Purple Book PMHNP (ANCC) Exam Preparation
PURPLE BOOK PMHNP (ANCC) EXAM PREPARATION FOR
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+||BRAND NEW!!
1
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
of de- pendency. These behaviors indicate developmental failure of which of the
following stages of development:
a) Infancy
b) Early childhood
c) Late childhood
d) School age
Correct Answer: B. These signs indicate developmental failure of early childhood.
2
Mr. Thompson has been forgetful lately, for example, forgetting where he has
placed his keys or what time appointments are scheduled, and he has stated that
he thinks these are just random behaviors that have no particular meaning. Which
Freudian-based psychodynamic principle assumes that all behavior and actions
are purposeful?
a) Pleasure principle
b) Psychic determinism principle
c) Reality principle
d) Unconsciousness principle
B. The psychic determinism principle states that all behavior has purpose and
meaning, often unconscious in nature, and that no behaviors occur randomly or
by coincidence.
3
1) An example of a mature, healthy defense mechanism is
a) Denial
b) b. Rationalization
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, Purple Book PMHNP (ANCC) Exam Preparation
c) Repression
d) Suppression
Correct Answer: D. Suppression is the only defense mechanism listed in which the
client channels conflicting energies into growth-promoting activities.
4
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of
a) Immature regressive defense mechanism
b) Denial of reality
c) Immature fantasy defense mechanism
d) Repressive behavior
Correct Answer: A. Immature regressive defense mechanism is a return to a
behav- ior common to an earlier stage of development.
5
Defense mechanisms are best viewed as a function of the ego
a) To alert us to harm and danger
b) To alert us to problems
c) Used to resolve a conflict
d) Used to protect the id
Correct Answer: C. Defense mechanisms are a function of the ego used to resolve
a conflict.
6
One of the health care changes that has occurred as a result of the affordable care
act (ACA) is that doctors/hospitals/clinic groups or health systems are coming
together and assum- ing the responsibility for quality care to large groups of
individuals insured by Medicare. The health care clinics/systems doctors or
hospitals that join together are called which of the following?
a) Health Maintenance Organization (HMO)
b) Preferred Provider Network (PPO)
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, Purple Book PMHNP (ANCC) Exam Preparation
c) Accountable Care Organization (ACO)
d) Individual Health Plan (IHP)
Correct Answer: C. ACO's are groups of doctors or other health care providers who
voluntarily come together and assume the care provided to Medicare patients.
7
Health care economics is concerned with making decisions so the benefits
outweigh the cost of resource utilization. What are two concepts that healthcare
economics is concerned with in regard to fair distribution of resources and
allocation?
a) Equity and efficiency
b) Cost and benefits
c) Opportunity and waste
d) Affordable and quality
Correct Answer: A. Health care efficiency is making risk and benefit decision about
how care resources are allocated and equity is ensuring that there is a fair
distribu- tion of the resources.
8
What four elements need to be present for a malpractice lawsuit to be filed?
a) Beneficence, Non-Maleficence, Truthfulness, and Justice
b) Duty of care, Breach of standard of care, Injury, and Injury must be related to
breach of the standard of care
c) Abandonment, Breach of care, Violation of ethics, and Reimbursement for poor
care
d) Breach of standard of care, Injury, Deceit, and Malpractice
B. The four elements that must be satisfied for malpractice to have occurred are a
duty of care between clinician and patient, breach of standard of care, an injury to
the patient, and the patient's injury must be related to the clinician's breach of
care.
9
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in
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, Purple Book PMHNP (ANCC) Exam Preparation
a hospitalist role. Mary has encountered over five incidences in which attending
psychiatrists and medical residents have been demeaning to nursing staff and not
answering calls in the middle of the night or telling the nursing staff to write
orders and the MD would sign offin the a.m. Mary is concerned about errors and
wants to improve quality, reduce errors to promote safety. What concept is Mary
employing?
a) Bullying
b) Abuse
c) Civil Disobedience
d) Just Culture
D. The ANA has a position statement that nurses are responsible for developing
health care settings that include just culture initiatives understanding that human
error can cause error and harm by creating an open and fair environment.
10
The role of neurotransmitters in the central nervous system is to function as
a) A communication medium
b) A gatekeeper for transmissions
c) A building block for amino acids
d) An agent to break down enzymes
A. Neurotransmitters in the central nervous system function as a communication
medium.
11. The purpose of the American Nurses Association's Psychiatric-Mental Health
Nursing: Scope and Standards of Practice is to
A. Define the role and actions for the NP
Establish the legal authority for the prescription of psychotropic
B. medications
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role
Correct Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope and
Standards of Practice defines the role and actions of the nurse practitioner.
