PURPLE BOOK PMHNP 100 MULTIPLE
CHOICE QUESTIONS W/ANSWERS
ANCC
1.=The=purpose=of=the=American=Nurses=Association's=Psychiatric-
Mental=Health=Nursing:=Scope=and=Standards=of=Practice=is=to
A.=Define=the=role=and=actions=for=the=NP
Establish=the=legal=authority=for=the=prescription=of=psychotropic=
B.=medications
C.=Define=the=legal=statutes=of=the=role=of=the=PMHNP
D.=Define=the=differences=between=the=physician=role=and=the=NP=role=-=ans-
✔✔Correct=Answer:=A.=The=ANA's=Psychiatric-
Mental=Health=Nursing:=Scope=and=Standards=of=Practice=defines=the=role=and=actions
=of=the=nurse=practitioner.
2)=Primary=prevention=care=practices=are=an=essential=aspect=of=the=PMHNP=role.=Wh
ich=of=the=following=is=the=best=example=of=a=primary=prevention=care=strategy=for=co
mmunity=behavioral=health?
a)=Aftercare=program=for=chronically=mentally=ill=clients=recently=discharged=from=the=h
ospital
b)=Court-ordered=counseling=for=abusive=parents
c)=24-hour=crisis=hotlines
d)=Parenting=skills=classes=for=pregnant=adolescents=-=ans-
✔✔Correct=Answer:=D.=Information=reduces=incidence=of=disease.
3
The=trend=in=legal=rulings=on=cases=involving=mental=illness=over=the=past=25=years=h
as=been=to
a)=Encourage=juries=to=find=defendants=not=guilty=by=reason=of=insanity
b)=Protect=the=person's=freedoms=or=rights=when=he=or=she=is=committed=to=a=mental=
hospital
c)=Place=increasing=trust=in=mental=health=professionals=to=make=good=and=ethical=de
cisions
,d)=Decrease=the="red=tape"=associated=with=commitments=so=that=commitments=are=fa
ster=and=easier=-=ans-
✔✔B.=Identifies=the=trend=of=ensuring=the=protection=of=individual=civil=liberties=for=psy
chiatric=clients.
4
=Mr.=Smithers,=an=involuntarily=hospitalized=patient=experiencing=psychotic=symptoms,=
refuses=to=take=any=of=his=ordered=medication=because=he=believes="Jesus=Christ=told
=me=I=am=the=prophet=and=must=fast=for=a=year."=Your=actions=should=be=based=on=yo
ur=knowledge=of=which=of=the=following?
a)=Psychiatric=clients=cannot=refuse=treatment
b)=Psychiatric=clients=do=not=always=know=what=is=good=for=them
c)=Psychiatric=clients=can=refuse=treatment
d)=Psychiatric=clients=cannot=be=trusted=to=make=good=healthcare=decisions=and,=ther
efore,=the=nurse's=best=clinical=judgment=should=guide=actions=-=ans-
✔✔C.=As=with=any=client,=psychiatric=clients=can=refuse=treatment=un-
=less=a=legal=process=resulting=in=involuntary=commitment=or=mandatory=court=order=fo
r=treatment=has=been=obtained.
5.=Which=of=the=following=statements=best=reflects=the=difference=between=the=nurse-
client=(N-C)=relationship=and=a=social=relationship?
a)=In=the=N-C=relationship,=the=primary=focus=is=on=the=client=and=the=client's=needs.
b)=Goals=in=the=N-
C=relationship=are=deliberately=left=vague=and=unspoken=so=that=the=client=can=work=o
n=any=issue.
c)=In=the=N-
C=relationship,=the=nurse=is=solely=responsible=for=making=the=relationship=work.
d)=In=the=N-C=relationship,=there=is=no=place=for=social=interaction.=-=ans-
✔✔A.=Social=relationships=are=mutual=interpersonal=relationships=in=which=the=needs=
of=both=parties=are=addressed.=The=N-C=relationship=is=most=con-
=cerned=with=meeting=the=needs=of=the=client.
6.=A=community=has=an=unusually=high=incidence=of=depression=and=drug=use=among=
the=teen-
=age=population.=The=public=health=nurses=decide=to=address=this=problem,=in=part,=by
=modifying=the=environment=and=strengthening=the=capacities=of=families=to=prevent=th
e=development=of=new=cases=of=depression=and=drug=use.=What=is=this=is=an=example
=of?
a)=Primary=prevention
b)=Secondary=prevention
c)=Tertiary=prevention
d)=Protective=factorial=prevention=-=ans-
✔✔A.=This=action=focuses=on=interventions=designed=to=reduce=the=incidence=of=new=
cases=of=disease.
