PMHN Test Preparation Exam
Secrets Questions with Answers
100% Solved and Updated this Year
PatientsMwhoMhaveMbeenMrapedMareMoftenMseverelyMtraumatizedMemotionallyMandMph
ysicallyMandMareMcommonlyMveryMfearfulMandMpanicked,MsoMtheMfirstMthingMthatMth
eMmentalMhealthMnurseMshouldMcommunicateMisM"YouMareMhereMs________Mhere.MN
oMoneMcanMh___________Myou."M-MAnswerMsafe;hurt
TheMpsychiatricMandMmentalMhealthMnurseMmayMneedMtoMrepeatMthisMaMnumberMof
MtimesMbecauseMtraumatizedMpatientsMmayMb___________MoutMwhatMpeopleMareMsayi
ng.MTheMnurseMshouldMalsoMreassureMtheMpatientMthatMtheMattackMwasMnotMtheMp
atient'sMf_________MandMthatMtheMnurseMisMs________MforMwhatMtheMpatientMhasM
goneMthrough.M-MAnswerMblock;fault;sorry
BecauseMtheMpatientMisMintimidatedMbyMherMspouseMandMhasMstatedMsheMisMafraid
MtoMstandMupMtoMhim,MasManMadvocateMforMtheMpatient,MtheMnurseMshouldMnotify
MtheMp_______________MofMtheMpatient'sMfeelingsMaboutMtheMtreatment.MBeingMcoer
cedMintoMsigningMaMconsentMformMisMnotMtheMsameMasMgivingMinformedMconsent,M
whichMisMrequiredMbyMlaw.MBecauseMpatientsMareMvulnerableMtoMmanipulation,MtheM
nurseMmustMensureMthatMtheMactualMwishesMofMtheMpatientMareMrespected.M-
MAnswerMphysician
TheMmostMlikelyMreasonMtheMpatientMwasMableMtoMreadMslowlyMbutMnotMstateMwha
tMsheMhadMreadMisMlowMh__________Ml____________.MTheMabilityMtoMreadMisMdiffer
entMfromMtheMabilityMtoMcomprehend,MandMcomprehensionMusuallyMlagsMbehindMreadi
ngMskillsMbyMaboutMthreeMgradeMlevels.MThus,MaMpersonMwhoMisMableMtoMreadMat
MtheMfourth-gradeMlevelMmayMhaveMonlyMaMfirst-
gradeMcomprehension,MmakingMitMdifficultMforMtheMpersonMtoMunderstandMhealthMmat
erials,MespeciallyMsinceMtheMvocabularyMisMoftenMmoreMdifficultMtoMunderstandMthanM
thatMfoundMinMotherMreadings.M-MAnswerMhealthMliterary
TheMpatientMisMusingMtheMdefenseMmechanismMofMd__________MwhenMtheMpatient,M
whoMhasMhadMrepeatedMarrestsMforMdrivingMunderMtheMinfluenceMofMalcohol,Mrefuses
MtoMadmitMthatMheMhasMaMdrinkingMproblemMandMstatesMthatMtheMpoliceMhaveMta
rgetedMhimMunfairly.M-MAnswerMdenial
,RefuseMtoMacknowledgeMundesirableMfeelings,Mthoughts,MorMbehaviorMbyMexaggeratingM
theMopposite.M-MAnswerMReactionMformation
RetreatingMtoManMearlierMlevelMofMdevelopment.M-MAnswerMRegression
CarryingMoutManMactionMtoMnegateMaMpreviousMunacceptableMone.M-
MAnswerMUndoing
Question-
AMpatientMwithMschizophreniaMhasMdelusionsMandMbelievesMthatMhisMfamilyMmembers
McannotMbeMtrusted.MAccordingMtoMMaslow'sMhierarchyMofMneeds,MtheMpatient'sMdelu
sionsMareMinterferingMwithMdevelopmentMatMtheMlevelMof:
a.MphysiologicalMneeds
b.MLove/belongingMneeds
c.MSafetyMneeds
d.MSelf-esteemMneeds
