Psychiatric Nurse Practitioner (PMHNP)
Psychiatric Nurse Practitioner (PMHNP) Exam –100%
Certified Questions and Answers | Complete Study Guide
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.
4. 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.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
1
, Psychiatric Nurse Practitioner (PMHNP)
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
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.
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.
Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for patients
who have severe depression?
A. Greater efficacy than tricyclic antidepressants
B. Less potential for drug interaction
2
Psychiatric Nurse Practitioner (PMHNP) Exam –100%
Certified Questions and Answers | Complete Study Guide
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.
4. 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.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
1
, Psychiatric Nurse Practitioner (PMHNP)
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
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.
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.
Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for patients
who have severe depression?
A. Greater efficacy than tricyclic antidepressants
B. Less potential for drug interaction
2
