Final Exam: NR548 / NR 548 Psychiatric Assessment for the
PMHNP Comprehensive Practice Questions with Correct
Answers and Detailed Explanations
EXAM OVERVIEW & KEY STUDY AREAS
Aspect Details
Course NR548 – Psychiatric Assessment for the PMHNP
Institution Chamberlain University
Exam Weeks 1-8 (All content areas)
Coverage
Key Foundations of PMHNP Practice, Psychiatric Interviewing & MSE, Ethics
Domains & Legal Issues, Psychotic Disorders, Differential Diagnosis,
Telepsychiatry & Integrative Care
Format Multiple-choice, Scenario-based, Select-all-that-apply
Passing Based on institutional requirements
Criteria
SECTION 1: FOUNDATIONS OF PMHNP PRACTICE (Questions 1-30)
Q1. According to the ANA Code of Ethics, Provision 1 requires the PMHNP to:
A) Maintain professional distance to ensure objectivity
B) Approach professional relationships with compassion, caring, and respect,
acknowledging the dignity and worth of each individual
C) Prioritize family concerns over patient preferences
D) Focus primarily on symptom reduction and medication management
,Correct Answer: B. Approach professional relationships with compassion, caring,
and respect, acknowledging the dignity and worth of each individual
The ANA Code of Ethics requires PMHNPs to approach professional relationships
with compassion, caring, and respect, affirming the worth and dignity of those
with psychiatric mental health disorders. This includes helping instill hope and
empowering patients .
Q2. What is the estimated average reduction in life expectancy for individuals
with serious mental illness (SMI)?
A) 5-10 years
B) 11-30 years
C) 25-40 years
D) 1-5 years
Correct Answer: B. 11-30 years
Individuals with serious mental illness die on average 25 years earlier than those
without these illnesses. The broader estimate of 11-30 years reflects the
significant mortality gap associated with SMI, attributable to factors including
higher rates of chronic disease, medication side effects, and barriers to healthcare
access .
Q3. What proportion of emergency department visits by US adults involve
mental health and substance use disorders?
,A) 1/4
B) 1/8
C) 1/3
D) 1/2
Correct Answer: B. 1/8
Approximately one in eight emergency department visits by adults in the US
involves mental health and substance use disorders. This highlights the significant
burden of psychiatric conditions in acute care settings and the importance of
psychiatric assessment skills in emergency medicine .
Q4. Which of the following is the most common cause of hospitalization for
patients under age 45 in the United States?
A) Cardiovascular disease
B) Mood disorders
C) Substance use disorders
D) Diabetes complications
Correct Answer: B. Mood disorders
Mood disorders are the most common cause of hospitalization for patients under
age 45 in the United States. This underscores the significant impact of psychiatric
conditions on healthcare utilization and the importance of mental health services
for this age group .
, Q5. What is the estimated annual economic impact of depression and anxiety
on the global economy?
A) $100 billion in lost productivity
B) $500 billion in lost productivity
C) $1 trillion in lost productivity
D) $2 trillion in lost productivity
Correct Answer: C. $1 trillion in lost productivity
Depression and anxiety cost the global economy approximately $1 trillion per year
in lost productivity. Depression is also the leading cause of disability worldwide,
highlighting the enormous societal and economic burden of mental illness .
Q6. Which educational milestone in psychiatric nursing occurred in 1882?
A) The first graduate program in psychiatric nursing was established
B) Dr. Edward Cowles created the first organized training school within a hospital
for the insane
C) The National Mental Health Act was passed
D) The first nurse-organized training course for psychiatric nursing was developed
Correct Answer: B. Dr. Edward Cowles created the first organized training school
within a hospital for the insane
In 1882, Dr. Edward Cowles created the first organized training school within a
hospital for the insane. This represented a significant milestone in the
professionalization of psychiatric nursing, shifting focus from restrictive custodial
care to treatment .
PMHNP Comprehensive Practice Questions with Correct
Answers and Detailed Explanations
EXAM OVERVIEW & KEY STUDY AREAS
Aspect Details
Course NR548 – Psychiatric Assessment for the PMHNP
Institution Chamberlain University
Exam Weeks 1-8 (All content areas)
Coverage
Key Foundations of PMHNP Practice, Psychiatric Interviewing & MSE, Ethics
Domains & Legal Issues, Psychotic Disorders, Differential Diagnosis,
Telepsychiatry & Integrative Care
Format Multiple-choice, Scenario-based, Select-all-that-apply
Passing Based on institutional requirements
Criteria
SECTION 1: FOUNDATIONS OF PMHNP PRACTICE (Questions 1-30)
Q1. According to the ANA Code of Ethics, Provision 1 requires the PMHNP to:
A) Maintain professional distance to ensure objectivity
B) Approach professional relationships with compassion, caring, and respect,
acknowledging the dignity and worth of each individual
C) Prioritize family concerns over patient preferences
D) Focus primarily on symptom reduction and medication management
,Correct Answer: B. Approach professional relationships with compassion, caring,
and respect, acknowledging the dignity and worth of each individual
The ANA Code of Ethics requires PMHNPs to approach professional relationships
with compassion, caring, and respect, affirming the worth and dignity of those
with psychiatric mental health disorders. This includes helping instill hope and
empowering patients .
Q2. What is the estimated average reduction in life expectancy for individuals
with serious mental illness (SMI)?
A) 5-10 years
B) 11-30 years
C) 25-40 years
D) 1-5 years
Correct Answer: B. 11-30 years
Individuals with serious mental illness die on average 25 years earlier than those
without these illnesses. The broader estimate of 11-30 years reflects the
significant mortality gap associated with SMI, attributable to factors including
higher rates of chronic disease, medication side effects, and barriers to healthcare
access .
Q3. What proportion of emergency department visits by US adults involve
mental health and substance use disorders?
,A) 1/4
B) 1/8
C) 1/3
D) 1/2
Correct Answer: B. 1/8
Approximately one in eight emergency department visits by adults in the US
involves mental health and substance use disorders. This highlights the significant
burden of psychiatric conditions in acute care settings and the importance of
psychiatric assessment skills in emergency medicine .
Q4. Which of the following is the most common cause of hospitalization for
patients under age 45 in the United States?
A) Cardiovascular disease
B) Mood disorders
C) Substance use disorders
D) Diabetes complications
Correct Answer: B. Mood disorders
Mood disorders are the most common cause of hospitalization for patients under
age 45 in the United States. This underscores the significant impact of psychiatric
conditions on healthcare utilization and the importance of mental health services
for this age group .
, Q5. What is the estimated annual economic impact of depression and anxiety
on the global economy?
A) $100 billion in lost productivity
B) $500 billion in lost productivity
C) $1 trillion in lost productivity
D) $2 trillion in lost productivity
Correct Answer: C. $1 trillion in lost productivity
Depression and anxiety cost the global economy approximately $1 trillion per year
in lost productivity. Depression is also the leading cause of disability worldwide,
highlighting the enormous societal and economic burden of mental illness .
Q6. Which educational milestone in psychiatric nursing occurred in 1882?
A) The first graduate program in psychiatric nursing was established
B) Dr. Edward Cowles created the first organized training school within a hospital
for the insane
C) The National Mental Health Act was passed
D) The first nurse-organized training course for psychiatric nursing was developed
Correct Answer: B. Dr. Edward Cowles created the first organized training school
within a hospital for the insane
In 1882, Dr. Edward Cowles created the first organized training school within a
hospital for the insane. This represented a significant milestone in the
professionalization of psychiatric nursing, shifting focus from restrictive custodial
care to treatment .
