Chamberlain University-Illinois NR 607
Purple Book PMHNP 100
multiple choice Exam Questions
Verified and Provided with A+
Graded Answers Latest Updated
2026 ANCC
1. The purpose of the American Nurses Correct Answer: A. The ANA's
Psychiatric-Mental Health Nursing: Scope Association's Psychiatric-Mental Health Nursing: and Standards of Practice
defines the role and actions of the nurse Scope and Standards of Practice is to practitioner.
A. Define the role and actions for the NP
Establish the legal authority for the prescription of
psychotropic
B.medications
C. Define the legal statutes of the role of
the PMHNP
D.Define the differences between the physician
role and the NP role
2) Primary prevention care practices are an Correct Answer: D. Information reduces incidence of disease.
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
3 B. Identifies the trend of ensuring the protection of individual
civil The trend in legal rulings on cases involving liberties for psychiatric clients.
mental illness over the past 25 years has been to
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
4 C. As with any client, psychiatric clients can refuse treatment un- less a
Mr. Smithers, an involuntarily hospitalized patient legal process resulting in involuntary commitment or mandatory
court experiencing psychotic symptoms, refuses to take order for treatment has been obtained.
any of his ordered medication because he believes
"Jesus 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
5.Which of the following statements best reflects A. Social relationships are mutual interpersonal relationships in
which the difference between the nurse-client (N-C) the needs of both parties are addressed. The N-C relationship is
most relationship and a social relationship? con- cerned with 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.
6.A community has an unusually high incidence of A. This action focuses on interventions designed to reduce
the depression and drug use among the teen- age incidence of new cases of disease.
population. 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
7 Correct Answer: B. Almost every state allows for a brief period of
Mrs. Kemp is voluntarily admitted to the hospital. detainment to as- sess a client for dangerousness to self or
others After 24 hours, she states she wishes to leave before allowing the client to leave a hospital
setting, even if the because "this place can't help me." The best admission was voluntary.
nursing action that 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
8 C. Authenticity. Being genuine, honest, and respectful are essential
In many characteristics that are known to be elements in establishing a working relationship with any client. Like-
helpful in relationship-building. Which of the fol- mindednessis not a part of the therapeutic relationship. Although
an lowing is an essential part of building a therapeutic important aspect of the PMHNP role, collecting a family history
and
relationship? forming a therapeutic relationship accuracy in assessment does not in and of itself facilitate
relationship-with clients, the PMHNP must consider developing building.
a)Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment
, 9 Correct Answer: D. All DSM-5 disorders need to be made taking
a According to the DSM-5, which of the following is person's culture into account. A cultural expression of a response
to true? (Ch. 3) grief, loss, or stress is not con- sidered a DSM-5 diagnosis.
a)A mental disorder is equivalent to the need
for 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.
10 C. Clients frequently display resistance and regression at the
termination Mrs. French has been in individual therapy for 3 of a meaningful therapeutic process. The PMHNP is
responsible for months. She has shown much growth and planning an effective termination and monitoring clients
during the
improvement in her functioning and insight and istermination period.
to discontinue services 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
11 Correct Answer: B. These signs indicate developmental failure of
early A client is displaying low self-esteem, poor self- childhood.
control, self-doubt, and a high level of de-
pendency. These behaviors indicate
developmental failure of which of the following
stages of development:
a) Infancy
b) Early childhood
c) Late childhood
d) School age
12 B. The psychic determinism principle states that all behavior
has Mr. Thompson has been forgetful lately, for purpose and meaning, often unconscious in nature, and that
no example, forgetting where he has placed his keys behaviors occur randomly or by coincidence.
or what time appointments are scheduled, and he
has stated that he 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
Purple Book PMHNP 100
multiple choice Exam Questions
Verified and Provided with A+
Graded Answers Latest Updated
2026 ANCC
1. The purpose of the American Nurses Correct Answer: A. The ANA's
Psychiatric-Mental Health Nursing: Scope Association's Psychiatric-Mental Health Nursing: and Standards of Practice
defines the role and actions of the nurse Scope and Standards of Practice is to practitioner.
A. Define the role and actions for the NP
Establish the legal authority for the prescription of
psychotropic
B.medications
C. Define the legal statutes of the role of
the PMHNP
D.Define the differences between the physician
role and the NP role
2) Primary prevention care practices are an Correct Answer: D. Information reduces incidence of disease.
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
3 B. Identifies the trend of ensuring the protection of individual
civil The trend in legal rulings on cases involving liberties for psychiatric clients.
mental illness over the past 25 years has been to
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
4 C. As with any client, psychiatric clients can refuse treatment un- less a
Mr. Smithers, an involuntarily hospitalized patient legal process resulting in involuntary commitment or mandatory
court experiencing psychotic symptoms, refuses to take order for treatment has been obtained.
any of his ordered medication because he believes
"Jesus 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
5.Which of the following statements best reflects A. Social relationships are mutual interpersonal relationships in
which the difference between the nurse-client (N-C) the needs of both parties are addressed. The N-C relationship is
most relationship and a social relationship? con- cerned with 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.
6.A community has an unusually high incidence of A. This action focuses on interventions designed to reduce
the depression and drug use among the teen- age incidence of new cases of disease.
population. 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
7 Correct Answer: B. Almost every state allows for a brief period of
Mrs. Kemp is voluntarily admitted to the hospital. detainment to as- sess a client for dangerousness to self or
others After 24 hours, she states she wishes to leave before allowing the client to leave a hospital
setting, even if the because "this place can't help me." The best admission was voluntary.
nursing action that 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
8 C. Authenticity. Being genuine, honest, and respectful are essential
In many characteristics that are known to be elements in establishing a working relationship with any client. Like-
helpful in relationship-building. Which of the fol- mindednessis not a part of the therapeutic relationship. Although
an lowing is an essential part of building a therapeutic important aspect of the PMHNP role, collecting a family history
and
relationship? forming a therapeutic relationship accuracy in assessment does not in and of itself facilitate
relationship-with clients, the PMHNP must consider developing building.
a)Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment
, 9 Correct Answer: D. All DSM-5 disorders need to be made taking
a According to the DSM-5, which of the following is person's culture into account. A cultural expression of a response
to true? (Ch. 3) grief, loss, or stress is not con- sidered a DSM-5 diagnosis.
a)A mental disorder is equivalent to the need
for 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.
10 C. Clients frequently display resistance and regression at the
termination Mrs. French has been in individual therapy for 3 of a meaningful therapeutic process. The PMHNP is
responsible for months. She has shown much growth and planning an effective termination and monitoring clients
during the
improvement in her functioning and insight and istermination period.
to discontinue services 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
11 Correct Answer: B. These signs indicate developmental failure of
early A client is displaying low self-esteem, poor self- childhood.
control, self-doubt, and a high level of de-
pendency. These behaviors indicate
developmental failure of which of the following
stages of development:
a) Infancy
b) Early childhood
c) Late childhood
d) School age
12 B. The psychic determinism principle states that all behavior
has Mr. Thompson has been forgetful lately, for purpose and meaning, often unconscious in nature, and that
no example, forgetting where he has placed his keys behaviors occur randomly or by coincidence.
or what time appointments are scheduled, and he
has stated that he 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