Rationale:MTheMpatient'sMdelusionsMareMinterferingMwithMdevelopmentMatMtheMlevelMo
fM____________/________________Mneeds.MMaslow'sMhierarchyMofMneedsMisMbasedMon
MtheMpremiseMthatMoneMmustMsatisfyMoneMtypeMofMneedMbeforeMoneMcanMattainM
theMnext.MTheMhierarchyMofMneedsMincludes:
Physiological:MBasicMneedsMsuchMasMair,Mfood,Mwater,Mshelter
SafetyMandMsecurity:MFreedomMfromMfear;MphysicalMcomfort,Msafety
LoveMandMbelonging:MCompanionship,MgivingMandMreceivingMlove,MgroupMidentification,
MsatisfyingMinterpersonalMrelationshipsM-MAnswerMlove/belonging
KavaMisMcontraindicatedMbecauseMofMsafetyMissuesMandMcanMresultMinMliverMdamage,
MsoMtheMpatientMshouldMhaveM________functionMtestsMcompleted.MEarlyMsignsMofM__
______MdamageMincludeMfatigueMandMdarkMurine.MSomeMpeopleMmayMexhibitMjaundic
eMasMwell.M-MAnswerMliver;liver;liver
,AmitriptylineMisMbrokenMdownMbyMtheMliver,MsoMkavaMmayMincreaseMtheMrateMatMw
hichMthatMoccurs,MalsoMincreasingMtheMadverseMeffectsMofMtheMdrug.MKava,MwhichMh
asMbeenMusedMinMtheMpastMforMa_____________,MmayMincreaseMd______________.M-
MAnswerManxiety;depression
Question-
AccordingMtoMErikson'sMstagesMofMpsychosocialMdevelopment,MwhichMofMtheMfollowing
MbestMcharacterizesMtheMdevelopmentalMtaskMofMadulthoodMandMtheMgenerativityMvs.
MstagnationMstage?
a.MAchievingMself-
confidenceMbyMperformingMsuccessfullyMandMgainingMrecognitionMfromMpeers
b.MDevelopingMaMsenseMofMpositiveMself-worthMfromMreviewingMtheMeventMofMlife
c.MAchievingMtheMpersonalMlifeMgoalsMthatMtheMpersonMhasMformulated
d.MMakingMaMcommitmentMtoManotherMpersonMasMpartMofMaMlong-
termMrelationshipM-
MAnswerMRationale:MAchievingMtheMpersonalMlifeMgoalsMthatMtheMpersonMhasMformula
ted
____________MdifferentMmentalMhealthMassociationsMcameMtogetherMtoMcreateMtheMint
ernationalMsocietyMofMpsychiatric-mentalMhealthMnursesMinM1999.M-MAnswerMb.M4
WhenMutilizingMAHRQ'sMYouMCanMQuitMSmokingMguideMtoMhelpMaMpatientMquitMsmo
king,MtheMfirstMstepMofM"GettingMReady"Mincludes:
a.MTalkingMwithMtheMphysicianMaboutMnicotineMmedication
b.MTellingMfriendsMandMfamilyMmembersMaboutMquitting
c.MGettingMgroupMcounseling
d.MSettingMaMdateMtoMquit,McoldMturkeyM-
MAnswerMD:MSettingMaMdateMtoMquit,McoldMturkey
Rationale:MAHRQ'sMYouMCanMQuitMSmokingMguideMincludesMfiveMsteps:
1.MGettingMready:MConsideringMpastMattemptsM(successes/failures)MandMsettingMaMd___
_______MforMquittingMc___________Mt_____________
, 2.MGettingMsupport/encouragement:MTellingMothersMandMcontactingMsupportMgroups/helpl
ines
3.MLearningMnewMskills/behaviors:MDrinkingMplentyMofMwater,MestablishingMnewMhabits,
MpracticingMdistractions,MandMreducingMs__________.
