Purple Book PMHNP 100 multiple choice questions w/answers ANCC 2025

Purple Book PMHNP 100 multiple choice
questions w/answers ANCC 2025
1.ATheApurposeAofAtheAAmericanANursesAAssociation'sAPsychiatric-
MentalAHealthANursing:AScopeAandAStandardsAofAPracticeAisAto
A.ADefineAtheAroleAandAactionsAforAtheANP
EstablishAtheAlegalAauthorityAforAtheAprescriptionAofApsychotropicA
B.Amedications
C.ADefineAtheAlegalAstatutesAofAtheAroleAofAtheAPMHNP
D.ADefineAtheAdifferencesAbetweenAtheAphysicianAroleAandAtheANPAroleA-
ACORRECTAANSWERSA-CorrectAAnswer:AA.ATheAANA'sAPsychiatric-

MentalAHealthANursing:AScopeAandAStandardsAofAPracticeAdefinesAtheAroleAandAactionsAofA
theAnurseApractitioner.
2)APrimaryApreventionAcareApracticesAareAanAessentialAaspectAofAtheAPMHNPArole.AWhichA
ofAtheAfollowingAisAtheAbestAexampleAofAaAprimaryApreventionAcareAstrategyAforAcommunityA
behavioralAhealth?
a)AAftercareAprogramAforAchronicallyAmentallyAillAclientsArecentlyAdischargedAfromAtheAhos
pital
b)ACourt-orderedAcounselingAforAabusiveAparents
c)A24-hourAcrisisAhotlines
d)AParentingAskillsAclassesAforApregnantAadolescentsA-ACORRECTAANSWERSA-
CorrectAAnswer:AD.AInformationAreducesAincidenceAofAdisease.
3
TheAtrendAinAlegalArulingsAonAcasesAinvolvingAmentalAillnessAoverAtheApastA25AyearsAhasAb
eenAto
a)AEncourageAjuriesAtoAfindAdefendantsAnotAguiltyAbyAreasonAofAinsanity
b)AProtectAtheAperson'sAfreedomsAorArightsAwhenAheAorAsheAisAcommittedAtoAaAmentalAhos
pital
c)APlaceAincreasingAtrustAinAmentalAhealthAprofessionalsAtoAmakeAgoodAandAethicalAdecisi
ons
d)ADecreaseAtheA"redAtape"AassociatedAwithAcommitmentsAsoAthatAcommitmentsAareAfaste
rAandAeasierA-ACORRECTAANSWERSA-
B.AIdentifiesAtheAtrendAofAensuringAtheAprotectionAofAindividualAcivilAlibertiesAforApsychiatricA
clients.
4
AMr.ASmithers,AanAinvoluntarilyAhospitalizedApatientAexperiencingApsychoticAsymptoms,Aref

usesAtoAtakeAanyAofAhisAorderedAmedicationAbecauseAheAbelievesA"JesusAChristAtoldAmeAIA
amAtheAprophetAandAmustAfastAforAaAyear."AYourAactionsAshouldAbeAbasedAonAyourAknowle
dgeAofAwhichAofAtheAfollowing?
a)APsychiatricAclientsAcannotArefuseAtreatment
b)APsychiatricAclientsAdoAnotAalwaysAknowAwhatAisAgoodAforAthem
c)APsychiatricAclientsAcanArefuseAtreatment

,d)APsychiatricAclientsAcannotAbeAtrustedAtoAmakeAgoodAhealthcareAdecisionsAand,Atherefor
e,AtheAnurse'sAbestAclinicalAjudgmentAshouldAguideAactionsA-ACORRECTAANSWERSA-
C.AAsAwithAanyAclient,ApsychiatricAclientsAcanArefuseAtreatmentAun-
AlessAaAlegalAprocessAresultingAinAinvoluntaryAcommitmentAorAmandatoryAcourtAorderAforAtr

eatmentAhasAbeenAobtained.
5.AWhichAofAtheAfollowingAstatementsAbestAreflectsAtheAdifferenceAbetweenAtheAnurse-
clientA(N-C)ArelationshipAandAaAsocialArelationship?
a)AInAtheAN-CArelationship,AtheAprimaryAfocusAisAonAtheAclientAandAtheAclient'sAneeds.
b)AGoalsAinAtheAN-
CArelationshipAareAdeliberatelyAleftAvagueAandAunspokenAsoAthatAtheAclientAcanAworkAonAa
nyAissue.
c)AInAtheAN-
CArelationship,AtheAnurseAisAsolelyAresponsibleAforAmakingAtheArelationshipAwork.
d)AInAtheAN-CArelationship,AthereAisAnoAplaceAforAsocialAinteraction.A-
ACORRECTAANSWERSA-

A.ASocialArelationshipsAareAmutualAinterpersonalArelationshipsAinAwhichAtheAneedsAofAbothA
partiesAareAaddressed.ATheAN-CArelationshipAisAmostAcon-
AcernedAwithAmeetingAtheAneedsAofAtheAclient.

