Nurs751 Purple book EXAM QUESTIONS |\ |\ |\ |\ |\
WITH ANSWERS |\
1. The purpose of the American Nurses Association's Psychiatric-
|\ |\ |\ |\ |\ |\ |\ |\
Mental Health Nursing: Scope and Standards of Practice is to
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Define the role and actions for the NP
|\ |\ |\ |\ |\ |\ |\ |\
b. Establish the legal authority for the prescription of
|\ |\ |\ |\ |\ |\ |\ |\ |\
psychotropic medications |\
c. Define the legal statutes of the role of the PMHNP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. Define the differences between the physician role and the NP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
role - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\
2. Primary prevention care practices are an essential aspect of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the PMHNP role. Which of the following is the best example of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
primary prevention care strategy for community behavioral
|\ |\ |\ |\ |\ |\ |\
health?
a. Aftercare program for chronically mentally ill clients recently
|\ |\ |\ |\ |\ |\ |\ |\ |\
discharged from the hospital |\ |\ |\
b. Court-ordered counseling for abusive parents
|\ |\ |\ |\ |\
C. 24-hour crisis hotlines
|\ |\ |\
d. Parenting skills classes for pregnant adolescents - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔D |\
Information reduces incidence of disease |\ |\ |\ |\
3. The trend in legal rulings on cases involving mental illness
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
over the past 25 years has been to
|\ |\ |\ |\ |\ |\ |\
,a. Encourage juries to find defendants not guilty by reason of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
insanity
b. Protect the person's freedoms or rights when he or she is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
committed to a mental hospital |\ |\ |\ |\
C. Place increasing trust in mental health professionals to make
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
good and ethical decisions
|\ |\ |\ |\
d. Decrease the "red tape" associated with commitments so that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
commitments are faster and easier - CORRECT ANSWERS ✔✔B |\ |\ |\ |\ |\ |\ |\ |\
Identifies the trend of ensuring the protection of individual civil
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
liberties for psychiatric clients |\ |\ |\
4. Mr. Smithers, an involuntarily hospitalized patient experiencing
|\ |\ |\ |\ |\ |\ |\
psychotic symptoms refuses to take any of his ordered
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication because he believes "Jesus Christ told me I am the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prophet and must fast for a year." Your actions should be based
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on your knowledge of the of the following?
|\ |\ |\ |\ |\ |\ |\
a. Psychiatric clients cannot refuse treatment
|\ |\ |\ |\ |\
b. Psychiatric clients do not always know what is good for them
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Psychiatric clients can refuse treatment
|\ |\ |\ |\ |\
d.Psychiatric clients cannot be trusted to make good healthcare |\ |\ |\ |\ |\ |\ |\ |\ |\
decisions and, therefore, the nurse's best clinical judgment
|\ |\ |\ |\ |\ |\ |\ |\
should guide actions - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\
As with any client, psychiatric clients can refuse treatment unless
|\ |\ |\ |\ |\ |\ |\ |\ |\
a legal process resulting in involuntary commitment or
|\ |\ |\ |\ |\ |\ |\ |\ |\
mandatory court order for treatment has been obtained |\ |\ |\ |\ |\ |\ |\
5. Which of the following statements best reflects the difference
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
between the nurse-client (N-C) relationship and a social
|\ |\ |\ |\ |\ |\ |\ |\
relationship?
,a. In the N-C relationship, the primary focus is on the client and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client's needs.
|\ |\
b. Goals in the N-C relationship are deliberately left vague and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unspoken so that the client can work on any issue. |\ |\ |\ |\ |\ |\ |\ |\ |\
c. In the NC relationship, the nurse is solely responsible for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
making the relationship work. |\ |\ |\
d. In the NC relationship, there is no place for social interaction. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔A
|\ |\ |\
Social relationships are mutual interpersonal relationships in
|\ |\ |\ |\ |\ |\ |\
which the needs of both parties are addressed. The N-C
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
relationship is most concerned with meeting the needs of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client.