4.MGettingMandMusingMmedicationMcorrectly:MObtainingMnicotineMreplacementMorMother
MmedicationsMasMneeded.M
5.MPreparingMforMrelapse/difficultMsituations:MAvoidingMotherMsmokersMandMalcoholMor
MsituationsMthatMtriggerMtheMdesireMforMcigarettes.MEatingMwellMandMlivingMaMhealth
yMlifestyleM-MAnswerMdate;McoldMturkey
stress
Question:MAnMelderlyMpatientMscoredM18MoutMofMaMpossibleMmaximumMscoreMofM30
MonMtheMminiMmentalMstateMexaminationM(MMSE).MThisMscoreMusuallyMindicates:
a.MSevereMcognitiveMimpairment
b.MMildMcognitiveMimpairment
c.MModerateMcognitiveMimpairment
d.MNormalMcognitionM-MAnswerMc.MmoderateMcognitiveMimpairment
Rationale:MAMscoreMofM18MoutMofM30MonMtheMMMSSMusuallyMindicatesMm_________
____McognitiveMimpairment.MScoresMofM24MtoM30MindicateMn_________McognitionMwhi
leM10MtoM18MindicateMm_________McognitiveMimpairment.MScoresMmayMbeMaffectedM
byMnumerousMvariablesM(age,Mhearing,Mintelligence,Mvision,MphysicalMcondition),MsoMthe
MMMSEMscoreMaloneMisMnotMadequateMforMtheMdiagnosisMofMdementia.MHowever,Mit
MisMaMgoodMguide,MandMthoseMwithMveryMlowMscoresM(<M________)MusuallyMdemon
strateMsevereMcognitiveMimpairment.M-MAnswerMmoderate
normal
moderate
<9
Question:MTheMpsychiatricMandMmentalMhealthMnurseMneedsMtoMcompleteMaMhistoryM
andMphysicalMexaminationMonMaMpatientMwhoMisMextremelyMdepressedMandMsuicidal.M
TheMbestMapproachMisMto:
a.MDelayMtheMhistoryMandMphysicalMexamMuntilMtheMpatientMisMstabilized
Secrets Questions with Answers
100% Solved and Updated this Year
PatientsMwhoMhaveMbeenMrapedMareMoftenMseverelyMtraumatizedMemotionallyMandMph
ysicallyMandMareMcommonlyMveryMfearfulMandMpanicked,MsoMtheMfirstMthingMthatMth
eMmentalMhealthMnurseMshouldMcommunicateMisM"YouMareMhereMs________Mhere.MN
oMoneMcanMh___________Myou."M-MAnswerMsafe;hurt
TheMpsychiatricMandMmentalMhealthMnurseMmayMneedMtoMrepeatMthisMaMnumberMof
MtimesMbecauseMtraumatizedMpatientsMmayMb___________MoutMwhatMpeopleMareMsayi
ng.MTheMnurseMshouldMalsoMreassureMtheMpatientMthatMtheMattackMwasMnotMtheMp
atient'sMf_________MandMthatMtheMnurseMisMs________MforMwhatMtheMpatientMhasM
goneMthrough.M-MAnswerMblock;fault;sorry
BecauseMtheMpatientMisMintimidatedMbyMherMspouseMandMhasMstatedMsheMisMafraid
MtoMstandMupMtoMhim,MasManMadvocateMforMtheMpatient,MtheMnurseMshouldMnotify
MtheMp_______________MofMtheMpatient'sMfeelingsMaboutMtheMtreatment.MBeingMcoer
cedMintoMsigningMaMconsentMformMisMnotMtheMsameMasMgivingMinformedMconsent,M
whichMisMrequiredMbyMlaw.MBecauseMpatientsMareMvulnerableMtoMmanipulation,MtheM
nurseMmustMensureMthatMtheMactualMwishesMofMtheMpatientMareMrespected.M-
MAnswerMphysician
TheMmostMlikelyMreasonMtheMpatientMwasMableMtoMreadMslowlyMbutMnotMstateMwha
