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PURPLE BOOK PMHNP 100 MULTIPLE CHOICE QUESTIONS W/ANSWERS WITH SOLUTIONS 2024 ANCC
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PURPLE BOOK PMHNP 100 MULTIPLE CHOICE QUESTIONS W/ANSWERS WITH SOLUTIONS 2024 ANCC
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PURPLE BOOK PMHNP 100 MULTIPLECHOICE QUESTIONS W/ANSWERS WITH
SOLUTIONS 2024 ANCC
1.UTheUpurposeUofUtheUAmericanUNursesUAssociation'sUPsychiatric-
MentalUHealthUNursing:UScopeUandUStandardsUofUPracticeUisUto
A.UDefineUtheUroleUandUactionsUforUtheUNP
EstablishUtheUlegalUauthorityUforUtheUprescriptionUofUpsychotropicU
B.Umedications
C.UDefineUtheUlegalUstatutesUofUtheUroleUofUtheUPMHNP
D.UDefineUtheUdifferencesUbetweenUtheUphysicianUroleUandUtheUNPUroleU-
UANSWERUCorrectUAnswer:UA.UTheUANA'sUPsychiatric-
MentalUHealthUNursing:UScopeUandUStandardsUofUPracticeUdefinesUtheUroleUandUactionsUofUtheUnurseUprac
titioner.
2)UPrimaryUpreventionUcareUpracticesUareUanUessentialUaspectUofUtheUPMHNPUrole.UWhichUofUtheUfollowin
gUisUtheUbestUexampleUofUaUprimaryUpreventionUcareUstrategyUforUcommunityUbehavioralUhealth?
a)UAftercareUprogramUforUchronicallyUmentallyUillUclientsUrecentlyUdischargedUfromUtheUhospital
b)UCourt-orderedUcounselingUforUabusiveUparents
c)U24-hourUcrisisUhotlines
d)UParentingUskillsUclassesUforUpregnantUadolescentsU-
UANSWERUCorrectUAnswer:UD.UInformationUreducesUincidenceUofUdisease.
3
TheUtrendUinUlegalUrulingsUonUcasesUinvolvingUmentalUillnessUoverUtheUpastU25UyearsUhasUbeenUto
a)UEncourageUjuriesUtoUfindUdefendantsUnotUguiltyUbyUreasonUofUinsanity
b)UProtectUtheUperson'sUfreedomsUorUrightsUwhenUheUorUsheUisUcommittedUtoUaUmentalUhospital
c)UPlaceUincreasingUtrustUinUmentalUhealthUprofessionalsUtoUmakeUgoodUandUethicalUdecisions
d)UDecreaseUtheU"redUtape"UassociatedUwithUcommitmentsUsoUthatUcommitmentsUareUfasterUandUeasierU-
UANSWERUB.UIdentifiesUtheUtrendUofUensuringUtheUprotectionUofUindividualUcivilUlibertiesUforUpsychiatricUcli
ents.
,4
UMr.USmithers,UanUinvoluntarilyUhospitalizedUpatientUexperiencingUpsychoticUsymptoms,UrefusesUtoUtakeUa
nyUofUhisUorderedUmedicationUbecauseUheUbelievesU"JesusUChristUtoldUmeUIUamUtheUprophetUandUmustUfas
tUforUaUyear."UYourUactionsUshouldUbeUbasedUonUyourUknowledgeUofUwhichUofUtheUfollowing?
a)UPsychiatricUclientsUcannotUrefuseUtreatment
b)UPsychiatricUclientsUdoUnotUalwaysUknowUwhatUisUgoodUforUthem
c)UPsychiatricUclientsUcanUrefuseUtreatment
d)UPsychiatricUclientsUcannotUbeUtrustedUtoUmakeUgoodUhealthcareUdecisionsUand,Utherefore,UtheUnurse'sU
bestUclinicalUjudgmentUshouldUguideUactionsU-
UANSWERUC.UAsUwithUanyUclient,UpsychiatricUclientsUcanUrefuseUtreatmentUun-
UlessUaUlegalUprocessUresultingUinUinvoluntaryUcommitmentUorUmandatoryUcourtUorderUforUtreatmentUhasU
beenUobtained.
