LMR GEORGETTE QUESTION BANK W/ ANSWERS
AND RATIONALE (PASSED 2026/2027 ANCC USING
ONLY THIS STUDY GUIDE)
Which of the following best demonstrates evidence-based practice in
psychiatric nursing?
· A. Using treatments based on tradition only
· B. Applying interventions supported by research, clinical expertise, and
patient preferences
· C. Relying solely on anecdotal experience
· D. Implementing care without patient consent
Correct Answer: B
Rationale: Evidence-based practice integrates research evidence, clinical
expertise, and patient preferences.
Which of the following theorists emphasized the interpersonal
relationship as the foundation for psychiatric nursing practice?
A. Erik Erikson
B. Jean Piaget
C. Harry Stack Sullivan
D. Abraham Maslow
Correct Answer: C
Rationale: Harry Stack Sullivan’s Interpersonal Theory focuses on the
importance of relationships in mental health.
A patient on clozapine reports flu-like symptoms and sore throat. What
should the PMHNP do first?
A. Reassure the patient that this is normal
B. Discontinue clozapine immediately and check WBC count
C. Decrease the dose by half
D. Advise increased fluid intake only
,Correct Answer: B
Rationale: Clozapine carries a risk of agranulocytosis; sudden flu-like
symptoms require immediate evaluation of WBC.
Which principle is reflected when a PMHNP respects a competent client's
right to refuse treatment?
A. Nonmaleficence
B. Beneficence
C. Fidelity
D. Autonomy
Correct Answer: D
Rationale: Autonomy means respecting the client’s right to make their
own informed healthcare decisions
A PMHNP working with a patient with PTSD chooses cognitive processing
therapy. This approach is best described as:
A. A behavioral exposure therapy
B. An insight-oriented psychodynamic therapy
C. A cognitive-behavioral therapy (CBT) approach
D. A pharmacologic-only intervention
Correct Answer: C
Rationale: Cognitive processing therapy is a form of CBT that addresses
trauma-related beliefs and thoughts.
Which client would benefit most from a motivational interviewing
approach?
A. A patient ready to start treatment with no ambivalence
B. A patient firmly opposed to any change
C. A patient ambivalent about quitting alcohol use
D. A patient with severe cognitive impairment
Correct Answer: C
Rationale: Motivational interviewing helps clients resolve ambivalence
and supports readiness for change.
,What is the primary ethical obligation when using telehealth services?
A. The PMHNP can relax privacy standards
B. Ensure informed consent and HIPAA compliance
C. Record all sessions without client permission
D. Provide treatment to clients in any state regardless of licensure
Correct Answer: B
Rationale: Telehealth must follow the same standards for confidentiality,
privacy, and informed consent.
Which statement reflects the best application of Peplau's working phase?
A. Establishing trust and defining the nurse-client relationship
B. Terminating the relationship after goals are met
C. Identifying client problems and implementing interventions
D. Reviewing discharge planning only
Correct Answer: C
Rationale: In Peplau’s model, the working phase focuses on active
problem-solving and implementing the plan of care.
Which medication is most likely to cause metabolic syndrome in a patient
with schizophrenia?
A. Haloperidol
B. Aripiprazole
C. Clozapine
D. Buspirone
Correct Answer: C
Rationale: Clozapine (and olanzapine) have higher risks of metabolic side
effects like weight gain and dyslipidemia.
A PMHNP uses the DSM-5 to diagnose a patient. Why is this classification
system important?
A. It provides treatment plans for all conditions
B. It offers reimbursement coding for insurance only
, C. It standardizes diagnostic criteria for mental disorders
D. It replaces the need for clinical judgment
Correct Answer: C
Rationale: The DSM-5 provides clear, standardized diagnostic criteria to
promote accurate, consistent diagnoses.
A client with major depressive disorder is started on an SSRI. Which
patient education point is most important?
A. Effects will be immediate within 24 hours
B. Alcohol use is encouraged to help with sleep
C. Full therapeutic effects may take 4-6 weeks
D. Discontinue the medication abruptly if feeling better
Correct Answer: C
Rationale: Clients need to know SSRIs may take several weeks for full
effect and should not be stopped suddenly.
A PMHNP sees a child with repeated angry outbursts and defiance towards
authority at home and school. Which diagnosis is most likely?
A. Conduct Disorder
B. Autism Spectrum Disorder
C. Oppositional Defiant Disorder (ODD)
D. Attention-Deficit/Hyperactivity Disorder (ADHD)
Correct Answer: C
Rationale: ODD is characterized by defiance, hostility, and disobedience
toward authority figures without serious violation of social norms.
Which of the following is the primary action of benzodiazepines?