tMsheMhadMreadMisMlowMh__________Ml____________.MTheMabilityMtoMreadMisMdiffer
entMfromMtheMabilityMtoMcomprehend,MandMcomprehensionMusuallyMlagsMbehindMreadi
ngMskillsMbyMaboutMthreeMgradeMlevels.MThus,MaMpersonMwhoMisMableMtoMreadMat
MtheMfourth-gradeMlevelMmayMhaveMonlyMaMfirst-
gradeMcomprehension,MmakingMitMdifficultMforMtheMpersonMtoMunderstandMhealthMmat
erials,MespeciallyMsinceMtheMvocabularyMisMoftenMmoreMdifficultMtoMunderstandMthanM
thatMfoundMinMotherMreadings.M-MAnswerMhealthMliterary
TheMpatientMisMusingMtheMdefenseMmechanismMofMd__________MwhenMtheMpatient,M
whoMhasMhadMrepeatedMarrestsMforMdrivingMunderMtheMinfluenceMofMalcohol,Mrefuses
MtoMadmitMthatMheMhasMaMdrinkingMproblemMandMstatesMthatMtheMpoliceMhaveMta
rgetedMhimMunfairly.M-MAnswerMdenial
,RefuseMtoMacknowledgeMundesirableMfeelings,Mthoughts,MorMbehaviorMbyMexaggeratingM
theMopposite.M-MAnswerMReactionMformation
RetreatingMtoManMearlierMlevelMofMdevelopment.M-MAnswerMRegression
CarryingMoutManMactionMtoMnegateMaMpreviousMunacceptableMone.M-
MAnswerMUndoing
Question-
AMpatientMwithMschizophreniaMhasMdelusionsMandMbelievesMthatMhisMfamilyMmembers
McannotMbeMtrusted.MAccordingMtoMMaslow'sMhierarchyMofMneeds,MtheMpatient'sMdelu
sionsMareMinterferingMwithMdevelopmentMatMtheMlevelMof:
a.MphysiologicalMneeds
b.MLove/belongingMneeds
c.MSafetyMneeds
d.MSelf-esteemMneeds
Rationale:MTheMpatient'sMdelusionsMareMinterferingMwithMdevelopmentMatMtheMlevelMo
fM____________/________________Mneeds.MMaslow'sMhierarchyMofMneedsMisMbasedMon
MtheMpremiseMthatMoneMmustMsatisfyMoneMtypeMofMneedMbeforeMoneMcanMattainM
theMnext.MTheMhierarchyMofMneedsMincludes:
Physiological:MBasicMneedsMsuchMasMair,Mfood,Mwater,Mshelter
SafetyMandMsecurity:MFreedomMfromMfear;MphysicalMcomfort,Msafety
LoveMandMbelonging:MCompanionship,MgivingMandMreceivingMlove,MgroupMidentification,
MsatisfyingMinterpersonalMrelationshipsM-MAnswerMlove/belonging
KavaMisMcontraindicatedMbecauseMofMsafetyMissuesMandMcanMresultMinMliverMdamage,
MsoMtheMpatientMshouldMhaveM________functionMtestsMcompleted.MEarlyMsignsMofM__
______MdamageMincludeMfatigueMandMdarkMurine.MSomeMpeopleMmayMexhibitMjaundic
eMasMwell.M-MAnswerMliver;liver;liver
,AmitriptylineMisMbrokenMdownMbyMtheMliver,MsoMkavaMmayMincreaseMtheMrateMatMw
hichMthatMoccurs,MalsoMincreasingMtheMadverseMeffectsMofMtheMdrug.MKava,MwhichMh
asMbeenMusedMinMtheMpastMforMa_____________,MmayMincreaseMd______________.M-
MAnswerManxiety;depression
Question-
AccordingMtoMErikson'sMstagesMofMpsychosocialMdevelopment,MwhichMofMtheMfollowing
MbestMcharacterizesMtheMdevelopmentalMtaskMofMadulthoodMandMtheMgenerativityMvs.
