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PMHNP Exam Review Questions and Verified Answers 2026 An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a therapeutic alli

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 15 pages. Originally published on StudyMerit.

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15
Academic year
2025/2026
Language
English

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PMHNP Exam Review Questions and Verified Answers 2026 An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's readiness to terminate therapy when the patient demonstrates: A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth. B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety. C. free association, and considers the nurse practitioner's interpretation of the patient's dreams. D. new adaptive skills and responses after completing "homework assignments." - <CORRECT ANSWER >>A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth. 4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds by: A. advising the survivors to consider using a hypnotic medication for a brief period. B. educating the survivors about prodromal symptoms of posttraumatic stress disorder. C. encouraging the survivors to rest during the day. D. suggesting that the survivors join a post trauma support group - <CORRECT ANSWER >>B. educating the survivors about prodromal symptoms of posttraumatic stress disorder. 3. Which behavior reflects existentially oriented therapy?

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A. Attempting to understand a patient's subjective world B. Challenging a patient's irrational beliefs C. Developing specific plans for change D. Establishing general group goals - <CORRECT ANSWER >>A. Attempting to understand a patient's subjective world A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the patient: A. has failed to develop clear ego boundaries. B. has failed to master object constancy. C. is employing primitive idealization. D. is employing projective identification. - <CORRECT ANSWER >>B. has failed to master object constancy. An adult psychiatric and mental health nurse practitioner uses a cognitive-behavioral approach to help an adolescent patient change self-defeating behaviors. After identifying the initial stressor that is causing the inappropriate behavior, the therapeutic intervention is to identify: A. alternative positive responses to the stressor. B. negative consequences of the behavioral response to the stressor. C. possible outcomes of alternative responses. D. rational and irrational beliefs about the stressor. - <CORRECT ANSWER >>D. rational and irrational beliefs about the stressor. Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for patients who have severe depression? A. Greater efficacy than tricyclic antidepressants

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B. Less potential for drug interaction C. Less potential for injury with intentional overdose D. Less potential for suicidal thinking - <CORRECT ANSWER >>C. Less potential for injury with intentional overdose For 12 years, a 65-year-old patient with bipolar affective disorder has been treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. The interaction of the lithium and the thiazide diuretic has induced: A. hypokalemia. B. hyponatremia. C. increased renal clearance of lithium. D. reduced renal clearance of lithium. - <CORRECT ANSWER >>D. reduced renal clearance of lithium. 14. During patient education about sertraline (Zoloft), an adult psychiatric and mental health nurse practitioner focuses upon the potential side effect of: A. agranulocytosis. B. hypernatremia. C. sexual dysfunction. D. weight loss. - <CORRECT ANSWER >>C. sexual dysfunction. The neurochemical pathophysiology of Tourette disorder involves: A. decreased levels of gamma-aminobutyric acid and increased levels of glutamate in the brain. B. deficits in the prefrontal cortex-mediated executive functions of the brain.

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