WILKES UNIVERSITY NSG 526 EXAM 1 - ORIGINAL PMHNP EXAM QUESTIONS AND ANSWERS

WILKES UNIVERSITY NSG 526 EXAM 1 -

ORIGINAL PMHNP EXAM QUESTIONS AND ANSWERS 2026-2027

Question1 nc




A32-year-
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oldpatientreportspersistentsadness, lossofinterestinactivities,insomnia,andfeelin
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gs ofworthlessnessforthe past3weeks. Whichadditional assessmentis thePMHNP's
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highestpriority?

A. Dietaryhabits

B. Suicide risk assessment de




C. Familyhistoryofdiabetes

D. Employmenthistory



ß CorrectAnswer: B. Suicide riskassessment ß
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Rationale:
Thepatient'ssymptomsareconsistentwithmajordepressivedisorder.Feelingsofwor t
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hlessnesssignificantlyincreasesuiciderisk, makingimmediateassessment ofsuicid a cn de cn




lthoughts,plans,intent,andmeansthehighestpriority. e
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ßQuestion2 de




Whichdefensemechanismisdemonstratedwhenapatientwhoisangrywitha superviso rco
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meshomeandyells at familymembers?
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A. Projection

B. Reactionformation

,C. Displacement

D. Denial



ßCorrectAnswer:C.Displacement n
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ß Rationale:
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Displacement involvesredirectingemotions fromthe originalsource offrustration toa les
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sthreatening target. de




ßQuestion3
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Which therapeutic communication technique is most appropriatewheninterview inga pa
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tient experiencing anxiety?
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A. "Whyare you anxious?" de de




B. "Everythingwillbeokay."

C. "Tellmemore about what you'reexperiencing."
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D. "You shouldn't worry." cn c n




ßCorrectAnswer:C.Tell memoreaboutwhatyou'reexperiencing. ß
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nRationale:
Open-
endedquestions encourage expressionwithout judgment andpromotetherapeutic co mmu
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nication.



ßQuestion4
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According toErikson, adolescents primarilystruggle with which developmentaltask?
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, A. Trust vs.Mistrust de n
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B. Identityvs. RoleConfusion cn n
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C. Intimacyvs. Isolation de




D. Generativityvs. Stagnation cn




ßCorrect Answer:B.Identityvs.RoleConfusion
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ß Rationale:
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Adolescentsworktoward establishing astable sense ofidentityand personalvalu es
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.



ßQuestion5 n
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Apatient believes the nursereminds himofhis fatherand becomes angryduringevery ses
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sion.Thisbehavioris anexample of: de de




A. Countertransference

B. Transference

C. Projection

D. Sublimation



ß CorrectAnswer:B.Transference ß
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cRationale:
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Transferenceoccurs when feelingsoriginallydirectedtowardsignificant individu de de de de cn




als areunconsciouslyredirectedtoward theclinician.
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