Page 1 of 34
PMHNP PRACTICE TEST EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS JUST
RELEASED THIS YEAR
QUESTION: An APRN recognizes the essential nature of primary prevention strategies for a
community. Which of the following is an example of primary prevention strategy? -
ANSWER✔✔A skills class for at risk adolescents
QUESTION: Which of the following is representative of legal ruling trends over the past 30
years? - ANSWER✔✔Juries have been encouraged to find defendants not guilty because of
insanity.
QUESTION: A patient who has been voluntarily committed is experiencing symptoms of
psychosis; he declares he has the right to refuse his medications despite the court order
because God told him he would be healed by his faith alone. Based on your knowledge of court-
ordered treatment, which of the following statements is true? - ANSWER✔✔Psychiatric clients
can refuse treatment unless it is court ordered.
QUESTION: Which of the following elements is reflective of a professional relationship rather
than a social relationship? - ANSWER✔✔In a professional relationship, the primary focus is on
the client and their needs
, Page 2 of 34
QUESTION: In light of the recent school shootings, the local high schools have noticed an
unusually high incidence of depressive symptoms and illicit drug use among their students. The
PMHNP formulates a plan to address the problem. The goal of the program is to enhance the
capabilities of families and teachers to identify antecedents of depression and drug use and to
prevent new cases from developing. What level of prevention is this strategy?
a. Solution-focused prevention
b. Secondary
c. Tertiary
d. Primary - ANSWER✔✔Primary Prevention aims to reduce the incidence of a disease or a
condition
QUESTION: A 45-year old white female agreed to hospitalization after presenting to the ER with
passive SI. After 24-hours she states that she wishes to leave because "this place cannot help
me". Which of the following actions reflects the legal right of the client? - ANSWER✔✔Explain
that the patient cannot leave until further assessment are completed and collateral information
is obtained with the aim of seeing if she will agree to remain on a voluntary basis.
QUESTION: The PMHNP is aware that the essentials of the therapeutic alliance include all of the
following except:
A. Formulating a differential diagnosis
B. Genuineness
C. Acceptance
, Page 3 of 34
D. Authenticity - ANSWER✔✔Formulating a differential diagnosis is not a component for the
therapeutic alliance.
A 42-year old male with Alcohol-use disorder for 5 years is referred to the PMHNP from his PCP
for addiction treatment. Which of the following lab findings would be consistent with his dx? -
ANSWER✔✔Increased mean corpuscular volume and triglycerides. These are conventional
biomarkers of heavy drinking.
QUESTION: A 9-year-old girl with history of GAD has been stable on fluoxetine 10 mg for 6
months and presents for follow-up complaining of bilateral leg pain. The physical exam, CBC and
metabolic profile are normal except for an elevated alkaline phosphatase. The PMHNP
understands that this finding is: - ANSWER✔✔A commonly occurring pre-puberty finding known
as growing pains.
Growing pains is a diagnosis of exclusion occurring in pre- and early puberty, specifically
associated with osteoclastic and osteoblastic activity.
QUESTION: A 50-year-old physician presents with complaints of fatigue, headache, abdominal
distress, and weight loss. His husband reports increasing irritability, inattentiveness, and low
libido over the last month. He was seen by his PCP, who just notified him he has pre=DM,
hypercholesterolemia, and HTN despite weight loss. These findings are most consistent with: -
ANSWER✔✔Major depression
S/sx include: sleep changes, interest loss, guilt, energy deficit, appetite change and somatic
complaints often comorbid with type 2 DM
, Page 4 of 34
QUESTION: The purpose of a professional organization's scope and standards of practice is to: -
ANSWER✔✔Define the roles and actions for that particular profession
QUESTION: A 39-year-old woman has been in therapy for the last 3 months. She has shown
much improvement in her functioning and has developed much insight into her illness. This
week during her session you discuss service determination, and she suddenly begins to
demonstrate the first symptoms that brought her into therapy initially. She is now hesitant for
discharge and wants to continue services as she is displaying regressed behavior. What is the
best explanation for her symptom return? - ANSWER✔✔A normal resistance seen in the
termination time of therapy. Regression is a temporary defense mechanism in response to
stress in order avoid circumstances.
QUESTION: A 30-year old man reports low self-esteem, demonstrates poor self-control ,
exhibits much self-doubt and requires a high degree of reassurance. what developmental task
has he failed to master? - ANSWER✔✔Industry vs. inferiority -is the stage of development when
children learn skills, take pride in their accomplishments and develop self-esteem from being
valued by peers for their competencies.
QUESTION: A 25-year-old male has been seeing his psychoanalyst four times a week for the last
year and is bothered by recent episodes of forgetfulness including misplacing everyday items
and missing appointments. Which Freudian psychodynamic principle assumes all behavior
conveys purpose? - ANSWER✔✔Psychic determination principle - is the psychodynamic
principle that assumes all behavior has a purpose.
