PMHNP Exam 1 Review Actual Exam
PMHNP EXAM 1 REVIEW ACTUAL EXAM NEWEST 2025/2026
COMPLETE ALL 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A client is experiencing difficulties with working memory, planning and prioritizing,
insight into his problems, and impulse control presents for assessment. In
planning his care, the PMHNP should apply his or her knowledge that these
symptoms represent problems with the
a. Frontal Lobe
b. Temporal Lobe
c. Parietal Lob
d. Occipital Lobe - ANSWER-a. Frontal Lobe - Problems with working memory,
planning and prioritizing, insight into problems, and impulse control indicate a
problem in the frontal lobe.
The concept of target symptom identification is best explained as
A - Identification of the major clinical presentation of the client
B - Identification of specific, precise, and individualized symptoms reasonably
expected to improve with medication
C - Identification of the secondary messenger system syndrome
D - Intentional modulation of synaptic pathways - ANSWER-B. Target symptom
identification is the identification of specific, precise, and individualized symptoms
reasonably expected to improve with a given medication.
The goal of the psychiatric assessment process performed by the PMHNP is to:
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, PMHNP Exam 1 Review Actual Exam
a. Gain an understanding of the life experiences of the client
b. Correctly diagnose the client
c. Identify the mental health needs of the client
d. Be able to communicate with other staff about the client's health needs -
ANSWER-C. Although dx is an important aspect of the assessment process, the
assessment ultimately should identify the needs of the client.
Mr. Johnson is a a client newly admitted to an IP psych hospital. The PMHNP on
call at the facility plans to perform the initial intake assessment and diagnostic
process. Mr. Johnson asks to please talk in his room bc the says, "People make me
nervous." His room is at the end of the hallway and is the farthest away from the
nursing station. The PMHNP's action should be based on awareness that the best
location to do the assessment is:
a. In Mr. Johnson's room
b. In the dayroom, which is full of people
c. In a quiet place, but public enough to get assistance with client care should it be
required during the assessment.
d. In the tx room with the door closed, a neutral location. - ANSWER-c. In a quiet
place, but public enough to get assistance with client care should it be required
during the assessment.
One PMHNP role is to control the milieu as an aspect of assessment, so the
PMHNP should chose a quiet place that is public enough too get assistance with
client care should be be required during the assessment.
Which communication technique is the PMHNP using in the following situation?
Client: "Sorry I was late. I didn't realize what time it was."
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, PMHNP Exam 1 Review Actual Exam
PMHNP: "This is the third time now that you have been late for our sessions. I am
wondering how committed you are to our working on your problems."
A - Theming
B - Recognizing
C - Validating
D - Sequencing - ANSWER-B. This exchange is an illustration of the technique of
recognizing.
In assessing a client, you ask him the meaning of the proverb "people who live in
glass houses shouldn't throw stones." He replies "because it will break the
windows." The correct interpretation of this finding is
A - Client has probable mood disorder
B - Client has probable anxiety disorder
C - Client has limited intellectual ability
D - Unable to interpret the finding without knowing the client's age - ANSWER-D.
The answer demonstrates concrete thought processes, which are normal in
persons younger than age 12 but are abnormal after age 12. To interpret the
finding, the PMHNP must know the age of the client.
Mrs. Shea has come to the MH center seeking tx for depression. She has a history
of a suicide attempt by overdose 1 mo ago. She was started on imipramine (TCA)
after that event but stopped taking the medication 1 week later because it "did no
good." The PMHNP meets with Mrs. Shea to plan care with her. Which of the
following is the most appropriate initial action?
A. Asking Mrs. Shea how to help her.
B. Providing client teaching about the long time frame for TCAs to work
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, PMHNP Exam 1 Review Actual Exam
C. Contracting with Mrs. Shea for 6 sessions of individual therapy.
D. Providing Mrs. Shea with feedback about how suicide might affect her family. -
ANSWER-A - Asking the client how to help is an aspect of assessment - all other
answers are aspects of interventions, which are not initial actions of the PMHNP.
In completing the PMHNP assessment for Mrs. Shea, the most appropriate lab test
for the PMHNP to order at this time is:
A. CBC
B. TSH
C. LFT
D. Electrolyte Panel - ANSWER-C - Client overdosed and then was placed on a
medication that affects the liver. The PMHNP needs to assess the client's LFTs as
an aspect of care planning for her.
A client comes into the clinic with a longstanding history of depression and
chronic renal failure. He is on an antidepressant and a diuretic and complaints of
increased depression, mild confusion, irritability, and overall apathy form being
too tired to do anything. The best initial PMHNP action to take at this time is:
a. Increase his dose of antidepressant medication
b. Change him to anther antidepressant
c. Augment his antidepressant with an SDA
d. Order a CMP - ANSWER-d. Order a CMP - clients symptoms are consistent with
an electrolyte imbalance and a physical cause must be ruled out first.
