PMHNP ANCC REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

PMHNP ANCC REVIEW QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
TheRpurposeRofRtheRAmericanRNursesRAssociation'sRPsychiatric-MentalRHealthRNursing:

ScopeRandRStandardsRofRPracticeRisRto

a.RDefineRtheRroleRandRactionsRforRtheRNP

b.REstablishRtheRlegalRauthorityRforRtheRprescriptionRofRpsychotropicRmedications

c.RDefineRtheRlegalRstatutesRofRtheRroleRofRtheRPMHNP

d.RDefineRtheRdifferencesRbetweenRtheRphysicianRroleRandRtheRNPRroleR-RANSWERRA.RTheRANAsRPsych-
MentalRHealthRNursingRScopeRandRStandardsRofRPracticeRdefinesRtheRroleRandRactionsRofRtheRnurseRpractiti
oner.



D.RInformationRreducesRincidenceRofRdisease.R-
RANSWERRPrimaryRpreventionRcareRpracticesRareRanRessentialRaspectRofRtheRPMHNPRrole.RWhichRofRtheRfoll

owingRisRtheRbestRexampleRofRaRprimaryRpreventionRcareRstrategyRforRcommunityRbehavioralRhealth?

a.RAftercareRprogramRforRchronicallyRmentallyRillRclientsRrecentlyRdischargedRfromRtheRhospital

b.RCourt-orderedRcounselingRforRabusiveRparents

c.R24-hourRcrisisRhotlines

d.RParentingRskillsRclassesRforRpregnantRadolescents



TheRtrendRinRlegalRrulingsRonRcasesRinvolvingRmentalRillnessRoverRtheRpastR25RyearsRhasRbeenRto

a.REncourageRjuriesRtoRfindRdefendantsRnotRguiltyRbyRreasonRofRinsanity

b.RProtectRtheRperson'sRfreedomsRorRrightsRwhenRheRorRsheRisRcommittedRtoRaRmentalRhospital

c.RPlaceRincreasingRtrustRinRmentalRhealthRprofessionalsRtoRmakeRgoodRandRethicalRdecisions

d.RDecreaseRtheR"redRtape"RassociatedRwithRcommitmentsRsoRthatRcommitmentsRareRfasterRandReasierR-
RANSWERRB.RIdentifiesRtheRtrendRofRensuringRtheRprotectionRofRindividualRcivilRlibertiesRforRpsychiatricRclie

nts.



Mr.RSmithers,RanRinvoluntarilyRhospitalizedRpatientRexperiencingRpsychoticRsymptoms,RrefusesRtoRtakeRanyR
ofRhisRorderedRmedicationRbecauseRheRbelievesR"JesusRChristRtoldRmeRIRamRtheRprophetRandRmustRfastRforR
aRyear."RYourRactionsRshouldRbeRbasedRonRyourRknowledgeRofRwhichRofRtheRfollowing?

a.RPsychiatricRclientsRcannotRrefuseRtreatment

,b.RPsychiatricRclientsRdoRnotRalwaysRknowRwhatRisRgoodRforRthem

c.RPsychiatricRclientsRcanRrefuseRtreatment

d.RPsychiatricRclientsRcannotRbeRtrustedRtoRmakeRgoodRhealthcareRdecisionsRand,Rtherefore,RtheRnurse'sRbe
stRclinicalRjudgmentRshouldRguideRactionsR-
RANSWERRC.RAsRwithRanyRclient,RpsychiatricRclientsRcanRrefuseRtreatmentRunlessRaRlegalRprocessRresultingRi

nRinvoluntaryRcommitmentRorRmandatoryRcourtRorderRforRtreatmentRhasRbeenRobtained.



