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UPDATE 2025/2026 (MULTIPLE CHOICES) WITH
RATIONALES. | EXAM QUESTIONS AND ANSWERS|
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Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
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,The PMHNP (Psychiatric Mental Health Nurse Practitioner) 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 patient's first contact with
with the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Answer: Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
The client has experienced depressive symptoms. The PMHNP prescribes a selective serotonin
reuptake inhibitor (SSRI).
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Answer: Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
APPHIA – Crafted with Care and Precision for Academic Excellence.
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,The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Answer: Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight
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.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Answer: Crisis Intervention
Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
intervention.
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 her team providing treatment. The client
APPHIA – Crafted with Care and Precision for Academic Excellence.
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, remains hospitalized for a week while her medications are managed. The client attends
individual and group therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Answer: Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
Following hospitalization, the client returns home but commutes to a treatment center for 4
hours a day 5 days per week for ongoing therapy, medication management, and
psychoeducation.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy Answer: Partial Hospitalization/Intensive Outpatient Treatment
Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client receives
intensive therapy on an outpatient basis, often used when a client do not require 24-hour care
but still require intense treatment.
APPHIA – Crafted with Care and Precision for Academic Excellence.
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