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to:
a. Define the role and actions for the NP
4|Page
PMHNP EXAM 1 REVIEW ACTUAL EXAM NEWEST 2025/2026
COMPLETE ALL 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A client is experiencing difficulties with working memory, planning and prioritizing,
insight into his problems, and impulse control presents for assessment. In
planning his care, the PMHNP should apply his or her knowledge that these
symptoms represent problems with the
a. Frontal Lobe
b. Temporal Lobe
c. Parietal Lob
d. Occipital Lobe - ANSWER-a. Frontal Lobe - Problems with working memory,
planning and prioritizing, insight into problems, and impulse control indicate a
problem in the frontal lobe.
The concept of target symptom identification is best explained as
A - Identification of the major clinical presentation of the client
B - Identification of specific, precise, and individualized symptoms reasonably
expected to improve with medication
C - Identification of the secondary messenger system syndrome
D - Intentional modulation of synaptic pathways - ANSWER-B. Target symptom
identification is the identification of specific, precise, and individualized symptoms
reasonably expected to improve with a given medication.
The goal of the psychiatric assessment process performed by the PMHNP is to:
1|Page
, PMHNP Exam 1 Review Actual Exam
a. Gain an understanding of the life experiences of the client
b. Correctly diagnose the client
c. Identify the mental health needs of the client
d. Be able to communicate with other staff about the client's health needs -
ANSWER-C. Although dx is an important aspect of the assessment process, the
assessment ultimately should identify the needs of the client.
Mr. Johnson is a a client newly admitted to an IP psych hospital. The PMHNP on
call at the facility plans to perform the initial intake assessment and diagnostic
process. Mr. Johnson asks to please talk in his room bc the says, "People make me
nervous." His room is at the end of the hallway and is the farthest away from the
nursing station. The PMHNP's action should be based on awareness that the best
location to do the assessment is:
a. In Mr. Johnson's room
b. In the dayroom, which is full of people
c. In a quiet place, but public enough to get assistance with client care should it be
required during the assessment.
d. In the tx room with the door closed, a neutral location. - ANSWER-c. In a quiet
place, but public enough to get assistance with client care should it be required
during the assessment.
One PMHNP role is to control the milieu as an aspect of assessment, so the
PMHNP should chose a quiet place that is public enough too get assistance with
client care should be be required during the assessment.
Which communication technique is the PMHNP using in the following situation?
Client: "Sorry I was late. I didn't realize what time it was."
2|Page
, PMHNP Exam 1 Review Actual Exam
PMHNP: "This is the third time now that you have been late for our sessions. I am
wondering how committed you are to our working on your problems."
A - Theming
B - Recognizing
C - Validating
D - Sequencing - ANSWER-B. This exchange is an illustration of the technique of
recognizing.
In assessing a client, you ask him the meaning of the proverb "people who live in
glass houses shouldn't throw stones." He replies "because it will break the
windows." The correct interpretation of this finding is
A - Client has probable mood disorder
B - Client has probable anxiety disorder
C - Client has limited intellectual ability
D - Unable to interpret the finding without knowing the client's age - ANSWER-D.
The answer demonstrates concrete thought processes, which are normal in
persons younger than age 12 but are abnormal after age 12. To interpret the
finding, the PMHNP must know the age of the client.
Mrs. Shea has come to the MH center seeking tx for depression. She has a history
of a suicide attempt by overdose 1 mo ago. She was started on imipramine (TCA)
after that event but stopped taking the medication 1 week later because it "did no
good." The PMHNP meets with Mrs. Shea to plan care with her. Which of the
following is the most appropriate initial action?
A. Asking Mrs. Shea how to help her.
B. Providing client teaching about the long time frame for TCAs to work
3|Page
, PMHNP Exam 1 Review Actual Exam
C. Contracting with Mrs. Shea for 6 sessions of individual therapy.
D. Providing Mrs. Shea with feedback about how suicide might affect her family. -
ANSWER-A - Asking the client how to help is an aspect of assessment - all other
answers are aspects of interventions, which are not initial actions of the PMHNP.
In completing the PMHNP assessment for Mrs. Shea, the most appropriate lab test
for the PMHNP to order at this time is:
A. CBC
B. TSH
C. LFT
D. Electrolyte Panel - ANSWER-C - Client overdosed and then was placed on a
medication that affects the liver. The PMHNP needs to assess the client's LFTs as
an aspect of care planning for her.
A client comes into the clinic with a longstanding history of depression and
chronic renal failure. He is on an antidepressant and a diuretic and complaints of
increased depression, mild confusion, irritability, and overall apathy form being
too tired to do anything. The best initial PMHNP action to take at this time is:
a. Increase his dose of antidepressant medication
b. Change him to anther antidepressant
c. Augment his antidepressant with an SDA
d. Order a CMP - ANSWER-d. Order a CMP - clients symptoms are consistent with
an electrolyte imbalance and a physical cause must be ruled out first.
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to:
a. Define the role and actions for the NP
4|Page
