NR 607 FINAL EXAM 300 ACTUAL
EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
LATEST 2026 UPDATE
The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing
care to a 29-year-old client who presents with persistent sadness and
hopelessness for the last two months. She is having difficulty sleeping
and has a decreased appetite. This is the patient's first contact with with
the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
,Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Primary Care
Rationale: This is the client's initial contact with the healthcare
system about her concerns
The client has experienced depressive symptoms. The PMHNP
prescribes a selective serotonin reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Pharmacologic Intervention
,Rationale: The PMHNP is prescribing psychopharmacotherapy for
the client
The PMHNP provides the client with some mindfulness techniques to
try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to
help the client gain insight
Two weeks after starting on the SSRI, the client begins to experience
suicidal ideations and develops a plan to kill herself. A friend brings the
client to the emergency room. The PMHNP meets the client at the
emergency room and collaborates with the physician to coordinate care.
, PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency
requiring immediate intervention.
The client is admitted to the psychiatric and behavioral health unit at the
local hospital for a 72-hour observation where the PMHNP works with
her team providing treatment. The client remains hospitalized for a week
while her medications are managed. The client attends individual and
group therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
LATEST 2026 UPDATE
The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing
care to a 29-year-old client who presents with persistent sadness and
hopelessness for the last two months. She is having difficulty sleeping
and has a decreased appetite. This is the patient's first contact with with
the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
,Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Primary Care
Rationale: This is the client's initial contact with the healthcare
system about her concerns
The client has experienced depressive symptoms. The PMHNP
prescribes a selective serotonin reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Pharmacologic Intervention
,Rationale: The PMHNP is prescribing psychopharmacotherapy for
the client
The PMHNP provides the client with some mindfulness techniques to
try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to
help the client gain insight
Two weeks after starting on the SSRI, the client begins to experience
suicidal ideations and develops a plan to kill herself. A friend brings the
client to the emergency room. The PMHNP meets the client at the
emergency room and collaborates with the physician to coordinate care.
, PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ANSWER- Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency
requiring immediate intervention.
The client is admitted to the psychiatric and behavioral health unit at the
local hospital for a 72-hour observation where the PMHNP works with
her team providing treatment. The client remains hospitalized for a week
while her medications are managed. The client attends individual and
group therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