5.UWhichUofUtheUfollowingUstatementsUbestUreflectsUtheUdifferenceUbetweenUtheUnurse-clientU(N-
C)UrelationshipUandUaUsocialUrelationship?
a)UInUtheUN-CUrelationship,UtheUprimaryUfocusUisUonUtheUclientUandUtheUclient'sUneeds.
b)UGoalsUinUtheUN-
CUrelationshipUareUdeliberatelyUleftUvagueUandUunspokenUsoUthatUtheUclientUcanUworkUonUanyUissue.
c)UInUtheUN-CUrelationship,UtheUnurseUisUsolelyUresponsibleUforUmakingUtheUrelationshipUwork.
d)UInUtheUN-CUrelationship,UthereUisUnoUplaceUforUsocialUinteraction.U-
UANSWERUA.USocialUrelationshipsUareUmutualUinterpersonalUrelationshipsUinUwhichUtheUneedsUofUbothUpar
tiesUareUaddressed.UTheUN-CUrelationshipUisUmostUcon-UcernedUwithUmeetingUtheUneedsUofUtheUclient.
6.UAUcommunityUhasUanUunusuallyUhighUincidenceUofUdepressionUandUdrugUuseUamongUtheUteen-
UageUpopulation.UTheUpublicUhealthUnursesUdecideUtoUaddressUthisUproblem,UinUpart,UbyUmodifyingUtheUen
vironmentUandUstrengtheningUtheUcapacitiesUofUfamiliesUtoUpreventUtheUdevelopmentUofUnewUcasesUofUde
pressionUandUdrugUuse.UWhatUisUthisUisUanUexampleUof?
a)UPrimaryUprevention
b)USecondaryUprevention
c)UTertiaryUprevention
d)UProtectiveUfactorialUpreventionU-
UANSWERUA.UThisUactionUfocusesUonUinterventionsUdesignedUtoUreduceUtheUincidenceUofUnewUcasesUofUdis
ease.
,7
Mrs.UKempUisUvoluntarilyUadmittedUtoUtheUhospital.UAfterU24Uhours,UsheUstatesUsheUwishesUtoUleaveUbecau
seU"thisUplaceUcan'tUhelpUme."UTheUbestUnursingUactionUthatUreflectsUtheUlegalUrightUofUthisUclientUis
a)UDischargeUtheUclient
b)UExplainUthatUtheUclientUcannotUleaveUuntilUyouUcanUcompleteUfurtherUassessment
c)UAllowUtheUclientUtoUleaveUbutUhaveUherUsignUformsUstatingUsheUisUleavingUagainstUmedicalUadvice
d)UImmediatelyUstartUtheUpaperworkUtoUcommitUtheUclientUandUtoUallowUyouUtoUtreatUherUagainstUherUwis
hesU-UANSWERUCorrectUAnswer:UB.UAlmostUeveryUstateUallowsUforUaUbriefUperiodUofUdetainmentUtoUas-
UsessUaUclientUforUdangerousnessUtoUselfUorUothersUbeforeUallowingUtheUclientUtoUleaveUaUhospitalUsetting,U
evenUifUtheUadmissionUwasUvoluntary.
8
InUmanyUcharacteristicsUthatUareUknownUtoUbeUhelpfulUinUrelationship-building.UWhichUofUtheUfol-
UlowingUisUanUessentialUpartUofUbuildingUaUtherapeuticUrelationship?UformingUaUtherapeuticUrelationshipUw
ithUclients,UtheUPMHNPUmustUconsiderUdeveloping
a)UCollectingUaUfamilyUhistory
b)ULike-mindedness
c)UAuthenticity
d)UAccuracyUinUassessmentU-
UANSWERUC.UAuthenticity.UBeingUgenuine,Uhonest,UandUrespectfulUareUessentialUelementsUinUestablishingU
aUworkingUrelationshipUwithUanyUclient.ULike-
mindednessisUnotUaUpartUofUtheUtherapeuticUrelationship.UAlthoughUanUimportantUaspectUofUtheUPMHNPU
role,UcollectingUaUfamilyUhistoryUandUaccuracyUinUassessmentUdoesUnotUinUandUofUitselfUfacilitateUrelations
hip-building.