WhichRofRtheRfollowingRstatementsRbestRreflectsRtheRdifferenceRbetweenRtheRnurse-clientR(N-
C)RrelationshipRandRaRsocialRrelationship?

a.RInRtheRN-CRrelationship,RtheRprimaryRfocusRisRonRtheRclientRandRtheRclient'sRneeds.

b.RGoalsRinRtheRN-
CRrelationshipRareRdeliberatelyRleftRvagueRandRunspokenRsoRthatRtheRclientRcanRworkRonRanyRissue.

c.RInRtheRN-CRrelationship,RtheRnurseRisRsolelyRresponsibleRforRmakingRtheRrelationshipRwork.

d.RInRtheRN-CRrelationship,RthereRisRnoRplaceRforRsocialRinteraction.R-
RANSWERRA.RSocialRrelationshipsRareRmutualRinterpersonalRrelationshipsRinRwhichRtheRneedsRofRbothRparti

esRareRaddressed.RTheRN-CRrelationshipRisRmostRconcernedRwithRmeetingRtheRneedsRofRtheRclient.



ARcommunityRhasRanRunusuallyRhighRincidenceRofRdepressionRandRdrugRuseRamongRtheRteenageRpopulatio
n.RTheRpublicRhealthRnursesRdecideRtoRaddressRthisRproblem,RinRpart,RbyRmodifyingRtheRenvironmentRandRs
trengtheningRtheRcapacitiesRofRfamiliesRtoRpreventRtheRdevelopmentRofRnewRcasesRofRdepressionRandRdrug
Ruse.RWhatRisRthisRisRanRexampleRof?



a.RPrimaryRprevention

b.RSecondaryRprevention

c.RTertiaryRprevention

d.RProtectiveRfactorialRpreventionR-
RANSWERRA.RThisRactionRfocusesRonRinterventionsRdesignedRtoRreduceRtheRincidenceRofRnewRcasesRofRdisea

se.



Mrs.RKempRisRvoluntarilyRadmittedRtoRtheRhospital.RAfterR24Rhours,RsheRstatesRsheRwishesRtoRleaveRbecause
R"thisRplaceRcan'tRhelpRme."RTheRbestRnursingRactionRthatRreflectsRtheRlegalRrightRofRthisRclientRis



a.RDischargeRtheRclient

b.RExplainRthatRtheRclientRcannotRleaveRuntilRyouRcanRcompleteRfurtherRassessment

c.RAllowRtheRclientRtoRleaveRbutRhaveRherRsignRformsRstatingRsheRisRleavingRagainstRmedicalRadvice

,d.RImmediatelyRstartRtheRpaperworkRtoRcommitRtheRclientRandRtoRallowRyouRtoRtreatRherRagainstRherRwishe
sR -
RANSWERRB.RAlmostReveryRstateRallowsRforRaRbriefRforRaRperiodRdetainmentRtoRassessRaRclientRforRdangerou

snessRtoRselfRorRothersRbeforeRallowingRtheRclientRtoRleaveRaRhospitalRsetting,RevenRifRtheRadmissionRwasRvo
luntary.



InRformingRaRtherapeuticRrelationshipRwithRclients,RtheRPMHNPRmustRconsiderRdevelopingRmanyRcharacter
isticsRthatRareRknownRtoRbeRhelpfulRinRrelationship-
building.RWhichRofRtheRfollowingRisRanRessentialRpartRofRbuildingRaRtherapeuticRrelationship?

a.RCollectingRaRfamilyRhistory

b.RLike-mindedness

c.RAuthenticity

d.RAccuracyRinRassessmentR-
RANSWERRC.RAuthenticity.RBeingRgenuine,Rhonest,RandRrespectfulRareRessentialRelementsRinRestablishingRaR

workingRrelationshipRwithRanyRclient.RLike-
mindednessRisRnotRaRpartRofRtheRtherapeuticRrelationship.RAlthoughRanRimportantRaspectRofRtheRPMHNPRr
ole,RcollectingRaRfamilyRhistoryRandRaccuracyRinRassessmentRdoesRnotRinRandRofRitselfRfacilitateRrelationship
Rbuilding.




