Answers and Rationales/ (Passed 2025 ANCC using only this
study guide)ACE YOUR EXAMS!!
, Which of the following best demonstrates evidencebased 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