7
, Mrs.=Kemp=is=voluntarily=admitted=to=the=hospital.=After=24=hours,=she=states=she=wish
es=to=leave=because="this=place=can't=help=me."=The=best=nursing=action=that=reflects=t
he=legal=right=of=this=client=is
a)=Discharge=the=client
b)=Explain=that=the=client=cannot=leave=until=you=can=complete=further=assessment
c)=Allow=the=client=to=leave=but=have=her=sign=forms=stating=she=is=leaving=against=me
dical=advice
d)=Immediately=start=the=paperwork=to=commit=the=client=and=to=allow=you=to=treat=her
=against=her=wishes=-=ans-
✔✔Correct=Answer:=B.=Almost=every=state=allows=for=a=brief=period=of=detainment=to=
as-
=sess=a=client=for=dangerousness=to=self=or=others=before=allowing=the=client=to=leave=
a=hospital=setting,=even=if=the=admission=was=voluntary.
8
In=many=characteristics=that=are=known=to=be=helpful=in=relationship-
building.=Which=of=the=fol-
=lowing=is=an=essential=part=of=building=a=therapeutic=relationship?
=forming=a=therapeutic=relationship=with=clients,=the=PMHNP=must=consider=developing
a)=Collecting=a=family=history
b)=Like-mindedness
c)=Authenticity
d)=Accuracy=in=assessment=-=ans-
✔✔C.=Authenticity.=Being=genuine,=honest,=and=respectful=are=essential=elements=in=e
stablishing=a=working=relationship=with=any=client.=Like-
mindednessis=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.
9
According=to=the=DSM-5,=which=of=the=following=is=true?=(Ch.=3)
a)=A=mental=disorder=is=equivalent=to=the=need=for=treatment.
b)=Diagnostic=criteria=are=used=to=inform=clinical=judgment.
c)=Socially=deviant=behavior=is=considered=a=mental=disorder.
d)=A=culturally=expected=response=to=a=stressor=is=not=a=mental=disorder.=-=ans-
✔✔Correct=Answer:=D.=All=DSM-
5=disorders=need=to=be=made=taking=a=person's=culture=into=account.=A=cultural=expre
ssion=of=a=response=to=grief,=loss,=or=stress=is=not=con-=sidered=a=DSM-5=diagnosis.
10
Mrs.=French=has=been=in=individual=therapy=for=3=months.=She=has=shown=much=grow
th=and=improvement=in=her=functioning=and=insight=and=is=to=discontinue=services=withi
n=the=next=few=weeks.=In=the=next=session,=after=you=discuss=service=termination,=she
=suddenly=begins=to=demonstrate=the=original=symptoms=that=had=brought=her=to=treat
ment=initially.=She=is=now=hesitant=to=discharge,=wants=to=continue=services,=and=is=di
CHOICE QUESTIONS W/ANSWERS
ANCC
1.=The=purpose=of=the=American=Nurses=Association's=Psychiatric-
Mental=Health=Nursing:=Scope=and=Standards=of=Practice=is=to
A.=Define=the=role=and=actions=for=the=NP
Establish=the=legal=authority=for=the=prescription=of=psychotropic=
B.=medications
C.=Define=the=legal=statutes=of=the=role=of=the=PMHNP
D.=Define=the=differences=between=the=physician=role=and=the=NP=role=-=ans-
✔✔Correct=Answer:=A.=The=ANA's=Psychiatric-
Mental=Health=Nursing:=Scope=and=Standards=of=Practice=defines=the=role=and=actions
=of=the=nurse=practitioner.
2)=Primary=prevention=care=practices=are=an=essential=aspect=of=the=PMHNP=role.=Wh
ich=of=the=following=is=the=best=example=of=a=primary=prevention=care=strategy=for=co
mmunity=behavioral=health?
a)=Aftercare=program=for=chronically=mentally=ill=clients=recently=discharged=from=the=h
ospital
b)=Court-ordered=counseling=for=abusive=parents
c)=24-hour=crisis=hotlines
d)=Parenting=skills=classes=for=pregnant=adolescents=-=ans-
✔✔Correct=Answer:=D.=Information=reduces=incidence=of=disease.
3
The=trend=in=legal=rulings=on=cases=involving=mental=illness=over=the=past=25=years=h
as=been=to
a)=Encourage=juries=to=find=defendants=not=guilty=by=reason=of=insanity
b)=Protect=the=person's=freedoms=or=rights=when=he=or=she=is=committed=to=a=mental=
hospital
c)=Place=increasing=trust=in=mental=health=professionals=to=make=good=and=ethical=de
cisions
,d)=Decrease=the="red=tape"=associated=with=commitments=so=that=commitments=are=fa
ster=and=easier=-=ans-
✔✔B.=Identifies=the=trend=of=ensuring=the=protection=of=individual=civil=liberties=for=psy
chiatric=clients.
