• ANCC PMHNP Exam 09/11/2026
ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST
TEST 1 ,2,& 3 EXAM QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS| LATEST
UPDATE ALREADY GRADED A+| GUARANTEED
PASS
A client in the critical care unit who has been oriented suddenly becomes disoriented and fearful. Assessment of
vital signs and other physical parameters reveals no significant changes, and the nurse formulates the diagnosis
of confusion related to ICU psychosis. Which nursing action is best for this client's behavior?
A. Move all medical equipment away from the client's bedside.
B. Allay fears by teaching the client about the causes of the disease.
C. Cluster care to allow for brief rest periods during the day.
D. Encourage visitation by the client's family members, including the client's young children.
- Correct Answer :C. Cluster care to allow for brief rest periods during the day.
P 1
, • ANCC PMHNP Exam 09/11/2026
The best intervention is to organize care so that the client can experience rest periods. The critical care unit
contains many lifesaving treatment modalities that offer clients an array of auditory, visual, and even painful
stimuli. These stressors can result in isolation and confusion.
The nurse is reviewing techniques of therapeutic communication with a student nurse. Which of the student's
statements will the nurse indicate as therapeutic? (Select all that apply.)
A. "Am I correct in restating that you are feeling less anxious today?"
B. "In looking back at what you said, you stated you are feeling better."
C. "Why do you think you are feeling better today?"
D. "Surely you did not mean that you are feeling better today."
E. "Help me understand what you are feeling today?"
- Correct Answer :A. "Am I correct in restating that you are feeling less anxious today?"
B. "In looking back at what you said, you stated you are feeling better."
E. "Help me understand what you are feeling today?"
While in group therapy, a client who is diagnosed with posttraumatic stress disorder (PTSD) is processing an
experience from the war in Iraq when another client tips over a chair. What action should the nurse take when
the client with PTSD falls to the floor in a fetal position?
A. Confront the client who tipped over the chair about the inconsiderate behavior.
B. Dismiss the other clients from the group therapy session for a 10-minute break.
C. Reinforce reality to the client on the floor and remove him to a quiet space.
D. Call a security code and medicate both clients with an antianxiety drug. - Correct Answer :C. Reinforce reality
to the client on the floor and remove him to a quiet space.
The client who is diagnosed with PTSD is re-experiencing the traumatic experience and needs reality reassurance
(confirmation that there is no danger at this time) and reduced stimuli.
The parent and a 6-year-old present to the clinic for routine well-child care. The child weighs 35 pounds 15.9 kg; is
wearing torn and dirty clothing; and, sits quietly with an apparent subtle rocking motion. What are the nurse's
next actions? (Select all that apply.)
P 2
, • ANCC PMHNP Exam 09/11/2026
A. Take the child's height, and vital signs.
B. Check the clothing closet at the clinic for size appropriate clothing.
C. Assess the child for any bruising, or lacerations.
D. Ask the accompanying parent to leave the room.
E. Ask the child about attendance at school.
F. Stay with the child during the healthcare provider's assessment. - Correct Answer :A. Take the child's height,
and vital signs.
C. Assess the child for any bruising, or lacerations.
D. Ask the accompanying parent to leave the room.
E. Ask the child about attendance at school.
F. Stay with the child during the healthcare provider's assessment.
Checking for appropriate clothing is a nice gesture, but that action does nothing to protect the child or assess for
further signs of neglect. The remaining assessments will help validate for neglect. The normal height and weight
for this child should be 45 pounds/20.4 kg and 45 inches/114 cm. This child is underweight for its age, but a height
and comparison of stature to the parents will help confirm those findings. The subtle rocking motion may be an
indication of emotional abuse. The goal of the nurse is to provide a safe and secure environment for the child.
Nurses are mandatory reporters for suspected abuse.
A client states to the new nurse, "I can't tell you something important because you will tell the other nurses."
What is a therapeutic response by the new nurse? (Select all that apply.)
A. "I promise not to tell anyone what is on your mind; your concerns are safe with me."
B. "What you share with me is confidential; I guarantee I will not say a word to anyone."
C. "You can trust me not to tell your concerns to the other nurses."
D. "Since the information you have is important to you; I encourage you to share."
E. "I urge you to tell me what is on your mind; you have something to disclose." - Correct Answer :D. "Since the
information you have is important to you; I encourage you to share."
