1|Page
ANCC PMHNP CERTIFICATION EXAM NEWEST 2025
ACTUAL EXAM TEST BANK| 2 LATEST VERSIONS
(VERSION A & B) WITH 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
One of the health care changes that has occurred as a result of the
affordable care act (ACA) is that doctors/hospitals/clinic groups or
health systems are coming together and assuming the responsibility for
quality care to large groups of individuals insured by Medicare. The
health care clinics/systems doctors or hospitals that join together are
called which of the following?
a. Health Maintenance Organization (HMO)
b. Preferred Provider Network (PPO)
c. Accountable Care Organization (ACO)
d. Individual Health Plan (IHP) - C. ACO's are groups of doctors or
other health care providers who voluntarily come together and assume
the care provided to Medicare patients.
Health care economics is concerned with making decisions so the
benefits outweigh the cost of resource utilization. What are two concepts
that healthcare economics is concerned with in regard to fair distribution
of resources and allocation?
a. Equity and efficiency
b. Cost and benefits
c. Opportunity and waste
pg. 1
,2|Page
d. Affordable and quality - A. Health care efficiency is making risk and
benefit decision about how care resources are allocated and equity is
ensuring that there is a fair distribution of the resources.
A client is displaying low self-esteem, poor self-control, self-doubt,
and a high level of dependency. These behaviors indicate
developmental failure of which of the following stages of development:
a. Infancy
b. Early childhood
c. Late childhood
d. School age - B. These signs indicate developmental failure of early
childhood.
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
d. Unconsciousness principle - B. The psychic determinism principle
states that all behavior has purpose and meaning, often unconscious in
nature, and that no behaviors occur randomly or by coincidence.
pg. 2
,3|Page
An example of a mature, healthy defense mechanism is
a. Denial
b. Rationalization
c. Repression
d. Suppression - D. Suppression is the only defense mechanism listed in
which the client channels conflicting energies into growth-promoting
activities.
Mr. Johnson is a 54-year-old client you have been seeing for several
weeks in therapy. While discussing his current concerns of marital
stress, he lies on the floor and assumes the fetal position. This is most
likely an example of
a. Immature regressive defense mechanism
b. Denial of reality
c. Immature fantasy defense mechanism
d. Repressive behavior - A. Immature regressive defense mechanism is a
return to a behavior common to an earlier stage of development.
Defense mechanisms are best viewed as a function of the ego a.
To alert us to harm and danger
b. To alert us to problems
c. Used to resolve a conflict
d. Used to protect the id - C. Defense mechanisms are a function of the
ego used to resolve a conflict.
pg. 3
, 4|Page
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who
is working in a hospitalist role. Mary has encountered over five
incidences in which attending psychiatrists and medical residents have
been demeaning to nursing staff and not answering calls in the middle of
the night or telling the nursing staff to write orders and the MD would
sign off in the a.m. Mary is concerned about errors and wants to improve
quality, reduce errors to promote safety. What concept is Mary
employing? a. Bullying
b. Abuse
c. Civil Disobedience
d. Just Culture - D. The ANA has a position statement that nurses are
responsible for developing health care settings that include just culture
initiatives understanding that human error can cause error and harm
by creating an open and fair environment.
The role of neurotransmitters in the central nervous system is to function
as
a. A communication medium
b. A gatekeeper for transmissions
c. A building block for amino acids
d. An agent to break down enzymes - A. Neurotransmitters in the central
nervous system function as a communication medium.
Serotonin is produced in which of the following locations:
a. Locus ceruleus
pg. 4
ANCC PMHNP CERTIFICATION EXAM NEWEST 2025
ACTUAL EXAM TEST BANK| 2 LATEST VERSIONS
(VERSION A & B) WITH 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
One of the health care changes that has occurred as a result of the
affordable care act (ACA) is that doctors/hospitals/clinic groups or
health systems are coming together and assuming the responsibility for
quality care to large groups of individuals insured by Medicare. The
health care clinics/systems doctors or hospitals that join together are
called which of the following?
a. Health Maintenance Organization (HMO)
b. Preferred Provider Network (PPO)
c. Accountable Care Organization (ACO)
d. Individual Health Plan (IHP) - C. ACO's are groups of doctors or
other health care providers who voluntarily come together and assume
the care provided to Medicare patients.
Health care economics is concerned with making decisions so the
benefits outweigh the cost of resource utilization. What are two concepts
that healthcare economics is concerned with in regard to fair distribution
of resources and allocation?
a. Equity and efficiency
b. Cost and benefits
c. Opportunity and waste
pg. 1
,2|Page
d. Affordable and quality - A. Health care efficiency is making risk and
benefit decision about how care resources are allocated and equity is
ensuring that there is a fair distribution of the resources.
A client is displaying low self-esteem, poor self-control, self-doubt,
and a high level of dependency. These behaviors indicate
developmental failure of which of the following stages of development:
a. Infancy
b. Early childhood
c. Late childhood
d. School age - B. These signs indicate developmental failure of early
childhood.
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
d. Unconsciousness principle - B. The psychic determinism principle
states that all behavior has purpose and meaning, often unconscious in
nature, and that no behaviors occur randomly or by coincidence.
pg. 2
,3|Page
An example of a mature, healthy defense mechanism is
a. Denial
b. Rationalization
c. Repression
d. Suppression - D. Suppression is the only defense mechanism listed in
which the client channels conflicting energies into growth-promoting
activities.
Mr. Johnson is a 54-year-old client you have been seeing for several
weeks in therapy. While discussing his current concerns of marital
stress, he lies on the floor and assumes the fetal position. This is most
likely an example of
a. Immature regressive defense mechanism
b. Denial of reality
c. Immature fantasy defense mechanism
d. Repressive behavior - A. Immature regressive defense mechanism is a
return to a behavior common to an earlier stage of development.
Defense mechanisms are best viewed as a function of the ego a.
To alert us to harm and danger
b. To alert us to problems
c. Used to resolve a conflict
d. Used to protect the id - C. Defense mechanisms are a function of the
ego used to resolve a conflict.
pg. 3
, 4|Page
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who
is working in a hospitalist role. Mary has encountered over five
incidences in which attending psychiatrists and medical residents have
been demeaning to nursing staff and not answering calls in the middle of
the night or telling the nursing staff to write orders and the MD would
sign off in the a.m. Mary is concerned about errors and wants to improve
quality, reduce errors to promote safety. What concept is Mary
employing? a. Bullying
b. Abuse
c. Civil Disobedience
d. Just Culture - D. The ANA has a position statement that nurses are
responsible for developing health care settings that include just culture
initiatives understanding that human error can cause error and harm
by creating an open and fair environment.
The role of neurotransmitters in the central nervous system is to function
as
a. A communication medium
b. A gatekeeper for transmissions
c. A building block for amino acids
d. An agent to break down enzymes - A. Neurotransmitters in the central
nervous system function as a communication medium.
Serotonin is produced in which of the following locations:
a. Locus ceruleus
pg. 4
