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ANCC purple book Complete Exam Set Questions And Verified Answers (solutions).docx

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ANCC purple book Complete Exam Set Questions And Verified Answers (solutions).docx

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Uploaded on
November 8, 2025
Number of pages
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Written in
2025/2026
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ANCC purple book Complete Exam
Set Questions And Verified Answers
(solutions)
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 ANA's Psychiatric-Mental Health Nursing:
Scope and Standards of Practice defines the role and actions of the
nurse practitioner.


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

,ANCC purple book Complete Exam
Set Questions And Verified Answers
(solutions)
d. Parenting skills classes for pregnant adolescents -
Correct Answer: D. Information reduces incidence of disease.


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 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?

,ANCC purple book Complete Exam
Set Questions And Verified Answers
(solutions)
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 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.

, ANCC purple book Complete Exam
Set Questions And Verified Answers
(solutions)
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 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 -
Correct Answer: A. This action focuses on interventions designed to
reduce the incidence of new cases of disease.

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