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PHNP - Purple Book 4th Edition 100 Questions, PMHNP
Comprehensive, Flashcards: Clarity Education Systems
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Terms in this set (1376)
The purpose of the American Nurses Association's Correct Answer: A.
Psychiatric-Mental Health Nursing: Scope and Standards The ANA’s Psychiatric–Mental Health Nursing: Scope and Standards of Practice
of Practice is to defines the role and actions of the nurse practitioner.
a. Define the role and actions for the NP REF: Pg. 16
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
Primary prevention care practices are an essential aspect Correct Answer: D.
of the PMHNP role. Which of the following is the best Information reduces incidence of disease.
example of a primary prevention care strategy for
community behavioral health? REF: Pg. 103
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
,The trend in legal rulings on cases involving mental Correct Answer: B.
illness over the past 25 years has been to Identifies the trend of ensuring the protection of individual civil liberties for
psychiatric clients.
a. Encourage juries to find defendants not guilty by
reason of insanity REF: Pg. 20, 21
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
Mr. Smithers, an involuntarily hospitalized patient Correct Answer: C.
experiencing psychotic symptoms, refuses to take any of As with any client, psychiatric clients can refuse treatment un-less a legal process
his ordered medication because he believes "Jesus Christ resulting in involuntary commitment or mandatory court order for treatment has
told me I am the prophet and must fast for a year." Your been obtained.
actions should be based on your knowledge of which of
the following? REF: Pg. 19, 31
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
Which of the following statements best reflects the Correct Answer: A.
difference between the nurse-client (N-C) relationship Social relationships are mutual interpersonal relationships in which the needs of
and a social relationship? both parties are addressed. The N–C relationship is most concerned with meeting
the needs of the client.
a. In the N-C relationship, the primary focus is on the
client and the client's needs. REF: Pg. 38
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 N-C relationship, the nurse is solely responsible
for making the relationship work.
d. In the N-C relationship, there is no place for social
interaction.
A community has an unusually high incidence of Correct Answer: A.
depression and drug use among the teen-age This action focuses on interventions designed to reduce the incidence of new
population. The public health nurses decide to address cases of disease
this problem, in part, by modifying the environment and
strengthening the capacities of families to prevent the REF: Pg. 103
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
, Mrs. Kemp is voluntarily admitted to the hospital. After 24 Correct Answer: B.
hours, she states she wishes to leave because "this place Almost every state allows for a brief period of detainment to assess a client for
can't help me." The best nursing action that reflects the dangerousness to self or others before allowing the client to leave a hospital
legal right of this client is setting, even if the admission was voluntary.
a. Discharge the client REF: Pg. 21
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
In forming a therapeutic relationship with clients, the Correct Answer: C.
PMHNP must consider developing many characteristics Authenticity. Being genuine, honest, and respectful are essential elements in
that are known to be helpful in relationship-building. establishing a working relationship with any client. Like-mindedness is not a part of
Which of the following is an essential part of building a the therapeutic relationship. Although an important aspect of the PMHNP role,
therapeutic relationship? collecting a family history and accuracy in assessment does not in and of itself
facilitate relationship-building.
a. Collecting a family history
b. Like-mindedness REF: Pg. 38
c. Authenticity
d. Accuracy in assessment
According to the DSM-5, which of the following is true? Correct Answer: D.
(Ch. 3) All DSM-5 disorders need to be made taking a person’s culture into account. A
cultural expression of a response to grief, loss, or stress is not considered a DSM-
a. A mental disorder is equivalent to the need for 5 diagnosis.
treatment.
b. Diagnostic criteria are used to inform clinical judgment. REF: Pg. 23
c. Socially deviant behavior is considered a mental
disorder.
d. A culturally expected response to a stressor is not a
mental disorder.
Mrs. French has been in individual therapy for 3 months. Correct Answer: C.
She has shown much growth and improvement in her Clients frequently display resistance and regression at the termination of a
functioning and insight and is to discontinue services meaningful therapeutic process. The PMHNP is responsible for planning an
within the next few weeks. In the next session, after you effective termination and monitoring clients during the termination period
discuss service termination, she suddenly begins to
demonstrate the original symptoms that had brought her REF: Pg. 39
to treatment initially. She is now hesitant to discharge,
wants to continue services, and is displaying an increase
in regressive defense mechanisms. What is the best
explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health
symptoms
c. A sign of normal resistance to termination seen in the
termination phase of therapy
d. A sign of pathological attachment to the therapist that
must be addressed
PHNP - Purple Book 4th Edition 100 Questions, PMHNP
Comprehensive, Flashcards: Clarity Education Systems
Leave the first rating
Students also studied
pmhnp board exam - dump sheet PMHNP Cheat Sheet Schizophrenia PMHNP
26 terms Teacher 126 terms 73 terms 139 term
Janardsa Preview lostwax Preview Michelle_Zitnick Preview Sar
Terms in this set (1376)
The purpose of the American Nurses Association's Correct Answer: A.
