PMHNP 2 EXAM REVIEW QUESTIONS
WITH ACCURATE SOLUTIONS 2026
▶ An adult psychiatric and mental health nurse practitioner is using rational emotive
therapy to treat a patient with depression and anxiety. An effective strategy for helping
the patient recognize the connections between affect, cognition, and behavior is to:
A. focus on mindfulness techniques.
B. provide an injunction to address assumptions.
C. reinforce behaviors that have a sense of self-efficacy.
D. substitute reality-oriented interpretations for the distorted thoughts. Answer: D.
substitute reality-oriented interpretations for the distorted thoughts.
▶ An adult psychiatric and mental health nurse practitioner is a member of a mental
health advisory board in an area where many patients with mental illness are indigent.
The nurse practitioner also owns stock in a corporation that provides psychiatric care in
the area. When the advisory board votes to recommend a site for a mental health clinic
in which nursing services will be expanded, the nurse practitioner's action is to:
A. abstain from casting a vote.
B. vote and influence the board members' decisions, because public health care needs
are at stake.
C. vote in support of the least expensive proposal, considering the indigent population.
D. vote in support of the proposal and offer to provide personal consultations. Answer:
A. abstain from casting a vote.
▶ A 16-year-old male patient is hospitalized for depression after attempting suicide by
overdose. Several days later, the patient reports feeling less depressed and having
fewer suicidal thoughts, but begins to threaten suicide "if things do not work out."
Nursing staff members report feeling resentful and manipulated, but fear for the patient's
safety. The adult psychiatric and mental health nurse practitioner's intervention is to:
A. assist the staff in developing a treatment plan that limits contact with the patient to
one person per shift.
B. develop a "no suicide" pact with the patient to decrease his helplessness and
increase his feelings of control.
C. encourage the patient to express his fears of improving and being abandoned or of
leaving the safe environment.
D. increase supervision and restrict milieu participation to decrease the secondary gain
from manipulation. Answer: C. encourage the patient to express his fears of improving
and being abandoned or of leaving the safe environment.
▶ 25. A mother telephones an adult psychiatric and mental health nurse practitioner to
report that her 13-year-old son has been unusually active, irritable, and unable to sleep
for more than a few hours each night. The adolescent has been diagnosed with a major
WITH ACCURATE SOLUTIONS 2026
▶ An adult psychiatric and mental health nurse practitioner is using rational emotive
therapy to treat a patient with depression and anxiety. An effective strategy for helping
the patient recognize the connections between affect, cognition, and behavior is to:
A. focus on mindfulness techniques.
B. provide an injunction to address assumptions.
C. reinforce behaviors that have a sense of self-efficacy.
D. substitute reality-oriented interpretations for the distorted thoughts. Answer: D.
substitute reality-oriented interpretations for the distorted thoughts.
▶ An adult psychiatric and mental health nurse practitioner is a member of a mental
health advisory board in an area where many patients with mental illness are indigent.
The nurse practitioner also owns stock in a corporation that provides psychiatric care in
the area. When the advisory board votes to recommend a site for a mental health clinic
in which nursing services will be expanded, the nurse practitioner's action is to:
A. abstain from casting a vote.
B. vote and influence the board members' decisions, because public health care needs
are at stake.
C. vote in support of the least expensive proposal, considering the indigent population.
D. vote in support of the proposal and offer to provide personal consultations. Answer:
A. abstain from casting a vote.
▶ A 16-year-old male patient is hospitalized for depression after attempting suicide by
overdose. Several days later, the patient reports feeling less depressed and having
fewer suicidal thoughts, but begins to threaten suicide "if things do not work out."
Nursing staff members report feeling resentful and manipulated, but fear for the patient's
safety. The adult psychiatric and mental health nurse practitioner's intervention is to:
A. assist the staff in developing a treatment plan that limits contact with the patient to
one person per shift.
B. develop a "no suicide" pact with the patient to decrease his helplessness and
increase his feelings of control.
C. encourage the patient to express his fears of improving and being abandoned or of
leaving the safe environment.
D. increase supervision and restrict milieu participation to decrease the secondary gain
from manipulation. Answer: C. encourage the patient to express his fears of improving
and being abandoned or of leaving the safe environment.
▶ 25. A mother telephones an adult psychiatric and mental health nurse practitioner to
report that her 13-year-old son has been unusually active, irritable, and unable to sleep
for more than a few hours each night. The adolescent has been diagnosed with a major
