PMHNP ANCC EXAM AND PRACTICE EXAM NEWEST
2026 TEST BANK| ANCC (PSYCHIATRIC MENTAL
HEALTH NURSE PRACTITIONER) CERTIFICATION
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
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 -C. Authenticity.
Being genuine, honest, and respectful are essential elements in
establishing a working relationship with any client. Like-mindedness is
not a part of the therapeutic relationship. Although an important aspect
of the PMHNP role, collecting a family history and accuracy in
assessment does not in and of itself facilitate relationship building.
A client is displaying low self-esteem, poor self-control, self-doubt, and
a high level of dependency. These behaviors indicate developmental
failure of which of the following stages of development:
a. Infancy
pg. 1
,b. Early childhood
c. Late childhood
d. School age - Correct Answer -B.
These signs indicate developmental failure of early childhood.
One of the health care changes that has occurred as a result of the
affordable care act (ACA) is that doctors/hospitals/clinic groups or
health systems are coming together and assuming the responsibility for
quality care to large groups of individuals insured by Medicare. The
health care clinics/systems doctors or hospitals that join together are
called which of the following?
a. Health Maintenance Organization (HMO)
b. Preferred Provider Network (PPO)
c. Accountable Care Organization (ACO)
d. Individual Health Plan (IHP) - Correct Answer -C.
ACO's are groups of doctors or other health care providers who
voluntarily come together and assume the care provided to Medicare
patients.
Health care economics is concerned with making decisions so the
benefits outweigh the cost of resource utilization. What are two concepts
that healthcare economics is concerned with in regard to fair distribution
of resources and allocation?
a. Equity and efficiency
b. Cost and benefits
pg. 2
,c. Opportunity and waste
d. Affordable and quality - Correct Answer -A.
Health care efficiency is making risk and benefit decision about how
care resources are allocated and equity is ensuring that there is a fair
distribution of the resources.
A client who is experiencing difficulties with working memory, planning
and prioritizing, insight into his problems, and impulse control presents
for assessment. In planning his care, the PMHNP should apply his or her
knowledge that these symptoms represent problems with the
a. Frontal lobe
b. Temporal lobe
c. Parietal lobe
d. Occipital lobe - Correct Answer -A.
Problems with working memory, planning and prioritizing, insight into
problems, and impulse control indicate a problem in the frontal lobe.
In completing the PMHNP assessment for the Mrs. Shea, the most
appropriate lab test for the PMHNP to order at this time is
a. CBC
b. TSH
c. Liver function tests
d. Electrolyte panel - Correct Answer -C.
pg. 3
, Client overdosed and then was placed on a medication that affects the
liver. The PMHNP needs to assess the client's liver function as an aspect
of care planning for her.
A client comes into the clinic with a longstanding history of depression
and chronic renal failure. He is on an antidepressant and a diuretic and
complains of increased depression, mild confusion, irritability, and
overall apathy from being too tired to do anything. The best initial
PMHNP action to take at this time is
a. Increase his dose of antidepressant medication to better capture
symptoms
b. Change him to another antidepressant for better symptom control
c. Augment his antidepressant with an atypical antipsychotic medication
d. Order a comprehensive metabolic panel - Correct Answer -D.
Client symptoms are consistent with electrolyte imbalance and a
physical cause of his symptoms must be ruled out first.
In considering whether to order an MRI of the head for a client, which of
the following would be a contraindication to this diagnostic test?
a. Prosthetic limb
b. History of head trauma
c. Pacemaker
d. Pregnancy - Correct Answer -C.
A client with a pacemaker should not receive an MRI of the head.
pg. 4
2026 TEST BANK| ANCC (PSYCHIATRIC MENTAL
HEALTH NURSE PRACTITIONER) CERTIFICATION
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
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 -C. Authenticity.
Being genuine, honest, and respectful are essential elements in
establishing a working relationship with any client. Like-mindedness is
not a part of the therapeutic relationship. Although an important aspect
of the PMHNP role, collecting a family history and accuracy in
assessment does not in and of itself facilitate relationship building.
A client is displaying low self-esteem, poor self-control, self-doubt, and
a high level of dependency. These behaviors indicate developmental
failure of which of the following stages of development:
a. Infancy
pg. 1
,b. Early childhood
c. Late childhood
d. School age - Correct Answer -B.
These signs indicate developmental failure of early childhood.
One of the health care changes that has occurred as a result of the
affordable care act (ACA) is that doctors/hospitals/clinic groups or
health systems are coming together and assuming the responsibility for
quality care to large groups of individuals insured by Medicare. The
health care clinics/systems doctors or hospitals that join together are
called which of the following?
a. Health Maintenance Organization (HMO)
b. Preferred Provider Network (PPO)
c. Accountable Care Organization (ACO)
d. Individual Health Plan (IHP) - Correct Answer -C.
ACO's are groups of doctors or other health care providers who
voluntarily come together and assume the care provided to Medicare
patients.
Health care economics is concerned with making decisions so the
benefits outweigh the cost of resource utilization. What are two concepts
that healthcare economics is concerned with in regard to fair distribution
of resources and allocation?
a. Equity and efficiency
b. Cost and benefits
pg. 2
,c. Opportunity and waste
d. Affordable and quality - Correct Answer -A.
Health care efficiency is making risk and benefit decision about how
care resources are allocated and equity is ensuring that there is a fair
distribution of the resources.
A client who is experiencing difficulties with working memory, planning
and prioritizing, insight into his problems, and impulse control presents
for assessment. In planning his care, the PMHNP should apply his or her
knowledge that these symptoms represent problems with the
a. Frontal lobe
b. Temporal lobe
c. Parietal lobe
d. Occipital lobe - Correct Answer -A.
Problems with working memory, planning and prioritizing, insight into
problems, and impulse control indicate a problem in the frontal lobe.
In completing the PMHNP assessment for the Mrs. Shea, the most
appropriate lab test for the PMHNP to order at this time is
a. CBC
b. TSH
c. Liver function tests
d. Electrolyte panel - Correct Answer -C.
pg. 3
, Client overdosed and then was placed on a medication that affects the
liver. The PMHNP needs to assess the client's liver function as an aspect
of care planning for her.
A client comes into the clinic with a longstanding history of depression
and chronic renal failure. He is on an antidepressant and a diuretic and
complains of increased depression, mild confusion, irritability, and
overall apathy from being too tired to do anything. The best initial
PMHNP action to take at this time is
a. Increase his dose of antidepressant medication to better capture
symptoms
b. Change him to another antidepressant for better symptom control
c. Augment his antidepressant with an atypical antipsychotic medication
d. Order a comprehensive metabolic panel - Correct Answer -D.
Client symptoms are consistent with electrolyte imbalance and a
physical cause of his symptoms must be ruled out first.
In considering whether to order an MRI of the head for a client, which of
the following would be a contraindication to this diagnostic test?
a. Prosthetic limb
b. History of head trauma
c. Pacemaker
d. Pregnancy - Correct Answer -C.
A client with a pacemaker should not receive an MRI of the head.
pg. 4
