Purple Book PMHNP 100 multiple choice questions w/answers ANCC
1. 1. The purpose of the American Nurses Association's Psychiatric-Mental
Health Nursing: Scope and Standards of Practice is to
A. Define the role and actions for the NP
Establish the legal authority for the prescription of psychotropic
B. medications
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role: Correct
Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope and
Standards of Practice defines the role and actions of the nurse practitioner.
2. 2) Primary prevention care practices are an essential aspect of the PMHNP
role. Which of the following is the best example of a primary prevention care
strategy for community behavioral health?
a) Aftercare program for chronically mentally ill clients recently discharged
from the hospital
b) Court-ordered counseling for abusive parents
c) 24-hour crisis hotlines
d) Parenting skills classes for pregnant adolescents: Correct Answer: D.
Information reduces incidence of disease.
3. 3
The trend in legal rulings on cases involving mental illness over the past 25
years has been to
a) Encourage juries to find defendants not guilty by reason of insanity
b) Protect the person's freedoms or rights when he or she is committed to a
mental hospital
c) Place increasing trust in mental health professionals to make good and
ethical decisions
d) Decrease the "red tape" associated with commitments so that commit-
ments are faster and easier: B. Identifies the trend of ensuring the protection
of individual civil liberties for psychiatric clients.
4. 4
Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he
believes "Jesus Christ told me I am the prophet and must fast for a year."
, Purple Book PMHNP 100 multiple choice questions w/answers ANCC
Your actions should be based on your knowledge of which of the following?
a) Psychiatric clients cannot refuse treatment
b) Psychiatric clients do not always know what is good for them
c) Psychiatric clients can refuse treatment
d) Psychiatric clients cannot be trusted to make good healthcare decisions
and, therefore, the nurse's best clinical judgment should guide actions: C.
As with any client, psychiatric clients can refuse treatment un- less a legal
process resulting in involuntary commitment or mandatory court order for
treatment has been obtained.
5. 5. Which of the following statements best reflects the difference between
the nurse-client (N-C) relationship and a social relationship?
a) In the N-C relationship, the primary focus is on the client and the
client's needs.
b) Goals in the N-C relationship are deliberately left vague and unspoken
so that the client can work on any issue.
c) In the N-C relationship, the nurse is solely responsible for making the
relationship work.
d) In the N-C relationship, there is no place for social interaction.: A. Social
relationships are mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most con- cerned with meeting the
needs of the client.
6. 6. A community has an unusually high incidence of depression and drug
use among the teen- age population. The public health nurses decide to
address this problem, in part, by modifying the environment and
strengthening the capacities of families to prevent the development of new
cases of depression and drug use. What is this is an example of? a) Primary
prevention
b) Secondary prevention
c) Tertiary prevention
d) Protective factorial prevention: A. This action focuses on interventions
designed to reduce the incidence of new cases of disease.
7. 7
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she
states she wishes to leave because "this place can't help me." The best
, Purple Book PMHNP 100 multiple choice questions w/answers ANCC
nursing action that reflects the legal right of this client is a) Discharge the
client
b) Explain that the client cannot leave until you can complete further
assess-ment
c) Allow the client to leave but have her sign forms stating she is leaving
against medical advice
d) Immediately start the paperwork to commit the client and to allow you
to treat her against her wishes: Correct Answer: B. Almost every state allows for
a brief period of detainment to as- sess a client for dangerousness to self or
others before allowing the client to leave a hospital setting, even if the admission
was voluntary.
8. 8
In many characteristics that are known to be helpful in relationship-building.
Which of the fol- lowing is an essential part of building a therapeutic
relationship? forming a therapeutic relationship with clients, the PMHNP
must consider developing
a) Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment: C. Authenticity. Being genuine, honest, and
respectful are essential elements in establishing a working relationship with any
client. Like-mindednessis not a part of the therapeutic relationship. Although an
important aspect of the PMHNP role, collecting a family history and accuracy in
assessment does not in and of itself facilitate relationship-building.
