ANCC PMHNP PSYCH MENTAL HEALTH NP EXAM
LATEST 2026 ACTUAL VERIFIED EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
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Which of the following statements best reflects the
difference between the nurse-client (N-C) relationship and
a social relationship?
a. In the N-C relationship, the primary focus is on the client
and the client's needs.
b. Goals in the N-C relationship are deliberately left vague
and unspoken so that the client can work on any issue.
c. In the N-C relationship, the nurse is solely responsible
for making the relationship work.
d. In the N-C relationship, there is no place for social
interaction. - Answer-A. Social relationships are mutual
interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most
concerned with meeting the needs of the client.
A community has an unusually high incidence of
depression and drug use among the teenage population.
The public health nurses decide to address this problem,
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in part, by modifying the environment and strengthening
the capacities of families to prevent the development of
new cases of depression and drug use. What is this is an
example of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention - Answer-A. This action
focuses on interventions designed to reduce the incidence
of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24
hours, she states she wishes to leave because "this place
can't help me." The best nursing action that reflects the
legal right of this client is
a. Discharge the client
b. Explain that the client cannot leave until you can
complete further assessment
c. Allow the client to leave but have her sign forms stating
she is leaving against medical advice
d. Immediately start the paperwork to commit the client
and to allow you to treat her against her wishes - Answer-
B. Almost every state allows for a brief for a period
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detainment to assess a client for dangerousness to self or
others before allowing the client to leave a hospital setting,
even if the admission was voluntary.
In forming a therapeutic relationship with clients, the
PMHNP must consider developing many characteristics
that are known to be helpful in relationship-building. Which
of the following is an essential part of building a
therapeutic relationship?
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment - Answer-C. Authenticity. Being
genuine, honest, and respectful are essential elements in
establishing a working relationship with any client. Like-
mindedness is not a part of the therapeutic relationship.
Although an important aspect of the PMHNP role,
collecting a family history and accuracy in assessment
does not in and of itself facilitate relationship building.
The purpose of the American Nurses Association's
Psychiatric-Mental Health Nursing:
Scope and Standards of Practice is to
a. Define the role and actions for the NP
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b. Establish the legal authority for the prescription of
psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and
the NP role - Answer-A. The ANAs Psych-Mental Health
Nursing Scope and Standards of Practice defines the role
and actions of the nurse practitioner.
D. Information reduces incidence of disease. - Answer-
Primary prevention care practices are an essential aspect
of the PMHNP role. Which of the following is the best
example of a primary prevention care strategy for
community behavioral health?
a. Aftercare program for chronically mentally ill clients
recently discharged from the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
The trend in legal rulings on cases involving mental illness
over the past 25 years has been to
a. Encourage juries to find defendants not guilty by reason
of insanity