PMHNP ANCC Review Questions and Answers 2025

PMHNP ANCC Review Questions and
Answers 2025
TheApurposeAofAtheAAmericanANursesAAssociation'sAPsychiatric-MentalAHealthANursing:
ScopeAandAStandardsAofAPracticeAisAto
a.ADefineAtheAroleAandAactionsAforAtheANP
b.AEstablishAtheAlegalAauthorityAforAtheAprescriptionAofApsychotropicAmedications
c.ADefineAtheAlegalAstatutesAofAtheAroleAofAtheAPMHNP
d.ADefineAtheAdifferencesAbetweenAtheAphysicianAroleAandAtheANPAroleA-
ACORRECTAANSWERSA-A.ATheAANAsAPsych-

MentalAHealthANursingAScopeAandAStandardsAofAPracticeAdefinesAtheAroleAandAactionsAofAt
heAnurseApractitioner.
D.AInformationAreducesAincidenceAofAdisease.A-ACORRECTAANSWERSA-
PrimaryApreventionAcareApracticesAareAanAessentialAaspectAofAtheAPMHNPArole.AWhichAofA
theAfollowingAisAtheAbestAexampleAofAaAprimaryApreventionAcareAstrategyAforAcommunityAbe
havioralAhealth?
a.AAftercareAprogramAforAchronicallyAmentallyAillAclientsArecentlyAdischargedAfromAtheAhos
pital
b.ACourt-orderedAcounselingAforAabusiveAparents
c.A24-hourAcrisisAhotlines
d.AParentingAskillsAclassesAforApregnantAadolescents
TheAtrendAinAlegalArulingsAonAcasesAinvolvingAmentalAillnessAoverAtheApastA25AyearsAhasAb
eenAto
a.AEncourageAjuriesAtoAfindAdefendantsAnotAguiltyAbyAreasonAofAinsanity
b.AProtectAtheAperson'sAfreedomsAorArightsAwhenAheAorAsheAisAcommittedAtoAaAmentalAhosp
ital
c.APlaceAincreasingAtrustAinAmentalAhealthAprofessionalsAtoAmakeAgoodAandAethicalAdecisio
ns
d.ADecreaseAtheA"redAtape"AassociatedAwithAcommitmentsAsoAthatAcommitmentsAareAfaste
rAandAeasierA-ACORRECTAANSWERSA-
B.AIdentifiesAtheAtrendAofAensuringAtheAprotectionAofAindividualAcivilAlibertiesAforApsychiatricA
clients.
Mr.ASmithers,AanAinvoluntarilyAhospitalizedApatientAexperiencingApsychoticAsymptoms,Aref
usesAtoAtakeAanyAofAhisAorderedAmedicationAbecauseAheAbelievesA"JesusAChristAtoldAmeAIA
amAtheAprophetAandAmustAfastAforAaAyear."AYourAactionsAshouldAbeAbasedAonAyourAknowle
dgeAofAwhichAofAtheAfollowing?
a.APsychiatricAclientsAcannotArefuseAtreatment
b.APsychiatricAclientsAdoAnotAalwaysAknowAwhatAisAgoodAforAthem
c.APsychiatricAclientsAcanArefuseAtreatment
d.APsychiatricAclientsAcannotAbeAtrustedAtoAmakeAgoodAhealthcareAdecisionsAand,Atherefor
e,AtheAnurse'sAbestAclinicalAjudgmentAshouldAguideAactionsA-ACORRECTAANSWERSA-
C.AAsAwithAanyAclient,ApsychiatricAclientsAcanArefuseAtreatmentAunlessAaAlegalAprocessAres

