NURS 753 PMHNP Midterm and Final
Exam Bundle 2026 | 100% Correct.
SECTION 1: FOUNDATIONAL CONCEPTS & ETHICS
(Questions 1–20)
1. What should you do first when preparing for the NURS 753
final exam?
A) Review all assigned textbooks
B) Read the PowerPoint presentations first and focus on areas where you feel weak
C) Complete practice questions only
D) Memorize all DSM-5 criteria
, Correct Answer: B
Rationale: The exam preparation strategy emphasizes prioritizing course PowerPoint
presentations to identify content areas requiring additional focus. This targeted approach
allows efficient review of high-yield material before deepening into specific topics .
2. What are the roles and scope of practice for a PMHNP?
A) Only medication management
B) Only therapy provision
C) Understand the PMHNP roles, including differences between physician and NP roles,
legal authority for prescribing psychiatric medications, and legal statutes governing
PMHNP practice
D) Only case management
Correct Answer: C
Rationale: PMHNP scope includes comprehensive psychiatric assessment, diagnosis,
treatment (therapy and medication), and coordination of care. Understanding the legal
authority for prescribing and the statutes governing practice is essential for safe, lawful
practice .
3. What is the foundation of the nurse-client relationship?
A) The relationship is based on authority and control
B) The relationship is based on trust, respect, and effective communication
C) The relationship is based solely on clinical assessment
D) The relationship is based on medication management
, Correct Answer: B
Rationale: The therapeutic relationship is built on trust, respect, and effective
communication, with the primary focus on meeting the client's needs. This relational
foundation is essential for all psychotherapeutic modalities .
4. What is the primary focus of primary prevention in mental
health?
A) To treat existing mental health disorders
B) To prevent the onset of mental health disorders before they occur
C) To manage medication side effects
D) To provide crisis intervention
Correct Answer: B
Rationale: Primary prevention involves proactive measures to prevent mental health
disorders through education, outreach, and screening. The PMHNP acts proactively in
promoting mental health .
5. What are the goals of clinical assessment in mental health?
A) To instill hope, ensure patient compliance, and build a therapeutic relationship
B) To evaluate a patient's mental health status and needs
C) To prescribe medications
D) To complete insurance paperwork
, Correct Answer: B
Rationale: The primary goals of clinical assessment are to evaluate a patient's mental
health status and needs, which includes creating an evolving and compassionate
understanding of the patient and developing an effective treatment plan .
6. 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
Rationale: Survivors of abuse and violence often disclose gradually. Re-asking at later
sessions with trauma-informed phrasing maintains safety and trust. Asking again directly
in a non-judgmental way respects the patient's autonomy while addressing safety .
7. Which ethical principle is primarily invoked when a PMHNP
obtains informed consent for starting CBT?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Exam Bundle 2026 | 100% Correct.
SECTION 1: FOUNDATIONAL CONCEPTS & ETHICS
(Questions 1–20)
1. What should you do first when preparing for the NURS 753
final exam?
A) Review all assigned textbooks
B) Read the PowerPoint presentations first and focus on areas where you feel weak
C) Complete practice questions only
D) Memorize all DSM-5 criteria
, Correct Answer: B
Rationale: The exam preparation strategy emphasizes prioritizing course PowerPoint
presentations to identify content areas requiring additional focus. This targeted approach
allows efficient review of high-yield material before deepening into specific topics .
2. What are the roles and scope of practice for a PMHNP?
A) Only medication management
B) Only therapy provision
C) Understand the PMHNP roles, including differences between physician and NP roles,
legal authority for prescribing psychiatric medications, and legal statutes governing
PMHNP practice
D) Only case management
Correct Answer: C
Rationale: PMHNP scope includes comprehensive psychiatric assessment, diagnosis,
treatment (therapy and medication), and coordination of care. Understanding the legal
authority for prescribing and the statutes governing practice is essential for safe, lawful
practice .
3. What is the foundation of the nurse-client relationship?
A) The relationship is based on authority and control
B) The relationship is based on trust, respect, and effective communication
C) The relationship is based solely on clinical assessment
D) The relationship is based on medication management
, Correct Answer: B
Rationale: The therapeutic relationship is built on trust, respect, and effective
communication, with the primary focus on meeting the client's needs. This relational
foundation is essential for all psychotherapeutic modalities .
4. What is the primary focus of primary prevention in mental
health?
A) To treat existing mental health disorders
B) To prevent the onset of mental health disorders before they occur
C) To manage medication side effects
D) To provide crisis intervention
Correct Answer: B
Rationale: Primary prevention involves proactive measures to prevent mental health
disorders through education, outreach, and screening. The PMHNP acts proactively in
promoting mental health .
5. What are the goals of clinical assessment in mental health?
A) To instill hope, ensure patient compliance, and build a therapeutic relationship
B) To evaluate a patient's mental health status and needs
C) To prescribe medications
D) To complete insurance paperwork
, Correct Answer: B
Rationale: The primary goals of clinical assessment are to evaluate a patient's mental
health status and needs, which includes creating an evolving and compassionate
understanding of the patient and developing an effective treatment plan .
6. 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
Rationale: Survivors of abuse and violence often disclose gradually. Re-asking at later
sessions with trauma-informed phrasing maintains safety and trust. Asking again directly
in a non-judgmental way respects the patient's autonomy while addressing safety .
7. Which ethical principle is primarily invoked when a PMHNP
obtains informed consent for starting CBT?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice