NR548 FINAL EXAM: PSYCHIATRIC
ASSESSMENT FOR PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER (LATEST
2026/2027 UPDATE) QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT
AT CHAMBERLAIN COLLEGE OF NURSING
Which theory would the psychiatric mental health nurse practitioner
(PMHNP) most need to consider when conducting a psychiatric interview in
the following situations?
A 35-year-old homeless client is in the emergency department with suicidal
ideations.
Hierarchy of Needs Theory
Psychosocial Development Theory
Cognitive development Theory - CORRECT-ANSWERS Hierarchy of Needs Theory
Rationale: To attend to higher-level needs, a client must first meet foundational needs.
A homeless client may be struggling to meet physiological and safety needs.>>>>
Rationale:
Maslow’s Hierarchy of Needs emphasizes that basic physiological and safety needs
must be met before higher-level psychological needs can be addressed. A homeless
client may lack food, shelter, and physical safety, which directly impacts mental health
stability. Suicidal ideation may be exacerbated by unmet basic needs and chronic
stress. Addressing immediate safety and survival concerns is essential before
progressing to emotional or psychological interventions .
Which theory would the PMHNP most need to consider when conducting a
psychiatric interview in the following situations?
A 14-year-old foster child struggling to develop trusting relationships with
his foster parents.
Hierarchy of Needs Theory
Psychosocial Development Theory
,Cognitive development Theory – CORRECT-ANSWERS Psychosocial Development
Theory
Rationale: According to Erickson’s theory, a developmental crisis in infancy trust vs.
mistrust. When basic trust in caregivers is not developed in early life, it can impact the
creation of trusting relationships later.
Which theory would the PMHNP most need to consider when conducting a
psychiatric interview in the following situations?
A 4-year-old is struggling to understand what she has seen on television
about civil protests.
Hierarchy of Needs Theory
Psychosocial Development Theory
Cognitive development Theory - CORRECT-ANSWERS Cognitive development Theory
Rationale: According to Piaget, children in early childhood do not have the cognitive
ability to understand abstract concepts, such as justice.
Special Considerations: Children - CORRECT-ANSWERS-Legislation regarding
minors and informed consent is based on state law
• be familiar with the req in state of practice
• Children under 17 typically cannot provide informed consent
-Parents must give permission for tx in most circumstances, exceptions:
• under 18 and married
• serving in the military
• able to provide financial independence
• mother of a child (married or not)
-A parent may not be allowed to access info. in the following circumstances:
• info. is contained in the therapist's psychotherapy notes
• parent not designated as the child's personal representative
• parent voluntarily agrees that info can be kept confidential
• provider has a reasonable belief that abuse or neglect exists or parent is a danger to
the child
• provider believes it is not in the child's best interest to treat the parent as the child's
representative
In most states, minors under the age of 17 cannot independently provide informed
consent for treatment. Parents or legal guardians are typically required to authorize
care. Exceptions include minors who are married, in the military, financially
independent, or parents themselves. PMHNPs must be familiar with state-specific legal
requirements to ensure ethical and lawful practice.
, Interviewing children and adolescents - CORRECT-ANSWERS-PMHNP may need to
speak with family members separately from the child to gain additional information
about the child's mental health concern
-Family issues and family dynamics often play a role in the child's or adolescent's
psychiatric disorder
-Common topics to cover in an adolescent interview include:
• interests
• school and activities
• drug and alcohol use
• sexual activity
• conduct problems
In which of these situations would it be appropriate to share a child or
adolescent's protected health information with a parent?
A 12-year-old who has designated the parent to be the personal
representative in a state allowing adolescents to consent to their treatment.
Appropriate
Inappropriate - CORRECT-ANSWERS Appropriate
Rationale: In states where consent to treat is required and the child has indicated that
the parent should be the personal representative, it would be appropriate to share the
information so long as the PMHNP does not suspect abuse, neglect, or that sharing
would not be in the child's best interests.
In which of these situations would it be appropriate to share a child or
adolescent's protected health information with a parent?
A 17-year-old on active duty in the Navy.
Appropriate
Inappropriate - CORRECT-ANSWERS Inappropriate
Rationale: Under most state laws, an adolescent serving in the military would be
considered emancipated, therefore, the parent would not have the right to view the
records without the adolescent's permission.
In which of these situations would it be appropriate to share a child or
adolescent's protected health information with a parent?
A parent requesting to see the therapist's psychotherapy notes from
sessions with a 6-year-old child.
