PMHNP ANCC REVIEW CERTIFICATION
REVIEW PACK BUNDLED QUESTIONS AND
VERIFIED ANSWERS
●● 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
b. Protect the person's freedoms or rights when he or she is committed to
a mental hospital
c. Place increasing trust in mental health professionals to make good and
ethical decisions
d. Decrease the "red tape" associated with commitments so that
commitments are faster and easier
,Answer: B. Identifies the trend of ensuring the protection of individual
civil liberties for psychiatric clients.
●● Mr. Smithers, an involuntarily hospitalized patient experiencing
psychotic symptoms, refuses to take any of his ordered medication
because he believes "Jesus Christ told me I am the prophet and must fast
for a year." Your actions should be based on your knowledge of which of
the following?
a. Psychiatric clients cannot refuse treatment
b. Psychiatric clients do not always know what is good for them
c. Psychiatric clients can refuse treatment
d. Psychiatric clients cannot be trusted to make good healthcare
decisions and, therefore, the nurse's best clinical judgment should guide
actions
Answer: C. As with any client, psychiatric clients can refuse treatment
unless a legal process resulting in involuntary commitment or mandatory
court order for treatment has been obtained.
●● 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, 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 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.
●● 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.
REVIEW PACK BUNDLED QUESTIONS AND
VERIFIED ANSWERS
●● 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
b. Protect the person's freedoms or rights when he or she is committed to
a mental hospital
c. Place increasing trust in mental health professionals to make good and
ethical decisions
d. Decrease the "red tape" associated with commitments so that
commitments are faster and easier
,Answer: B. Identifies the trend of ensuring the protection of individual
civil liberties for psychiatric clients.
●● Mr. Smithers, an involuntarily hospitalized patient experiencing
psychotic symptoms, refuses to take any of his ordered medication
because he believes "Jesus Christ told me I am the prophet and must fast
for a year." Your actions should be based on your knowledge of which of
the following?
a. Psychiatric clients cannot refuse treatment
b. Psychiatric clients do not always know what is good for them
c. Psychiatric clients can refuse treatment
d. Psychiatric clients cannot be trusted to make good healthcare
decisions and, therefore, the nurse's best clinical judgment should guide
actions
Answer: C. As with any client, psychiatric clients can refuse treatment
unless a legal process resulting in involuntary commitment or mandatory
court order for treatment has been obtained.
●● 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, 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 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.
●● 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.
