pg. 1
,EXAM 1 – WEEKS 1–2: FOUNDATIONS OF PMHNP PRACTICE
Domain: PMH-APRN Role and Scope of Practice
Question 1:
What is a Psychiatric-Mental Health Advanced Practice Registered Nurse (PMH-APRN)?
A) A registered nurse with a bachelor's degree in psychiatric nursing
B) A nurse with graduate-level training who provides psychiatric-mental health care and promotes mental health
across the lifespan
C) A physician assistant specializing in mental health
D) A social worker with additional certification in psychiatry
Answer: B
The PMH-APRN is a nurse with graduate-level training who assesses, diagnoses, and treats individuals and families
with psychiatric and/or substance use disorders across the lifespan.
Question 2
The PMHNP is treating a client who presents with trouble sleeping, low energy, difficulty concentrating, and
a persistent sad mood for the last four weeks. The client has withdrawn from friends and is experiencing
difficulties at work. According to the ANA Standards of Practice, which standard applies to this scenario?
A) Standard 1: Assessment
B) Standard 2: Diagnosis
C) Standard 3: Outcomes Identification
D) Standard 4: Planning
Answer: B
Under the Diagnosis standard, the PMHNP develops standard psychiatric and substance use diagnoses based on data
obtained during the interview, examination, and diagnostic procedures.
Question 3
A PMHNP serves as a peer reviewer of articles for the Journal of the American Psychiatric Nurses
Association. This activity aligns with which ANA Standard of Practice?
pg. 2
,A) Standard 5: Implementation
B) Standard 6: Evaluation
C) Standard 13: Evidence-Based Practice and Research
D) Standard 14: Quality of Practice
Answer: C
Under the Evidence-Based Practice and Research standard, the PMHNP contributes to nursing knowledge by
conducting, critically appraising, or synthesizing research that discovers, examines, and evaluates knowledge,
theories, criteria, and creative approaches to improve healthcare practice.
Question 4
A 29-year-old client presents with persistent sadness and hopelessness for the last two months, difficulty
sleeping, and decreased appetite. This is the client's first contact with the healthcare system about these
concerns. In which practice setting is this PMHNP most likely providing care?
A) Inpatient psychiatric unit
B) Primary care setting
C) Forensic psychiatric facility
D) Geriatric psychiatric unit
Answer: B
This is the client's initial contact with the healthcare system about her concerns, indicating a primary care setting
where early identification and intervention are essential.
Question 5
The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI) for a client experiencing depressive
symptoms. This action falls under which category of PMHNP practice?
A) Psychotherapy
B) Pharmacologic intervention
C) Health teaching
D) Consultation
Answer: B
pg. 3
, Prescribing psychopharmacotherapy for the client is a pharmacologic intervention within the PMHNP scope of
practice.
Question 6
The PMHNP provides a client with mindfulness techniques to try at home. This intervention is best
categorized as:
A) Pharmacologic intervention
B) Psychotherapy
C) Case management
D) Consultation
Answer: B
The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight and develop coping strategies.
Question 7
What is the fundamental principle outlined in Provision 1 of the ANA Code of Ethics?
A) The nurse's primary commitment is to the patient
B) The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every
person
C) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient
D) The nurse has authority, accountability, and responsibility for nursing practice
Answer: B
Provision 1 of the ANA Code of Ethics states that "the nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person".
Question 8
According to the ANA Standards and Scope of Nursing Practice, the art of nursing is based on:
A) Scientific evidence and research
B) Technical skills and procedures
pg. 4
,EXAM 1 – WEEKS 1–2: FOUNDATIONS OF PMHNP PRACTICE
Domain: PMH-APRN Role and Scope of Practice
Question 1:
What is a Psychiatric-Mental Health Advanced Practice Registered Nurse (PMH-APRN)?
A) A registered nurse with a bachelor's degree in psychiatric nursing
B) A nurse with graduate-level training who provides psychiatric-mental health care and promotes mental health
across the lifespan
C) A physician assistant specializing in mental health
D) A social worker with additional certification in psychiatry
Answer: B
The PMH-APRN is a nurse with graduate-level training who assesses, diagnoses, and treats individuals and families
with psychiatric and/or substance use disorders across the lifespan.
Question 2
The PMHNP is treating a client who presents with trouble sleeping, low energy, difficulty concentrating, and
a persistent sad mood for the last four weeks. The client has withdrawn from friends and is experiencing
difficulties at work. According to the ANA Standards of Practice, which standard applies to this scenario?
A) Standard 1: Assessment
B) Standard 2: Diagnosis
C) Standard 3: Outcomes Identification
D) Standard 4: Planning
Answer: B
Under the Diagnosis standard, the PMHNP develops standard psychiatric and substance use diagnoses based on data
obtained during the interview, examination, and diagnostic procedures.
Question 3
A PMHNP serves as a peer reviewer of articles for the Journal of the American Psychiatric Nurses
Association. This activity aligns with which ANA Standard of Practice?
pg. 2
,A) Standard 5: Implementation
B) Standard 6: Evaluation
C) Standard 13: Evidence-Based Practice and Research
D) Standard 14: Quality of Practice
Answer: C
Under the Evidence-Based Practice and Research standard, the PMHNP contributes to nursing knowledge by
conducting, critically appraising, or synthesizing research that discovers, examines, and evaluates knowledge,
theories, criteria, and creative approaches to improve healthcare practice.
Question 4
A 29-year-old client presents with persistent sadness and hopelessness for the last two months, difficulty
sleeping, and decreased appetite. This is the client's first contact with the healthcare system about these
concerns. In which practice setting is this PMHNP most likely providing care?
A) Inpatient psychiatric unit
B) Primary care setting
C) Forensic psychiatric facility
D) Geriatric psychiatric unit
Answer: B
This is the client's initial contact with the healthcare system about her concerns, indicating a primary care setting
where early identification and intervention are essential.
Question 5
The PMHNP prescribes a selective serotonin reuptake inhibitor (SSRI) for a client experiencing depressive
symptoms. This action falls under which category of PMHNP practice?
A) Psychotherapy
B) Pharmacologic intervention
C) Health teaching
D) Consultation
Answer: B
pg. 3
, Prescribing psychopharmacotherapy for the client is a pharmacologic intervention within the PMHNP scope of
practice.
Question 6
The PMHNP provides a client with mindfulness techniques to try at home. This intervention is best
categorized as:
A) Pharmacologic intervention
B) Psychotherapy
C) Case management
D) Consultation
Answer: B
The PMHNP is utilizing a psychotherapeutic approach to help the client gain insight and develop coping strategies.
Question 7
What is the fundamental principle outlined in Provision 1 of the ANA Code of Ethics?
A) The nurse's primary commitment is to the patient
B) The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every
person
C) The nurse promotes, advocates for, and protects the rights, health, and safety of the patient
D) The nurse has authority, accountability, and responsibility for nursing practice
Answer: B
Provision 1 of the ANA Code of Ethics states that "the nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person".
Question 8
According to the ANA Standards and Scope of Nursing Practice, the art of nursing is based on:
A) Scientific evidence and research
B) Technical skills and procedures
pg. 4
