NR607 Final Exam Questions with Verified
Correct Answers
The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-
year-old client who presents with persistent sadness and hopelessness for the last two
months. She is having difficulty sleeping and has a decreased appetite. This is the
patient's first contact with with the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
The client has experienced depressive symptoms. The PMHNP prescribes a selective
serotonin reuptake inhibitor (SSRI).
PMHNP role:
,Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
,Self-Employment
Psychotherapy
Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain
insight
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations
and develops a plan to kill herself. A friend brings the client to the emergency room.
The PMHNP meets the client at the emergency room and collaborates with the
physician to coordinate care.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Crisis Intervention
, Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital
for a 72-hour observation where the PMHNP works with her team providing treatment.
The client remains hospitalized for a week while her medications are managed. The
client attends individual and group therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
Following hospitalization, the client returns home but commutes to a treatment center
for 4 hours a day 5 days per week for ongoing therapy, medication management, and
psychoeducation.
Correct Answers
The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-
year-old client who presents with persistent sadness and hopelessness for the last two
months. She is having difficulty sleeping and has a decreased appetite. This is the
patient's first contact with with the healthcare system about her concerns.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Primary Care
Rationale: This is the client's initial contact with the healthcare system about her concerns
The client has experienced depressive symptoms. The PMHNP prescribes a selective
serotonin reuptake inhibitor (SSRI).
PMHNP role:
,Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Pharmacologic Intervention
Rationale: The PMHNP is prescribing psychopharmacotherapy for the client
The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
,Self-Employment
Psychotherapy
Psychotherapy
Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain
insight
Two weeks after starting on the SSRI, the client begins to experience suicidal ideations
and develops a plan to kill herself. A friend brings the client to the emergency room.
The PMHNP meets the client at the emergency room and collaborates with the
physician to coordinate care.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Crisis Intervention
, Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
intervention.
The client is admitted to the psychiatric and behavioral health unit at the local hospital
for a 72-hour observation where the PMHNP works with her team providing treatment.
The client remains hospitalized for a week while her medications are managed. The
client attends individual and group therapy sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy
Acute PMHNP Care
Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility setting.
Following hospitalization, the client returns home but commutes to a treatment center
for 4 hours a day 5 days per week for ongoing therapy, medication management, and
psychoeducation.
