Psychiatric Mental Health Nurse Practitioner
(PMHNP) Exam Review 2026/2027 | Latest
Updated Study Guide | Comprehensive Questions
& Answers | Verified Pass Guarantee
An adult psychiatric and mental health nurse practitioner uses the interpersonal
therapy model with a patient to establish a therapeutic alliance based upon
empathy and trust. The nurse practitioner recognizes the patient's readiness to
terminate therapy when the patient demonstrates:
A. an understanding that leaving a significant other may be painful, but also
presents an opportunity for growth.
B. breathing and muscle relaxation exercises that decrease muscle tension and
anxiety.
C. free association, and considers the nurse practitioner's interpretation of the
patient's dreams.
D. new adaptive skills and responses after completing "homework assignments." -
correct answer-A. an understanding that leaving a significant other may be
painful, but also presents an opportunity for growth.
,4. Serving as a member on a crisis team, an adult psychiatric and mental health
nurse practitioner provides crisis intervention to the survivors of a plane crash.
Forty-eight hours after the accident, the survivors describe vivid flashbacks,
startle reactions, and disrupted sleep patterns. The nurse practitioner responds
by:
A. advising the survivors to consider using a hypnotic medication for a brief
period.
B. educating the survivors about prodromal symptoms of posttraumatic stress
disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a post trauma support group - correct
answer-B. educating the survivors about prodromal symptoms of posttraumatic
stress disorder.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals - correct answer-A. Attempting to understand
a patient's subjective world
A patient with borderline personality disorder experiences intense anxiety when
an adult psychiatric and mental health nurse practitioner goes on vacation. The
best explanation for this reaction is that the patient:
A. has failed to develop clear ego boundaries.
, B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - correct answer-B. has failed to master
object constancy.
An adult psychiatric and mental health nurse practitioner uses a cognitive-
behavioral approach to help an adolescent patient change self-defeating
behaviors. After identifying the initial stressor that is causing the inappropriate
behavior, the therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor. - correct answer-D. rational
and irrational beliefs about the stressor.
Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety
for patients who have severe depression?
A. Greater efficacy than tricyclic antidepressants
B. Less potential for drug interaction
C. Less potential for injury with intentional overdose
D. Less potential for suicidal thinking - correct answer-C. Less potential for injury
with intentional overdose
For 12 years, a 65-year-old patient with bipolar affective disorder has been
treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide
(PMHNP) Exam Review 2026/2027 | Latest
Updated Study Guide | Comprehensive Questions
& Answers | Verified Pass Guarantee
An adult psychiatric and mental health nurse practitioner uses the interpersonal
therapy model with a patient to establish a therapeutic alliance based upon
empathy and trust. The nurse practitioner recognizes the patient's readiness to
terminate therapy when the patient demonstrates:
A. an understanding that leaving a significant other may be painful, but also
presents an opportunity for growth.
B. breathing and muscle relaxation exercises that decrease muscle tension and
anxiety.
C. free association, and considers the nurse practitioner's interpretation of the
patient's dreams.
D. new adaptive skills and responses after completing "homework assignments." -
correct answer-A. an understanding that leaving a significant other may be
painful, but also presents an opportunity for growth.
,4. Serving as a member on a crisis team, an adult psychiatric and mental health
nurse practitioner provides crisis intervention to the survivors of a plane crash.
Forty-eight hours after the accident, the survivors describe vivid flashbacks,
startle reactions, and disrupted sleep patterns. The nurse practitioner responds
by:
A. advising the survivors to consider using a hypnotic medication for a brief
period.
B. educating the survivors about prodromal symptoms of posttraumatic stress
disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a post trauma support group - correct
answer-B. educating the survivors about prodromal symptoms of posttraumatic
stress disorder.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals - correct answer-A. Attempting to understand
a patient's subjective world
A patient with borderline personality disorder experiences intense anxiety when
an adult psychiatric and mental health nurse practitioner goes on vacation. The
best explanation for this reaction is that the patient:
A. has failed to develop clear ego boundaries.
, B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - correct answer-B. has failed to master
object constancy.
An adult psychiatric and mental health nurse practitioner uses a cognitive-
behavioral approach to help an adolescent patient change self-defeating
behaviors. After identifying the initial stressor that is causing the inappropriate
behavior, the therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor. - correct answer-D. rational
and irrational beliefs about the stressor.
Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety
for patients who have severe depression?
A. Greater efficacy than tricyclic antidepressants
B. Less potential for drug interaction
C. Less potential for injury with intentional overdose
D. Less potential for suicidal thinking - correct answer-C. Less potential for injury
with intentional overdose
For 12 years, a 65-year-old patient with bipolar affective disorder has been
treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide
