1. What is the primary role of a Peer Mental Health Worker (PMHW)?
A. Provide psychiatric diagnoses
B. Offer clinical therapy
C. Support others by sharing lived experience
D. Administer medications
✅ Answer: C. Support others by sharing lived experience
Explanation: PMHWs use their lived experiences of mental health recovery to
support others going through similar experiences.
2. Which of the following is a core principle of peer support?
A. Hierarchical structure
B. Mutuality and shared power
C. Diagnosis-based hierarchy
D. Professional superiority
✅ Answer: B. Mutuality and shared power
Explanation: Peer support is rooted in mutuality, equality, and the sharing of
power and responsibility.
3. What does the recovery model emphasize?
A. Dependence on mental health professionals
B. Medication compliance
C. Hope, empowerment, and self-direction
D. Institutional care
✅ Answer: C. Hope, empowerment, and self-direction
Explanation: The recovery model promotes the belief that people can live
fulfilling lives despite mental illness.
,4. A PMHW should avoid which of the following?
A. Building rapport
B. Setting healthy boundaries
C. Giving medical advice
D. Offering peer support
✅ Answer: C. Giving medical advice
Explanation: PMHWs are not clinicians and should not give medical or clinical
advice.
5. Confidentiality means:
A. Discussing a peer's issues with coworkers
B. Sharing a peer’s story for training without permission
C. Keeping shared personal information private
D. Reporting everything to a supervisor
✅ Answer: C. Keeping shared personal information private
Explanation: Confidentiality protects the trust between a peer worker and the
individual they support.
6. A PMHW shares a story of recovery to:
A. Impress others
B. Show expertise
C. Inspire hope and connection
D. Replace clinical interventions
✅ Answer: C. Inspire hope and connection
Explanation: Sharing recovery stories can empower others and show that
recovery is possible.
7. The term "trauma-informed care" involves:
A. Avoiding discussions about trauma
B. Recognizing the impact of trauma on individuals
C. Only using clinical interventions
D. Ignoring past experiences
,✅ Answer: B. Recognizing the impact of trauma on individuals
Explanation: Trauma-informed care acknowledges that trauma affects
individuals' lives and recovery.
8. Which is an example of maintaining a healthy boundary?
A. Giving a peer your home address
B. Accepting a gift over $100
C. Setting clear limits on availability
D. Becoming romantically involved
✅ Answer: C. Setting clear limits on availability
Explanation: Healthy boundaries are essential for ethical and effective peer
work.
9. Which of the following best reflects cultural competence?
A. Assuming everyone shares your values
B. Ignoring cultural differences
C. Valuing and respecting diverse perspectives
D. Recommending only Western treatment
✅ Answer: C. Valuing and respecting diverse perspectives
Explanation: Cultural competence involves understanding, appreciating, and
working effectively with individuals from diverse backgrounds.
10. Peer support promotes recovery by:
A. Enforcing rules
B. Replacing clinical services
C. Empowering people through connection
D. Discouraging independence
✅ Answer: C. Empowering people through connection
Explanation: Peer support creates a safe and supportive environment for
recovery and growth.
11. A peer worker notices a peer is in crisis. What should they do first?
A. Leave them alone
, B. Call the police immediately
C. Use de-escalation and connect them with proper support
D. Provide medication
✅ Answer: C. Use de-escalation and connect them with proper support
Explanation: Peer workers are trained to identify crisis situations and connect
individuals with appropriate resources.
12. An essential ethical responsibility of a PMHW is:
A. Judging others’ choices
B. Giving legal advice
C. Maintaining confidentiality
D. Diagnosing mental illness
✅ Answer: C. Maintaining confidentiality
Explanation: Ethical practice includes keeping personal information
confidential unless safety is at risk.
13. Peer support differs from clinical services because:
A. It is goal-oriented and structured
B. It is hierarchical
C. It is based on mutuality and lived experience
D. It relies on medical training
✅ Answer: C. It is based on mutuality and lived experience
Explanation: Peer support relies on shared experience rather than clinical
authority.
14. What is the importance of active listening in peer support?
A. To prepare a response
B. To argue a point
C. To validate and understand the peer
D. To take control of the conversation
✅ Answer: C. To validate and understand the peer
Explanation: Active listening shows empathy and builds trust in peer
relationships.
A. Provide psychiatric diagnoses
B. Offer clinical therapy
C. Support others by sharing lived experience
D. Administer medications
✅ Answer: C. Support others by sharing lived experience
Explanation: PMHWs use their lived experiences of mental health recovery to
support others going through similar experiences.
2. Which of the following is a core principle of peer support?
A. Hierarchical structure
B. Mutuality and shared power
C. Diagnosis-based hierarchy
D. Professional superiority
✅ Answer: B. Mutuality and shared power
Explanation: Peer support is rooted in mutuality, equality, and the sharing of
power and responsibility.
3. What does the recovery model emphasize?
A. Dependence on mental health professionals
B. Medication compliance
C. Hope, empowerment, and self-direction
D. Institutional care
✅ Answer: C. Hope, empowerment, and self-direction
Explanation: The recovery model promotes the belief that people can live
fulfilling lives despite mental illness.
,4. A PMHW should avoid which of the following?
A. Building rapport
B. Setting healthy boundaries
C. Giving medical advice
D. Offering peer support
✅ Answer: C. Giving medical advice
Explanation: PMHWs are not clinicians and should not give medical or clinical
advice.
5. Confidentiality means:
A. Discussing a peer's issues with coworkers
B. Sharing a peer’s story for training without permission
C. Keeping shared personal information private
D. Reporting everything to a supervisor
✅ Answer: C. Keeping shared personal information private
Explanation: Confidentiality protects the trust between a peer worker and the
individual they support.
6. A PMHW shares a story of recovery to:
A. Impress others
B. Show expertise
C. Inspire hope and connection
D. Replace clinical interventions
✅ Answer: C. Inspire hope and connection
Explanation: Sharing recovery stories can empower others and show that
recovery is possible.
7. The term "trauma-informed care" involves:
A. Avoiding discussions about trauma
B. Recognizing the impact of trauma on individuals
C. Only using clinical interventions
D. Ignoring past experiences
,✅ Answer: B. Recognizing the impact of trauma on individuals
Explanation: Trauma-informed care acknowledges that trauma affects
individuals' lives and recovery.
8. Which is an example of maintaining a healthy boundary?
A. Giving a peer your home address
B. Accepting a gift over $100
C. Setting clear limits on availability
D. Becoming romantically involved
✅ Answer: C. Setting clear limits on availability
Explanation: Healthy boundaries are essential for ethical and effective peer
work.
9. Which of the following best reflects cultural competence?
A. Assuming everyone shares your values
B. Ignoring cultural differences
C. Valuing and respecting diverse perspectives
D. Recommending only Western treatment
✅ Answer: C. Valuing and respecting diverse perspectives
Explanation: Cultural competence involves understanding, appreciating, and
working effectively with individuals from diverse backgrounds.
10. Peer support promotes recovery by:
A. Enforcing rules
B. Replacing clinical services
C. Empowering people through connection
D. Discouraging independence
✅ Answer: C. Empowering people through connection
Explanation: Peer support creates a safe and supportive environment for
recovery and growth.
11. A peer worker notices a peer is in crisis. What should they do first?
A. Leave them alone
, B. Call the police immediately
C. Use de-escalation and connect them with proper support
D. Provide medication
✅ Answer: C. Use de-escalation and connect them with proper support
Explanation: Peer workers are trained to identify crisis situations and connect
individuals with appropriate resources.
12. An essential ethical responsibility of a PMHW is:
A. Judging others’ choices
B. Giving legal advice
C. Maintaining confidentiality
D. Diagnosing mental illness
✅ Answer: C. Maintaining confidentiality
Explanation: Ethical practice includes keeping personal information
confidential unless safety is at risk.
13. Peer support differs from clinical services because:
A. It is goal-oriented and structured
B. It is hierarchical
C. It is based on mutuality and lived experience
D. It relies on medical training
✅ Answer: C. It is based on mutuality and lived experience
Explanation: Peer support relies on shared experience rather than clinical
authority.
14. What is the importance of active listening in peer support?
A. To prepare a response
B. To argue a point
C. To validate and understand the peer
D. To take control of the conversation
✅ Answer: C. To validate and understand the peer
Explanation: Active listening shows empathy and builds trust in peer
relationships.