9. 9
According to the DSM-5, which of the following is true? (Ch. 3)
a) A mental disorder is equivalent to the need for treatment.
b) Diagnostic criteria are used to inform clinical judgment.
c) Socially deviant behavior is considered a mental disorder.
d) A culturally expected response to a stressor is not a mental disorder.:
Correct Answer: D. All DSM-5 disorders need to be made taking a person's
culture into account. A cultural expression of a response to grief, loss, or stress
is not con- sidered a DSM-5 diagnosis.
10. 10
, Purple Book PMHNP 100 multiple choice questions w/answers ANCC
Mrs. French has been in individual therapy for 3 months. She has shown
much growth and improvement in her functioning and insight and is to
discontinue services within the next few weeks. In the next session, after
you discuss service termination, she suddenly begins to demonstrate the
original symptoms that had brought her to treatment initially. She is now
hesitant to discharge, wants to continue services, and is displaying an
increase in regressive defense mechanisms. What is the best explanation
for Ms. French's
behavior?
a) An exacerbation of her symptoms related to stress
b) The normal cyclic nature of chronic mental health symptoms
c) A sign of normal resistance to termination seen in the termination phase
of therapy
d) A sign of pathological attachment to the therapist that must be
addressed-: C. Clients frequently display resistance and regression at the
termination of a meaningful therapeutic process. The PMHNP is responsible for
planning an effective termination and monitoring clients during the termination
period.
11. 11
A client is displaying low self-esteem, poor self-control, self-doubt, and a
high level of de- pendency. These behaviors indicate developmental failure
of which of the following stages of development: a) Infancy
b) Early childhood
c) Late childhood
d) School age: Correct Answer: B. These signs indicate developmental failure of
early childhood.
12. 12
Mr. Thompson has been forgetful lately, for example, forgetting where he
has placed his keys or what time appointments are scheduled, and he has
stated that he thinks these are just random behaviors that have no particular
meaning. Which Freudian-based psychodynamic principle assumes that all
behavior and actions are purposeful? a) Pleasure principle
b) Psychic determinism principle
c) Reality principle
1. 1. The purpose of the American Nurses Association's Psychiatric-Mental
Health Nursing: Scope and Standards of Practice is to
A. Define the role and actions for the NP
Establish the legal authority for the prescription of psychotropic
B. medications
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role: Correct
Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope and
Standards of Practice defines the role and actions of the nurse practitioner.
2. 2) Primary prevention care practices are an essential aspect of the PMHNP
role. Which of the following is the best example of a primary prevention care
strategy for community behavioral health?
a) Aftercare program for chronically mentally ill clients recently discharged
from the hospital
b) Court-ordered counseling for abusive parents
c) 24-hour crisis hotlines
d) Parenting skills classes for pregnant adolescents: Correct Answer: D.
Information reduces incidence of disease.
3. 3
The trend in legal rulings on cases involving mental illness over the past 25
years has been to
a) Encourage juries to find defendants not guilty by reason of insanity
b) Protect the person's freedoms or rights when he or she is committed to a
mental hospital
c) Place increasing trust in mental health professionals to make good and
ethical decisions
d) Decrease the "red tape" associated with commitments so that commit-
ments are faster and easier: B. Identifies the trend of ensuring the protection
of individual civil liberties for psychiatric clients.
4. 4
Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he
believes "Jesus Christ told me I am the prophet and must fast for a year."
, Purple Book PMHNP 100 multiple choice questions w/answers ANCC
Your actions should be based on your knowledge of which of the following?
a) Psychiatric clients cannot refuse treatment
b) Psychiatric clients do not always know what is good for them
c) Psychiatric clients can refuse treatment
d) Psychiatric clients cannot be trusted to make good healthcare decisions
and, therefore, the nurse's best clinical judgment should guide actions: C.
As with any client, psychiatric clients can refuse treatment un- less a legal
process resulting in involuntary commitment or mandatory court order for
treatment has been obtained.