MstagnationMstage?
a.MAchievingMself-
confidenceMbyMperformingMsuccessfullyMandMgainingMrecognitionMfromMpeers
b.MDevelopingMaMsenseMofMpositiveMself-worthMfromMreviewingMtheMeventMofMlife
c.MAchievingMtheMpersonalMlifeMgoalsMthatMtheMpersonMhasMformulated
d.MMakingMaMcommitmentMtoManotherMpersonMasMpartMofMaMlong-
termMrelationshipM-
MAnswerMRationale:MAchievingMtheMpersonalMlifeMgoalsMthatMtheMpersonMhasMformula
ted
____________MdifferentMmentalMhealthMassociationsMcameMtogetherMtoMcreateMtheMint
ernationalMsocietyMofMpsychiatric-mentalMhealthMnursesMinM1999.M-MAnswerMb.M4
WhenMutilizingMAHRQ'sMYouMCanMQuitMSmokingMguideMtoMhelpMaMpatientMquitMsmo
king,MtheMfirstMstepMofM"GettingMReady"Mincludes:
a.MTalkingMwithMtheMphysicianMaboutMnicotineMmedication
b.MTellingMfriendsMandMfamilyMmembersMaboutMquitting
c.MGettingMgroupMcounseling
d.MSettingMaMdateMtoMquit,McoldMturkeyM-
MAnswerMD:MSettingMaMdateMtoMquit,McoldMturkey
Rationale:MAHRQ'sMYouMCanMQuitMSmokingMguideMincludesMfiveMsteps:
1.MGettingMready:MConsideringMpastMattemptsM(successes/failures)MandMsettingMaMd___
_______MforMquittingMc___________Mt_____________
, 2.MGettingMsupport/encouragement:MTellingMothersMandMcontactingMsupportMgroups/helpl
ines
3.MLearningMnewMskills/behaviors:MDrinkingMplentyMofMwater,MestablishingMnewMhabits,
MpracticingMdistractions,MandMreducingMs__________.
4.MGettingMandMusingMmedicationMcorrectly:MObtainingMnicotineMreplacementMorMother
MmedicationsMasMneeded.M
5.MPreparingMforMrelapse/difficultMsituations:MAvoidingMotherMsmokersMandMalcoholMor
MsituationsMthatMtriggerMtheMdesireMforMcigarettes.MEatingMwellMandMlivingMaMhealth
yMlifestyleM-MAnswerMdate;McoldMturkey
stress
Question:MAnMelderlyMpatientMscoredM18MoutMofMaMpossibleMmaximumMscoreMofM30
MonMtheMminiMmentalMstateMexaminationM(MMSE).MThisMscoreMusuallyMindicates:
a.MSevereMcognitiveMimpairment
b.MMildMcognitiveMimpairment
c.MModerateMcognitiveMimpairment
d.MNormalMcognitionM-MAnswerMc.MmoderateMcognitiveMimpairment
Rationale:MAMscoreMofM18MoutMofM30MonMtheMMMSSMusuallyMindicatesMm_________
____McognitiveMimpairment.MScoresMofM24MtoM30MindicateMn_________McognitionMwhi
leM10MtoM18MindicateMm_________McognitiveMimpairment.MScoresMmayMbeMaffectedM
byMnumerousMvariablesM(age,Mhearing,Mintelligence,Mvision,MphysicalMcondition),MsoMthe
MMMSEMscoreMaloneMisMnotMadequateMforMtheMdiagnosisMofMdementia.MHowever,Mit
MisMaMgoodMguide,MandMthoseMwithMveryMlowMscoresM(<M________)MusuallyMdemon
strateMsevereMcognitiveMimpairment.M-MAnswerMmoderate
normal
moderate
<9
Question:MTheMpsychiatricMandMmentalMhealthMnurseMneedsMtoMcompleteMaMhistoryM
andMphysicalMexaminationMonMaMpatientMwhoMisMextremelyMdepressedMandMsuicidal.M
TheMbestMapproachMisMto:
a.MDelayMtheMhistoryMandMphysicalMexamMuntilMtheMpatientMisMstabilized