A community has an unusually high incidence of depression and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drug use among the teenage population. The public health
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurses decide to address this problem, in part, by modifying the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
environment and strengthening the capacities of families to |\ |\ |\ |\ |\ |\ |\ |\
prevent the development of new cases of depression and drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
use. What is this is an example of?
|\ |\ |\ |\ |\ |\ |\
a. Primary prevention
|\ |\
b. Secondary prevention
|\ |\
c. Tertiary prevention
|\ |\ |\
d. Protective factorial prevention - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\
This action focuses on interventions designed to reduce the
|\ |\ |\ |\ |\ |\ |\ |\ |\
incidence of new cases of disease |\ |\ |\ |\ |\
7. Mrs. Kemp is voluntarily admitted to the hospital. After 24
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hours, she states she wishes to leave because "this place can't
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, help me." The best nursing action that reflects the legal right of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this client is |\ |\
a. Discharge the client
|\ |\ |\ |\
b. Explain that the client cannot leave until you can complete
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
further assessment |\
C. Allow the client to leave but have her sign forms stating she is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
leaving against medical advice
|\ |\ |\ |\
d. Immediately start the paperwork to commit the client and to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
allow you to treat her against her wishes - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔B
Almost every state allows for a brief period of detainment to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assess a client for dangerousness to self or others before
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
allowing the client to leave a hospital setting, even if the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admission was voluntary |\ |\
8. In forming a therapeutic relationship with clients, the PMHNP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
must consider developing many characteristics that are known to
|\ |\ |\ |\ |\ |\ |\ |\
be helpful in relationship building. Which of the fallowing is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
essential part of building a therapeutic relationship?
|\ |\ |\ |\ |\ |\
a. Collecting a family history
|\ |\ |\ |\ |\
b. Like-mindedness
|\
C. Authenticity
|\
d. Accuracy in assessment - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\ |\
Being genuine, honest, and respectful are essential elements in
|\ |\ |\ |\ |\ |\ |\ |\ |\
establishing a working relationship with any client. Like- |\ |\ |\ |\ |\ |\ |\
mindedness is not a part of the therapeutic relationship. Although |\ |\ |\ |\ |\ |\ |\ |\ |\
an important aspect of the PMHNP role, collecting a family
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history and accuracy in assessment does not in and of itself
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
facilitate relationship-building. |\
WITH ANSWERS |\
1. The purpose of the American Nurses Association's Psychiatric-
|\ |\ |\ |\ |\ |\ |\ |\
Mental Health Nursing: Scope and Standards of Practice is to
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Define the role and actions for the NP
|\ |\ |\ |\ |\ |\ |\ |\
b. Establish the legal authority for the prescription of
|\ |\ |\ |\ |\ |\ |\ |\ |\
psychotropic medications |\
c. Define the legal statutes of the role of the PMHNP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. Define the differences between the physician role and the NP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
role - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\
2. Primary prevention care practices are an essential aspect of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the PMHNP role. Which of the following is the best example of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
primary prevention care strategy for community behavioral
|\ |\ |\ |\ |\ |\ |\
health?
a. Aftercare program for chronically mentally ill clients recently
|\ |\ |\ |\ |\ |\ |\ |\ |\
discharged from the hospital |\ |\ |\
b. Court-ordered counseling for abusive parents
|\ |\ |\ |\ |\
C. 24-hour crisis hotlines
|\ |\ |\
d. Parenting skills classes for pregnant adolescents - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔D |\
Information reduces incidence of disease |\ |\ |\ |\
3. The trend in legal rulings on cases involving mental illness
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
over the past 25 years has been to
|\ |\ |\ |\ |\ |\ |\
,a. Encourage juries to find defendants not guilty by reason of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
insanity
b. Protect the person's freedoms or rights when he or she is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
committed to a mental hospital |\ |\ |\ |\
C. Place increasing trust in mental health professionals to make
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
good and ethical decisions
|\ |\ |\ |\
d. Decrease the "red tape" associated with commitments so that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
commitments are faster and easier - CORRECT ANSWERS ✔✔B |\ |\ |\ |\ |\ |\ |\ |\
Identifies the trend of ensuring the protection of individual civil
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
liberties for psychiatric clients |\ |\ |\
4. Mr. Smithers, an involuntarily hospitalized patient experiencing
|\ |\ |\ |\ |\ |\ |\
psychotic symptoms refuses to take any of his ordered
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication because he believes "Jesus Christ told me I am the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prophet and must fast for a year." Your actions should be based
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on your knowledge of the of the following?
