PMHNP ANCC Review Questions
./ ./ ./
./
The./purpose./of./the./American./Nurses./Association's./Psychiatric-Mental./Health./Nursing:
Scope./and./Standards./of./Practice./is./to
a../Define./the./role./and./actions./for./the./NP
b../Establish./the./legal./authority./for./the./prescription./of./psychotropic./medications
c../Define./the./legal./statutes./of./the./role./of./the./PMHNP
d../Define./the./differences./between./the./physician./role./and./the./NP./role./-
./correct./answer./ A../The./ANAs./Psych-
Mental./Health./Nursing./Scope./and./Standards./of./Practice./defines./the./role./and./actions./of./the./nurse./pract
itioner.
D../Information./reduces./incidence./of./disease../-
./correct./answer./ Primary./prevention./care./practices./are./an./essential./aspect./of./the./PMHNP./role../
Which./of./the./following./is./the./best./example./of./a./primary./prevention./care./strategy./for./community./beha
vioral./health?
a../Aftercare./program./for./chronically./mentally./ill./clients./recently./discharged./from./the./hospital
b../Court-ordered./counseling./for./abusive./parents
c../24-hour./crisis./hotlines
d../Parenting./skills./classes./for./pregnant./adolescents
The./trend./in./legal./rulings./on./cases./involving./mental./illness./over./the./past./25./years./has./been./to
a../Encourage./juries./to./find./defendants./not./guilty./by./reason./of./insanity
b../Protect./the./person's./freedoms./or./rights./when./he./or./she./is./committed./to./a./mental./hospital
c../Place./increasing./trust./in./mental./health./professionals./to./make./good./and./ethical./decisions
d../Decrease./the./"red./tape"./associated./with./commitments./so./that./commitments./are./faster./and./easier./-
./correct./answer./ B../Identifies./the./trend./of./ensuring./the./protection./of./individual./civil./liberties./for./
psychiatric./clients.
Mr../Smithers,./an./involuntarily./hospitalized./patient./experiencing./psychotic./symptoms,./refuses./to./take./a
ny./of./his./ordered./medication./because./he./believes./"Jesus./Christ./told./me./I./am./the./prophet./and./must./fas
t./for./a./year."./Your./actions./should./be./based./on./your./knowledge./of./which./of./the./following?
,a../Psychiatric./clients./cannot./refuse./treatment
b../Psychiatric./clients./do./not./always./know./what./is./good./for./them
c../Psychiatric./clients./can./refuse./treatment
d../Psychiatric./clients./cannot./be./trusted./to./make./good./healthcare./decisions./and,./therefore,./the./nurse's./
best./clinical./judgment./should./guide./actions./-
./correct./answer./ C../As./with./any./client,./psychiatric./clients./can./refuse./treatment./unless./a./legal./pro
cess./resulting./in./involuntary./commitment./or./mandatory./court./order./for./treatment./has./been./obtained.
Which./of./the./following./statements./best./reflects./the./difference./between./the./nurse-client./(N-
C)./relationship./and./a./social./relationship?
a../In./the./N-C./relationship,./the./primary./focus./is./on./the./client./and./the./client's./needs.
b../Goals./in./the./N-
C./relationship./are./deliberately./left./vague./and./unspoken./so./that./the./client./can./work./on./any./issue.
c../In./the./N-C./relationship,./the./nurse./is./solely./responsible./for./making./the./relationship./work.
d../In./the./N-C./relationship,./there./is./no./place./for./social./interaction../-
./correct./answer./ A../Social./relationships./are./mutual./interpersonal./relationships./in./which./the./need
s./of./both./parties./are./addressed../The./N-
C./relationship./is./most./concerned./with./meeting./the./needs./of./the./client.
A./community./has./an./unusually./high./incidence./of./depression./and./drug./use./among./the./teenage./populati
on../The./public./health./nurses./decide./to./address./this./problem,./in./part,./by./modifying./the./environment./an
d./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./-
./correct./answer./ A../This./action./focuses./on./interventions./designed./to./reduce./the./incidence./of./ne
w./cases./of./disease.
