LMR GEORGETTE TEST BANK EXAM PREP LATEST 2025/2026
ACTUAL EXAM COMPLETE 500 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
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A PMHNP uses the DSM-5 to diagnose a patient. Why is this classification system
important?
A. It provides treatment plans for all conditions
B. It offers reimbursement coding for insurance only
C. It standardizes diagnostic criteria for mental disorders
D. It replaces the need for clinical judgment
Correct Answer: C
Rationale: The DSM-5 provides clear, standardized diagnostic criteria to promote
accurate, consistent diagnoses.
A client with major depressive disorder is started on an SSRI. Which patient
education point is most important?
A. Effects will be immediate within 24 hours
B. Alcohol use is encouraged to help with sleep
C. Full therapeutic effects may take 4-6 weeks
D. Discontinue the medication abruptly if feeling better
Correct Answer: C
Rationale: Clients need to know SSRIs may take several weeks for full effect and
should not be stopped suddenly.
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A PMHNP sees a child with repeated angry outbursts and defiance towards
authority at home and school. Which diagnosis is most likely?
A. Conduct Disorder
B. Autism Spectrum Disorder
C. Oppositional Defiant Disorder (ODD)
D. Attention-Deficit/Hyperactivity Disorder (ADHD)
Correct Answer: C
Rationale: ODD is characterized by defiance, hostility, and disobedience toward
authority figures without serious violation of social norms.
Which of the following is the primary action of benzodiazepines?
A. Dopamine receptor antagonist
B. Serotonin-norepinephrine reuptake inhibitor
C. GABA receptor agonist
D. Acetylcholine inhibitor
Correct Answer: C
Rationale: Benzodiazepines enhance the effect of GABA, an inhibitory
neurotransmitter, resulting in anxiolytic effects.
A patient reports they stopped taking their antipsychotic because they “felt fine.”
Which response best reflects therapeutic communication?
A. “You should never stop your medication.”
B. “I’m disappointed you didn’t follow instructions.”
C. “Tell me more about your decision to stop the medication.”
D. “I’ll have to report this to your family.”
Correct Answer: C
Rationale: Open-ended, nonjudgmental questions encourage discussion and trust.
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The PMHNP is asked about the difference between confidentiality and privilege.
Which statement is accurate?
A. Privilege and confidentiality are the same
B. Privilege is a legal concept protecting client disclosures in court
C. Confidentiality allows sharing of client info with friends
D. Confidentiality is never legally protected
Correct Answer: B
Rationale: Privilege refers to a legal right that protects information from disclosure
in legal proceedings.
Which ethical principle is violated if the PMHNP fails to explain treatment risks
and benefits to a client?
A. Beneficence
B. Fidelity
C. Veracity
D. Autonomy
Correct Answer: D
Rationale: Autonomy includes the client’s right to make an informed decision; lack
of informed consent violates this.
When using Peplau’s Interpersonal Relations Theory, what is the primary tool for
the PMHNP?
A. Medications
B. Family systems therapy
C. The therapeutic use of self
D. Group therapy
Correct Answer: C
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Rationale: Peplau emphasized that the nurse’s self-awareness and use of the
relationship are the core tools for helping clients.
A client with panic disorder asks why they experience chest pain during an attack.
The best PMHNP response is:
A. "Your body's fight-or-flight system causes physical symptoms."
B. "There is always an underlying cardiac issue."
C. "It means your medication is not working."
D. "It's unusual to feel physical symptoms with panic attacks."
Correct Answer: A
Rationale: Panic attacks trigger the sympathetic nervous system, leading to
physical symptoms like chest pain.
Which statement about using seclusion and restraint is true?
A. They should be used as punishment for aggressive clients
B. They are primary interventions to manage anger
C. They should be used only when less restrictive measures fail
D. They can be implemented without documentation
Correct Answer: C
Rationale: Seclusion and restraints are last-resort safety measures, not for
punishment, and require thorough documentation.
A patient taking MAOIs must avoid foods high in tyramine to prevent:
A. Serotonin syndrome
B. Hypertensive crisis
C. Stevens-Johnson syndrome
D. Agranulocytosis
Correct Answer: B
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