6.AAAcommunityAhasAanAunusuallyAhighAincidenceAofAdepressionAandAdrugAuseAamongAthe
Ateen-

AageApopulation.ATheApublicAhealthAnursesAdecideAtoAaddressAthisAproblem,AinApart,AbyAmo

difyingAtheAenvironmentAandAstrengtheningAtheAcapacitiesAofAfamiliesAtoApreventAtheAdevel
opmentAofAnewAcasesAofAdepressionAandAdrugAuse.AWhatAisAthisAisAanAexampleAof?
a)APrimaryAprevention
b)ASecondaryAprevention
c)ATertiaryAprevention
d)AProtectiveAfactorialApreventionA-ACORRECTAANSWERSA-
A.AThisAactionAfocusesAonAinterventionsAdesignedAtoAreduceAtheAincidenceAofAnewAcasesA
ofAdisease.
7
Mrs.AKempAisAvoluntarilyAadmittedAtoAtheAhospital.AAfterA24Ahours,AsheAstatesAsheAwishesAt
oAleaveAbecauseA"thisAplaceAcan'tAhelpAme."ATheAbestAnursingAactionAthatAreflectsAtheAlega
lArightAofAthisAclientAis
a)ADischargeAtheAclient
b)AExplainAthatAtheAclientAcannotAleaveAuntilAyouAcanAcompleteAfurtherAassessment
c)AAllowAtheAclientAtoAleaveAbutAhaveAherAsignAformsAstatingAsheAisAleavingAagainstAmedica
lAadvice
d)AImmediatelyAstartAtheApaperworkAtoAcommitAtheAclientAandAtoAallowAyouAtoAtreatAherAaga
instAherAwishesA-ACORRECTAANSWERSA-
CorrectAAnswer:AB.AAlmostAeveryAstateAallowsAforAaAbriefAperiodAofAdetainmentAtoAas-
AsessAaAclientAforAdangerousnessAtoAself AorAothersAbeforeAallowingAtheAclientAtoAleaveAaAho

spitalAsetting,AevenAifAtheAadmissionAwasAvoluntary.
8
InAmanyAcharacteristicsAthatAareAknownAtoAbeAhelpfulAinArelationship-
building.AWhichAofAtheAfol-

, AlowingAisAanAessentialApartAofAbuildingAaAtherapeuticArelationship?AformingAaAtherapeuticAr
elationshipAwithAclients,AtheAPMHNPAmustAconsiderAdeveloping
a)ACollectingAaAfamilyAhistory
b)ALike-mindedness
c)AAuthenticity
d)AAccuracyAinAassessmentA-ACORRECTAANSWERSA-
C.AAuthenticity.ABeingAgenuine,Ahonest,AandArespectfulAareAessentialAelementsAinAestablis
hingAaAworkingArelationshipAwithAanyAclient.ALike-
mindednessisAnotAaApartAofAtheAtherapeuticArelationship.AAlthoughAanAimportantAaspectAofA
theAPMHNPArole,AcollectingAaAfamilyAhistoryAandAaccuracyAinAassessmentAdoesAnotAinAand
AofAitselfAfacilitateArelationship-building.

9
AccordingAtoAtheADSM-5,AwhichAofAtheAfollowingAisAtrue?A(Ch.A3)
a)AAAmentalAdisorderAisAequivalentAtoAtheAneedAforAtreatment.
b)ADiagnosticAcriteriaAareAusedAtoAinformAclinicalAjudgment.
c)ASociallyAdeviantAbehaviorAisAconsideredAaAmentalAdisorder.
d)AAAculturallyAexpectedAresponseAtoAaAstressorAisAnotAaAmentalAdisorder.A-
ACORRECTAANSWERSA-CorrectAAnswer:AD.AAllADSM-

5AdisordersAneedAtoAbeAmadeAtakingAaAperson'sAcultureAintoAaccount.AAAculturalAexpressio
nAofAaAresponseAtoAgrief,Aloss,AorAstressAisAnotAcon-AsideredAaADSM-5Adiagnosis.
10
Mrs.AFrenchAhasAbeenAinAindividualAtherapyAforA3Amonths.ASheAhasAshownAmuchAgrowthAa
ndAimprovementAinAherAfunctioningAandAinsightAandAisAtoAdiscontinueAservicesAwithinAtheAn
extAfewAweeks.AInAtheAnextAsession,AafterAyouAdiscussAserviceAtermination,AsheAsuddenlyA
beginsAtoAdemonstrateAtheAoriginalAsymptomsAthatAhadAbroughtAherAtoAtreatmentAinitially.A
SheAisAnowAhesitantAtoAdischarge,AwantsAtoAcontinueAservices,AandAisAdisplayingAanAincre
aseAinAregressiveAdefenseAmechanisms.AWhatAisAtheAbestAexplanationAforAMs.AFrench'sAb
ehavior?
a)AAnAexacerbationAofAherAsymptomsArelatedAtoAstress
b)ATheAnormalAcyclicAnatureAofAchronicAmentalAhealthAsymptoms
c)AAAsignAofAnormalAresistanceAtoAterminationAseenAinAtheAterminationAphaseAofAtherapy
d)AAAsignAofApathologicalAattachmentAtoAtheAtherapistAthatAmustAbeAaddressedA-
ACORRECTAANSWERSA-

C.AClientsAfrequentlyAdisplayAresistanceAandAregressionAatAtheAterminationAofAaAmeaningf
ulAtherapeuticAprocess.ATheAPMHNPAisAresponsibleAforAplanningAanAeffectiveAterminationA
andAmonitoringAclientsAduringAtheAterminationAperiod.
11A
AAclientAisAdisplayingAlowAself-esteem,ApoorAself-control,Aself-
doubt,AandAaAhighAlevelAofAde-
Apendency.ATheseAbehaviorsAindicateAdevelopmentalAfailureAofAwhichAofAtheAfollowingAsta

gesAofAdevelopment:
a)AInfancy
b)AEarlyAchildhood
c)ALateAchildhood
d)ASchoolAageA-ACORRECTAANSWERSA-
CorrectAAnswer:AB.ATheseAsignsAindicateAdevelopmentalAfailureAofAearlyAchildhood.