5. 5. Which of the following statements best reflects the difference between
the nurse-client (N-C) relationship and a social relationship?
a) In the N-C relationship, the primary focus is on the client and the
client's needs.
b) Goals in the N-C relationship are deliberately left vague and unspoken
so that the client can work on any issue.
c) In the N-C relationship, the nurse is solely responsible for making the
relationship work.
d) In the N-C relationship, there is no place for social interaction.: A. Social
relationships are mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most con- cerned with meeting the
needs of the client.
6. 6. A community has an unusually high incidence of depression and drug
use among the teen- age population. The public health nurses decide to
address this problem, in part, by modifying the environment and
strengthening the capacities of families to prevent the development of new
cases of depression and drug use. What is this is an example of? a) Primary
prevention
b) Secondary prevention
c) Tertiary prevention
d) Protective factorial prevention: A. This action focuses on interventions
designed to reduce the incidence of new cases of disease.
7. 7
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she
states she wishes to leave because "this place can't help me." The best
, Purple Book PMHNP 100 multiple choice questions w/answers ANCC
nursing action that reflects the legal right of this client is a) Discharge the
client
b) Explain that the client cannot leave until you can complete further
assess-ment
c) Allow the client to leave but have her sign forms stating she is leaving
against medical advice
d) Immediately start the paperwork to commit the client and to allow you
to treat her against her wishes: Correct Answer: B. Almost every state allows for
a brief period of detainment to as- sess a client for dangerousness to self or
others before allowing the client to leave a hospital setting, even if the admission
was voluntary.
8. 8
In many characteristics that are known to be helpful in relationship-building.
Which of the fol- lowing is an essential part of building a therapeutic
relationship? forming a therapeutic relationship with clients, the PMHNP
must consider developing
a) Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment: C. Authenticity. Being genuine, honest, and
respectful are essential elements in establishing a working relationship with any
client. Like-mindednessis not a part of the therapeutic relationship. Although an
important aspect of the PMHNP role, collecting a family history and accuracy in
assessment does not in and of itself facilitate relationship-building.
9. 9
According to the DSM-5, which of the following is true? (Ch. 3)
a) A mental disorder is equivalent to the need for treatment.
b) Diagnostic criteria are used to inform clinical judgment.
c) Socially deviant behavior is considered a mental disorder.
d) A culturally expected response to a stressor is not a mental disorder.:
Correct Answer: D. All DSM-5 disorders need to be made taking a person's
culture into account. A cultural expression of a response to grief, loss, or stress
is not con- sidered a DSM-5 diagnosis.
10. 10
, Purple Book PMHNP 100 multiple choice questions w/answers ANCC
Mrs. French has been in individual therapy for 3 months. She has shown
much growth and improvement in her functioning and insight and is to
discontinue services within the next few weeks. In the next session, after
you discuss service termination, she suddenly begins to demonstrate the
original symptoms that had brought her to treatment initially. She is now
hesitant to discharge, wants to continue services, and is displaying an
increase in regressive defense mechanisms. What is the best explanation
for Ms. French's
behavior?
a) An exacerbation of her symptoms related to stress
b) The normal cyclic nature of chronic mental health symptoms
c) A sign of normal resistance to termination seen in the termination phase
of therapy
d) A sign of pathological attachment to the therapist that must be
addressed-: C. Clients frequently display resistance and regression at the
termination of a meaningful therapeutic process. The PMHNP is responsible for
planning an effective termination and monitoring clients during the termination
period.
11. 11
A client is displaying low self-esteem, poor self-control, self-doubt, and a
high level of de- pendency. These behaviors indicate developmental failure
of which of the following stages of development: a) Infancy
b) Early childhood
c) Late childhood
d) School age: Correct Answer: B. These signs indicate developmental failure of
early childhood.
12. 12
Mr. Thompson has been forgetful lately, for example, forgetting where he
has placed his keys or what time appointments are scheduled, and he has
stated that he thinks these are just random behaviors that have no particular
meaning. Which Freudian-based psychodynamic principle assumes that all
behavior and actions are purposeful? a) Pleasure principle
b) Psychic determinism principle
c) Reality principle
