PMHNP 2026/2027 UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.Ampatientmwithmborderlinempersonalitymdisordermexperiencesmintensemanxietymwhenmanmadultmp
sychiatricmandmmentalmhealthmnursempractitionermgoesmonmvacation.mThembestmexplanationmformthi
smreactionmismthatmthempatient:
A.mhasmfailedmtomdevelopmclearmegomboundaries.
B.mhasmfailedmtommastermobjectmconstancy.
C.mismemployingmprimitivemidealization.
D.mismemployingmprojectivemidentification.m-
mCORRECTmANSWERmB.mhasmfailedmtommastermobjectmconstancy
2.mAmpatientmhasmbeenmtakingmescitalopramm(Lexapro)m10mmgmdailymformfourmweeks.mInitially,mthem
patientmreportedmdepressionmandmsuicidalmthoughts.mThempatient'smsleep,mappetite,menergy,mandm
appearancemhavemnowmbegunmtomimprove.mWhichmstatementmappliesmtomthismpatient?
A.mThemmedicationmshouldmbemdiscontinued.
B.mThemmedicationmshouldmbemincreased.m
C.mThempatient'smriskmformsuicidemismnotmamconcern.
D.mThempatient'smsuicidempotentialmismincreased.m-
mCORRECTmANSWERmD.mThempatient'smsuicidempotentialmismincreased.
3.mWhichmbehaviormreflectsmexistentiallymorientedmtherapy?
A.mAttemptingmtomunderstandmampatient'smsubjectivemworld
B.mChallengingmampatient'smirrationalmbeliefs
, C.mDevelopingmspecificmplansmformchange
D.mEstablishingmgeneralmgroupmgoalsm-
mCORRECTmANSWERmA.mAttemptingmtomunderstandmampatient'smsubjectivemworld
4.mServingmasmammembermonmamcrisismteam,manmadultmpsychiatricmandmmentalmhealthmnursempracti
tionermprovidesmcrisisminterventionmtomthemsurvivorsmofmamplanemcrash.mForty-
eightmhoursmaftermthemaccident,mthemsurvivorsmdescribemvividmflashbacks,mstartlemreactions,mandm
disruptedmsleepmpatterns.mThemnursempractitionermrespondsmby:
A.madvisingmthemsurvivorsmtomconsidermusingmamhypnoticmmedicationmformambriefmperiod.
B.meducatingmthemsurvivorsmaboutmprodromalmsymptomsmofmposttraumaticmstressmdisorder.
C.mencouragingmthemsurvivorsmtomrestmduringmthemday.
D.msuggestingmthatmthemsurvivorsmjoinmamposttraumamsupportmgroup.m-
mCORRECTmANSWERmB.meducatingmthemsurvivorsmaboutmprodromalmsymptomsmofmposttraumaticms
tressmdisorder.
5.mAnmadultmpsychiatricmandmmentalmhealthmnursempractitionermusesmtheminterpersonalmtherapym
modelmwithmampatientmtomestablishmamtherapeuticmalliancembasedmuponmempathymandmtrust.mThem
nursempractitionermrecognizesmthempatient'smreadinessmtomterminatemtherapymwhenmthempatientm
demonstrates:
A.manmunderstandingmthatmleavingmamsignificantmothermmaymbempainful,mbutmalsompresentsmanmopp
ortunitymformgrowth.
B.mbreathingmandmmusclemrelaxationmexercisesmthatmdecreasemmusclemtensionmandmanxiety.
C.mfreemassociation,mandmconsidersmthemnursempractitioner'sminterpretationmofmthempatient'smdrea
ms.
D.mnewmadaptivemskillsmandmresponsesmaftermcompletingm"homeworkmassignments."m-
mCORRECTmANSWERmA.manmunderstandingmthatmleavingmamsignificantmothermmaymbempainful,mbutm
alsompresentsmanmopportunitymformgrowth.
6.mAnmHispanicmpatientminformsmanmadultmpsychiatricmandmmentalmhealthmnursempractitionermduri
ngmamwellnessmvisitmthatmhemormshemoccasionallymusesmhotmchilimjuicemtomrelievemam"nervousmcondi