1|Page
ANCC PMHNP Actual Exam 2026/2027 ||Verified
Exam!!|| Full Questions and Correct Answers Already
Passed | Psychiatric Mental Health Nurse
Practitioner||Newest Exam!!!
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
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
,2|Page
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.
According to the DSM-5, which of the following is true?
(Ch. 3)
a. A mental disorder is equivalent to the need for
treatment.
b. Diagnostic criteria are used to inform clinical judgment.
c. Socially deviant behavior is considered a mental
disorder.
d. A culturally expected response to a stressor is not a
mental disorder. - Answer-D. All DSM-5 disorders need to
be made taking a person's culture into account. A cultural
,3|Page
expression of a response to grief, loss, or stress is not
considered a DSM-5 diagnosis.
Mrs. French has been in individual therapy for 3 months.
She has shown much growth and improvement in her
functioning and insight and is to discontinue services
within the next few weeks. In the next session, after you
discuss service termination, she suddenly begins to
demonstrate the original symptoms that had brought her to
treatment initially. She is now hesitant to discharge, wants
to continue services, and is displaying an increase in
regressive defense mechanisms. What is the best
explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health
symptoms
c. A sign of normal resistance to termination seen in the
termination phase of therapy
d. A sign of pathological attachment to the therapist that
must be addressed - Answer-C. Clients frequently display
resistance and regression at the termination of a
meaningful therapeutic process. The PMHNP is
responsible for planning an effective termination and
monitoring clients during the termination period.
, 4|Page
A client is displaying low self-esteem, poor self-control,
self-doubt, and a high level of dependency. These
behaviors indicate developmental failure of which of the
following stages of development:
a. Infancy
b. Early childhood
c. Late childhood
d. School age - Answer-B. These signs indicate
developmental failure of early childhood.
Mr. Thompson has been forgetful lately, for example,
forgetting where he has placed his keys or what time
appointments are scheduled, and he has stated that he
thinks these are just random behaviors that have no
particular meaning. Which Freudian-based
psychodynamic principle assumes that all behavior and
actions are purposeful?
a. Pleasure principle
b. Psychic determinism principle
c. Reality principle
d. Unconsciousness principle - Answer-B. The psychic
determinism principle states that all behavior has purpose
ANCC PMHNP Actual Exam 2026/2027 ||Verified
Exam!!|| Full Questions and Correct Answers Already
Passed | Psychiatric Mental Health Nurse
Practitioner||Newest Exam!!!
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
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
,2|Page
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.
According to the DSM-5, which of the following is true?
(Ch. 3)
a. A mental disorder is equivalent to the need for
treatment.
b. Diagnostic criteria are used to inform clinical judgment.
c. Socially deviant behavior is considered a mental
disorder.
d. A culturally expected response to a stressor is not a
mental disorder. - Answer-D. All DSM-5 disorders need to
be made taking a person's culture into account. A cultural
,3|Page
expression of a response to grief, loss, or stress is not
considered a DSM-5 diagnosis.
Mrs. French has been in individual therapy for 3 months.
She has shown much growth and improvement in her
functioning and insight and is to discontinue services
within the next few weeks. In the next session, after you
discuss service termination, she suddenly begins to
demonstrate the original symptoms that had brought her to
treatment initially. She is now hesitant to discharge, wants
to continue services, and is displaying an increase in
regressive defense mechanisms. What is the best
explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health
symptoms
c. A sign of normal resistance to termination seen in the
termination phase of therapy
d. A sign of pathological attachment to the therapist that
must be addressed - Answer-C. Clients frequently display
resistance and regression at the termination of a
meaningful therapeutic process. The PMHNP is
responsible for planning an effective termination and
monitoring clients during the termination period.
, 4|Page
A client is displaying low self-esteem, poor self-control,
self-doubt, and a high level of dependency. These
behaviors indicate developmental failure of which of the
following stages of development:
a. Infancy
b. Early childhood
c. Late childhood
d. School age - Answer-B. These signs indicate
developmental failure of early childhood.
Mr. Thompson has been forgetful lately, for example,
forgetting where he has placed his keys or what time
appointments are scheduled, and he has stated that he
thinks these are just random behaviors that have no
particular meaning. Which Freudian-based
psychodynamic principle assumes that all behavior and
actions are purposeful?
a. Pleasure principle
b. Psychic determinism principle
c. Reality principle
d. Unconsciousness principle - Answer-B. The psychic
determinism principle states that all behavior has purpose