E. "I urge you to tell me what is on your mind; you have something to disclose."
The nurse cannot promise not to tell/share information. That is never appropriate in a therapeutic relationship. It
is therapeutic to encourage the client to share important information.
P 3
, • ANCC PMHNP Exam 09/11/2026
The therapy nurse is working with a client admitted with an erratic type of personality disorder. Which client
behaviors indicate to the nurse that the therapy is beginning to be effective? (Select all that apply.)
A. The client no longer wishes to do self-harm.
B. A happy and bright affect is evident in the client's face.
C. The client no longer displayed manipulative behaviors.
D. Attention seeking behaviors are no longer evident.
E. The client is no longer hearing voices that are not present. - Correct Answer :A. The client no longer wishes to
do self-harm.
C. The client no longer displayed manipulative behaviors.
D. Attention seeking behaviors are no longer evident.
The client with depression would display a bright affect. When a client is talking to voices, that client is having
auditory hallucinations. The remaining behaviors are signs that a client with a personality disorder is improving.
A woman brings her 48-year-old husband to the outpatient psychiatric unit and tells the nurse that he is being
treated for dissociative disorder. Which data are consistent with this diagnosis? (Select all that apply.)
A. Sleepwalking
B. Unable to remember who he is
C. Has recurrent intrusive obsessions
D. Acute attack of anxiety
E. Exhibits multiple personalities - Correct Answer :A. Sleepwalking
B. Unable to remember who he is
E. Exhibits multiple personalities
Sleepwalking, amnesia, and multiple personalities are examples of detaching emotional conflict from one's
consciousness and are consistent with a diagnosis of dissociative disorder (A, B, E). (C) is consistent with
obsessive-compulsive disorder. (D) is associated with neuro-cognitive disorders.
A client who recently retired is admitted to the psychiatric inpatient unit with a diagnosis of major depression.
The initial nursing care plan includes the goal "Assist client to express feelings of guilt." What is true about the
goal statement referring to the client's depression?
P 4
ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST
TEST 1 ,2,& 3 EXAM QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS| LATEST
UPDATE ALREADY GRADED A+| GUARANTEED
PASS
A client in the critical care unit who has been oriented suddenly becomes disoriented and fearful. Assessment of
vital signs and other physical parameters reveals no significant changes, and the nurse formulates the diagnosis
of confusion related to ICU psychosis. Which nursing action is best for this client's behavior?
A. Move all medical equipment away from the client's bedside.
B. Allay fears by teaching the client about the causes of the disease.
C. Cluster care to allow for brief rest periods during the day.
D. Encourage visitation by the client's family members, including the client's young children.
- Correct Answer :C. Cluster care to allow for brief rest periods during the day.
P 1
, • ANCC PMHNP Exam 09/11/2026
The best intervention is to organize care so that the client can experience rest periods. The critical care unit
contains many lifesaving treatment modalities that offer clients an array of auditory, visual, and even painful
stimuli. These stressors can result in isolation and confusion.
The nurse is reviewing techniques of therapeutic communication with a student nurse. Which of the student's
statements will the nurse indicate as therapeutic? (Select all that apply.)
A. "Am I correct in restating that you are feeling less anxious today?"
B. "In looking back at what you said, you stated you are feeling better."
C. "Why do you think you are feeling better today?"
D. "Surely you did not mean that you are feeling better today."
E. "Help me understand what you are feeling today?"
- Correct Answer :A. "Am I correct in restating that you are feeling less anxious today?"
B. "In looking back at what you said, you stated you are feeling better."
E. "Help me understand what you are feeling today?"
While in group therapy, a client who is diagnosed with posttraumatic stress disorder (PTSD) is processing an
experience from the war in Iraq when another client tips over a chair. What action should the nurse take when
the client with PTSD falls to the floor in a fetal position?
A. Confront the client who tipped over the chair about the inconsiderate behavior.
B. Dismiss the other clients from the group therapy session for a 10-minute break.
C. Reinforce reality to the client on the floor and remove him to a quiet space.
D. Call a security code and medicate both clients with an antianxiety drug. - Correct Answer :C. Reinforce reality
to the client on the floor and remove him to a quiet space.
