NR-548
Psychiatric Assessment for
PMHNP
COMPLETE MIDTERM EXAM
REVIEW
©CU 2024/2025
,1. Multiple Choice: Which of the following is NOT a component
of the mental status exam (MSE)?
A) Thought content
B) Insight
C) Pharmacological history
D) Cognitive function
Correct Answer: C) Pharmacological history
Rationale: The MSE assesses the current state of a patient's
mental capacities, not their pharmacological history.
2. True/False: The biopsychosocial model of assessment includes
the examination of genetic predispositions.
Answer: True
Rationale: The biopsychosocial model considers biological
factors, which include genetic predispositions, as part of the
assessment.
3. Fill-in-the-Blank: The term "________" refers to the patient's
awareness and understanding of their own mental health condition.
Correct Answer: Insight
Rationale: Insight is a critical component of psychiatric
assessment as it influences the patient's adherence to treatment.
©CU 2024/2025
,4. Multiple Response: Select all that apply. Effective interview
techniques for psychiatric assessment include:
A) Open-ended questions
B) Reflective listening
C) Leading questions
D) Summarization
Correct Answers: A) Open-ended questions, B) Reflective
listening, D) Summarization
Rationale: Leading questions can bias the patient's responses and
are not considered effective in psychiatric interviews.
5. Multiple Choice: In the context of PMHNP, the term
"countertransference" refers to:
A) The patient's transfer of emotions onto the nurse practitioner
B) The nurse practitioner's emotional reaction to the patient's
transference
C) A type of cognitive-behavioral therapy
D) The process of transferring care to another professional
Correct Answer: B) The nurse practitioner's emotional reaction
to the patient's transference
Rationale: Countertransference can affect the objectivity of the
nurse practitioner and thus needs to be managed effectively.
©CU 2024/2025
, 6. True/False: Standardized assessment tools are rarely used in
psychiatric mental health nursing practice.
Answer: False
Rationale: Standardized tools are commonly used to ensure a
thorough and systematic approach to assessment.
7. Fill-in-the-Blank: "________" is a technique used to explore the
patient's thoughts and feelings by repeating their own words back to
them.
Correct Answer: Reflective listening
Rationale: This technique helps validate the patient's experiences
and promotes further discussion.
8. Multiple Response: Which of the following are components of
the Standards of Psychiatric Mental Health Nursing Practice?
Select all that apply.
A) Advocacy
B) Evidence-based practice
C) Prescribing medication
D) Cultural competence
Correct Answers: A) Advocacy, B) Evidence-based practice, D)
Cultural competence
©CU 2024/2025
Psychiatric Assessment for
PMHNP
COMPLETE MIDTERM EXAM
REVIEW
©CU 2024/2025
,1. Multiple Choice: Which of the following is NOT a component
of the mental status exam (MSE)?
A) Thought content
B) Insight
C) Pharmacological history
D) Cognitive function
Correct Answer: C) Pharmacological history
Rationale: The MSE assesses the current state of a patient's
mental capacities, not their pharmacological history.
2. True/False: The biopsychosocial model of assessment includes
the examination of genetic predispositions.
Answer: True
Rationale: The biopsychosocial model considers biological
factors, which include genetic predispositions, as part of the
assessment.
3. Fill-in-the-Blank: The term "________" refers to the patient's
awareness and understanding of their own mental health condition.
Correct Answer: Insight
Rationale: Insight is a critical component of psychiatric
assessment as it influences the patient's adherence to treatment.
©CU 2024/2025
,4. Multiple Response: Select all that apply. Effective interview
techniques for psychiatric assessment include:
A) Open-ended questions
B) Reflective listening
C) Leading questions
D) Summarization
Correct Answers: A) Open-ended questions, B) Reflective
listening, D) Summarization
Rationale: Leading questions can bias the patient's responses and
are not considered effective in psychiatric interviews.
5. Multiple Choice: In the context of PMHNP, the term
"countertransference" refers to:
A) The patient's transfer of emotions onto the nurse practitioner
B) The nurse practitioner's emotional reaction to the patient's
transference
C) A type of cognitive-behavioral therapy
D) The process of transferring care to another professional
Correct Answer: B) The nurse practitioner's emotional reaction
to the patient's transference
Rationale: Countertransference can affect the objectivity of the
nurse practitioner and thus needs to be managed effectively.
©CU 2024/2025
, 6. True/False: Standardized assessment tools are rarely used in
psychiatric mental health nursing practice.
Answer: False
Rationale: Standardized tools are commonly used to ensure a
thorough and systematic approach to assessment.
7. Fill-in-the-Blank: "________" is a technique used to explore the
patient's thoughts and feelings by repeating their own words back to
them.
Correct Answer: Reflective listening
Rationale: This technique helps validate the patient's experiences
and promotes further discussion.
8. Multiple Response: Which of the following are components of
the Standards of Psychiatric Mental Health Nursing Practice?
Select all that apply.
A) Advocacy
B) Evidence-based practice
C) Prescribing medication
D) Cultural competence
Correct Answers: A) Advocacy, B) Evidence-based practice, D)
Cultural competence
©CU 2024/2025