4
=Mr.=Smithers,=an=involuntarily=hospitalized=patient=experiencing=psychotic=symptoms,=
refuses=to=take=any=of=his=ordered=medication=because=he=believes="Jesus=Christ=told
=me=I=am=the=prophet=and=must=fast=for=a=year."=Your=actions=should=be=based=on=yo
ur=knowledge=of=which=of=the=following?
a)=Psychiatric=clients=cannot=refuse=treatment
b)=Psychiatric=clients=do=not=always=know=what=is=good=for=them
c)=Psychiatric=clients=can=refuse=treatment
d)=Psychiatric=clients=cannot=be=trusted=to=make=good=healthcare=decisions=and,=ther
efore,=the=nurse's=best=clinical=judgment=should=guide=actions=-=ans-
✔✔C.=As=with=any=client,=psychiatric=clients=can=refuse=treatment=un-
=less=a=legal=process=resulting=in=involuntary=commitment=or=mandatory=court=order=fo
r=treatment=has=been=obtained.
5.=Which=of=the=following=statements=best=reflects=the=difference=between=the=nurse-
client=(N-C)=relationship=and=a=social=relationship?
a)=In=the=N-C=relationship,=the=primary=focus=is=on=the=client=and=the=client's=needs.
b)=Goals=in=the=N-
C=relationship=are=deliberately=left=vague=and=unspoken=so=that=the=client=can=work=o
n=any=issue.
c)=In=the=N-
C=relationship,=the=nurse=is=solely=responsible=for=making=the=relationship=work.
d)=In=the=N-C=relationship,=there=is=no=place=for=social=interaction.=-=ans-
✔✔A.=Social=relationships=are=mutual=interpersonal=relationships=in=which=the=needs=
of=both=parties=are=addressed.=The=N-C=relationship=is=most=con-
=cerned=with=meeting=the=needs=of=the=client.
6.=A=community=has=an=unusually=high=incidence=of=depression=and=drug=use=among=
the=teen-
=age=population.=The=public=health=nurses=decide=to=address=this=problem,=in=part,=by
=modifying=the=environment=and=strengthening=the=capacities=of=families=to=prevent=th
e=development=of=new=cases=of=depression=and=drug=use.=What=is=this=is=an=example
=of?
a)=Primary=prevention
b)=Secondary=prevention
c)=Tertiary=prevention
d)=Protective=factorial=prevention=-=ans-
✔✔A.=This=action=focuses=on=interventions=designed=to=reduce=the=incidence=of=new=
cases=of=disease.
7
, Mrs.=Kemp=is=voluntarily=admitted=to=the=hospital.=After=24=hours,=she=states=she=wish
es=to=leave=because="this=place=can't=help=me."=The=best=nursing=action=that=reflects=t
he=legal=right=of=this=client=is
a)=Discharge=the=client
b)=Explain=that=the=client=cannot=leave=until=you=can=complete=further=assessment
c)=Allow=the=client=to=leave=but=have=her=sign=forms=stating=she=is=leaving=against=me
dical=advice
d)=Immediately=start=the=paperwork=to=commit=the=client=and=to=allow=you=to=treat=her
=against=her=wishes=-=ans-
✔✔Correct=Answer:=B.=Almost=every=state=allows=for=a=brief=period=of=detainment=to=
as-
=sess=a=client=for=dangerousness=to=self=or=others=before=allowing=the=client=to=leave=
a=hospital=setting,=even=if=the=admission=was=voluntary.
8
In=many=characteristics=that=are=known=to=be=helpful=in=relationship-
building.=Which=of=the=fol-
=lowing=is=an=essential=part=of=building=a=therapeutic=relationship?
=forming=a=therapeutic=relationship=with=clients,=the=PMHNP=must=consider=developing
a)=Collecting=a=family=history
b)=Like-mindedness
c)=Authenticity
d)=Accuracy=in=assessment=-=ans-
✔✔C.=Authenticity.=Being=genuine,=honest,=and=respectful=are=essential=elements=in=e
stablishing=a=working=relationship=with=any=client.=Like-
mindednessis=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.
9
According=to=the=DSM-5,=which=of=the=following=is=true?=(Ch.=3)
a)=A=mental=disorder=is=equivalent=to=the=need=for=treatment.
b)=Diagnostic=criteria=are=used=to=inform=clinical=judgment.
c)=Socially=deviant=behavior=is=considered=a=mental=disorder.
d)=A=culturally=expected=response=to=a=stressor=is=not=a=mental=disorder.=-=ans-
✔✔Correct=Answer:=D.=All=DSM-
5=disorders=need=to=be=made=taking=a=person's=culture=into=account.=A=cultural=expre
ssion=of=a=response=to=grief,=loss,=or=stress=is=not=con-=sidered=a=DSM-5=diagnosis.
10
Mrs.=French=has=been=in=individual=therapy=for=3=months.=She=has=shown=much=grow
th=and=improvement=in=her=functioning=and=insight=and=is=to=discontinue=services=withi
n=the=next=few=weeks.=In=the=next=session,=after=you=discuss=service=termination,=she
=suddenly=begins=to=demonstrate=the=original=symptoms=that=had=brought=her=to=treat
ment=initially.=She=is=now=hesitant=to=discharge,=wants=to=continue=services,=and=is=di
