Exam Prep For
PMHNP ANCC
Review Questions
** Expert-Verified Explanation
** Questions with Verified Answer
** New Edition | 2026-2027 Updated
** 100% Guaranteed Pass
** 100% Correct Answers | Graded A+
,The purpose of the American Nurses Association's A. The ANAs Psych-Mental Health Nursing Scope and Standards of Practice
Psychiatric-Mental Health Nursing: defines the role and actions of the nurse practitioner.
Scope and Standards of Practice is to
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription of
psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and
the NP role
D. Information reduces incidence of disease. Primary prevention care practices are an essential aspect of the PMHNP role.
Which of the following is the best example of a primary prevention care strategy
for community behavioral health?
a. Aftercare program for chronically mentally ill clients recently discharged from
the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
The trend in legal rulings on cases involving mental B. Identifies the trend of ensuring the protection of individual civil liberties for
illness over the past 25 years has been to psychiatric clients.
a. Encourage juries to find defendants not guilty by
reason of insanity
b. Protect the person's freedoms or rights when he or
she is committed to a mental hospital
c. Place increasing trust in mental health professionals to
make good and ethical decisions
d. Decrease the "red tape" associated with commitments
so that commitments are faster and easier
Mr. Smithers, an involuntarily hospitalized patient C. As with any client, psychiatric clients can refuse treatment unless a legal
experiencing psychotic symptoms, refuses to take any of process resulting in involuntary commitment or mandatory court order for
his ordered medication because he believes "Jesus treatment has been obtained.
Christ told me I am the prophet and must fast for a year."
Your actions should be based on your knowledge of
which of the following?
a. Psychiatric clients cannot refuse treatment
b. Psychiatric clients do not always know what is good
for them
c. Psychiatric clients can refuse treatment
d. Psychiatric clients cannot be trusted to make good
healthcare decisions and, therefore, the nurse's best
clinical judgment should guide actions
Which of the following statements best reflects the A. Social relationships are mutual interpersonal relationships in which the needs
difference between the nurse-client (N-C) relationship of both parties are addressed. The N-C relationship is most concerned with
and a social relationship? meeting the needs of the client.
a. In the N-C relationship, the primary focus is on the
client and the client's needs.
b. Goals in the N-C relationship are deliberately left
vague and unspoken so that the client can work on any
issue.
c. In the N-C relationship, the nurse is solely responsible
for making the relationship work.
d. In the N-C relationship, there is no place for social
interaction.
A community has an unusually high incidence of A. This action focuses on interventions designed to reduce the incidence of new
depression and drug use among the teenage population. cases of disease.
The public health nurses decide to address this problem,
in part, by modifying the environment and strengthening
the capacities of families to prevent the development of
new cases of depression and drug use. What is this is an
example of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention
, Mrs. Kemp is voluntarily admitted to the hospital. After 24 B. Almost every state allows for a brief for a period detainment to assess a client
hours, she states she wishes to leave because "this for dangerousness to self or others before allowing the client to leave a hospital
place can't help me." The best nursing action that setting, even if the admission was voluntary.
reflects the legal right of this client is
a. Discharge the client
b. Explain that the client cannot leave until you can
complete further assessment
c. Allow the client to leave but have her sign forms
stating she is leaving against medical advice
d. Immediately start the paperwork to commit the client
and to allow you to treat her against her wishes
In forming a therapeutic relationship with clients, the C. Authenticity. Being genuine, honest, and respectful are essential elements in
PMHNP must consider developing many characteristics establishing a working relationship with any client. Like-mindedness is not a part
that are known to be helpful in relationship-building. of the therapeutic relationship. Although an important aspect of the PMHNP role,
Which of the following is an essential part of building a collecting a family history and accuracy in assessment does not in and of itself
therapeutic relationship? facilitate relationship building.