Psychiatric-Mental Health Nursing: Scope and Standards The ANA’s Psychiatric–Mental Health Nursing: Scope and Standards of Practice
of Practice is to defines the role and actions of the nurse practitioner.
a. Define the role and actions for the NP REF: Pg. 16
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
Primary prevention care practices are an essential aspect Correct Answer: D.
of the PMHNP role. Which of the following is the best Information reduces incidence of disease.
example of a primary prevention care strategy for
community behavioral health? REF: Pg. 103
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
,The trend in legal rulings on cases involving mental Correct Answer: B.
illness over the past 25 years has been to Identifies the trend of ensuring the protection of individual civil liberties for
psychiatric clients.
a. Encourage juries to find defendants not guilty by
reason of insanity REF: Pg. 20, 21
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
Mr. Smithers, an involuntarily hospitalized patient Correct Answer: C.
experiencing psychotic symptoms, refuses to take any of As with any client, psychiatric clients can refuse treatment un-less a legal process
his ordered medication because he believes "Jesus Christ resulting in involuntary commitment or mandatory court order for treatment has
told me I am the prophet and must fast for a year." Your been obtained.
actions should be based on your knowledge of which of
the following? REF: Pg. 19, 31
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
Which of the following statements best reflects the Correct Answer: A.
difference between the nurse-client (N-C) relationship Social relationships are mutual interpersonal relationships in which the needs of
and a social relationship? both parties are addressed. The N–C relationship is most concerned with meeting
the needs of the client.
a. In the N-C relationship, the primary focus is on the
client and the client's needs. REF: Pg. 38
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 N-C relationship, the nurse is solely responsible
for making the relationship work.
d. In the N-C relationship, there is no place for social
interaction.
A community has an unusually high incidence of Correct Answer: A.
depression and drug use among the teen-age This action focuses on interventions designed to reduce the incidence of new
population. The public health nurses decide to address cases of disease
this problem, in part, by modifying the environment and
strengthening the capacities of families to prevent the REF: Pg. 103
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
, Mrs. Kemp is voluntarily admitted to the hospital. After 24 Correct Answer: B.
hours, she states she wishes to leave because "this place Almost every state allows for a brief period of detainment to assess a client for
can't help me." The best nursing action that reflects the dangerousness to self or others before allowing the client to leave a hospital
legal right of this client is setting, even if the admission was voluntary.
a. Discharge the client REF: Pg. 21
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
In forming a therapeutic relationship with clients, the Correct Answer: C.
PMHNP must consider developing many characteristics Authenticity. Being genuine, honest, and respectful are essential elements in
that are known to be helpful in relationship-building. establishing a working relationship with any client. Like-mindedness is not a part of
Which of the following is an essential part of building a the therapeutic relationship. Although an important aspect of the PMHNP role,
therapeutic relationship? collecting a family history and accuracy in assessment does not in and of itself
facilitate relationship-building.
a. Collecting a family history
b. Like-mindedness REF: Pg. 38
c. Authenticity
d. Accuracy in assessment
According to the DSM-5, which of the following is true? Correct Answer: D.
(Ch. 3) All DSM-5 disorders need to be made taking a person’s culture into account. A
cultural expression of a response to grief, loss, or stress is not considered a DSM-
a. A mental disorder is equivalent to the need for 5 diagnosis.
treatment.
b. Diagnostic criteria are used to inform clinical judgment. REF: Pg. 23
c. Socially deviant behavior is considered a mental
disorder.
d. A culturally expected response to a stressor is not a
mental disorder.
Mrs. French has been in individual therapy for 3 months. Correct Answer: C.
She has shown much growth and improvement in her Clients frequently display resistance and regression at the termination of a
functioning and insight and is to discontinue services meaningful therapeutic process. The PMHNP is responsible for planning an
within the next few weeks. In the next session, after you effective termination and monitoring clients during the termination period
discuss service termination, she suddenly begins to
demonstrate the original symptoms that had brought her REF: Pg. 39
to treatment initially. She is now hesitant to discharge,
wants to continue services, and is displaying an increase
in regressive defense mechanisms. What is the best
explanation for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health
symptoms
c. A sign of normal resistance to termination seen in the
termination phase of therapy
d. A sign of pathological attachment to the therapist that
must be addressed
