ANCC PMHNP
FULL EXAM
HIGH YIELD QUESTIONS WITH CORRECT ANSWERS
DESIGNED TO MIRROR THE LATEST ANCC BLUEPRINT-
2025/2026
FEATURES INCLUDE:
❖ CONTENT COVERAGE
❖ DETAILED EXPERT RATIONALES
❖ MULTI-CHOICE QUESTIONS WITH SINGLE
ANSWER
,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. ANSWER - A.
The ANAs Psych-Mental Health Nursing Scope and Standards of Practice defines
the role and actions of the nurse practitioner.
D. Information reduces incidence of disease.. 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 behavioral
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. 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 any of his ordered medication because he believes "Jesus
Christ told me I am the prophet and must fast 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. ANSWER - C. As
with any client, psychiatric clients can refuse treatment unless a legal process
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.. ANSWER - A.
Social relationships are mutual interpersonal relationships in which the needs 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 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 - B. Almost every state allows for a brief for a
period detainment to assess a client 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 characteristics 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
FULL EXAM
HIGH YIELD QUESTIONS WITH CORRECT ANSWERS
DESIGNED TO MIRROR THE LATEST ANCC BLUEPRINT-
2025/2026
FEATURES INCLUDE:
❖ CONTENT COVERAGE
❖ DETAILED EXPERT RATIONALES
❖ MULTI-CHOICE QUESTIONS WITH SINGLE
ANSWER
,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. ANSWER - A.
The ANAs Psych-Mental Health Nursing Scope and Standards of Practice defines
the role and actions of the nurse practitioner.
D. Information reduces incidence of disease.. 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 behavioral
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. 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 any of his ordered medication because he believes "Jesus
Christ told me I am the prophet and must fast 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. ANSWER - C. As
with any client, psychiatric clients can refuse treatment unless a legal process
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.. ANSWER - A.
Social relationships are mutual interpersonal relationships in which the needs 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 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 - B. Almost every state allows for a brief for a
period detainment to assess a client 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 characteristics 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
