PMHN Practice Exam 3 with 345 Questions
and Answers with Rationales LATEST 2025
If a patient's family caregivers are interested in taking classes or training to better help them assist
the patient and to cope more effectively with the patient's illness, the most appropriate referral is to
the:
National Alliance on Mental Illness (NAMI)
Substance Abuse and Mental Health Services Administration (SAMHSA)
American Psychiatric Nurses Association (APNA)
National Institute of Mental Health (NIMH)
National Alliance on Mental Illness (NAMI)
Rationale:
If a patient’s family caregivers are interested in taking classes or training to better help them
assist the patient and cope more effectively with the patient’s illness, the most appropriate referral
is to the National Alliance on Mental Illness (NAMI).
. Family-to-FamNAMI’s Family-to-Family program is especially intended for family caregivers of those
with severe mental illnessily comprises a 12-week course that is free. NAMI Basics is a course
intended for parents/caregivers of children and adolescents with mental illness.
A patient whose partner has left him for someone else and who spends an hour discussing all of the
positive aspects of being single is probably utilizing the ego defense mechanism of:
,Displacement
Intellectualism
Denial
Rationalization
Intellectualism
Rationale:
Intellectualism: Using rational intellectual processes to deal with stress and loss, such as by
discussing positive aspects of being single.
Displacement: Transferring feelings from one person or thing to another, such as being angry with a
boss and taking the anger out on a spouse.
Denial: Completely refusing to acknowledge a situation that is stressful, such as ignoring a child’s
drug use.
Attempting to find excusRationalization: es for unacceptable behavior or feelings, such as drinking to
relieve the stress of work.
A patient may utilize the ego defense mechanism of sublimation in order to:
Voluntarily block unpleasant emotions.
Negate an intolerable experience
,Retreat to an earlier stage of development.
Redirect socially unacceptable impulses
Redirect socially unacceptable impulses
Rationale:
Sublimation: The patient redirects socially unacceptable impulses to acceptable actions, such
as when the victim of a crime redirects anger toward becoming an advocate for other victims.
Regression: The patient retreats to an earlier stage of development, such as by being more
dependent.
Suppression: The patient voluntarily blocks unpleasant emotions, such as by refusing to think about
an event. Repression: The patient involuntarily blocks unpleasant emotions, such as being unable to
remember being raped.
The two primary components of dialectical behavioral therapy are:
CBT and group therapy
Motivational enhancement therapy and behavior modification
CBT and visualization
Psychoanalysis and eye movement desensitization and reprocessing therapy
, Patients with bipolar disorder are often treated with interpersonal and social rhythm therapy. This
therapy helps patients:
- Recognize triggers to mood changes
-Manage stress
-Establish consistent sleep and physical activity schedules
-Cope with bipolar disorder
C. Establish consistent sleep and physical activity schedules.
Rationale:
Interpersonal and social rhythm therapy helps patients with bipolar disorder establish consistent
sleep and physical activity schedules.
The patients utilize a self-monitoring instrument to monitor their daily activities, including their
sleep patterns. Maintaining consistent patterns of activities and sleeping at the same time and for
the same duration each night helps to reduce manic and depressive episodes. Patients may also
engage in cognitive behavioral therapy, family therapy, and group therapy. If symptoms are severe
and the patient does not respond to other treatments, electroconvulsive therapy (ECT) may be
considered.
When completing the patient assessment and developing the plan of care with a patient with an
eating disorder, it is especially important to ask the patient about:
Motivation to change behavior Self-injurious behavior
Sexual dysfunction
Goal for weight
Self-injurious behavior
and Answers with Rationales LATEST 2025
If a patient's family caregivers are interested in taking classes or training to better help them assist
the patient and to cope more effectively with the patient's illness, the most appropriate referral is to
the:
National Alliance on Mental Illness (NAMI)
Substance Abuse and Mental Health Services Administration (SAMHSA)
American Psychiatric Nurses Association (APNA)
National Institute of Mental Health (NIMH)
National Alliance on Mental Illness (NAMI)
Rationale:
If a patient’s family caregivers are interested in taking classes or training to better help them
assist the patient and cope more effectively with the patient’s illness, the most appropriate referral
is to the National Alliance on Mental Illness (NAMI).
. Family-to-FamNAMI’s Family-to-Family program is especially intended for family caregivers of those
with severe mental illnessily comprises a 12-week course that is free. NAMI Basics is a course
intended for parents/caregivers of children and adolescents with mental illness.
A patient whose partner has left him for someone else and who spends an hour discussing all of the
positive aspects of being single is probably utilizing the ego defense mechanism of:
,Displacement
Intellectualism
Denial
Rationalization
Intellectualism
Rationale:
Intellectualism: Using rational intellectual processes to deal with stress and loss, such as by
discussing positive aspects of being single.
Displacement: Transferring feelings from one person or thing to another, such as being angry with a
boss and taking the anger out on a spouse.
Denial: Completely refusing to acknowledge a situation that is stressful, such as ignoring a child’s
drug use.
Attempting to find excusRationalization: es for unacceptable behavior or feelings, such as drinking to
relieve the stress of work.
A patient may utilize the ego defense mechanism of sublimation in order to:
Voluntarily block unpleasant emotions.
Negate an intolerable experience
,Retreat to an earlier stage of development.
Redirect socially unacceptable impulses
Redirect socially unacceptable impulses
Rationale:
Sublimation: The patient redirects socially unacceptable impulses to acceptable actions, such
as when the victim of a crime redirects anger toward becoming an advocate for other victims.
Regression: The patient retreats to an earlier stage of development, such as by being more
dependent.
Suppression: The patient voluntarily blocks unpleasant emotions, such as by refusing to think about
an event. Repression: The patient involuntarily blocks unpleasant emotions, such as being unable to
remember being raped.
The two primary components of dialectical behavioral therapy are:
CBT and group therapy
Motivational enhancement therapy and behavior modification
CBT and visualization
Psychoanalysis and eye movement desensitization and reprocessing therapy
, Patients with bipolar disorder are often treated with interpersonal and social rhythm therapy. This
therapy helps patients:
- Recognize triggers to mood changes
-Manage stress
-Establish consistent sleep and physical activity schedules
-Cope with bipolar disorder
C. Establish consistent sleep and physical activity schedules.
Rationale:
Interpersonal and social rhythm therapy helps patients with bipolar disorder establish consistent
sleep and physical activity schedules.
The patients utilize a self-monitoring instrument to monitor their daily activities, including their
sleep patterns. Maintaining consistent patterns of activities and sleeping at the same time and for
the same duration each night helps to reduce manic and depressive episodes. Patients may also
engage in cognitive behavioral therapy, family therapy, and group therapy. If symptoms are severe
and the patient does not respond to other treatments, electroconvulsive therapy (ECT) may be
considered.
When completing the patient assessment and developing the plan of care with a patient with an
eating disorder, it is especially important to ask the patient about:
Motivation to change behavior Self-injurious behavior
Sexual dysfunction
Goal for weight
Self-injurious behavior