A. Dopamine receptor antagonist
B. Serotonin-norepinephrine reuptake inhibitor
C. GABA receptor agonist
D. Acetylcholine inhibitor
Correct Answer: C
AND RATIONALE (PASSED 2026/2027 ANCC USING
ONLY THIS STUDY GUIDE)
Which of the following best demonstrates evidence-based practice in
psychiatric nursing?
· A. Using treatments based on tradition only
· B. Applying interventions supported by research, clinical expertise, and
patient preferences
· C. Relying solely on anecdotal experience
· D. Implementing care without patient consent
Correct Answer: B
Rationale: Evidence-based practice integrates research evidence, clinical
expertise, and patient preferences.
Which of the following theorists emphasized the interpersonal
relationship as the foundation for psychiatric nursing practice?
A. Erik Erikson
B. Jean Piaget
C. Harry Stack Sullivan
D. Abraham Maslow
Correct Answer: C
Rationale: Harry Stack Sullivan’s Interpersonal Theory focuses on the
importance of relationships in mental health.
A patient on clozapine reports flu-like symptoms and sore throat. What
should the PMHNP do first?
A. Reassure the patient that this is normal
B. Discontinue clozapine immediately and check WBC count
C. Decrease the dose by half
D. Advise increased fluid intake only
,Correct Answer: B
Rationale: Clozapine carries a risk of agranulocytosis; sudden flu-like
symptoms require immediate evaluation of WBC.
Which principle is reflected when a PMHNP respects a competent client's
right to refuse treatment?
A. Nonmaleficence
B. Beneficence
C. Fidelity
D. Autonomy
Correct Answer: D
Rationale: Autonomy means respecting the client’s right to make their
own informed healthcare decisions
A PMHNP working with a patient with PTSD chooses cognitive processing
therapy. This approach is best described as:
A. A behavioral exposure therapy
B. An insight-oriented psychodynamic therapy
C. A cognitive-behavioral therapy (CBT) approach
D. A pharmacologic-only intervention
Correct Answer: C
Rationale: Cognitive processing therapy is a form of CBT that addresses
trauma-related beliefs and thoughts.
Which client would benefit most from a motivational interviewing
approach?
A. A patient ready to start treatment with no ambivalence
B. A patient firmly opposed to any change
C. A patient ambivalent about quitting alcohol use
D. A patient with severe cognitive impairment
Correct Answer: C
Rationale: Motivational interviewing helps clients resolve ambivalence
and supports readiness for change.
,What is the primary ethical obligation when using telehealth services?
A. The PMHNP can relax privacy standards
B. Ensure informed consent and HIPAA compliance
C. Record all sessions without client permission
D. Provide treatment to clients in any state regardless of licensure
Correct Answer: B
Rationale: Telehealth must follow the same standards for confidentiality,
privacy, and informed consent.
Which statement reflects the best application of Peplau's working phase?
A. Establishing trust and defining the nurse-client relationship
B. Terminating the relationship after goals are met
C. Identifying client problems and implementing interventions
D. Reviewing discharge planning only
Correct Answer: C
Rationale: In Peplau’s model, the working phase focuses on active
problem-solving and implementing the plan of care.
Which medication is most likely to cause metabolic syndrome in a patient
with schizophrenia?
A. Haloperidol
B. Aripiprazole
C. Clozapine
D. Buspirone
Correct Answer: C
Rationale: Clozapine (and olanzapine) have higher risks of metabolic side
effects like weight gain and dyslipidemia.
A PMHNP uses the DSM-5 to diagnose a patient. Why is this classification
system important?
A. It provides treatment plans for all conditions
B. It offers reimbursement coding for insurance only
, C. It standardizes diagnostic criteria for mental disorders
D. It replaces the need for clinical judgment
Correct Answer: C
Rationale: The DSM-5 provides clear, standardized diagnostic criteria to
promote accurate, consistent diagnoses.
A client with major depressive disorder is started on an SSRI. Which
patient education point is most important?
A. Effects will be immediate within 24 hours
B. Alcohol use is encouraged to help with sleep
C. Full therapeutic effects may take 4-6 weeks
D. Discontinue the medication abruptly if feeling better
Correct Answer: C
Rationale: Clients need to know SSRIs may take several weeks for full
effect and should not be stopped suddenly.
A PMHNP sees a child with repeated angry outbursts and defiance towards
authority at home and school. Which diagnosis is most likely?
A. Conduct Disorder
B. Autism Spectrum Disorder
C. Oppositional Defiant Disorder (ODD)
D. Attention-Deficit/Hyperactivity Disorder (ADHD)
Correct Answer: C
Rationale: ODD is characterized by defiance, hostility, and disobedience
toward authority figures without serious violation of social norms.
Which of the following is the primary action of benzodiazepines?
A. Dopamine receptor antagonist
B. Serotonin-norepinephrine reuptake inhibitor
C. GABA receptor agonist
D. Acetylcholine inhibitor
Correct Answer: C
