LMR PMHNP exam questions and answers|100% correct|latest 2025/2026

LMR PMHNP exam questions and answers|100%
correct|latest 2025/2026
When does behavior management and support begin? - ANSWER-Admission-
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BBehavior management and support starts when the patient is admitted. It does not start coup
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le days after or when they discharge
B B B B B B




Where should you interview patients? - ANSWER-
B B B B B B



When interviewing patient you want to interview them in the day room where you can have t
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he door slightly open this allows us to have confidentiality but also keep staff safe.
B B B B B B B B B B B B B B




*Learn as much as you can about the patient BEFORE entering room.
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What should you do if a child reports abuse while with parents? - ANSWER--
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You should separate parents and child and interview you them separately
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-Report them to CPS B B B




A child comes without parents and notice that the child is playing in a sexual way with a toy. w
B B B B B B B B B B B B B B B B B B B



hat should you suspect? - ANSWER-*sexual abuse
B B B B B B




-
You can immediately report to CPS suspecting alone is enough. You are not required to notify
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parents/legal guardian that you are reporting them. B B B B B B




-Put in Sexual precaution when admitted to hospital.
B B B B B B B




-If the child is standing in a sexual way. (We need to worry about sexual abuse)
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What should you do as the PMHNP if a patient comes in due to being a victim of abuse/rape? -
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BANSWER-
the priority is to provide and environment of their safety or ensure them of safety, even if it is
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an intervention
B




What would you do if a patient that came in for abuse/rape wants to discharge? - ANSWER-
B B B B B B B B B B B B B B B B



If inpatient and making a decision to discharge, make sure the patient is able to stay safe and d
B B B B B B B B B B B B B B B B B B



eveloped coping skills B B

,Where would you interview a patient with a recent history of abuse/rape? - ANSWER--
B B B B B B B B B B B B B



If inpatient and interviewing patients, do not interview in their room or day room.
B B B B B B B B B B B B B




-Interview in a private office with the door open or partially open
B B B B B B B B B B B




When is the only time you have to break confidentiality? - ANSWER-
B B B B B B B B B B B



*If the patient is suicidal and have an intent *
B B B B B B B B B




*Homicidal * B




* If one is older than the other then you need to report to parents.*
B B B B B B B B B B B B B B




If they are attracted to the same gender we don't need to tell parents.
B B B B B B B B B B B B B




You don't need to report to the parents about a same age relationship
B B B B B B B B B B B B




Consensual relationships. B




They have the right to confidentiality not privacy
B B B B B B B




Why do a a lot of women attempt suicide during postpartum? - ANSWER-
B B B B B B B B B B B B



Due to the gap of care, it is important to collaborate with OB Dr. to do risk assessment
B B B B B B B B B B B B B B B B B




As a PMHNP would it be in the patient's best interest to ask/delegate to another professional t
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o do a job? - ANSWER--It should not be delegated, should be collaborated team effort.
B B B B B B B B B B B B B B




-
BBefore picking the answer to refer the patient out, make sure there is nothing else in your sco
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pe that you can do
B B B B




Ex: You notice a lot of women have Post-
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partum depression and are discharged after delivery without mental health evaluation and ha
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ve noticed a gap in care -
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collaboration might be working with OB to develop a screening process that is interprofession
B B B B B B B B B B B B B B



al collaboration
B




If the patient inhaled acetone and is feeling weird should you refer to primary care dr.? -
B B B B B B B B B B B B B B B B



BANSWER--Assess them first before sending them out B B B B B B




-Urine draw screen- acetone has alcohol
B B B B B




-Screen for other substance use B B B B

,11a. Is a cultural response a mental illness? - ANSWER-
B B B B B B B B B



A cultural expected response to a stressor in NOT a mental illness
B B B B B B B B B B B




What culture can have an imbalance between an individual relationship with the world? -
B B B B B B B B B B B B B



ANSWER-Native Americans
B B




A patient presents with a culture base. what should the interview be based on? - ANSWER--
B B B B B B B B B B B B B B B



When a question is very specific on cultural of patient it is most of the time a cultural question
B B B B B B B B B B B B B B B B B B B




- Then cultural assessment (cultural formulation interview) is important
B B B B B B B B




What do their symptoms mean in their culture
B B B B B B B




- A cultural expected response to a stressor is NOT a mental illnes
B B B B B B B B B B B B




What is the process of Cultural formulation? - ANSWER-
B B B B B B B B



* Interview (assessment) → Clarify the meaning of the illness → Contextualize the situation in
B B B B B B B B B B B B B B B



local world → Empower the patient
B B B B B




13. If the patient is dealing with cultural syndrome, what should you do? - ANSWER--
B B B B B B B B B B B B B B



Offer them brief supportive therapy
B B B B B




Respect

- Educate others regarding cultural sensitivity.
B B B B B




Ex. In the Native cultures, mental illness is viewed as an imbalance between an individual relat
B B B B B B B B B B B B B B B



ionship and the world. B B B




What ethnic group/culture is the Healing stick associated with and what is its purpose? -
B B B B B B B B B B B B B B



ANSWER-They believe it helps them heal. Teach the staff about cultural competencies.
B B B B B B B B B B B B




If the patient lost their job, or/and house, what should you offer? - ANSWER-
B B B B B B B B B B B B B



Offer them brief supportive therapy
B B B B

, What if the patient is dealing with somatic complaints of pain but states the primary care coul
B B B B B B B B B B B B B B B B



d not find anything what should you do? - ANSWER-- Conduct a cultural assessment
B B B B B B B B B B B B B




- Validate the patient symptoms
B B B B




- Clarify formulation interviews
B B B




- Clarify meaning of illness or predicament
B B B B B B




- Contextualize their situation in their local world
B B B B B B B




- Empower the patient.
B B B




What is ethnocpecific assessment parameters? when should it be used? - ANSWER-
B B B B B B B B B B B



Should be used during multicultural teaching based on individual culture.
B B B B B B B B B




What is the only medication that can decrease thought of self-
B B B B B B B B B B



harm in patients with schizophrenia? - ANSWER-Clozaril
B B B B B B




What culture/ethnic group has the highest risk of suicide in the US? - ANSWER-
B B B B B B B B B B B B B



Native Americans B




What should you do if your patient does not understand the English language? - ANSWER-
B B B B B B B B B B B B B B



Make accommodations and get an interpreter that is called being culturally sensitive.
B B B B B B B B B B B




Patient wants you to provide information to their traditional healer. What should you do first?
B B B B B B B B B B B B B B B



- ANSWER-You should obtain clearance first and get informed consent.
B B B B B B B B B




What are Cultural syndromes? - ANSWER-
B B B B B



It is the symptoms and attributions that are usually seen in individuals in specific cultural grou
B B B B B B B B B B B B B B B



p and communities.
B B




What is Susto (Fright)? - ANSWER-
B B B B B



It is a common folk illness in the latino population that results from a shocking, unpleasant, or
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frightening experience that is believed to cause the soul to leave the body.
B B B B B B B B B B B B