PMHNP Exam Review (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1. Anmadultmpsychiatricmandmmentalmhealthmnursempractitionermusesmtheminterpersonalmthera
pymmodelmwithmampatientmtomestablishmamtherapeuticmalliancembasedmuponmempathymandm
trust.mThemnursempractitionermrecognizesmthempatient'smreadinessmtomterminatemtherapym
whenmthempatientmdemonstrates:
A. anmunderstandingmthatmleavingmamsignificantmothermmaymbempainful,mbutmalsompres
entsmanmopportunitymformgrowth.
B. breathingmandmmusclemrelaxationmexercisesmthatmdecreasemmusclemtensionmandma
nxiety.
C. freemassociation,mandmconsidersmthemnursempractitioner'sminterpretationmofmthempa
tient'smdreams.
D. newmadaptivemskillsmandmresponsesmaftermcompletingm"homeworkmassignments."m-
mCORRECTmANSWERmA.manmunderstandingmthatmleavingmamsignificantmothermmaymb
empainful,mbutmalsompresentsmanmopportunitymformgrowth.
2. 4.mServingmasmammembermonmamcrisismteam,manmadultmpsychiatricmandmmentalmhealthmnurs
empractitionermprovidesmcrisisminterventionmtomthemsurvivorsmofmamplanemcrash.mForty-
eightmhoursmaftermthemaccident,mthemsurvivorsmdescribemvividmflashbacks,mstartlemreaction
s,mandmdisruptedmsleepmpatterns.mThemnursempractitionermrespondsmby:
A. advisingmthemsurvivorsmtomconsidermusingmamhypnoticmmedicationmformambriefmperio
d.
B. educatingmthemsurvivorsmaboutmprodromalmsymptomsmofmposttraumaticmstressmdis
order.
C. encouragingmthemsurvivorsmtomrestmduringmthemday.
, D. suggestingmthatmthemsurvivorsmjoinmampostmtraumamsupportmgroupm-
mCORRECTmANSWERmB.meducatingmthemsurvivorsmaboutmprodromalmsymptomsmofm
posttraumaticmstressmdisorder.
3. Whichmbehaviormreflectsmexistentiallymorientedmtherapy?
A. Attemptingmtomunderstandmampatient'smsubjectivemworld
B. Challengingmampatient'smirrationalmbeliefs
C. Developingmspecificmplansmformchange
D. Establishingmgeneralmgroupmgoalsm-
mCORRECTmANSWERmA.mAttemptingmtomunderstandmampatient'smsubjectivemworld
4. Ampatientmwithmborderlinempersonalitymdisordermexperiencesmintensemanxietymwhenmanma
dultmpsychiatricmandmmentalmhealthmnursempractitionermgoesmonmvacation.mThembestmexpla
nationmformthismreactionmismthatmthempatient:
A. hasmfailedmtomdevelopmclearmegomboundaries.
B. hasmfailedmtommastermobjectmconstancy.
C. ismemployingmprimitivemidealization.
D. ismemployingmprojectivemidentification.m-
mCORRECTmANSWERmB.mhasmfailedmtommastermobjectmconstancy.
5. Anmadultmpsychiatricmandmmentalmhealthmnursempractitionermusesmamcognitive-
behavioralmapproachmtomhelpmanmadolescentmpatientmchangemself-
defeatingmbehaviors.mAftermidentifyingmtheminitialmstressormthatmismcausingmtheminappropri
atembehavior,mthemtherapeuticminterventionmismtomidentify:
A. alternativempositivemresponsesmtomthemstressor.
B. negativemconsequencesmofmthembehavioralmresponsemtomthemstressor.
C. possiblemoutcomesmofmalternativemresponses.
D. rationalmandmirrationalmbeliefsmaboutmthemstressor.m-
mCORRECTmANSWERmD.mrationalmandmirrationalmbeliefsmaboutmthemstressor.
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1. Anmadultmpsychiatricmandmmentalmhealthmnursempractitionermusesmtheminterpersonalmthera
pymmodelmwithmampatientmtomestablishmamtherapeuticmalliancembasedmuponmempathymandm
trust.mThemnursempractitionermrecognizesmthempatient'smreadinessmtomterminatemtherapym
whenmthempatientmdemonstrates:
A. anmunderstandingmthatmleavingmamsignificantmothermmaymbempainful,mbutmalsompres
entsmanmopportunitymformgrowth.
B. breathingmandmmusclemrelaxationmexercisesmthatmdecreasemmusclemtensionmandma
nxiety.
C. freemassociation,mandmconsidersmthemnursempractitioner'sminterpretationmofmthempa
tient'smdreams.
D. newmadaptivemskillsmandmresponsesmaftermcompletingm"homeworkmassignments."m-
mCORRECTmANSWERmA.manmunderstandingmthatmleavingmamsignificantmothermmaymb
empainful,mbutmalsompresentsmanmopportunitymformgrowth.
2. 4.mServingmasmammembermonmamcrisismteam,manmadultmpsychiatricmandmmentalmhealthmnurs
empractitionermprovidesmcrisisminterventionmtomthemsurvivorsmofmamplanemcrash.mForty-
eightmhoursmaftermthemaccident,mthemsurvivorsmdescribemvividmflashbacks,mstartlemreaction
s,mandmdisruptedmsleepmpatterns.mThemnursempractitionermrespondsmby:
A. advisingmthemsurvivorsmtomconsidermusingmamhypnoticmmedicationmformambriefmperio
d.
B. educatingmthemsurvivorsmaboutmprodromalmsymptomsmofmposttraumaticmstressmdis
order.
C. encouragingmthemsurvivorsmtomrestmduringmthemday.
, D. suggestingmthatmthemsurvivorsmjoinmampostmtraumamsupportmgroupm-
mCORRECTmANSWERmB.meducatingmthemsurvivorsmaboutmprodromalmsymptomsmofm
posttraumaticmstressmdisorder.
3. Whichmbehaviormreflectsmexistentiallymorientedmtherapy?
A. Attemptingmtomunderstandmampatient'smsubjectivemworld
B. Challengingmampatient'smirrationalmbeliefs
C. Developingmspecificmplansmformchange
D. Establishingmgeneralmgroupmgoalsm-
mCORRECTmANSWERmA.mAttemptingmtomunderstandmampatient'smsubjectivemworld
4. Ampatientmwithmborderlinempersonalitymdisordermexperiencesmintensemanxietymwhenmanma
dultmpsychiatricmandmmentalmhealthmnursempractitionermgoesmonmvacation.mThembestmexpla
nationmformthismreactionmismthatmthempatient:
A. hasmfailedmtomdevelopmclearmegomboundaries.
B. hasmfailedmtommastermobjectmconstancy.
C. ismemployingmprimitivemidealization.
D. ismemployingmprojectivemidentification.m-
mCORRECTmANSWERmB.mhasmfailedmtommastermobjectmconstancy.
5. Anmadultmpsychiatricmandmmentalmhealthmnursempractitionermusesmamcognitive-
behavioralmapproachmtomhelpmanmadolescentmpatientmchangemself-
defeatingmbehaviors.mAftermidentifyingmtheminitialmstressormthatmismcausingmtheminappropri
atembehavior,mthemtherapeuticminterventionmismtomidentify:
A. alternativempositivemresponsesmtomthemstressor.
B. negativemconsequencesmofmthembehavioralmresponsemtomthemstressor.
C. possiblemoutcomesmofmalternativemresponses.
D. rationalmandmirrationalmbeliefsmaboutmthemstressor.m-
mCORRECTmANSWERmD.mrationalmandmirrationalmbeliefsmaboutmthemstressor.