Mrs../Kemp./is./voluntarily./admitted./to./the./hospital../After./24./hours,./she./states./she./wishes./to./leave./beca
use./"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./wis
hes./-
./correct./answer./ B../Almost./every./state./allows./for./a./brief./for./a./period./detainment./to./assess./a./clie
nt./for./dangerousness./to./self./or./others./before./allowing./the./client./to./leave./a./hospital./setting,./even./if./the
./admission./was./voluntary.
In./forming./a./therapeutic./relationship./with./clients,./the./PMHNP./must./consider./developing./many./charact
eristics./that./are./known./to./be./helpful./in./relationship-
building../Which./of./the./following./is./an./essential./part./of./building./a./therapeutic./relationship?
a../Collecting./a./family./history
b../Like-mindedness
c../Authenticity
d../Accuracy./in./assessment./-
./correct./answer./ C../Authenticity../Being./genuine,./honest,./and./respectful./are./essential./elements./in.
/establishing./a./working./relationship./with./any./client../Like-
mindedness./is./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./relations
hip./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../-
./correct./answer./ D../All./DSM-
5./disorders./need./to./be./made./taking./a./person's./culture./into./account../A./cultural./expression./of./a./respons
e./to./grief,./loss,./or./stress./is./not./considered./a./DSM-5./diagnosis.
Mrs../French./has./been./in./individual./therapy./for./3./months../She./has./shown./much./growth./and./improvem
ent./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./sympt
oms./that./had./brought./her./to./treatment./initially../She./is./now./hesitant./to./discharge,./wants./to./continue./s
, ervices,./and./is./displaying./an./increase./in./regressive./defense./mechanisms../What./is./the./best./explanation./f
or./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./-
./correct./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./dependency../These./behaviors./indicate./developmental./failure./of./which./of./th
e./following./stages./of./development:
a../Infancy
b../Early./childhood
c../Late./childhood
d../School./age./-./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./t
hat./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./-
./correct./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.
An./example./of./a./mature,./healthy./defense./mechanism./is
a../Denial
b../Rationalization
./ ./ ./
./
The./purpose./of./the./American./Nurses./Association's./Psychiatric-Mental./Health./Nursing:
Scope./and./Standards./of./Practice./is./to
a../Define./the./role./and./actions./for./the./NP
b../Establish./the./legal./authority./for./the./prescription./of./psychotropic./medications
c../Define./the./legal./statutes./of./the./role./of./the./PMHNP
d../Define./the./differences./between./the./physician./role./and./the./NP./role./-
./correct./answer./ A../The./ANAs./Psych-
Mental./Health./Nursing./Scope./and./Standards./of./Practice./defines./the./role./and./actions./of./the./nurse./pract
itioner.
D../Information./reduces./incidence./of./disease../-
./correct./answer./ Primary./prevention./care./practices./are./an./essential./aspect./of./the./PMHNP./role../
Which./of./the./following./is./the./best./example./of./a./primary./prevention./care./strategy./for./community./beha
vioral./health?
a../Aftercare./program./for./chronically./mentally./ill./clients./recently./discharged./from./the./hospital
b../Court-ordered./counseling./for./abusive./parents
c../24-hour./crisis./hotlines
d../Parenting./skills./classes./for./pregnant./adolescents
The./trend./in./legal./rulings./on./cases./involving./mental./illness./over./the./past./25./years./has./been./to
a../Encourage./juries./to./find./defendants./not./guilty./by./reason./of./insanity
b../Protect./the./person's./freedoms./or./rights./when./he./or./she./is./committed./to./a./mental./hospital
c../Place./increasing./trust./in./mental./health./professionals./to./make./good./and./ethical./decisions
d../Decrease./the./"red./tape"./associated./with./commitments./so./that./commitments./are./faster./and./easier./-
./correct./answer./ B../Identifies./the./trend./of./ensuring./the./protection./of./individual./civil./liberties./for./
psychiatric./clients.
