PMHNP BOARD REVIEW WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
UPDATE 2025
A PMHNP is leading an interdisciplinary group that is developing treatment
plans for patients with schizophrenia. During the second meeting, the nurse
manager becomes resistant to the idea and negative about its implementation
period this is an important project, and the support of the manager will be
needed. The PMHNP's best response to the situation is to:
a. meet individually with the nurse manager to discuss the perceived resistance
b. Report the situation to the nursing director and ask for an administrative
intervention
c. revisit the initial goals of the group at the next meeting and ask for comments
d. schedule another meeting of the group and move through the agenda since the
majority of the group is very supportive - ANSWER-a. meet individually with
the nurse manager to discuss the perceived resistance
The chief nursing officer of a large behavioral health system approach to the
discussion the new Healthcare Effectiveness Data and Information behavioral
measures please ask to a retrospective chart review of all hospital discharge
clients who received a follow-up visit within seven days of discharge after 30
days of discharge the PMHNP has been asked to gauge in which of the
following?
A. needs assessment project
,B. plan do study act project
C. a task that is outside the PMHNP scope of practice
D. quality improvement initiative - ANSWER-D. quality improvement initiative
In a quality assurance program, a retrospective audit involves:
a. examining the charts of discharged patients
b. Inspecting the facility to monitor the environment's therapeutic quality and
suggest improvements.
c. Review patient charts to determine how appropriately hospital resources are
being used.
d. Using a case conference format for staff to discuss ways to improve a
particular patient's care. - ANSWER-a. examining the charts of discharged
patients
The psychiatric mental health nurse practitioner is responsible for initiating
quality improvement at a community mental health clinic. The effective strategy
for evaluating the clinic services is to:
a. a chart review analysis
b. a root cause analysis
c. a plan do study act process
d. failure effect mode analysis - ANSWER-c. a plan do study act process
During pt education about sertraline (Zoloft), an adult psychiatric and mental
health nurse practitioner focuses on the potential side effects of:
a. Agranulocytosis
b. Hypernatremia
c. Sexual dysfunction
,d. Weight loss - ANSWER-c. Sexual dysfunction
A 72 yr old female is brought in by her husband increasing forgetfulness,
insomnia, decreased activity, and decreased appetite for 2 months. She has a hx
of hypertension and is being treated with lisinopril. The exam is normal, and the
mini-mental status exam provides a score of 24 but she declines to answer some
questions and needs to be urged to participate in the assessment. What is the
most likely diagnosis?
a. Alzheimer's disease
b. Vascular dementia
c. Depression
d. Delirium - ANSWER-c. Depression
A 23-year-old woman is brought into the ER after attempting suicide by cutting
her wrists. Which nursing action by the PMHNP would be of the highest
priority initially?
a. Assess her coping behaviors
b. Assess her current level of suicidality
c. Take her vital signs
Assess her health history - ANSWER-c. Take her vital signs
A male pt informs an adult psychiatric and mental health nurse practitioner that
he has not slept in 3 days, has poor concentration, and denies fatigue. The
patient presents with rapid speech, irritability, self-inflated esteem, and an
uncooperative during assessment. What is the patient's most likely diagnosis?
a. Antisocial personality
b. Bipolar disorder
c. panic disorder
, d. attention deficit hyperactivity disorder - ANSWER-b. Bipolar disorder
The neuroprotective treatment of choice for bipolar disorder is:
a. carbamazepine (Tegretol)
b. divalproex (Depakote)
c. lithium (Eskalith)
d. Risperidone (Risperdal) - ANSWER-c. lithium (Eskalith)
A 38-year-old woman quits her high-paying marketing job to focus on her
children and become a school counselor. What stage would Erickson consider
this to be?
a. identity versus role confusion
b. Generativity versus stagnation
c. ego integrity versus despair
d. industry versus inferiority - ANSWER-b. Generativity versus stagnation
A pt seen by the psychiatric mental health nurse practitioner has difficulty
feeling safe caregiver. and is unable to feel comfort. Work of which of the
following theorists would help explain the child's behavior and guide
attachment?
