ANCC PMHNP EXAM NEWEST ACTUAL EXAM
ANCC PMHNP EXAM NEWEST ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A community has an unusually high incidence of depression and drug use among
the teenage population. The public health nurses decide to address this problem,
in part, by modifying the environment and strengthening the capacities of families
to prevent the development of new cases of depression and drug use. What is this
is an example of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention - Correct Answer-A. This action focuses on
interventions designed to reduce the incidence of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she
wishes to leave because "this place can't help me." The best nursing action that
reflects the legal right of this client is
a. Discharge the client
b. Explain that the client cannot leave until you can complete further assessment
c. Allow the client to leave but have her sign forms stating she is leaving against
medical advice
d. Immediately start the paperwork to commit the client and to allow you to treat
her against her wishes - Correct Answer-B. Almost every state allows for a brief for
a period detainment to assess a client for dangerousness to self or others before
allowing the client to leave a hospital setting, even if the admission was voluntary.
1|Page
, ANCC PMHNP EXAM NEWEST ACTUAL EXAM
In forming a therapeutic relationship with clients, the PMHNP must consider
developing many characteristics that are known to be helpful in relationship-
building. Which of the following is an essential part of building a therapeutic
relationship?
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment - Correct Answer-C. Authenticity. Being genuine,
honest, and respectful are essential elements in establishing a working
relationship with any client. Like-mindedness is not a part of the therapeutic
relationship. Although an important aspect of the PMHNP role, collecting a family
history and accuracy in assessment does not in and of itself facilitate relationship
building.
According to the DSM-5, which of the following is true? (Ch. 3)
a. A mental disorder is equivalent to the need for treatment.
b. Diagnostic criteria are used to inform clinical judgment.
c. Socially deviant behavior is considered a mental disorder.
d. A culturally expected response to a stressor is not a mental disorder. - Correct
Answer-D. All DSM-5 disorders need to be made taking a person's culture into
account. A cultural expression of a response to grief, loss, or stress is not
considered a DSM-5 diagnosis.
Mrs. French has been in individual therapy for 3 months. She has shown much
growth and improvement in her functioning and insight and is to discontinue
services within the next few weeks. In the next session, after you discuss service
termination, she suddenly begins to demonstrate the original symptoms that had
2|Page
, ANCC PMHNP EXAM NEWEST ACTUAL EXAM
brought her to treatment initially. She is now hesitant to discharge, wants to
continue services, and is displaying an increase in regressive defense mechanisms.
What is the best explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health symptoms
c. A sign of normal resistance to termination seen in the termination phase of
therapy
d. A sign of pathological attachment to the therapist that must be addressed -
Correct Answer-C. Clients frequently display resistance and regression at the
termination of a meaningful therapeutic process. The PMHNP is responsible for
planning an effective termination and monitoring clients during the termination
period.
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
of dependency. 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.
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?
3|Page
, ANCC PMHNP EXAM NEWEST ACTUAL EXAM
a. Pleasure principle
b. Psychic determinism principle
c. Reality principle
d. Unconsciousness principle - Correct Answer-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.
An example of a mature, healthy defense mechanism is
a. Denial
b. Rationalization
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.
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 behavior common to an earlier stage of development.
Defense mechanisms are best viewed as a function of the ego
4|Page
ANCC PMHNP EXAM NEWEST ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A community has an unusually high incidence of depression and drug use among
the teenage population. The public health nurses decide to address this problem,
in part, by modifying the environment and strengthening the capacities of families
to prevent the development of new cases of depression and drug use. What is this
is an example of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention - Correct Answer-A. This action focuses on
interventions designed to reduce the incidence of new cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she
wishes to leave because "this place can't help me." The best nursing action that
reflects the legal right of this client is
a. Discharge the client
b. Explain that the client cannot leave until you can complete further assessment
c. Allow the client to leave but have her sign forms stating she is leaving against
medical advice
d. Immediately start the paperwork to commit the client and to allow you to treat
her against her wishes - Correct Answer-B. Almost every state allows for a brief for
a period detainment to assess a client for dangerousness to self or others before
allowing the client to leave a hospital setting, even if the admission was voluntary.
1|Page
, ANCC PMHNP EXAM NEWEST ACTUAL EXAM
In forming a therapeutic relationship with clients, the PMHNP must consider
developing many characteristics that are known to be helpful in relationship-
building. Which of the following is an essential part of building a therapeutic
relationship?
a. Collecting a family history
b. Like-mindedness
c. Authenticity
d. Accuracy in assessment - Correct Answer-C. Authenticity. Being genuine,
honest, and respectful are essential elements in establishing a working
relationship with any client. Like-mindedness is not a part of the therapeutic
relationship. Although an important aspect of the PMHNP role, collecting a family
history and accuracy in assessment does not in and of itself facilitate relationship
building.
According to the DSM-5, which of the following is true? (Ch. 3)
a. A mental disorder is equivalent to the need for treatment.
b. Diagnostic criteria are used to inform clinical judgment.
c. Socially deviant behavior is considered a mental disorder.
d. A culturally expected response to a stressor is not a mental disorder. - Correct
Answer-D. All DSM-5 disorders need to be made taking a person's culture into
account. A cultural expression of a response to grief, loss, or stress is not
considered a DSM-5 diagnosis.
Mrs. French has been in individual therapy for 3 months. She has shown much
growth and improvement in her functioning and insight and is to discontinue
services within the next few weeks. In the next session, after you discuss service
termination, she suddenly begins to demonstrate the original symptoms that had
2|Page
, ANCC PMHNP EXAM NEWEST ACTUAL EXAM
brought her to treatment initially. She is now hesitant to discharge, wants to
continue services, and is displaying an increase in regressive defense mechanisms.
What is the best explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health symptoms
c. A sign of normal resistance to termination seen in the termination phase of
therapy
d. A sign of pathological attachment to the therapist that must be addressed -
Correct Answer-C. Clients frequently display resistance and regression at the
termination of a meaningful therapeutic process. The PMHNP is responsible for
planning an effective termination and monitoring clients during the termination
period.
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
of dependency. 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.
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?
3|Page
, ANCC PMHNP EXAM NEWEST ACTUAL EXAM
a. Pleasure principle
b. Psychic determinism principle
c. Reality principle
d. Unconsciousness principle - Correct Answer-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.
An example of a mature, healthy defense mechanism is
a. Denial
b. Rationalization
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.
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 behavior common to an earlier stage of development.
Defense mechanisms are best viewed as a function of the ego
4|Page
