NSG 548 Exam 1 – Complete Q&A
Review: FNP Role with Children &
Families (2026/2027 Update) with
100% Correct Answers And
Rationales ||Graded A+
QUESTION 1
A PMH-APRN is a nurse with graduate-level training who provides
psychiatric-mental health care and promotes mental health across the
lifespan. Which of the following accurately describes the scope of
practice for a PMH-APRN?
A) Assess, diagnose, and treat individuals and families who have
psychiatric and/or substance disorders
B) Provide only counseling services without medication management
C) Work exclusively in inpatient psychiatric settings
D) Provide care only for adult populations with mental health disorders
Answer: A
Rationale: PMH-APRNs assess, diagnose, and treat individuals and
families with psychiatric and/or substance disorders. They work in a
variety of health care settings and practices and are eligible for
reimbursement through private insurers, HMOs, PPOs, Medicare, and
Medicaid.
,QUESTION 2
According to the ANA Code of Ethics, Provision 1 states which of the
following?
A) The nurse's primary commitment is to the patient
B) The nurse promotes, advocates for, and protects the rights, health,
and safety of the patient
C) The nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person
D) The nurse has authority, accountability, and responsibility for nursing
practice
Answer: C
Rationale: The art of nursing is based on caring and respect for human
dignity. This is the fundamental principle and attitude that the
professional nurse must have as outlined in Provision 1.
QUESTION 3
Which of the following is an example of the ANA Standards and Scope:
Standard 5B (Health Teaching & Promotion)?
A) Administering medications to a psychiatric patient
B) Moving a toddler from a crib to a bed to prevent injury associated
with climbing out
C) Performing a mental status examination
D) Documenting patient progress in the medical record
Answer: B
Rationale: An educated professional nurse is aware of normal
developmental and situational threats to wellness and can educate
healthcare consumers to avoid them. Moving a toddler from a crib to a
bed can prevent injury associated with climbing out of the crib at that
developmental age.
,QUESTION 4
The PMHNP 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
client's first contact with the healthcare system about her concerns. This
scenario best represents which practice setting?
A) Acute PMHNP Care
B) Partial Hospitalization
C) Primary Care
D) Crisis Intervention
Answer: C
Rationale: This is the client's initial contact with the healthcare system
about her concerns, which represents the primary care setting. Primary
care has become the point of entry to psychiatric care for many clients.
QUESTION 5
A client with depressive symptoms is prescribed a selective serotonin
reuptake inhibitor (SSRI) by the PMHNP. This scenario represents which
practice setting?
A) Psychotherapy
B) Pharmacologic Intervention
C) Crisis Intervention
D) Primary Care
Answer: B
Rationale: When the PMHNP prescribes psychopharmacotherapy for the
client, this represents pharmacologic intervention.
, QUESTION 6
The PMHNP provides the client with some mindfulness techniques to try
at home. This scenario best represents which practice setting?
A) Pharmacologic Intervention
B) Crisis Intervention
C) Psychotherapy
D) Acute Care
Answer: C
Rationale: When the PMHNP utilizes a psychotherapeutic approach to
help the client gain insight, this represents psychotherapy.
QUESTION 7
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.
This scenario best represents which practice setting?
A) Partial Hospitalization
B) Acute PMHNP Care
C) Crisis Intervention
D) Pharmacologic Intervention
Answer: C
Rationale: Suicidal ideation with a plan is a psychiatric emergency
requiring immediate intervention, which represents crisis intervention.
QUESTION 8
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
Review: FNP Role with Children &
Families (2026/2027 Update) with
100% Correct Answers And
Rationales ||Graded A+
QUESTION 1
A PMH-APRN is a nurse with graduate-level training who provides
psychiatric-mental health care and promotes mental health across the
lifespan. Which of the following accurately describes the scope of
practice for a PMH-APRN?
A) Assess, diagnose, and treat individuals and families who have
psychiatric and/or substance disorders
B) Provide only counseling services without medication management
C) Work exclusively in inpatient psychiatric settings
D) Provide care only for adult populations with mental health disorders
Answer: A
Rationale: PMH-APRNs assess, diagnose, and treat individuals and
families with psychiatric and/or substance disorders. They work in a
variety of health care settings and practices and are eligible for
reimbursement through private insurers, HMOs, PPOs, Medicare, and
Medicaid.
,QUESTION 2
According to the ANA Code of Ethics, Provision 1 states which of the
following?
A) The nurse's primary commitment is to the patient
B) The nurse promotes, advocates for, and protects the rights, health,
and safety of the patient
C) The nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person
D) The nurse has authority, accountability, and responsibility for nursing
practice
Answer: C
Rationale: The art of nursing is based on caring and respect for human
dignity. This is the fundamental principle and attitude that the
professional nurse must have as outlined in Provision 1.
QUESTION 3
Which of the following is an example of the ANA Standards and Scope:
Standard 5B (Health Teaching & Promotion)?
A) Administering medications to a psychiatric patient
B) Moving a toddler from a crib to a bed to prevent injury associated
with climbing out
C) Performing a mental status examination
D) Documenting patient progress in the medical record
Answer: B
Rationale: An educated professional nurse is aware of normal
developmental and situational threats to wellness and can educate
healthcare consumers to avoid them. Moving a toddler from a crib to a
bed can prevent injury associated with climbing out of the crib at that
developmental age.
,QUESTION 4
The PMHNP 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
client's first contact with the healthcare system about her concerns. This
scenario best represents which practice setting?
A) Acute PMHNP Care
B) Partial Hospitalization
C) Primary Care
D) Crisis Intervention
Answer: C
Rationale: This is the client's initial contact with the healthcare system
about her concerns, which represents the primary care setting. Primary
care has become the point of entry to psychiatric care for many clients.
QUESTION 5
A client with depressive symptoms is prescribed a selective serotonin
reuptake inhibitor (SSRI) by the PMHNP. This scenario represents which
practice setting?
A) Psychotherapy
B) Pharmacologic Intervention
C) Crisis Intervention
D) Primary Care
Answer: B
Rationale: When the PMHNP prescribes psychopharmacotherapy for the
client, this represents pharmacologic intervention.
, QUESTION 6
The PMHNP provides the client with some mindfulness techniques to try
at home. This scenario best represents which practice setting?
A) Pharmacologic Intervention
B) Crisis Intervention
C) Psychotherapy
D) Acute Care
Answer: C
Rationale: When the PMHNP utilizes a psychotherapeutic approach to
help the client gain insight, this represents psychotherapy.
QUESTION 7
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.
This scenario best represents which practice setting?
A) Partial Hospitalization
B) Acute PMHNP Care
C) Crisis Intervention
D) Pharmacologic Intervention
Answer: C
Rationale: Suicidal ideation with a plan is a psychiatric emergency
requiring immediate intervention, which represents crisis intervention.
QUESTION 8
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