a. Jean Watson
b. Freud
c. Bowlby
d. Jean Piaget - ANSWER-c. Bowlby
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
UPDATE 2025
A PMHNP is leading an interdisciplinary group that is developing treatment
plans for patients with schizophrenia. During the second meeting, the nurse
manager becomes resistant to the idea and negative about its implementation
period this is an important project, and the support of the manager will be
needed. The PMHNP's best response to the situation is to:
a. meet individually with the nurse manager to discuss the perceived resistance
b. Report the situation to the nursing director and ask for an administrative
intervention
c. revisit the initial goals of the group at the next meeting and ask for comments
d. schedule another meeting of the group and move through the agenda since the
majority of the group is very supportive - ANSWER-a. meet individually with
the nurse manager to discuss the perceived resistance
The chief nursing officer of a large behavioral health system approach to the
discussion the new Healthcare Effectiveness Data and Information behavioral
measures please ask to a retrospective chart review of all hospital discharge
clients who received a follow-up visit within seven days of discharge after 30
days of discharge the PMHNP has been asked to gauge in which of the
following?
A. needs assessment project
,B. plan do study act project
C. a task that is outside the PMHNP scope of practice
D. quality improvement initiative - ANSWER-D. quality improvement initiative
In a quality assurance program, a retrospective audit involves:
a. examining the charts of discharged patients
b. Inspecting the facility to monitor the environment's therapeutic quality and
suggest improvements.
c. Review patient charts to determine how appropriately hospital resources are
being used.
d. Using a case conference format for staff to discuss ways to improve a
particular patient's care. - ANSWER-a. examining the charts of discharged
patients
The psychiatric mental health nurse practitioner is responsible for initiating
quality improvement at a community mental health clinic. The effective strategy
for evaluating the clinic services is to:
a. a chart review analysis
b. a root cause analysis
c. a plan do study act process
d. failure effect mode analysis - ANSWER-c. a plan do study act process
During pt education about sertraline (Zoloft), an adult psychiatric and mental
health nurse practitioner focuses on the potential side effects of:
a. Agranulocytosis
b. Hypernatremia
c. Sexual dysfunction
,d. Weight loss - ANSWER-c. Sexual dysfunction
A 72 yr old female is brought in by her husband increasing forgetfulness,
insomnia, decreased activity, and decreased appetite for 2 months. She has a hx
of hypertension and is being treated with lisinopril. The exam is normal, and the
mini-mental status exam provides a score of 24 but she declines to answer some
questions and needs to be urged to participate in the assessment. What is the
most likely diagnosis?
a. Alzheimer's disease
b. Vascular dementia
c. Depression
d. Delirium - ANSWER-c. Depression
A 23-year-old woman is brought into the ER after attempting suicide by cutting
her wrists. Which nursing action by the PMHNP would be of the highest
priority initially?
a. Assess her coping behaviors
b. Assess her current level of suicidality
c. Take her vital signs
Assess her health history - ANSWER-c. Take her vital signs
A male pt informs an adult psychiatric and mental health nurse practitioner that
he has not slept in 3 days, has poor concentration, and denies fatigue. The
patient presents with rapid speech, irritability, self-inflated esteem, and an
uncooperative during assessment. What is the patient's most likely diagnosis?
a. Antisocial personality
b. Bipolar disorder
c. panic disorder
, d. attention deficit hyperactivity disorder - ANSWER-b. Bipolar disorder
The neuroprotective treatment of choice for bipolar disorder is:
a. carbamazepine (Tegretol)
b. divalproex (Depakote)
c. lithium (Eskalith)
d. Risperidone (Risperdal) - ANSWER-c. lithium (Eskalith)
A 38-year-old woman quits her high-paying marketing job to focus on her
children and become a school counselor. What stage would Erickson consider
this to be?
a. identity versus role confusion
b. Generativity versus stagnation
c. ego integrity versus despair
d. industry versus inferiority - ANSWER-b. Generativity versus stagnation
A pt seen by the psychiatric mental health nurse practitioner has difficulty
feeling safe caregiver. and is unable to feel comfort. Work of which of the
following theorists would help explain the child's behavior and guide
attachment?
a. Jean Watson
b. Freud
c. Bowlby
d. Jean Piaget - ANSWER-c. Bowlby
