NSG 679 PMHNP EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026

NSG 679 PMHNP EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026 A PMH nurse applying King's model to a nurse-client interaction identifies the outcome using what term? A) Transaction B) Adaptation C) Transpersonal caring D) Self-system - Answers A. A PMH nurse is working on an inpatient unit that uses a privilege system. The PMH nurse understands that this intervention integrates which group of theories? A) Behavioral B) Developmental C) Humanistic D) Cognitive - Answers B. A PMH nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development as evidenced by demonstrating which traits? A) Drive and hope B) Direction and purpose C) Devotion and fidelity D) Production and care - Answers C A PMH nurse is developing a plan of care integrating Maslow's hierarchy of needs. Which area would the PMH nurse identify as the priority? A) Adequate food B) Predictable social environment C) Acceptance from family D) Positive self-image - Answers A When teaching a client about the brain, which area would a nurse identify when describing the part of the brain involved with verbal language function, including areas for both receptive and expressive speech? A) Right hemisphere B) Parietal lobe C) Occipital lobe D) Left hemisphere - Answers D A PMH nurse is developing a plan of care for a client experiencing expressive aphasia. The PMH nurse incorporates knowledge that the client most likely has sustained damage to what area? A) Postcentral gyrus B) Broca's area C) Basal ganglia D) Hippocampus - Answers B A PMH nurse is caring for an older adult who has experienced damage to the frontal lobe after an automobile accident. The PMH nurse anticipates that the client will have difficulty with which function? A) Smell B) Concept formation C) Receptive speech D) Hearing - Answers B A PMH nurse is caring for a client who has experienced damage to the parietal lobes of the brain. The PMH nurse anticipates that the client will have difficulty with which activity? A) Perceiving motor input B) Calculating a math problem C) Seeing objects in front of the client D) Speaking fluently - Answers B A client has been diagnosed with memory dysfunction associated with Alzheimer's disease. The PMH nurse determines that damage to the client's brain includes deterioration of temporal lobe structures and the nerves of which area? A) Basal ganglia B) Limbic system C) Frontal lobe D) Hippocampus - Answers D The PMH nurse is caring for a hospitalized client who has been diagnosed with a disorder of the hypothalamus. When developing the client's plan of care, in which area would the PMH nurse anticipate a problem? A) Sleep B) Constipation C) Speech D) Motor activity - Answers A A client who is scheduled to undergo a sleep-deprivation electroencephalogram (EEG) in the morning is experiencing moderate anxiety about the procedure. Based on an understanding of this test, which would the PMH nurse avoid? A) Explaining in depth what to expect during the upcoming procedure B) Administering a benzodiazepine medication prescribed for anxiety C) Taking a thorough history of the client's use of prescribed and illicit drugs D) Giving the client a noncaffeinated beverage of choice - Answers B A PMH nurse is reviewing the various neurotransmitters and their functions. The PMH nurse demonstrates understanding by identifying which substance as a neuropeptide? A) Somatostatin B) Serotonin C) Glutamate D) Gamma-aminobutyric acid - Answers A A PMH nurse is assessing a client who is experiencing anxiety and observes increased sweating and goose flesh. The PMH nurse understands that these symptoms are the result of which substance? A) Acetylcholine B) Norepinephrine C) Serotonin D) Histamine - Answers B A client with depression tells a PMH nurse, "I have a test that involves the recording of an electroencephalogram (EEG) throughout the night." The PMH nurse most likely identifies this as what type of testing? A) Sleep-deprivation EEG B) Polysomnography C) Evoked potentials D) Functional magnetic resonance imaging - Answers B The PMH nurse is caring for a client with a history of several psychiatric readmissions for nonadherence to medications. Which action by the PMH nurse would best help the client with medication adherence? A) Using a person-centered approach B) Gaining the client's trust before informing the client about the plan of care C) Asking why the client failed to adhere to the medication regimen D) Including a support person from home in the client's plan of care - Answers A The PMH nurse is caring for a client who wants to actively participate in the plan of care. Which action should the PMH nurse take? A) Discuss the informed choice model with the client. B) Include the concept of empowerment when planning the client's care. C) Use the shared decision-making model when planning the client's care. D) Discuss the paternalistic model with the client. - Answers C A client is talking to the PMH nurse about the reasons for being hospitalized. The client describes things about a personal relationship that are uncomfortable and asks the PMH nurse, "Should I break up with my partner?" Which response by the PMH nurse would be most effective in building rapport between the client and nurse? A) "Of course you should; I would never stay with a partner who didn't make me happy." B) "Yes, I think you should pursue a new relationship to help you move on." C) "It sounds like you're beginning to be uncomfortable in this relationship." D) "You need to focus on yourself rather than the relationship right now. - Answers C When providing care to a client diagnosed with a mental disorder, the client asks the PMH nurse, "Does mental illness run in your family?" Which response by the PMH nurse would be non-therapeutic? A) "Mental illnesses do run in families, and I've had a lot of experience caring for people with mental illness." B) "It sounds like you are concerned that there may be a family connection to your current problem?" C) "Yes, it does. I have a sister who was diagnosed several years ago with severe major depression." D) "Mental illness can be family related. Let's focus the discussion on you and how you're doing today." - Answers C A PMH nurse observes an older adult client who has been taking antipsychotic medications for four years. The PMH nurse sees the client's lips smacking and eyes blinking rapidly. The PMH nurse also observes a protruding tongue. Which action by the PMH nurse would be most appropriate? A) Ask whether the client has been experiencing side effects. B) Contact the client's physician for a different medication order. C) Document the client's symptoms of possible tardive dyskinesia. D) Instruct the client to begin tapering the medication. - Answers C During a solution-focused behavior therapy session, the PMH therapist asks the client, "How would your life be different if you woke up tomorrow and all your problems had disappeared?" Which type of question is the therapist using? A) Exception question B) Miracle question C) Relationship question D) Scaling question - Answers B When describing solution-focused brief therapy, which characteristic would the PMH nurse identify as being different from the other therapies? A) Focus on functional aspects of the client B) Challenge about the existence of problems C) Assumption that change is not constant D) View of the past rather than the present - Answers A A PMH nurse is integrating the Calgary Family Assessment Model when caring for a family. The PMH nurse has set up sessions that are amenable for the family as the family works to make changes. The PMH nurse and family are at which stage? A) Engagement B) Assessment C) Intervention D) Termination - Answers C A PMH nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important? A) Suicide B) Hypersomnia C) Cardiac dysrhythmias D) Erectile dysfunction - Answers A A PMH nurse asks a child, "What do you want to do when you grow up?" With this question, what is the PMH nurse assessing? A) Self-concept B) Caregiver influence C) Ambitions D) Thought process - Answers A A PMH nurse is caring for a family with a child diagnosed with autism spectrum disorder. When developing an education plan for the parents, what would the PMH nurse most likely emphasize? A) The child is at higher risk for seizure disorder. B) The child's IQ will typically be higher than that of other children.