PMHNP Advanced Practice Skills Practice Test

1) A patient questions the need for a 12-step program. The psychiatric-mental health nurse practitioner should:

2) During a crisis intervention session, the psychiatric-mental health nurse practitioner should prioritize:

3) During a Mental Status Examination, a patient demonstrates very little emotional expression. This finding is documented as:

4) A patient with schizophrenia forgets to take medications regularly. Which technology-based intervention may improve adherence?

5) A patient reports chronic suicidal thoughts. What should be prioritized initially?

6) A patient screened for substance use reports frequent alcohol consumption affecting work performance. The next step is to:

7) When evaluating a screening tool, prioritizing sensitivity helps to:

8) A patient with a history of substance abuse wants help managing stress without medication. The psychiatric-mental health nurse practitioner should:

9) A patient is unable to communicate effectively because of a language barrier. The best action is to:

10) Health promotion for psychiatric patients includes:

11) Besides ADHD symptoms, the Vanderbilt ADHD Diagnostic Parent Rating Scale also screens for:

12) A patient with alcohol use disorder undergoes AUDIT screening. The primary purpose is to identify:

13) In a psychoeducational group for trauma survivors, the primary goal is to:

14) Which action best demonstrates therapeutic communication during a psychiatric interview?

15) A patient recovering from depression identifies supportive family relationships and coping skills. These are examples of:

16) A patient with borderline personality disorder presents with severe impulsivity and mood swings. The immediate management priority is:

17) A patient is unable to count backward from 100 by sevens. This may indicate:

18) A patient with depression expresses concerns about medication side effects. The psychiatric-mental health nurse practitioner's initial response should be:

19) A patient denies hallucinations but appears to respond to unseen stimuli. The psychiatric-mental health nurse practitioner should:

20) A patient with active suicidal ideation refuses hospitalization. The psychiatric-mental health nurse practitioner's responsibility is to:

21) A patient speaks rapidly and shifts from one topic to another. This thought process is known as:

22) A patient presents with symptoms of lithium toxicity. Which assessment finding is most concerning?

23) A mental health promotion program focused on stigma reduction should emphasize:

24) A patient diagnosed with social anxiety disorder is receiving psychoeducation. An effective intervention is to:

25) A patient with panic disorder presents with chest pain and shortness of breath. The first priority is to:

26) A patient on psychiatric medications presents with nasal congestion. What intervention should the psychiatric-mental health nurse practitioner recommend?

27) A patient demonstrates poor eye contact, slowed speech, and minimal emotional expression. These findings should be documented as part of the:

28) A patient with major depressive disorder reports persistent fatigue and difficulty concentrating. What additional condition should be considered during assessment?

29) During a psychiatric interview, an effective strategy for building rapport is to:

30) A patient with PTSD participates in treatment focused on coping with trauma-related symptoms. An important nursing intervention is to:

31) A patient demonstrates fair insight but poor judgment. This finding suggests:

32) A parent reports sudden behavioral changes in a child. The initial step of the psychiatric-mental health nurse practitioner is to:

33) Recovery-oriented care emphasizes:

34) During a suicide risk assessment, the psychiatric-mental health nurse practitioner should first determine:

35) Which screening tool focuses on the first two questions of the GAD-7?