|\ |\ |\ |\ |\ |\ |\
a. Psychiatric clients cannot refuse treatment
|\ |\ |\ |\ |\
b. Psychiatric clients do not always know what is good for them
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Psychiatric clients can refuse treatment
|\ |\ |\ |\ |\
d.Psychiatric clients cannot be trusted to make good healthcare |\ |\ |\ |\ |\ |\ |\ |\ |\
decisions and, therefore, the nurse's best clinical judgment
|\ |\ |\ |\ |\ |\ |\ |\
should guide actions - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\
As with any client, psychiatric clients can refuse treatment unless
|\ |\ |\ |\ |\ |\ |\ |\ |\
a legal process resulting in involuntary commitment or
|\ |\ |\ |\ |\ |\ |\ |\ |\
mandatory court order for treatment has been obtained |\ |\ |\ |\ |\ |\ |\
5. Which of the following statements best reflects the difference
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
between the nurse-client (N-C) relationship and a social
|\ |\ |\ |\ |\ |\ |\ |\
relationship?
,a. In the N-C relationship, the primary focus is on the client and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client's needs.
|\ |\
b. Goals in the N-C relationship are deliberately left vague and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unspoken so that the client can work on any issue. |\ |\ |\ |\ |\ |\ |\ |\ |\
c. In the NC relationship, the nurse is solely responsible for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
making the relationship work. |\ |\ |\
d. In the NC relationship, there is no place for social interaction. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔A
|\ |\ |\
Social relationships are mutual interpersonal relationships in
|\ |\ |\ |\ |\ |\ |\
which the needs of both parties are addressed. The N-C
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
relationship is most concerned with meeting the needs of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client.
A community has an unusually high incidence of depression and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drug use among the teenage population. The public health
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurses decide to address this problem, in part, by modifying the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
environment and strengthening the capacities of families to |\ |\ |\ |\ |\ |\ |\ |\
prevent the development of new cases of depression and drug
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
use. What is this is an example of?
|\ |\ |\ |\ |\ |\ |\
a. Primary prevention
|\ |\
b. Secondary prevention
|\ |\
c. Tertiary prevention
|\ |\ |\
d. Protective factorial prevention - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\
This action focuses on interventions designed to reduce the
|\ |\ |\ |\ |\ |\ |\ |\ |\
incidence of new cases of disease |\ |\ |\ |\ |\
7. Mrs. Kemp is voluntarily admitted to the hospital. After 24
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hours, she states she wishes to leave because "this place can't
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, help me." The best nursing action that reflects the legal right of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this client is |\ |\
a. Discharge the client
|\ |\ |\ |\
b. Explain that the client cannot leave until you can complete
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
further assessment |\
C. Allow the client to leave but have her sign forms stating she is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
leaving against medical advice
|\ |\ |\ |\
d. Immediately start the paperwork to commit the client and to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
allow you to treat her against her wishes - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔B
Almost every state allows for a brief period of detainment to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assess a client for dangerousness to self or others before
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
allowing the client to leave a hospital setting, even if the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admission was voluntary |\ |\
8. In forming a therapeutic relationship with clients, the PMHNP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
must consider developing many characteristics that are known to
|\ |\ |\ |\ |\ |\ |\ |\
be helpful in relationship building. Which of the fallowing is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
essential part of building a therapeutic relationship?
|\ |\ |\ |\ |\ |\
a. Collecting a family history
|\ |\ |\ |\ |\
b. Like-mindedness
|\
C. Authenticity
|\
d. Accuracy in assessment - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\ |\
Being genuine, honest, and respectful are essential elements in
|\ |\ |\ |\ |\ |\ |\ |\ |\
establishing a working relationship with any client. Like- |\ |\ |\ |\ |\ |\ |\
mindedness is not a part of the therapeutic relationship. Although |\ |\ |\ |\ |\ |\ |\ |\ |\
an important aspect of the PMHNP role, collecting a family
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history and accuracy in assessment does not in and of itself
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
facilitate relationship-building. |\
