ANCC PMHNP certification EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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PMHNP ANCC Review Questions 2026 A+ GRADE ASSU zm zm zm zm zm zm zm




RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




The purpose of the American Nurses Association's Psychiatric-
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Mental Health Nursing: Scope and Standards of Practice is to
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a. Define the role and actions for the NP
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b. Establish the legal authority for the prescription of psychotropic medications
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c. Define the legal statutes of the role of the PMHNP
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d. Define the differences between the physician role and the NP role
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ANSWER

A. The ANAs Psych-
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Mental Health Nursing Scope and Standards of Practice defines the role and actions of the nurse pra
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ctitioner.



QUESTION 3 zm




D. Information reduces incidence of disease.
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ANSWER

Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following
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mis the best example of a primary prevention care strategy for community behavioral health?
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a. Aftercare program for chronically mentally ill clients recently discharged from the hospital
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b. Court-ordered counseling for abusive parents
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,c. 24-hour crisis hotlines
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d. Parenting skills classes for pregnant adolescents
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QUESTION 4 zm




In forming a therapeutic relationship with clients, the PMHNP must consider developi
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ng many characteristics that are known to be helpful in relationship-
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building. Which of the following is an essential part of building a therapeutic relations
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hip?
a. Collecting a family history
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b. Like-mindedness
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c. Authenticity
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d. Accuracy in assessment
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ANSWER

C. Authenticity. Being genuine, honest, and respectful are essential elements in establishing a workin
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g relationship with any client. Like-
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mindedness is not a part of the therapeutic relationship. Although an important aspect of the PMHN
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P role, collecting a family history and accuracy in assessment does not in and of itself facilitate relat
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ionship building. zm




QUESTION 5 zm




According to the DSM-5, which of the following is true? (Ch. 3)
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a. A mental disorder is equivalent to the need for treatment.
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b. Diagnostic criteria are used to inform clinical judgment.
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c. Socially deviant behavior is considered a mental disorder.
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d. A culturally expected response to a stressor is not a mental disorder.
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ANSWER

D. All DSM-
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5 disorders need to be made taking a person's culture into account. A cultural expression of a respo
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nse to grief, loss, or stress is not considered a DSM-5 diagnosis.
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QUESTION 6 zm




A client is displaying low self-esteem, poor self-control, self-
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doubt, and a high level of dependency. These behaviors indicate developmental failure
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of which of the following stages of development:
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a. Infancy
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b. Early childhood
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c. Late childhood
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d. School age
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ANSWER

, B. These signs indicate developmental failure of early childhood.
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QUESTION 7 zm




An example of a mature, healthy defense mechanism is
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a. Denial
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b. Rationalization
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c. Repression
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d. Suppression
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ANSWER

D. Suppression is the only defense mechanism listed in which the client channels conflicting energies
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into growth-promoting activities.
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QUESTION 8 zm




Mr. Johnson is a 54-year-
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old client you have been seeing for several weeks in therapy. While discussing his cur
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rent concerns of marital stress, he lies on the floor and assumes the fetal position. Th
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is is most likely an example of
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a. Immature regressive defense mechanism
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b. Denial of reality
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c. Immature fantasy defense mechanism
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d. Repressive behavior
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ANSWER

A. Immature regressive defense mechanism is a return to a behavior common to an earlier stage of
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development.



QUESTION 9 zm




Defense mechanisms are best viewed as a function of the ego
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a. To alert us to harm and danger
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b. To alert us to problems
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c. Used to resolve a conflict
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d. Used to protect the id
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ANSWER

C. Defense mechanisms are a function of the ego used to resolve a conflict.
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QUESTION 10 zm




Health care economics is concerned with making decisions so the benefits outweigh th
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e cost of resource utilization. What are two concepts that healthcare economics is con
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