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Exam (elaborations)

PMH-BC Exam Questions With Complete Solutions

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PMH-BC Exam Questions With Complete Solutions

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PMH-BC
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PMH-BC

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Uploaded on
December 1, 2025
Number of pages
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Written in
2025/2026
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PMH-BC Exam Questions With Complete Solutions

A "state of optimum anxiety" refers to:

A. readiness for learning
B. Psychological well-being
C. Readiness for therapy
D. Response to treatment Correct Answers A. Readiness for
learning

A "state of optimum anxiety" refers to readiness for learning.
Studies have indicated that learning is best achieved when the
patient is experiencing mild to moderate anxiety, which may be
related to anticipation or concerns about learning. This optimum
anxiety enhances the ability to concentrate and the process of
information. However, when this level of anxiety is exceeded,
learning is impaired and the patient becomes defensive. The
psychiatric and mental health nurse may need to assist the
patient with anxiety-reducing techniques before teaching.

A "state of optimum anxiety" refers to:

A. Readiness for learning
B. Psychological wellbeing
C. Readiness for therapy
D. Response to treatment Correct Answers A. Readiness for
learning

A "state of optimum anxiety" prefers to readiness for learning.
Studies have indicated that learning is best achieved when the
patient is experiencing mild to moderate anxiety, which may be

,related to anticipation her concerns about learning. This
optimum anxiety enhances the ability to concentrate and process
information. However, when this level of anxiety is exceeded,
learning is impaired and the patient becomes defensive. The
psychiatric and mental health nurse may need to assist the
patient with anxiety reducing techniques before teaching.

A 15-year-old patient with autism spectrum disorder and
obsessive compulsive disorder rarely verbalizes except for
occasional words that seem random, and the patient often
becomes very agitated when the psychiatric and mental health
nurse attempts to interact or communicate with him. The most
appropriate method to improve communication is to:

A. Keep interactions to a minimum to avoid agitating the
patient.
B. Have the patient evaluated by speech therapist.
C. Observe the patient carefully to note any communication
strategies.
D. Meet with the parents/caregivers to discuss the patient's
communication. Correct Answers D. Meet with the
parents/caregivers to discuss the patient's communication.

Even patients who are essentially nonverbal with autism
spectrum disorder have usually developed some methods of
communication-such as becoming agitated or using random
words or gestures-and the best people to understand the way the
patient communicates are often parents or caregivers. These
people have spent extensive periods of time with the patient, so
the psychiatric and mental health nurse should interview with
the parents/caregivers about communication strategies in order

,to have a better understanding of the patient's reactions and
methods of communication.

A 16 year old patient with anorexia nervosa weighs 76 pounds,
is severely emaciated and malnourished, and has developed
cardiac dysrythmias. Nutrition is critical, but the patient refuses
to eat any food. The most appropriate response for the
psychiatric and mental health nurse is:

A. "You will die if you don't eat."
B. "You will be fed by nasogastric tube if you don't eat."
C. "We can't help you if you don't help yourself."
D. "I can't force you to eat." Correct Answers B. "you will be
fed by nasogastric tube if you don't eat."

An adult can refuse food and nutrition, but a 16 year old is a
minor and under parental control, so the patents / caregivers
make the decisions about health. In this case, because the
patient's life is in danger, the nurse should respond with what is
true and necessary: "you will be fed by nasogastric tube if you
don't eat." The patient should be monitored during meals and for
at least an hour after meals to prevent purging. A goal for weight
gain (usually 2-3 pounds per week) should be established and
calories/nutrition calculated based on that goal.

A 16-year-old patient with anorexia nervosa weighs 76 pounds,
is severely emaciated and malnourished, and has developed
cardiac dysrhythmias. Nutrition is critical, but the patient refuses
to eat any food. The most appropriate response for the
psychiatric and mental health nurse is:

, A. "You will die if you dont' eat."
B. "You will be fed by nasogastric tube if you don't eat."
C. "We can't help you if you don't help yourself."
D. "I can't force you to eat." Correct Answers B. "you will be
fed by nasogastric tube if you don't eat."

An adult can refuse food and nutrition, but a 16-year-old is a
minor and under parental control, so the parents/caregivers make
the decisions about health. In this case, because the patient's life
is in danger, the nurse should respond with what is true and
necessary: "You will be fed by nasogastric tube if you do not
eat." The patient should be monitored during meals and for at
least an hour after meals to prevent purging. Her goal for weight
gain (usually 2 to 3 pounds per week) should be established and
calories/nutrition calculated based on that goal.

A 60 -year old female patient has been treated for depression
with an SSRI for four months but reports no improvement in
feelings of depression. The patient reports weight gain, lethargy,
and feeling constantly "chilled." The patient probably needs:

A. An increased dosage of medication
B. Thyroid function tests
C. A change to a different medication
D. Renal function tests Correct Answers B. Thyroid function
tests

The patient is exhibiting possible signs of hypothyroidism.
Weight gain, lethargy, and feeling "chilled" or having increased
sensitivity to cold - and should have thyroid function tests.
Patients may also complain of poor concentration, constipation,

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