1 | Page
LMR PMHNP QUESTIONS AND ANSWERS
2025
When does behavior management and support begin? - correct
answer- Admission- Behavior management and support starts
when the patient is admitted. It does not start couple days after
or when they discharge
Where should you interview patients? - correct answer- When
interviewing patient you want to interview them in the day room
where you can have the door slightly open this allows us to
have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering
room.
What should you do if a child reports abuse while with parents?
- correct answer- -You should separate parents and child and
interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is
playing in a sexual way with a toy. what should you suspect? -
correct answer- *sexual abuse
,2 | Page
-You can immediately report to CPS suspecting alone is
enough. You are not required to notify parents/legal guardian
that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry
about sexual abuse)
What should you do as the PMHNP if a patient comes in due to
being a victim of abuse/rape? - correct answer- the priority is to
provide and environment of their safety or ensure them of
safety, even if it is an intervention
What would you do if a patient that came in for abuse/rape
wants to discharge? - correct answer- If inpatient and making a
decision to discharge, make sure the patient is able to stay safe
and developed coping skills
Where would you interview a patient with a recent history of
abuse/rape? - correct answer- -If inpatient and interviewing
patients, do not interview in their room or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? -
correct answer- *If the patient is suicidal and have an intent *
,3 | Page
*Homicidal *
* If one is older than the other then you need to report to
parents.*
If they are attracted to the same gender we don't need to tell
parents.
You don't need to report to the parents about a same age
relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? -
correct answer- Due to the gap of care, it is important to
collaborate with OB Dr. to do risk assessment
As a PMHNP would it be in the patient's best interest to
ask/delegate to another professional to do a job? - correct
answer- -It should not be delegated, should be collaborated
team effort.
- Before picking the answer to refer the patient out, make sure
there is nothing else in your scope that you can do
Ex: You notice a lot of women have Post-partum depression
and are discharged after delivery without mental health
evaluation and have noticed a gap in care - collaboration might
be working with OB to develop a screening process that is
interprofessional collaboration
, 4 | Page
If the patient inhaled acetone and is feeling weird should you
refer to primary care dr.? - correct answer- -Assess them first
before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
11a. Is a cultural response a mental illness? - correct answer- A
cultural expected response to a stressor in NOT a mental
illness
What culture can have an imbalance between an individual
relationship with the world? - correct answer- Native Americans
A patient presents with a culture base. what should the
interview be based on? - correct answer- - When a question is
very specific on cultural of patient it is most of the time a
cultural question
- Then cultural assessment (cultural formulation interview) is
important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental
illnes
LMR PMHNP QUESTIONS AND ANSWERS
2025
When does behavior management and support begin? - correct
answer- Admission- Behavior management and support starts
when the patient is admitted. It does not start couple days after
or when they discharge
Where should you interview patients? - correct answer- When
interviewing patient you want to interview them in the day room
where you can have the door slightly open this allows us to
have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering
room.
What should you do if a child reports abuse while with parents?
- correct answer- -You should separate parents and child and
interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is
playing in a sexual way with a toy. what should you suspect? -
correct answer- *sexual abuse
,2 | Page
-You can immediately report to CPS suspecting alone is
enough. You are not required to notify parents/legal guardian
that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry
about sexual abuse)
What should you do as the PMHNP if a patient comes in due to
being a victim of abuse/rape? - correct answer- the priority is to
provide and environment of their safety or ensure them of
safety, even if it is an intervention
What would you do if a patient that came in for abuse/rape
wants to discharge? - correct answer- If inpatient and making a
decision to discharge, make sure the patient is able to stay safe
and developed coping skills
Where would you interview a patient with a recent history of
abuse/rape? - correct answer- -If inpatient and interviewing
patients, do not interview in their room or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? -
correct answer- *If the patient is suicidal and have an intent *
,3 | Page
*Homicidal *
* If one is older than the other then you need to report to
parents.*
If they are attracted to the same gender we don't need to tell
parents.
You don't need to report to the parents about a same age
relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? -
correct answer- Due to the gap of care, it is important to
collaborate with OB Dr. to do risk assessment
As a PMHNP would it be in the patient's best interest to
ask/delegate to another professional to do a job? - correct
answer- -It should not be delegated, should be collaborated
team effort.
- Before picking the answer to refer the patient out, make sure
there is nothing else in your scope that you can do
Ex: You notice a lot of women have Post-partum depression
and are discharged after delivery without mental health
evaluation and have noticed a gap in care - collaboration might
be working with OB to develop a screening process that is
interprofessional collaboration
, 4 | Page
If the patient inhaled acetone and is feeling weird should you
refer to primary care dr.? - correct answer- -Assess them first
before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
11a. Is a cultural response a mental illness? - correct answer- A
cultural expected response to a stressor in NOT a mental
illness
What culture can have an imbalance between an individual
relationship with the world? - correct answer- Native Americans
A patient presents with a culture base. what should the
interview be based on? - correct answer- - When a question is
very specific on cultural of patient it is most of the time a
cultural question
- Then cultural assessment (cultural formulation interview) is
important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental
illnes
