PMHNP Practice Questions With Correct
Answers
What is the introduction phase of the nurse-client relationship? - answerCreates a trusting
environment, establishing professional boundaries, establishing length of anticipated interaction,
providing diagnostic evaluation, and setting mutually agre...
What is the introduction phase of the nurse-client relationship? - answer✔Creates a trusting
environment, establishing professional boundaries, establishing length of anticipated interaction,
providing diagnostic evaluation, and setting mutually agreed-upon treatment objectives
What is the working phase of the nurse-client relationship? - answer✔Clarifying client objectives
and mutually set goals, implementing a treatment plan, monitoring health, undertaking
preventative health care, measuring and evaluating outcomes of care, and reprioritizing plan and
objectives as indicated
What is the termination/resolution phase of the nurse-client relationship? - answer✔Reviewing
the client's progress toward objectives, establishing a long-term plan of care, focusing on self-
management strategies, disengaging from the relationship, and referring the client to other
services as needed
Erik Erikson's Stage of Trust vs. Mistrust - answer✔Birth- 1 year. Ability to form meaningful
relationships, hope about the future, trust in others
Erik Erikson's Stage of Autonomy vs. Shame & Doubt - answer✔1-3 years. Includes self control,
self esteem, and will power.
Erik Erikson's Stage of Initiative vs. Guilt - answer✔3-6 years. Self-directed behavior, goal
formation, sense of purpose.
Erik Erikson's Stage of Industry vs. Inferiority - answer✔6-12 years. Ability to work, sense of
competency and achievement.
Erik Erikson's Stage of Identity vs. Role Confusion - answer✔12-20 years. Personal sense of
identity.
Erik Erikson's Stage of Intimacy vs. Isolation - answer✔20-35 years. Committed relationships,
capacity to love.
Erik Erikson's Stage of Generativity vs. Stagnation - answer✔35-65 years. Ability to give time
and talents to others, ability to care for others.
Erik Erikson's Stage of Integrity vs. Despair - answer✔>65 years. Fulfillment and comfort with
life, willingness to face death, insight and balanced perspective on life's events.
Age of onset for Intellectual Disability - answer✔Infancy- usually evident at birth
Age of onset for ADHD - answer✔Early childhood, per DSM by age 12
Age of onset for Schizophrenia - answer✔18 to 25 years for men
25 to 35 years for women
Age of onset for Major Depression - answer✔Late adolescence to young adulthood
Age of onset for Dementia - answer✔Most common after age 85
Interpersonal Theory by Henry Stack Sullivan - answer✔Behavior occurs because of
interpersonal dynamics, interpersonal relationships and experiences influence one's personality,
two drives for behavior include: the drive for satisfaction and the drive for security. When these
needs are interfered with by the self-system, mental illness occurs. Sullivan also described stages
of interpersonal development.
Health Belief Model by Marshall Becker - answer✔Explains that healthy people do not always
take advantage of screenings or preventative programs because of the following variables:
Perception of susceptibility, Seriousness of illness, Perceived benefits of treatment, Perceived
barriers to change, and Expectations of efficacy
Transtheoretical Model of Change - answer✔States that change such as in health behaviors
occurs in six predictable stages:
1. Precontemplation: Person has no intention to change.
2. Contemplation: Thinking of changing, aware of the problem but not committed to changing.
3. Preparation: The person has made the decision to change, is ready for action.
4. Action: Engaging in specific, overt action to change.
5. Maintenance: Engaging in behaviors to prevent relapse.
Qualitative hierarchy of research evidence - answer✔1) randomized controlled trials (RCT),
meta-analysis, systematic review
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