Appropriate
ASSESSMENT FOR PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER (LATEST
2026/2027 UPDATE) QUESTIONS &
ANSWERS | GRADE A | 100% CORRECT
AT CHAMBERLAIN COLLEGE OF NURSING
Which theory would the psychiatric mental health nurse practitioner
(PMHNP) most need to consider when conducting a psychiatric interview in
the following situations?
A 35-year-old homeless client is in the emergency department with suicidal
ideations.
Hierarchy of Needs Theory
Psychosocial Development Theory
Cognitive development Theory - CORRECT-ANSWERS Hierarchy of Needs Theory
Rationale: To attend to higher-level needs, a client must first meet foundational needs.
A homeless client may be struggling to meet physiological and safety needs.>>>>
Rationale:
Maslow’s Hierarchy of Needs emphasizes that basic physiological and safety needs
must be met before higher-level psychological needs can be addressed. A homeless
client may lack food, shelter, and physical safety, which directly impacts mental health
stability. Suicidal ideation may be exacerbated by unmet basic needs and chronic
stress. Addressing immediate safety and survival concerns is essential before
progressing to emotional or psychological interventions .
Which theory would the PMHNP most need to consider when conducting a
psychiatric interview in the following situations?
A 14-year-old foster child struggling to develop trusting relationships with
his foster parents.
Hierarchy of Needs Theory
Psychosocial Development Theory
,Cognitive development Theory – CORRECT-ANSWERS Psychosocial Development
Theory
Rationale: According to Erickson’s theory, a developmental crisis in infancy trust vs.
mistrust. When basic trust in caregivers is not developed in early life, it can impact the
creation of trusting relationships later.
Which theory would the PMHNP most need to consider when conducting a
psychiatric interview in the following situations?
A 4-year-old is struggling to understand what she has seen on television
about civil protests.
Hierarchy of Needs Theory
Psychosocial Development Theory
Cognitive development Theory - CORRECT-ANSWERS Cognitive development Theory
Rationale: According to Piaget, children in early childhood do not have the cognitive
ability to understand abstract concepts, such as justice.
Special Considerations: Children - CORRECT-ANSWERS-Legislation regarding
minors and informed consent is based on state law
• be familiar with the req in state of practice
• Children under 17 typically cannot provide informed consent
-Parents must give permission for tx in most circumstances, exceptions:
• under 18 and married
• serving in the military
• able to provide financial independence
• mother of a child (married or not)
-A parent may not be allowed to access info. in the following circumstances:
• info. is contained in the therapist's psychotherapy notes
• parent not designated as the child's personal representative
• parent voluntarily agrees that info can be kept confidential
• provider has a reasonable belief that abuse or neglect exists or parent is a danger to
the child
• provider believes it is not in the child's best interest to treat the parent as the child's
representative
In most states, minors under the age of 17 cannot independently provide informed
consent for treatment. Parents or legal guardians are typically required to authorize
care. Exceptions include minors who are married, in the military, financially
independent, or parents themselves. PMHNPs must be familiar with state-specific legal
requirements to ensure ethical and lawful practice.
, Interviewing children and adolescents - CORRECT-ANSWERS-PMHNP may need to
speak with family members separately from the child to gain additional information
about the child's mental health concern
-Family issues and family dynamics often play a role in the child's or adolescent's
psychiatric disorder
-Common topics to cover in an adolescent interview include:
• interests
• school and activities
• drug and alcohol use
• sexual activity
• conduct problems
In which of these situations would it be appropriate to share a child or
adolescent's protected health information with a parent?
A 12-year-old who has designated the parent to be the personal
representative in a state allowing adolescents to consent to their treatment.
Appropriate
Inappropriate - CORRECT-ANSWERS Appropriate
Rationale: In states where consent to treat is required and the child has indicated that
the parent should be the personal representative, it would be appropriate to share the
information so long as the PMHNP does not suspect abuse, neglect, or that sharing
would not be in the child's best interests.
In which of these situations would it be appropriate to share a child or
adolescent's protected health information with a parent?
A 17-year-old on active duty in the Navy.
Appropriate
Inappropriate - CORRECT-ANSWERS Inappropriate
Rationale: Under most state laws, an adolescent serving in the military would be
considered emancipated, therefore, the parent would not have the right to view the
records without the adolescent's permission.
In which of these situations would it be appropriate to share a child or
adolescent's protected health information with a parent?
A parent requesting to see the therapist's psychotherapy notes from
sessions with a 6-year-old child.
Appropriate