PMHNP PRACTICE TEST EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS JUST
RELEASED THIS YEAR
QUESTION: An APRN recognizes the essential nature of primary prevention strategies for a
community. Which of the following is an example of primary prevention strategy? -
ANSWER✔✔A skills class for at risk adolescents
QUESTION: Which of the following is representative of legal ruling trends over the past 30
years? - ANSWER✔✔Juries have been encouraged to find defendants not guilty because of
insanity.
QUESTION: A patient who has been voluntarily committed is experiencing symptoms of
psychosis; he declares he has the right to refuse his medications despite the court order
because God told him he would be healed by his faith alone. Based on your knowledge of court-
ordered treatment, which of the following statements is true? - ANSWER✔✔Psychiatric clients
can refuse treatment unless it is court ordered.
QUESTION: Which of the following elements is reflective of a professional relationship rather
than a social relationship? - ANSWER✔✔In a professional relationship, the primary focus is on
the client and their needs
, Page 2 of 34
QUESTION: In light of the recent school shootings, the local high schools have noticed an
unusually high incidence of depressive symptoms and illicit drug use among their students. The
PMHNP formulates a plan to address the problem. The goal of the program is to enhance the
capabilities of families and teachers to identify antecedents of depression and drug use and to
prevent new cases from developing. What level of prevention is this strategy?
a. Solution-focused prevention
b. Secondary
c. Tertiary
d. Primary - ANSWER✔✔Primary Prevention aims to reduce the incidence of a disease or a
condition
QUESTION: A 45-year old white female agreed to hospitalization after presenting to the ER with
passive SI. After 24-hours she states that she wishes to leave because "this place cannot help
me". Which of the following actions reflects the legal right of the client? - ANSWER✔✔Explain
that the patient cannot leave until further assessment are completed and collateral information
is obtained with the aim of seeing if she will agree to remain on a voluntary basis.
QUESTION: The PMHNP is aware that the essentials of the therapeutic alliance include all of the
following except:
A. Formulating a differential diagnosis
B. Genuineness
C. Acceptance
, Page 3 of 34
D. Authenticity - ANSWER✔✔Formulating a differential diagnosis is not a component for the
therapeutic alliance.
A 42-year old male with Alcohol-use disorder for 5 years is referred to the PMHNP from his PCP
for addiction treatment. Which of the following lab findings would be consistent with his dx? -
ANSWER✔✔Increased mean corpuscular volume and triglycerides. These are conventional
biomarkers of heavy drinking.
QUESTION: A 9-year-old girl with history of GAD has been stable on fluoxetine 10 mg for 6
months and presents for follow-up complaining of bilateral leg pain. The physical exam, CBC and
metabolic profile are normal except for an elevated alkaline phosphatase. The PMHNP
understands that this finding is: - ANSWER✔✔A commonly occurring pre-puberty finding known
as growing pains.
Growing pains is a diagnosis of exclusion occurring in pre- and early puberty, specifically
associated with osteoclastic and osteoblastic activity.
QUESTION: A 50-year-old physician presents with complaints of fatigue, headache, abdominal
distress, and weight loss. His husband reports increasing irritability, inattentiveness, and low
libido over the last month. He was seen by his PCP, who just notified him he has pre=DM,
hypercholesterolemia, and HTN despite weight loss. These findings are most consistent with: -
ANSWER✔✔Major depression
S/sx include: sleep changes, interest loss, guilt, energy deficit, appetite change and somatic
complaints often comorbid with type 2 DM
, Page 4 of 34
QUESTION: The purpose of a professional organization's scope and standards of practice is to: -
ANSWER✔✔Define the roles and actions for that particular profession
QUESTION: A 39-year-old woman has been in therapy for the last 3 months. She has shown
much improvement in her functioning and has developed much insight into her illness. This
week during her session you discuss service determination, and she suddenly begins to
demonstrate the first symptoms that brought her into therapy initially. She is now hesitant for
discharge and wants to continue services as she is displaying regressed behavior. What is the
best explanation for her symptom return? - ANSWER✔✔A normal resistance seen in the
termination time of therapy. Regression is a temporary defense mechanism in response to
stress in order avoid circumstances.
QUESTION: A 30-year old man reports low self-esteem, demonstrates poor self-control ,
exhibits much self-doubt and requires a high degree of reassurance. what developmental task
has he failed to master? - ANSWER✔✔Industry vs. inferiority -is the stage of development when
children learn skills, take pride in their accomplishments and develop self-esteem from being
valued by peers for their competencies.
QUESTION: A 25-year-old male has been seeing his psychoanalyst four times a week for the last
year and is bothered by recent episodes of forgetfulness including misplacing everyday items
and missing appointments. Which Freudian psychodynamic principle assumes all behavior
conveys purpose? - ANSWER✔✔Psychic determination principle - is the psychodynamic
principle that assumes all behavior has a purpose.