Mr../Smithers,./an./involuntarily./hospitalized./patient./experiencing./psychotic./symptoms,./refuses./to./take./a
ny./of./his./ordered./medication./because./he./believes./"Jesus./Christ./told./me./I./am./the./prophet./and./must./fas
t./for./a./year."./Your./actions./should./be./based./on./your./knowledge./of./which./of./the./following?
,a../Psychiatric./clients./cannot./refuse./treatment
b../Psychiatric./clients./do./not./always./know./what./is./good./for./them
c../Psychiatric./clients./can./refuse./treatment
d../Psychiatric./clients./cannot./be./trusted./to./make./good./healthcare./decisions./and,./therefore,./the./nurse's./
best./clinical./judgment./should./guide./actions./-
./correct./answer./ C../As./with./any./client,./psychiatric./clients./can./refuse./treatment./unless./a./legal./pro
cess./resulting./in./involuntary./commitment./or./mandatory./court./order./for./treatment./has./been./obtained.
Which./of./the./following./statements./best./reflects./the./difference./between./the./nurse-client./(N-
C)./relationship./and./a./social./relationship?
a../In./the./N-C./relationship,./the./primary./focus./is./on./the./client./and./the./client's./needs.
b../Goals./in./the./N-
C./relationship./are./deliberately./left./vague./and./unspoken./so./that./the./client./can./work./on./any./issue.
c../In./the./N-C./relationship,./the./nurse./is./solely./responsible./for./making./the./relationship./work.
d../In./the./N-C./relationship,./there./is./no./place./for./social./interaction../-
./correct./answer./ A../Social./relationships./are./mutual./interpersonal./relationships./in./which./the./need
s./of./both./parties./are./addressed../The./N-
C./relationship./is./most./concerned./with./meeting./the./needs./of./the./client.
A./community./has./an./unusually./high./incidence./of./depression./and./drug./use./among./the./teenage./populati
on../The./public./health./nurses./decide./to./address./this./problem,./in./part,./by./modifying./the./environment./an
d./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./-
./correct./answer./ A../This./action./focuses./on./interventions./designed./to./reduce./the./incidence./of./ne
w./cases./of./disease.
Mrs../Kemp./is./voluntarily./admitted./to./the./hospital../After./24./hours,./she./states./she./wishes./to./leave./beca
use./"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./wis
hes./-
./correct./answer./ B../Almost./every./state./allows./for./a./brief./for./a./period./detainment./to./assess./a./clie
nt./for./dangerousness./to./self./or./others./before./allowing./the./client./to./leave./a./hospital./setting,./even./if./the
./admission./was./voluntary.
In./forming./a./therapeutic./relationship./with./clients,./the./PMHNP./must./consider./developing./many./charact
eristics./that./are./known./to./be./helpful./in./relationship-
building../Which./of./the./following./is./an./essential./part./of./building./a./therapeutic./relationship?
a../Collecting./a./family./history
b../Like-mindedness
c../Authenticity
d../Accuracy./in./assessment./-
./correct./answer./ C../Authenticity../Being./genuine,./honest,./and./respectful./are./essential./elements./in.
/establishing./a./working./relationship./with./any./client../Like-
mindedness./is./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./relations
hip./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../-
./correct./answer./ D../All./DSM-
5./disorders./need./to./be./made./taking./a./person's./culture./into./account../A./cultural./expression./of./a./respons
e./to./grief,./loss,./or./stress./is./not./considered./a./DSM-5./diagnosis.
Mrs../French./has./been./in./individual./therapy./for./3./months../She./has./shown./much./growth./and./improvem
ent./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./sympt
oms./that./had./brought./her./to./treatment./initially../She./is./now./hesitant./to./discharge,./wants./to./continue./s
, ervices,./and./is./displaying./an./increase./in./regressive./defense./mechanisms../What./is./the./best./explanation./f
or./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./-
./correct./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./dependency../These./behaviors./indicate./developmental./failure./of./which./of./th
e./following./stages./of./development:
a../Infancy
b../Early./childhood
c../Late./childhood
d../School./age./-./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./t
hat./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./-
./correct./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.
An./example./of./a./mature,./healthy./defense./mechanism./is
a../Denial
b../Rationalization