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment
According to the DSM-5, which of the following is true? D. All DSM-5 disorders need to be made taking a person's culture into account. A
(Ch. 3) cultural expression of a response to grief, loss, or stress is not considered a
a. A mental disorder is equivalent to the need for DSM-5 diagnosis.
treatment.
b. Diagnostic criteria are used to inform clinical
judgment.
c. Socially deviant behavior is considered a mental
disorder.
d. A culturally expected response to a stressor is not a
mental disorder.
Mrs. French has been in individual therapy for 3 months. C. Clients frequently display resistance and regression at the termination of a
She has shown much growth and improvement in her meaningful therapeutic process. The PMHNP is responsible for planning an
functioning and insight and is to discontinue services effective termination and monitoring clients during the termination period.
within the next few weeks. In the next session, after you
discuss service termination, she suddenly begins to
demonstrate the original symptoms that had brought her
to treatment initially. She is now hesitant to discharge,
wants to continue services, and is displaying an increase
in regressive defense mechanisms. What is the best
explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health
symptoms
c. A sign of normal resistance to termination seen in the
termination phase of therapy
d. A sign of pathological attachment to the therapist that
must be addressed
A client is displaying low self-esteem, poor self-control, B. These signs indicate developmental failure of early childhood.
self-doubt, and a high level of dependency. These
behaviors indicate developmental failure of which of the
following stages of development:
a. Infancy
b. Early childhood
c. Late childhood
d. School age
Mr. Thompson has been forgetful lately, for example, B. The psychic determinism principle states that all behavior has purpose and
forgetting where he has placed his keys or what time meaning, often unconscious in nature, and that no behaviors occur randomly or
appointments are scheduled, and he has stated that he by coincidence.
thinks these are just random behaviors that have no
particular meaning. Which Freudian-based
psychodynamic principle assumes that all behavior and
actions are purposeful?
a. Pleasure principle
b. Psychic determinism principle
c. Reality principle
d. Unconsciousness principle
An example of a mature, healthy defense mechanism is D. Suppression is the only defense mechanism listed in which the client channels
a. Denial conflicting energies into growth-promoting activities.
b. Rationalization
c. Repression
d. Suppression
PMHNP ANCC
Review Questions
** Expert-Verified Explanation
** Questions with Verified Answer
** New Edition | 2026-2027 Updated
** 100% Guaranteed Pass
** 100% Correct Answers | Graded A+
,The purpose of the American Nurses Association's A. The ANAs Psych-Mental Health Nursing Scope and Standards of Practice
Psychiatric-Mental Health Nursing: defines the role and actions of the nurse practitioner.
Scope and Standards of Practice is to
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription of
psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and
the NP role
D. Information reduces incidence of disease. Primary prevention care practices are an essential aspect of the PMHNP role.
Which of the following is the best example of a primary prevention care strategy
for community behavioral health?
a. Aftercare program for chronically mentally ill clients recently discharged from
the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
The trend in legal rulings on cases involving mental B. Identifies the trend of ensuring the protection of individual civil liberties for
illness over the past 25 years has been to psychiatric clients.
a. Encourage juries to find defendants not guilty by
reason of insanity
b. Protect the person's freedoms or rights when he or
she is committed to a mental hospital
c. Place increasing trust in mental health professionals to
make good and ethical decisions
d. Decrease the "red tape" associated with commitments
so that commitments are faster and easier
Mr. Smithers, an involuntarily hospitalized patient C. As with any client, psychiatric clients can refuse treatment unless a legal
experiencing psychotic symptoms, refuses to take any of process resulting in involuntary commitment or mandatory court order for
his ordered medication because he believes "Jesus treatment has been obtained.
Christ told me I am the prophet and must fast for a year."
