PMHNP QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
AFpatientFwithFborderlineFpersonalityFdisorderFexperiencesFintenseFanxietyFwhenFanFadultFpsychiatricFandF
mentalFhealthFnurseFpractitionerFgoesFonFvacation.FTheFbestFexplanationFforFthisFreactionFisFthatFtheFpatie
nt:
A.FhasFfailedFtoFdevelopFclearFegoFboundaries.
B.FhasFfailedFtoFmasterFobjectFconstancy.
C.FisFemployingFprimitiveFidealization.
D.FisFemployingFprojectiveFidentification.F-FANSWERFB.FhasFfailedFtoFmasterFobjectFconstancy
2.FAFpatientFhasFbeenFtakingFescitalopramF(Lexapro)F10FmgFdailyFforFfourFweeks.FInitially,FtheFpatientFreport
edFdepressionFandFsuicidalFthoughts.FTheFpatient'sFsleep,Fappetite,Fenergy,FandFappearanceFhaveFnowFbeg
unFtoFimprove.FWhichFstatementFappliesFtoFthisFpatient?
A.FTheFmedicationFshouldFbeFdiscontinued.
B.FTheFmedicationFshouldFbeFincreased.F
C.FTheFpatient'sFriskFforFsuicideFisFnotFaFconcern.
D.FTheFpatient'sFsuicideFpotentialFisFincreased.F-FANSWERFD.FTheFpatient'sFsuicideFpotentialFisFincreased.
3.FWhichFbehaviorFreflectsFexistentiallyForientedFtherapy?
A.FAttemptingFtoFunderstandFaFpatient'sFsubjectiveFworld
B.FChallengingFaFpatient'sFirrationalFbeliefs
C.FDevelopingFspecificFplansFforFchange
D.FEstablishingFgeneralFgroupFgoalsF-FANSWERFA.FAttemptingFtoFunderstandFaFpatient'sFsubjectiveFworld
4.FServingFasFaFmemberFonFaFcrisisFteam,FanFadultFpsychiatricFandFmentalFhealthFnurseFpractitionerFprovide
sFcrisisFinterventionFtoFtheFsurvivorsFofFaFplaneFcrash.FForty-
eightFhoursFafterFtheFaccident,FtheFsurvivorsFdescribeFvividFflashbacks,FstartleFreactions,FandFdisruptedFsle
epFpatterns.FTheFnurseFpractitionerFrespondsFby:
A.FadvisingFtheFsurvivorsFtoFconsiderFusingFaFhypnoticFmedicationFforFaFbriefFperiod.
B.FeducatingFtheFsurvivorsFaboutFprodromalFsymptomsFofFposttraumaticFstressFdisorder.
, C.FencouragingFtheFsurvivorsFtoFrestFduringFtheFday.
D.FsuggestingFthatFtheFsurvivorsFjoinFaFposttraumaFsupportFgroup.F-
FANSWERFB.FeducatingFtheFsurvivorsFaboutFprodromalFsymptomsFofFposttraumaticFstressFdisorder.
5.FAnFadultFpsychiatricFandFmentalFhealthFnurseFpractitionerFusesFtheFinterpersonalFtherapyFmodelFwithFaF
patientFtoFestablishFaFtherapeuticFallianceFbasedFuponFempathyFandFtrust.FTheFnurseFpractitionerFrecogniz
esFtheFpatient'sFreadinessFtoFterminateFtherapyFwhenFtheFpatientFdemonstrates:
A.FanFunderstandingFthatFleavingFaFsignificantFotherFmayFbeFpainful,FbutFalsoFpresentsFanFopportunityFforFg
rowth.
B.FbreathingFandFmuscleFrelaxationFexercisesFthatFdecreaseFmuscleFtensionFandFanxiety.
C.FfreeFassociation,FandFconsidersFtheFnurseFpractitioner'sFinterpretationFofFtheFpatient'sFdreams.
D.FnewFadaptiveFskillsFandFresponsesFafterFcompletingF"homeworkFassignments."F-
FANSWERFA.FanFunderstandingFthatFleavingFaFsignificantFotherFmayFbeFpainful,FbutFalsoFpresentsFanFopport
unityFforFgrowth.
6.FAnFHispanicFpatientFinformsFanFadultFpsychiatricFandFmentalFhealthFnurseFpractitionerFduringFaFwellness
FvisitFthatFheForFsheFoccasionallyFusesFhotFchiliFjuiceFtoFrelieveFaF"nervousFcondition."FTheFpatientFdeniesFan
yFcomplaintsFrelatedFtoFthisFpractice.FTheFnurseFpractitioner'sFresponseFisFto:
A.FactivelyFdiscourageFtheFpatientFfromFcontinuingFthisFtreatment.
B.FofferFaFmedicationFtoFtreatFtheFnervousFcondition.
C.FsuggestFanFalternativeFfoodFtoFrelieveFtheFnervousFcondition.
D.FviewFthisFasFaFself-careFritualFthatFneedsFtoFbeFpreserved.F-FANSWERFD.FviewFthisFasFaFself-
careFritualFthatFneedsFtoFbeFpreserved.
7.FBeforeFanFolderFadultFpatientFinitiatesFpharmacotherapyFwithFaFmedicationFthatFisFclearedFbyFtheFkidney
s,FanFadultFpsychiatricFandFmentalFhealthFnurseFpractitionerFassessesFtheFpatient's:
A.FbloodFureaFnitrogenFlevel.
B.FcreatinineFclearance.
C.FspecificFgravity.
D.FurinaryFsediment.F-FANSWERFB.FcreatinineFclearance.
8.FAnFadultFpsychiatricFandFmentalFhealthFnurseFpractitionerFusesFaFcognitive-
behavioralFapproachFtoFhelpFanFadolescentFpatientFchangeFself-