,ultingAinAinvoluntaryAcommitmentAorAmandatoryAcourtAorderAforAtreatmentAhasAbeenAobtain
ed.
WhichAofAtheAfollowingAstatementsAbestAreflectsAtheAdifferenceAbetweenAtheAnurse-
clientA(N-C)ArelationshipAandAaAsocialArelationship?
a.AInAtheAN-CArelationship,AtheAprimaryAfocusAisAonAtheAclientAandAtheAclient'sAneeds.
b.AGoalsAinAtheAN-
CArelationshipAareAdeliberatelyAleftAvagueAandAunspokenAsoAthatAtheAclientAcanAworkAonAa
nyAissue.
c.AInAtheAN-
CArelationship,AtheAnurseAisAsolelyAresponsibleAforAmakingAtheArelationshipAwork.
d.AInAtheAN-CArelationship,AthereAisAnoAplaceAforAsocialAinteraction.A-
ACORRECTAANSWERSA-

A.ASocialArelationshipsAareAmutualAinterpersonalArelationshipsAinAwhichAtheAneedsAofAbothA
partiesAareAaddressed.ATheAN-
CArelationshipAisAmostAconcernedAwithAmeetingAtheAneedsAofAtheAclient.
AAcommunityAhasAanAunusuallyAhighAincidenceAofAdepressionAandAdrugAuseAamongAtheAte
enageApopulation.ATheApublicAhealthAnursesAdecideAtoAaddressAthisAproblem,AinApart,AbyA
modifyingAtheAenvironmentAandAstrengtheningAtheAcapacitiesAofAfamiliesAtoApreventAtheAde
velopmentAofAnewAcasesAofAdepressionAandAdrugAuse.AWhatAisAthisAisAanAexampleAof?
a.APrimaryAprevention
b.ASecondaryAprevention
c.ATertiaryAprevention
d.AProtectiveAfactorialApreventionA-ACORRECTAANSWERSA-
A.AThisAactionAfocusesAonAinterventionsAdesignedAtoAreduceAtheAincidenceAofAnewAcasesA
ofAdisease.
Mrs.AKempAisAvoluntarilyAadmittedAtoAtheAhospital.AAfterA24Ahours,AsheAstatesAsheAwishesAt
oAleaveAbecauseA"thisAplaceAcan'tAhelpAme."ATheAbestAnursingAactionAthatAreflectsAtheAlega
lArightAofAthisAclientAis
a.ADischargeAtheAclient
b.AExplainAthatAtheAclientAcannotAleaveAuntilAyouAcanAcompleteAfurtherAassessment
c.AAllowAtheAclientAtoAleaveAbutAhaveAherAsignAformsAstatingAsheAisAleavingAagainstAmedica
lAadvice
d.AImmediatelyAstartAtheApaperworkAtoAcommitAtheAclientAandAtoAallowAyouAtoAtreatAherAaga
instAherAwishesA-ACORRECTAANSWERSA-
B.AAlmostAeveryAstateAallowsAforAaAbriefAforAaAperiodAdetainmentAtoAassessAaAclientAforAdan
gerousnessAtoAselfAorAothersAbeforeAallowingAtheAclientAtoAleaveAaAhospitalAsetting,AevenAifA
theAadmissionAwasAvoluntary.
InAformingAaAtherapeuticArelationshipAwithAclients,AtheAPMHNPAmustAconsiderAdevelopingA
manyAcharacteristicsAthatAareAknownAtoAbeAhelpfulAinArelationship-
building.AWhichAofAtheAfollowingAisAanAessentialApartAofAbuildingAaAtherapeuticArelationship
?
a.ACollectingAaAfamilyAhistory
b.ALike-mindedness
c.AAuthenticity
d.AAccuracyAinAassessmentA-ACORRECTAANSWERSA-
C.AAuthenticity.ABeingAgenuine,Ahonest,AandArespectfulAareAessentialAelementsAinAestablis