9
AccordingUtoUtheUDSM-5,UwhichUofUtheUfollowingUisUtrue?U(Ch.U3)
a)UAUmentalUdisorderUisUequivalentUtoUtheUneedUforUtreatment.
b)UDiagnosticUcriteriaUareUusedUtoUinformUclinicalUjudgment.
c)USociallyUdeviantUbehaviorUisUconsideredUaUmentalUdisorder.
d)UAUculturallyUexpectedUresponseUtoUaUstressorUisUnotUaUmentalUdisorder.U-
UANSWERUCorrectUAnswer:UD.UAllUDSM-
5UdisordersUneedUtoUbeUmadeUtakingUaUperson'sUcultureUintoUaccount.UAUculturalUexpressionUofUaUrespons
eUtoUgrief,Uloss,UorUstressUisUnotUcon-UsideredUaUDSM-5Udiagnosis.
, 10
Mrs.UFrenchUhasUbeenUinUindividualUtherapyUforU3Umonths.USheUhasUshownUmuchUgrowthUandUimproveme
ntUinUherUfunctioningUandUinsightUandUisUtoUdiscontinueUservicesUwithinUtheUnextUfewUweeks.UInUtheUnextU
session,UafterUyouUdiscussUserviceUtermination,UsheUsuddenlyUbeginsUtoUdemonstrateUtheUoriginalUsympto
msUthatUhadUbroughtUherUtoUtreatmentUinitially.USheUisUnowUhesitantUtoUdischarge,UwantsUtoUcontinueUser
vices,UandUisUdisplayingUanUincreaseUinUregressiveUdefenseUmechanisms.UWhatUisUtheUbestUexplanationUfor
UMs.UFrench'sUbehavior?
a)UAnUexacerbationUofUherUsymptomsUrelatedUtoUstress
b)UTheUnormalUcyclicUnatureUofUchronicUmentalUhealthUsymptoms
c)UAUsignUofUnormalUresistanceUtoUterminationUseenUinUtheUterminationUphaseUofUtherapy
d)UAUsignUofUpathologicalUattachmentUtoUtheUtherapistUthatUmustUbeUaddressedU-
UANSWERUC.UClientsUfrequentlyUdisplayUresistanceUandUregressionUatUtheUterminationUofUaUmeaningfulUth
erapeuticUprocess.UTheUPMHNPUisUresponsibleUforUplanningUanUeffectiveUterminationUandUmonitoringUclie
ntsUduringUtheUterminationUperiod.
11U
AUclientUisUdisplayingUlowUself-esteem,UpoorUself-control,Uself-doubt,UandUaUhighUlevelUofUde-
Upendency.UTheseUbehaviorsUindicateUdevelopmentalUfailureUofUwhichUofUtheUfollowingUstagesUofUdevelop
ment:
a)UInfancy
b)UEarlyUchildhood
c)ULateUchildhood
d)USchoolUageU-
UANSWERUCorrectUAnswer:UB.UTheseUsignsUindicateUdevelopmentalUfailureUofUearlyUchildhood.
12
UMr.UThompsonUhasUbeenUforgetfulUlately,UforUexample,UforgettingUwhereUheUhasUplacedUhisUkeysUorUwhatU
timeUappointmentsUareUscheduled,UandUheUhasUstatedUthatUheUthinksUtheseUareUjustUrandomUbehaviorsUth
atUhaveUnoUparticularUmeaning.UWhichUFreudian-
basedUpsychodynamicUprincipleUassumesUthatUallUbehaviorUandUactionsUareUpurposeful?
a)UPleasureUprinciple
b)UPsychicUdeterminismUprinciple
c)URealityUprinciple
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