PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
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
b. Establish the legal authority for the prescription of
psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the
NP role - Correct Answers ✅A. The ANAs Psych-Mental
Health Nursing Scope and Standards of Practice defines the
role and actions of the nurse practitioner.
D. Information reduces incidence of disease. - Correct
Answers ✅Primary prevention care practices are an
essential aspect of the PMHNP role. Which of the following is
the best example of a primary prevention care strategy for
community behavioral health?
a. Aftercare program for chronically mentally ill clients
recently discharged from the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
The trend in legal rulings on cases involving mental illness
over the past 25 years has been to
,PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
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 decisions
d. Decrease the "red tape" associated with commitments so
that commitments are faster and easier - Correct Answers
✅B. Identifies the trend of ensuring the protection of
individual civil liberties for psychiatric clients.
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 your 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, therefore, the nurse's best clinical
judgment should guide actions - Correct Answers ✅C. As
with any client, psychiatric clients can refuse treatment
unless a legal process resulting in involuntary commitment or
mandatory court order for treatment has been obtained.
,PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
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 on 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. - Correct Answers ✅A. Social relationships are
mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most
concerned with meeting the needs of the client.
A community has an unusually high incidence of depression
and drug use among the teenage population. The public
health nurses decide to address this problem, in part, by
modifying the environment and strengthening the capacities
of families to prevent the 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
, PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
d. Protective factorial prevention - Correct Answers ✅A.
This action focuses on interventions designed to reduce the
incidence of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24
hours, she states she wishes to leave because "this place
can't help me." The best nursing action that reflects the 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 medical advice
d. Immediately start the paperwork to commit the client and
to allow you to treat her against her wishes - Correct
Answers ✅B. Almost every state allows for a brief for a
period detainment to assess a client for dangerousness to
self or others before allowing the client to leave a hospital
setting, even if the admission was voluntary.
In forming a therapeutic relationship with clients, the PMHNP
must consider developing many characteristics that are
known to be helpful in relationship-building. Which of the
following is an essential part of building a therapeutic
relationship?
a. Collecting a family history
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
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
b. Establish the legal authority for the prescription of
psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the
NP role - Correct Answers ✅A. The ANAs Psych-Mental
Health Nursing Scope and Standards of Practice defines the
role and actions of the nurse practitioner.
D. Information reduces incidence of disease. - Correct
Answers ✅Primary prevention care practices are an
essential aspect of the PMHNP role. Which of the following is
the best example of a primary prevention care strategy for
community behavioral health?
a. Aftercare program for chronically mentally ill clients
recently discharged from the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
The trend in legal rulings on cases involving mental illness
over the past 25 years has been to
,PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
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 decisions
d. Decrease the "red tape" associated with commitments so
that commitments are faster and easier - Correct Answers
✅B. Identifies the trend of ensuring the protection of
individual civil liberties for psychiatric clients.
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 your 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, therefore, the nurse's best clinical
judgment should guide actions - Correct Answers ✅C. As
with any client, psychiatric clients can refuse treatment
unless a legal process resulting in involuntary commitment or
mandatory court order for treatment has been obtained.
,PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
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 on 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. - Correct Answers ✅A. Social relationships are
mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most
concerned with meeting the needs of the client.
A community has an unusually high incidence of depression
and drug use among the teenage population. The public
health nurses decide to address this problem, in part, by
modifying the environment and strengthening the capacities
of families to prevent the 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
, PMHNP ANCC Review ACTUAL TEST
PAPER SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
d. Protective factorial prevention - Correct Answers ✅A.
This action focuses on interventions designed to reduce the
incidence of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24
hours, she states she wishes to leave because "this place
can't help me." The best nursing action that reflects the 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 medical advice
d. Immediately start the paperwork to commit the client and
to allow you to treat her against her wishes - Correct
Answers ✅B. Almost every state allows for a brief for a
period detainment to assess a client for dangerousness to
self or others before allowing the client to leave a hospital
setting, even if the admission was voluntary.
In forming a therapeutic relationship with clients, the PMHNP
must consider developing many characteristics that are
known to be helpful in relationship-building. Which of the
following is an essential part of building a therapeutic
relationship?
a. Collecting a family history