The client who is diagnosed with PTSD is re-experiencing the traumatic experience and needs reality reassurance
(confirmation that there is no danger at this time) and reduced stimuli.
The parent and a 6-year-old present to the clinic for routine well-child care. The child weighs 35 pounds 15.9 kg; is
wearing torn and dirty clothing; and, sits quietly with an apparent subtle rocking motion. What are the nurse's
next actions? (Select all that apply.)
P 2
, • ANCC PMHNP Exam 09/11/2026
A. Take the child's height, and vital signs.
B. Check the clothing closet at the clinic for size appropriate clothing.
C. Assess the child for any bruising, or lacerations.
D. Ask the accompanying parent to leave the room.
E. Ask the child about attendance at school.
F. Stay with the child during the healthcare provider's assessment. - Correct Answer :A. Take the child's height,
and vital signs.
C. Assess the child for any bruising, or lacerations.
D. Ask the accompanying parent to leave the room.
E. Ask the child about attendance at school.
F. Stay with the child during the healthcare provider's assessment.
Checking for appropriate clothing is a nice gesture, but that action does nothing to protect the child or assess for
further signs of neglect. The remaining assessments will help validate for neglect. The normal height and weight
for this child should be 45 pounds/20.4 kg and 45 inches/114 cm. This child is underweight for its age, but a height
and comparison of stature to the parents will help confirm those findings. The subtle rocking motion may be an
indication of emotional abuse. The goal of the nurse is to provide a safe and secure environment for the child.
Nurses are mandatory reporters for suspected abuse.
A client states to the new nurse, "I can't tell you something important because you will tell the other nurses."
What is a therapeutic response by the new nurse? (Select all that apply.)
A. "I promise not to tell anyone what is on your mind; your concerns are safe with me."
B. "What you share with me is confidential; I guarantee I will not say a word to anyone."
C. "You can trust me not to tell your concerns to the other nurses."
D. "Since the information you have is important to you; I encourage you to share."
E. "I urge you to tell me what is on your mind; you have something to disclose." - Correct Answer :D. "Since the
information you have is important to you; I encourage you to share."
E. "I urge you to tell me what is on your mind; you have something to disclose."
The nurse cannot promise not to tell/share information. That is never appropriate in a therapeutic relationship. It
is therapeutic to encourage the client to share important information.
P 3
, • ANCC PMHNP Exam 09/11/2026
The therapy nurse is working with a client admitted with an erratic type of personality disorder. Which client
behaviors indicate to the nurse that the therapy is beginning to be effective? (Select all that apply.)
A. The client no longer wishes to do self-harm.
B. A happy and bright affect is evident in the client's face.
C. The client no longer displayed manipulative behaviors.
D. Attention seeking behaviors are no longer evident.
E. The client is no longer hearing voices that are not present. - Correct Answer :A. The client no longer wishes to
do self-harm.
C. The client no longer displayed manipulative behaviors.
D. Attention seeking behaviors are no longer evident.
The client with depression would display a bright affect. When a client is talking to voices, that client is having
auditory hallucinations. The remaining behaviors are signs that a client with a personality disorder is improving.
A woman brings her 48-year-old husband to the outpatient psychiatric unit and tells the nurse that he is being
treated for dissociative disorder. Which data are consistent with this diagnosis? (Select all that apply.)
A. Sleepwalking
B. Unable to remember who he is
C. Has recurrent intrusive obsessions
D. Acute attack of anxiety
E. Exhibits multiple personalities - Correct Answer :A. Sleepwalking
B. Unable to remember who he is
E. Exhibits multiple personalities
Sleepwalking, amnesia, and multiple personalities are examples of detaching emotional conflict from one's
consciousness and are consistent with a diagnosis of dissociative disorder (A, B, E). (C) is consistent with
obsessive-compulsive disorder. (D) is associated with neuro-cognitive disorders.
A client who recently retired is admitted to the psychiatric inpatient unit with a diagnosis of major depression.
The initial nursing care plan includes the goal "Assist client to express feelings of guilt." What is true about the
goal statement referring to the client's depression?
P 4