, hingAaAworkingArelationshipAwithAanyAclient.ALike-
mindednessAisAnotAaApartAofAtheAtherapeuticArelationship.AAlthoughAanAimportantAaspectAof
AtheAPMHNPArole,AcollectingAaAfamilyAhistoryAandAaccuracyAinAassessmentAdoesAnotAinAan

dAofAitselfAfacilitateArelationshipAbuilding.
AccordingAtoAtheADSM-5,AwhichAofAtheAfollowingAisAtrue?A(Ch.A3)
a.AAAmentalAdisorderAisAequivalentAtoAtheAneedAforAtreatment.
b.ADiagnosticAcriteriaAareAusedAtoAinformAclinicalAjudgment.
c.ASociallyAdeviantAbehaviorAisAconsideredAaAmentalAdisorder.
d.AAAculturallyAexpectedAresponseAtoAaAstressorAisAnotAaAmentalAdisorder.A-
ACORRECTAANSWERSA-D.AAllADSM-

5AdisordersAneedAtoAbeAmadeAtakingAaAperson'sAcultureAintoAaccount.AAAculturalAexpressio
nAofAaAresponseAtoAgrief,Aloss,AorAstressAisAnotAconsideredAaADSM-5Adiagnosis.
Mrs.AFrenchAhasAbeenAinAindividualAtherapyAforA3Amonths.ASheAhasAshownAmuchAgrowthAa
ndAimprovementAinAherAfunctioningAandAinsightAandAisAtoAdiscontinueAservicesAwithinAtheAn
extAfewAweeks.AInAtheAnextAsession,AafterAyouAdiscussAserviceAtermination,AsheAsuddenlyA
beginsAtoAdemonstrateAtheAoriginalAsymptomsAthatAhadAbroughtAherAtoAtreatmentAinitially.A
SheAisAnowAhesitantAtoAdischarge,AwantsAtoAcontinueAservices,AandAisAdisplayingAanAincre
aseAinAregressiveAdefenseAmechanisms.AWhatAisAtheAbestAexplanationAforAMs.AFrench'sAb
ehavior?
a.AAnAexacerbationAofAherAsymptomsArelatedAtoAstress
b.ATheAnormalAcyclicAnatureAofAchronicAmentalAhealthAsymptoms
c.AAAsignAofAnormalAresistanceAtoAterminationAseenAinAtheAterminationAphaseAofAtherapy
d.AAAsignAofApathologicalAattachmentAtoAtheAtherapistAthatAmustAbeAaddressedA-
ACORRECTAANSWERSA-

C.AClientsAfrequentlyAdisplayAresistanceAandAregressionAatAtheAterminationAofAaAmeaningf
ulAtherapeuticAprocess.ATheAPMHNPAisAresponsibleAforAplanningAanAeffectiveAterminationA
andAmonitoringAclientsAduringAtheAterminationAperiod.
AAclientAisAdisplayingAlowAself-esteem,ApoorAself-control,Aself-
doubt,AandAaAhighAlevelAofAdependency.ATheseAbehaviorsAindicateAdevelopmentalAfailureA
ofAwhichAofAtheAfollowingAstagesAofAdevelopment:
a.AInfancy
b.AEarlyAchildhood
c.ALateAchildhood
d.ASchoolAageA-ACORRECTAANSWERSA-
B.ATheseAsignsAindicateAdevelopmentalAfailureAofAearlyAchildhood.
Mr.AThompsonAhasAbeenAforgetfulAlately,AforAexample,AforgettingAwhereAheAhasAplacedAhis
AkeysAorAwhatAtimeAappointmentsAareAscheduled,AandAheAhasAstatedAthatAheAthinksAtheseA

areAjustArandomAbehaviorsAthatAhaveAnoAparticularAmeaning.AWhichAFreudian-
basedApsychodynamicAprincipleAassumesAthatAallAbehaviorAandAactionsAareApurposeful?
a.APleasureAprinciple
b.APsychicAdeterminismAprinciple
c.ARealityAprinciple
d.AUnconsciousnessAprincipleA-ACORRECTAANSWERSA-
B.ATheApsychicAdeterminismAprincipleAstatesAthatAallAbehaviorAhasApurposeAandAmeaning,A
oftenAunconsciousAinAnature,AandAthatAnoAbehaviorsAoccurArandomlyAorAbyAcoincidence.
AnAexampleAofAaAmature,AhealthyAdefenseAmechanismAis