Your actions should be based on your knowledge of
which of the following?
a. Psychiatric clients cannot refuse treatment
b. Psychiatric clients do not always know what is good
for them
c. Psychiatric clients can refuse treatment
d. Psychiatric clients cannot be trusted to make good
healthcare decisions and, therefore, the nurse's best
clinical judgment should guide actions
Which of the following statements best reflects the A. Social relationships are mutual interpersonal relationships in which the needs
difference between the nurse-client (N-C) relationship of both parties are addressed. The N-C relationship is most concerned with
and a social relationship? meeting the needs of the client.
a. In the N-C relationship, the primary focus is on the
client and the client's needs.
b. Goals in the N-C relationship are deliberately left
vague and unspoken so that the client can work on any
issue.
c. In the N-C relationship, the nurse is solely responsible
for making the relationship work.
d. In the N-C relationship, there is no place for social
interaction.
A community has an unusually high incidence of A. This action focuses on interventions designed to reduce the incidence of new
depression and drug use among the teenage population. cases of disease.
The public health nurses decide to address this problem,
in part, by modifying the environment and strengthening
the capacities of families to prevent the development of
new cases of depression and drug use. What is this is an
example of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention
, Mrs. Kemp is voluntarily admitted to the hospital. After 24 B. Almost every state allows for a brief for a period detainment to assess a client
hours, she states she wishes to leave because "this for dangerousness to self or others before allowing the client to leave a hospital
place can't help me." The best nursing action that setting, even if the admission was voluntary.
reflects the legal right of this client is
a. Discharge the client
b. Explain that the client cannot leave until you can
complete further assessment
c. Allow the client to leave but have her sign forms
stating she is leaving against medical advice
d. Immediately start the paperwork to commit the client
and to allow you to treat her against her wishes
In forming a therapeutic relationship with clients, the C. Authenticity. Being genuine, honest, and respectful are essential elements in
PMHNP must consider developing many characteristics establishing a working relationship with any client. Like-mindedness is not a part
that are known to be helpful in relationship-building. of the therapeutic relationship. Although an important aspect of the PMHNP role,
Which of the following is an essential part of building a collecting a family history and accuracy in assessment does not in and of itself
therapeutic relationship? facilitate relationship building.
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment
According to the DSM-5, which of the following is true? D. All DSM-5 disorders need to be made taking a person's culture into account. A
(Ch. 3) cultural expression of a response to grief, loss, or stress is not considered a
a. A mental disorder is equivalent to the need for DSM-5 diagnosis.
treatment.
b. Diagnostic criteria are used to inform clinical
judgment.
c. Socially deviant behavior is considered a mental
disorder.
d. A culturally expected response to a stressor is not a
mental disorder.
Mrs. French has been in individual therapy for 3 months. C. Clients frequently display resistance and regression at the termination of a
She has shown much growth and improvement in her meaningful therapeutic process. The PMHNP is responsible for planning an
functioning and insight and is to discontinue services effective termination and monitoring clients during the termination period.
within the next few weeks. In the next session, after you
discuss service termination, she suddenly begins to
demonstrate the original symptoms that had brought her
to treatment initially. She is now hesitant to discharge,
wants to continue services, and is displaying an increase
in regressive defense mechanisms. What is the best
explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health
symptoms
c. A sign of normal resistance to termination seen in the
termination phase of therapy
d. A sign of pathological attachment to the therapist that
must be addressed
A client is displaying low self-esteem, poor self-control, B. These signs indicate developmental failure of early childhood.
self-doubt, and a high level of dependency. These
behaviors indicate developmental failure of which of the
following stages of development:
a. Infancy
b. Early childhood
c. Late childhood
d. School age
Mr. Thompson has been forgetful lately, for example, B. The psychic determinism principle states that all behavior has purpose and
forgetting where he has placed his keys or what time meaning, often unconscious in nature, and that no behaviors occur randomly or
appointments are scheduled, and he has stated that he by coincidence.
thinks these are just random behaviors that have no
particular meaning. Which Freudian-based
psychodynamic principle assumes that all behavior and
actions are purposeful?
a. Pleasure principle
b. Psychic determinism principle
c. Reality principle
d. Unconsciousness principle
An example of a mature, healthy defense mechanism is D. Suppression is the only defense mechanism listed in which the client channels
a. Denial conflicting energies into growth-promoting activities.
b. Rationalization
c. Repression
d. Suppression