4|Page
PURPLE BOOK PMHNP (ANCC) EXAM PREPARATION FOR
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+||BRAND NEW!!
1
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
of de- pendency. These behaviors indicate developmental failure of which of the
following stages of development:
a) Infancy
b) Early childhood
c) Late childhood
d) School age
Correct Answer: B. These signs indicate developmental failure of early childhood.
2
Mr. Thompson has been forgetful lately, for example, forgetting where he has
placed his keys or what time appointments are scheduled, and he has stated that
he thinks these are just random behaviors that have no particular meaning. Which
Freudian-based psychodynamic principle assumes that all behavior and actions
are purposeful?
a) Pleasure principle
b) Psychic determinism principle
c) Reality principle
d) Unconsciousness principle
B. The psychic determinism principle states that all behavior has purpose and
meaning, often unconscious in nature, and that no behaviors occur randomly or
by coincidence.
3
1) An example of a mature, healthy defense mechanism is
a) Denial
b) b. Rationalization
1|Page
, Purple Book PMHNP (ANCC) Exam Preparation
c) Repression
d) Suppression
Correct Answer: D. Suppression is the only defense mechanism listed in which the
client channels conflicting energies into growth-promoting activities.
4
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of
a) Immature regressive defense mechanism
b) Denial of reality
c) Immature fantasy defense mechanism
d) Repressive behavior
Correct Answer: A. Immature regressive defense mechanism is a return to a
behav- ior common to an earlier stage of development.
5
Defense mechanisms are best viewed as a function of the ego
a) To alert us to harm and danger
b) To alert us to problems
c) Used to resolve a conflict
d) Used to protect the id
Correct Answer: C. Defense mechanisms are a function of the ego used to resolve
a conflict.
6
One of the health care changes that has occurred as a result of the affordable care
act (ACA) is that doctors/hospitals/clinic groups or health systems are coming
together and assum- ing the responsibility for quality care to large groups of
individuals insured by Medicare. The health care clinics/systems doctors or
hospitals that join together are called which of the following?
a) Health Maintenance Organization (HMO)
b) Preferred Provider Network (PPO)
2|Page
, Purple Book PMHNP (ANCC) Exam Preparation
c) Accountable Care Organization (ACO)
d) Individual Health Plan (IHP)
Correct Answer: C. ACO's are groups of doctors or other health care providers who
voluntarily come together and assume the care provided to Medicare patients.
7
Health care economics is concerned with making decisions so the benefits
outweigh the cost of resource utilization. What are two concepts that healthcare
economics is concerned with in regard to fair distribution of resources and
allocation?
a) Equity and efficiency
b) Cost and benefits
c) Opportunity and waste
d) Affordable and quality
Correct Answer: A. Health care efficiency is making risk and benefit decision about
how care resources are allocated and equity is ensuring that there is a fair
distribu- tion of the resources.
8
What four elements need to be present for a malpractice lawsuit to be filed?
a) Beneficence, Non-Maleficence, Truthfulness, and Justice
b) Duty of care, Breach of standard of care, Injury, and Injury must be related to
breach of the standard of care
c) Abandonment, Breach of care, Violation of ethics, and Reimbursement for poor
care
d) Breach of standard of care, Injury, Deceit, and Malpractice
B. The four elements that must be satisfied for malpractice to have occurred are a
duty of care between clinician and patient, breach of standard of care, an injury to
the patient, and the patient's injury must be related to the clinician's breach of
care.
9
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in
3|Page
, Purple Book PMHNP (ANCC) Exam Preparation
a hospitalist role. Mary has encountered over five incidences in which attending
psychiatrists and medical residents have been demeaning to nursing staff and not
answering calls in the middle of the night or telling the nursing staff to write
orders and the MD would sign offin the a.m. Mary is concerned about errors and
wants to improve quality, reduce errors to promote safety. What concept is Mary
employing?
a) Bullying
b) Abuse
c) Civil Disobedience
d) Just Culture
D. The ANA has a position statement that nurses are responsible for developing
health care settings that include just culture initiatives understanding that human
error can cause error and harm by creating an open and fair environment.
10
The role of neurotransmitters in the central nervous system is to function as
a) A communication medium
b) A gatekeeper for transmissions
c) A building block for amino acids
d) An agent to break down enzymes
A. Neurotransmitters in the central nervous system function as a communication
medium.
11. The purpose of the American Nurses Association's Psychiatric-Mental Health
Nursing: Scope and Standards of Practice is to
A. Define the role and actions for the NP
Establish the legal authority for the prescription of psychotropic
B. medications
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role
Correct Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope and
Standards of Practice defines the role and actions of the nurse practitioner.
4|Page
