Purple Book ANCC PMHNP
2024/2025
Exam || 100 Multiple Choice
Questions & Answers
(100% Correct)
Conceptial Research ||
, Purple Book ANCC PMHNP Exam || 100
Multiple Choice Questions & Answers
(100% Correct)
A community has an unusually high incidence of depression and drug use among the
teen- age population. The public health nurses decide to address this problem, in part,
by modifying the environment and strengthening the capacities of families to prevent the
development of new cases of depression and drug use. What is this is an example of?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Protective factorial prevention - ANSWER - A. This action focuses on interventions
designed to reduce the incidence of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes
to leave because "this place can't help me." The best nursing action that reflects the
legal right of this client is
a) Discharge the client
b) Explain that the client cannot leave until you can complete further assessment
c) Allow the client to leave but have her sign forms stating she is leaving against
medical advice
d) Immediately start the paperwork to commit the client and to allow you to treat her
against her wishes - ANSWER - Correct Answer: B. Almost every state allows for a brief
period of detainment to as- sess a client for dangerousness to self or others before
allowing the client to leave a hospital setting, even if the admission was voluntary.
In many characteristics that are known to be helpful in relationship-building. Which of
the fol- lowing is an essential part of building a therapeutic relationship? forming a
therapeutic relationship with clients, the PMHNP must consider developing
a) Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment - ANSWER - C. Authenticity. Being genuine, honest, and
respectful are essential elements in establishing a working relationship with any client.
Like-mindednessis not a part of the therapeutic relationship. Although an important
aspect of the PMHNP role, collecting a family history and accuracy in assessment does
not in and of itself facilitate relationship-building.
According to the DSM-5, which of the following is true? (Ch. 3)
a) A mental disorder is equivalent to the need for treatment.
b) Diagnostic criteria are used to inform clinical judgment.
c) Socially deviant behavior is considered a mental disorder.
, d) A culturally expected response to a stressor is not a mental disorder. - ANSWER -
Correct Answer: D. All DSM-5 disorders need to be made taking a person's culture into
account. A cultural expression of a response to grief, loss, or stress is not con- sidered
a DSM-5 diagnosis.
Mrs. French has been in individual therapy for 3 months. She has shown much growth
and improvement in her functioning and insight and is to discontinue services within the
next few weeks. In the next session, after you discuss service termination, she suddenly
begins to demonstrate the original symptoms that had brought her to treatment initially.
She is now hesitant to discharge, wants to continue services, and is displaying an
increase in regressive defense mechanisms. What is the best explanation for Ms.
French's behavior?
a) An exacerbation of her symptoms related to stress
b) The normal cyclic nature of chronic mental health symptoms
c) A sign of normal resistance to termination seen in the termination phase of therapy
d) A sign of pathological attachment to the therapist that must be addressed - ANSWER
- C. Clients frequently display resistance and regression at the termination of a
meaningful therapeutic process. The PMHNP is responsible for planning an effective
termination and monitoring clients during the termination period.
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of
de- pendency. These behaviors indicate developmental failure of which of the following
stages of development:
a) Infancy
b) Early childhood
c) Late childhood
d) School age - ANSWER - Correct Answer: B. These signs indicate developmental
failure of early childhood.
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his
keys or what time appointments are scheduled, and he has stated that he thinks these
are just random behaviors that have no particular meaning. Which Freudian-based
psychodynamic principle assumes that all behavior and actions are purposeful?
a) Pleasure principle
b) Psychic determinism principle
c) Reality principle
d) Unconsciousness principle - ANSWER - B. The psychic determinism principle states
that all behavior has purpose and meaning, often unconscious in nature, and that no
behaviors occur randomly or by coincidence.
1) An example of a mature, healthy defense mechanism is
a) Denial
b) b. Rationalization
c) Repression
2024/2025
Exam || 100 Multiple Choice
Questions & Answers
(100% Correct)
Conceptial Research ||
, Purple Book ANCC PMHNP Exam || 100
Multiple Choice Questions & Answers
(100% Correct)
A community has an unusually high incidence of depression and drug use among the
teen- age population. The public health nurses decide to address this problem, in part,
by modifying the environment and strengthening the capacities of families to prevent the
development of new cases of depression and drug use. What is this is an example of?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Protective factorial prevention - ANSWER - A. This action focuses on interventions
designed to reduce the incidence of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes
to leave because "this place can't help me." The best nursing action that reflects the
legal right of this client is
a) Discharge the client
b) Explain that the client cannot leave until you can complete further assessment
c) Allow the client to leave but have her sign forms stating she is leaving against
medical advice
d) Immediately start the paperwork to commit the client and to allow you to treat her
against her wishes - ANSWER - Correct Answer: B. Almost every state allows for a brief
period of detainment to as- sess a client for dangerousness to self or others before
allowing the client to leave a hospital setting, even if the admission was voluntary.
In many characteristics that are known to be helpful in relationship-building. Which of
the fol- lowing is an essential part of building a therapeutic relationship? forming a
therapeutic relationship with clients, the PMHNP must consider developing
a) Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment - ANSWER - C. Authenticity. Being genuine, honest, and
respectful are essential elements in establishing a working relationship with any client.
Like-mindednessis not a part of the therapeutic relationship. Although an important
aspect of the PMHNP role, collecting a family history and accuracy in assessment does
not in and of itself facilitate relationship-building.
According to the DSM-5, which of the following is true? (Ch. 3)
a) A mental disorder is equivalent to the need for treatment.
b) Diagnostic criteria are used to inform clinical judgment.
c) Socially deviant behavior is considered a mental disorder.
, d) A culturally expected response to a stressor is not a mental disorder. - ANSWER -
Correct Answer: D. All DSM-5 disorders need to be made taking a person's culture into
account. A cultural expression of a response to grief, loss, or stress is not con- sidered
a DSM-5 diagnosis.
Mrs. French has been in individual therapy for 3 months. She has shown much growth
and improvement in her functioning and insight and is to discontinue services within the
next few weeks. In the next session, after you discuss service termination, she suddenly
begins to demonstrate the original symptoms that had brought her to treatment initially.
She is now hesitant to discharge, wants to continue services, and is displaying an
increase in regressive defense mechanisms. What is the best explanation for Ms.
French's behavior?
a) An exacerbation of her symptoms related to stress
b) The normal cyclic nature of chronic mental health symptoms
c) A sign of normal resistance to termination seen in the termination phase of therapy
d) A sign of pathological attachment to the therapist that must be addressed - ANSWER
- C. Clients frequently display resistance and regression at the termination of a
meaningful therapeutic process. The PMHNP is responsible for planning an effective
termination and monitoring clients during the termination period.
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of
de- pendency. These behaviors indicate developmental failure of which of the following
stages of development:
a) Infancy
b) Early childhood
c) Late childhood
d) School age - ANSWER - Correct Answer: B. These signs indicate developmental
failure of early childhood.
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his
keys or what time appointments are scheduled, and he has stated that he thinks these
are just random behaviors that have no particular meaning. Which Freudian-based
psychodynamic principle assumes that all behavior and actions are purposeful?
a) Pleasure principle
b) Psychic determinism principle
c) Reality principle
d) Unconsciousness principle - ANSWER - B. The psychic determinism principle states
that all behavior has purpose and meaning, often unconscious in nature, and that no
behaviors occur randomly or by coincidence.
1) An example of a mature, healthy defense mechanism is
a) Denial
b) b. Rationalization
c) Repression
