WILKES UNIVERSITY NSG 526 EXAM 1 -
ORIGINAL PMHNP EXAM QUESTIONS AND ANSWERS 2026-2027
Question1 nc
A32-year-
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oldpatientreportspersistentsadness, lossofinterestinactivities,insomnia,andfeelin
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gs ofworthlessnessforthe past3weeks. Whichadditional assessmentis thePMHNP's
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highestpriority?
A. Dietaryhabits
B. Suicide risk assessment de
C. Familyhistoryofdiabetes
D. Employmenthistory
ß CorrectAnswer: B. Suicide riskassessment ß
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Rationale:
Thepatient'ssymptomsareconsistentwithmajordepressivedisorder.Feelingsofwor t
e
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hlessnesssignificantlyincreasesuiciderisk, makingimmediateassessment ofsuicid a cn de cn
lthoughts,plans,intent,andmeansthehighestpriority. e
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ßQuestion2 de
Whichdefensemechanismisdemonstratedwhenapatientwhoisangrywitha superviso rco
e
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meshomeandyells at familymembers?
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A. Projection
B. Reactionformation
,C. Displacement
D. Denial
ßCorrectAnswer:C.Displacement n
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ß Rationale:
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Displacement involvesredirectingemotions fromthe originalsource offrustration toa les
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sthreatening target. de
ßQuestion3
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e
Which therapeutic communication technique is most appropriatewheninterview inga pa
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tient experiencing anxiety?
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A. "Whyare you anxious?" de de
B. "Everythingwillbeokay."
C. "Tellmemore about what you'reexperiencing."
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D. "You shouldn't worry." cn c n
ßCorrectAnswer:C.Tell memoreaboutwhatyou'reexperiencing. ß
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nRationale:
Open-
endedquestions encourage expressionwithout judgment andpromotetherapeutic co mmu
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nication.
ßQuestion4
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According toErikson, adolescents primarilystruggle with which developmentaltask?
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, A. Trust vs.Mistrust de n
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B. Identityvs. RoleConfusion cn n
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C. Intimacyvs. Isolation de
D. Generativityvs. Stagnation cn
ßCorrect Answer:B.Identityvs.RoleConfusion
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ß Rationale:
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Adolescentsworktoward establishing astable sense ofidentityand personalvalu es
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.
ßQuestion5 n
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Apatient believes the nursereminds himofhis fatherand becomes angryduringevery ses
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sion.Thisbehavioris anexample of: de de
A. Countertransference
B. Transference
C. Projection
D. Sublimation
ß CorrectAnswer:B.Transference ß
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cRationale:
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Transferenceoccurs when feelingsoriginallydirectedtowardsignificant individu de de de de cn
als areunconsciouslyredirectedtoward theclinician.
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ORIGINAL PMHNP EXAM QUESTIONS AND ANSWERS 2026-2027
Question1 nc
A32-year-
de
oldpatientreportspersistentsadness, lossofinterestinactivities,insomnia,andfeelin
de cn de cn cn
gs ofworthlessnessforthe past3weeks. Whichadditional assessmentis thePMHNP's
de de de cn de cn cn
highestpriority?
A. Dietaryhabits
B. Suicide risk assessment de
C. Familyhistoryofdiabetes
D. Employmenthistory
ß CorrectAnswer: B. Suicide riskassessment ß
c n cn cn cn cn cn cn
Rationale:
Thepatient'ssymptomsareconsistentwithmajordepressivedisorder.Feelingsofwor t
e
d de cn cn cn
hlessnesssignificantlyincreasesuiciderisk, makingimmediateassessment ofsuicid a cn de cn
lthoughts,plans,intent,andmeansthehighestpriority. e
d de de
ßQuestion2 de
Whichdefensemechanismisdemonstratedwhenapatientwhoisangrywitha superviso rco
e
d e
d de de de cn
meshomeandyells at familymembers?
de de de
A. Projection
B. Reactionformation
,C. Displacement
D. Denial
ßCorrectAnswer:C.Displacement n
c cn
ß Rationale:
c n
Displacement involvesredirectingemotions fromthe originalsource offrustration toa les
de de ed de de ed de dec n
sthreatening target. de
ßQuestion3
n
c d
e
Which therapeutic communication technique is most appropriatewheninterview inga pa
de de de de d ecn de n
c de cn de
tient experiencing anxiety?
de de
A. "Whyare you anxious?" de de
B. "Everythingwillbeokay."
C. "Tellmemore about what you'reexperiencing."
cn n
c de de n
c
D. "You shouldn't worry." cn c n
ßCorrectAnswer:C.Tell memoreaboutwhatyou'reexperiencing. ß
n
c n
c n
c de cn c
nRationale:
Open-
endedquestions encourage expressionwithout judgment andpromotetherapeutic co mmu
n
c cn cn n
c cn de n
c n
c de cn
nication.
ßQuestion4
n
c d
e
According toErikson, adolescents primarilystruggle with which developmentaltask?
de cn de de de de de
, A. Trust vs.Mistrust de n
c
B. Identityvs. RoleConfusion cn n
c
C. Intimacyvs. Isolation de
D. Generativityvs. Stagnation cn
ßCorrect Answer:B.Identityvs.RoleConfusion
n
c de n
c n
c n
c cn
ß Rationale:
c n
Adolescentsworktoward establishing astable sense ofidentityand personalvalu es
cn de de de de de de de de cn
.
ßQuestion5 n
c d
e
Apatient believes the nursereminds himofhis fatherand becomes angryduringevery ses
de de d ecn de n
c de d ecn de d ecn de cn
sion.Thisbehavioris anexample of: de de
A. Countertransference
B. Transference
C. Projection
D. Sublimation
ß CorrectAnswer:B.Transference ß
cn n
c cn
cRationale:
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Transferenceoccurs when feelingsoriginallydirectedtowardsignificant individu de de de de cn
als areunconsciouslyredirectedtoward theclinician.
de n
c de n
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