C), then
they may discontinue their medication, so (C) would pose the greatest threat to this client's
prognosis. (A) would require further teaching, but is not as significant a statement as (C). (B)
indicates an improvement in the client's condition. (D) may be a sign of anxiety that could
improve with treatment, but does not have the priority of (C).
Correct Answer(s): C
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?
A) The nurse should obtain objective data such as x-rays before reporting suspicions to the
authorities.
B) The nurse should confirm any suspicions of child abuse with the healthcare provider
before reporting to the authorities.
C) The nurse should report any case of suspected child abuse to the nurse in charge.
D) The nurse should note in the client's record any suspicions of child abuse so that a history
of such suspicions can be tracked.
It is the nurse's legal responsibility to report all suspected cases of child abuse. Notifying the
charge nurse starts the legal reporting process (C).
Correct Answer(s): C
Physical examination of a 6-year-old reveals several bite marks in various locations on his
body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse that
her child is always having accidents. Which initial response by the nurse would be most
appropriate?
A) I need to inform the healthcare provider about your child's tendency to be accident
March 4, 2026
, Georgette Review PMHNP Exam 4
prone.
B) Tell me more specifically about your child's accidents.
C) I must report these injuries to the authorities because they do not seem accidental.
D) Boys this age always seem to require more supervision and can be quite accident prone.
(B) seeks more information using an open ended, non-threatening statement. (A) could be
appropriate, but it is not the best answer because the nurse is being somewhat sarcastic and
is also avoiding the situation by referring it to the healthcare provider for resolution.
Although it is true that suspected cases of child abuse must be reported, (C) is virtually an
attack and is jumping to conclusions before conclusive data has been obtained. (D) is a cliché
and dismisses the seriousness of the situation.
Correct Answer(s): B
A client is receiving substitution therapy during withdrawal from benzodiazepines. Which
expected outcome statement has the highest priority when planning nursing care?
A) Client will not demonstrate cross-addiction.
B) Co-dependent behaviors will be decreased.
C) Excessive CNS stimulation will be reduced.
D) Client's level of consciousness will increase.
Substitution therapy with another CNS depressant is intended to decrease the excessive
CNS stimulation that can occur during benzodiazepine withdrawal (C). (A, B, and D) are all
appropriate outcome statements for the client described, but do not have the priority of (C).
Correct Answer(s): C
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The client
seeks out this particular nurse and imitates her mannerisms. The nurse knows that the client
is using which defense mechanism?
A) Sublimation.
B) Identification.
C) Introjection.
D) Repression.
March 4, 2026
