NURS 753 PMHNP Midterm and Final Exam Bundle 2026 | 100% Correct.

NURS 753 PMHNP Final Exam | 100
Actual Questions and Answers | 2026/27
Update | 100% Correct - Liberty
University.



SECTION 1: FOUNDATIONAL CONCEPTS & ETHICS




Question 1
Which of the following best defines evidence-based practice in therapeutic modalities?

 A) Using only randomized controlled trials to guide therapy
 B) Integrating clinical expertise, patient values, and best research evidence
 C) Following a single theoretical orientation for all patients
 D) Relying on supervisor preference for treatment selection




Correct Answer: B) Integrating clinical expertise, patient values, and best research
evidence


Rationale: EBP is the integration of clinical expertise, patient preferences/values, and the
best available research (Sackett et al., 2000). This approach ensures that treatment is both
scientifically sound and tailored to the individual patient.

, Question 2
A patient reports childhood abuse. The PMHNP suspects current intimate partner
violence but the patient denies it. What should the PMHNP do?

 A) Accept denial and move on
 B) Report to police immediately
 C) Ask directly again later using non-judgmental language
 D) Terminate therapy for non-disclosure




Correct Answer: C) Ask directly again later using non-judgmental language

Rationale: Survivors of abuse and violence often disclose gradually. Re-asking at later
sessions with trauma-informed phrasing maintains safety and trust. Direct, non-
judgmental questioning respects the patient's autonomy while addressing safety concerns .




Question 3
Which ethical principle is primarily invoked when a PMHNP obtains informed consent
for starting CBT?

 A) Beneficence
 B) Nonmaleficence
 C) Autonomy
 D) Justice




Correct Answer: C) Autonomy

Rationale: Informed consent respects the patient's right to make voluntary, informed
decisions about their treatment. This aligns with the ethical principle of autonomy, which
recognizes the patient's right to self-determination .

, Question 4
A patient says, "My pastor says depression is a sin." What is the PMHNP's best
response?

 A) "Your pastor is wrong."
 B) "Let's focus on symptoms, not religion."
 C) "Many people find comfort in faith. How do you feel about that view?"
 D) "You need a new church."




Correct Answer: C) "Many people find comfort in faith. How do you feel about
that view?"

Rationale: This response validates the patient's experience, respects their spiritual
framework, and opens dialogue without imposing the provider's beliefs. Spirituality is part
of holistic, patient-centered care, and the PMHNP should explore the patient's perspective .




Question 5
What is the estimated percentage of therapy outcome variance attributed to the
therapeutic alliance?

 A) 5%
 B) 15%
 C) 30%
 D) 50%




Correct Answer: C) 30%

, Rationale: Meta-analyses demonstrate that the therapeutic alliance accounts for
approximately 30% of outcome variance, more than specific techniques (Lambert, 1992).
This underscores the critical importance of the therapeutic relationship .




Question 6
Which is an example of nonmaleficence in group therapy?

 A) Ensuring all members pay equally
 B) Preventing scapegoating of a vulnerable member
 C) Disclosing one's own trauma to model openness
 D) Meeting in a coffee shop for convenience




Correct Answer: B) Preventing scapegoating of a vulnerable member

Rationale: Nonmaleficence means "do no harm." Preventing scapegoating protects
members from psychological harm, which is a core ethical responsibility in group therapy.
The therapist must actively manage group dynamics to ensure safety .




Question 7
A patient asks to hug the PMHNP after a difficult session. What should the PMHNP do?

 A) Always refuse to maintain boundaries
 B) Always accept to show empathy
 C) Consider context, culture, and patient history before deciding
 D) Document the request but ignore it




Correct Answer: C) Consider context, culture, and patient history before deciding