PURPLE BOOK PMHNP EXAM 2025|REAL QUESTIONS AND ANSWERS |ALREADY
GRADED A+|100% VERIFIED|A+ GRADE
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
characteristics that are known to be helpful in relationship-building. Which of the following is an
essential part of building a therapeutic relationship?
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment - CORRECT ANSWER-Answer: C
Authenticity. Be genuine, honest, and respectful are essential elements in establishing a working
relationship with any client.
According to the DSM-5, which of the following is true?
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 - CORRECT ANSWER-
Answer: D
All DSM-5 disorders need to be made taking a person's culture into account
Mrs. French has been in individual therapy for 3 months. She has shown much growth and
improvement in her functioning and insight and is 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 - CORRECT
ANSWER-Answer: C
The purpose of the American Nurses Association's Psychiatric-Mental Health Nursing: 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 medication
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role - CORRECT ANSWER-
Answer: A
It defines the role and actions of PMHNP.
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 - CORRECT ANSWER-Answer: D
Primary prevention: prevents the development of a disorder or disease. Ex: parenting classes
and substance abuse prevention.
Secondary prevention: detects and treats a disease early to minimize serious consequences. Ex:
PHQ9
Tertiary prevention: manages an existing disease to prevent complications or further damage.
The trend in legal rulings on cases involving mental illness over the past 25 years has been to
GRADED A+|100% VERIFIED|A+ GRADE
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
characteristics that are known to be helpful in relationship-building. Which of the following is an
essential part of building a therapeutic relationship?
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment - CORRECT ANSWER-Answer: C
Authenticity. Be genuine, honest, and respectful are essential elements in establishing a working
relationship with any client.
According to the DSM-5, which of the following is true?
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 - CORRECT ANSWER-
Answer: D
All DSM-5 disorders need to be made taking a person's culture into account
Mrs. French has been in individual therapy for 3 months. She has shown much growth and
improvement in her functioning and insight and is 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 - CORRECT
ANSWER-Answer: C
The purpose of the American Nurses Association's Psychiatric-Mental Health Nursing: 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 medication
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role - CORRECT ANSWER-
Answer: A
It defines the role and actions of PMHNP.
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 - CORRECT ANSWER-Answer: D
Primary prevention: prevents the development of a disorder or disease. Ex: parenting classes
and substance abuse prevention.
Secondary prevention: detects and treats a disease early to minimize serious consequences. Ex:
PHQ9
Tertiary prevention: manages an existing disease to prevent complications or further damage.
The trend in legal rulings on cases involving mental illness over the past 25 years has been to