AccordingRtoRtheRDSM-5,RwhichRofRtheRfollowingRisRtrue?R(Ch.R3)

a.RARmentalRdisorderRisRequivalentRtoRtheRneedRforRtreatment.

b.RDiagnosticRcriteriaRareRusedRtoRinformRclinicalRjudgment.

c.RSociallyRdeviantRbehaviorRisRconsideredRaRmentalRdisorder.

d.RARculturallyRexpectedRresponseRtoRaRstressorRisRnotRaRmentalRdisorder.R-RANSWERRD.RAllRDSM-
5RdisordersRneedRtoRbeRmadeRtakingRaRperson'sRcultureRintoRaccount.RARculturalRexpressionRofRaRresponseR
toRgrief,Rloss,RorRstressRisRnotRconsideredRaRDSM-5Rdiagnosis.



Mrs.RFrenchRhasRbeenRinRindividualRtherapyRforR3Rmonths.RSheRhasRshownRmuchRgrowthRandRimprovemen
tRinRherRfunctioningRandRinsightRandRisRtoRdiscontinueRservicesRwithinRtheRnextRfewRweeks.RInRtheRnextRsess
ion,RafterRyouRdiscussRserviceRtermination,RsheRsuddenlyRbeginsRtoRdemonstrateRtheRoriginalRsymptomsRth
atRhadRbroughtRherRtoRtreatmentRinitially.RSheRisRnowRhesitantRtoRdischarge,RwantsRtoRcontinueRservices,Ra
ndRisRdisplayingRanRincreaseRinRregressiveRdefenseRmechanisms.RWhatRisRtheRbestRexplanationRforRMs.RFre
nch'sRbehavior?

a.RAnRexacerbationRofRherRsymptomsRrelatedRtoRstress

b.RTheRnormalRcyclicRnatureRofRchronicRmentalRhealthRsymptoms

, c.RARsignRofRnormalRresistanceRtoRterminationRseenRinRtheRterminationRphaseRofRtherapy

d.RARsignRofRpathologicalRattachmentRtoRtheRtherapistRthatRmustRbeRaddressedR-
RANSWERRC.RClientsRfrequentlyRdisplayRresistanceRandRregressionRatRtheRterminationRofRaRmeaningfulRther

apeuticRprocess.RTheRPMHNPRisRresponsibleRforRplanningRanReffectiveRterminationRandRmonitoringRclientsR
duringRtheRterminationRperiod.



ARclientRisRdisplayingRlowRself-esteem,RpoorRself-control,Rself-
doubt,RandRaRhighRlevelRofRdependency.RTheseRbehaviorsRindicateRdevelopmentalRfailureRofRwhichRofRtheRf
ollowingRstagesRofRdevelopment:

a.RInfancy

b.REarlyRchildhood

c.RLateRchildhood

d.RSchoolRageR-RANSWERRB.RTheseRsignsRindicateRdevelopmentalRfailureRofRearlyRchildhood.



Mr.RThompsonRhasRbeenRforgetfulRlately,RforRexample,RforgettingRwhereRheRhasRplacedRhisRkeysRorRwhatRti
meRappointmentsRareRscheduled,RandRheRhasRstatedRthatRheRthinksRtheseRareRjustRrandomRbehaviorsRthatR
haveRnoRparticularRmeaning.RWhichRFreudian-
basedRpsychodynamicRprincipleRassumesRthatRallRbehaviorRandRactionsRareRpurposeful?

a.RPleasureRprinciple

b.RPsychicRdeterminismRprinciple

c.RRealityRprinciple

d.RUnconsciousnessRprincipleR-
RANSWERRB.RTheRpsychicRdeterminismRprincipleRstatesRthatRallRbehaviorRhasRpurposeRandRmeaning,RoftenR

unconsciousRinRnature,RandRthatRnoRbehaviorsRoccurRrandomlyRorRbyRcoincidence.



AnRexampleRofRaRmature,RhealthyRdefenseRmechanismRis

a.RDenial

b.RRationalization

c.RRepression

d.RSuppressionR-
RANSWERRD.RSuppressionRisRtheRonlyRdefenseRmechanismRlistedRinRwhichRtheRclientRchannelsRconflictingRe

nergiesRintoRgrowth-promotingRactivities.