Georgette Review PMHNP Exam
Georgette Review PMHNP Exam COMPLETE
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
What is a characteristic of dementia, but is not characteristic of delirium?
Duration of hours to days
Gradual change in mental status
Change in psychomotor activity, either hyperactive or hypoactive
Perceptual disturbances
Correct answer: Gradual change in mental status
This is a characteristic of dementia. The other choices are all characteristic of delirium.
Dementia has a gradual and insidious onset. Delirium does not have an insidious onset; its
onset is abrupt. It can usually be noted at a precise date as a rapidly progressive change in
mental status.
There are how many conditions that allow NPs to challenge a patient's refusal of treatment
after informed consent?
3.
4.
5.
6.
Correct Answer:
5.
A+ TEST BANK 1
, Georgette Review PMHNP Exam
There are five conditions that allow NPs to challenge a patient's refusal to treatment. They
include: when a patient is mentally incompetent, when refusing treatment causes danger to
the life/health of another, in an emergency situation, when the patient is a child, and in the
case of therapeutic privilege.
When would a patient's informed consent not be necessary?
The patient has dementia.
The patient has delusional thoughts.
The patient is exhibiting violent ideation.
The patient has bipolar disorder.
Correct answer: The patient is exhibiting violent ideation.
Informed consent is not always necessary. Exceptions are made in an effort to preserve life. A
patient who is experiencing violent ideation and is a threat to others may be treated without
informed consent.
According to studies, which group of people with bipolar I is more likely to experience rapid
cycling?
Older people
Men
Young people
Women
Correct answer: Women
According to evidence, female patients are more likely to experience rapid cycling. Male
patients have a higher risk of manic episodes.
Long-term involuntary admission to a psychiatric inpatient setting is for extended care and
treatment of the mentally ill. The patient can be admitted for this type of admission through
A+ TEST BANK 2
, Georgette Review PMHNP Exam
which of the following means?
medical certification
judicial review
administrative action
all of the above
Correct answer:
all of the above
Long-term involuntary admission has as its primary purpose extended care and treatment of
the mentally ill. Those who undergo extended involuntary hospitalization are admitted
through medical certification, judicial review, or administrative actions. This type of
involuntary hospitalization generally lasts 60 to 180 days, but may also be for an
indeterminate period.
If there is an absence of state statutes, what is used as the basis of liability for injuries related
to negligence?
Federal law.
Common law.
Administrative law.
Criminal law.
Correct Answer: Common law
If there is an absence of state statutes, common law is used as the basis of liability for injuries
related to negligence. Common law is also used for malpractice as well, if there is an absence
of state statutes.
What key principle of ethical decision making is defined as the right of self-determination,
independence, and freedom?
Autonomy
Justice
A+ TEST BANK 3
, Georgette Review PMHNP Exam
Fidelity
Beneficence
Correct answer: Autonomy
Autonomy is the right of self-determination, independence, and freedom. Autonomy in the
healthcare setting involves the healthcare provider's willingness to respect patients' rights to
make decisions for themselves, even if the provider does not agree with those decisions.
A client who is alert at the time of an event which he then forgets along with other successive
events as they occur suffers from which of the following types of amnesia?
localized
generalized
continuous
selective
Correct Answer:
continuous
A client with continuous amnesia forgets successive events as they occur, but is alert at the
time of the event. Localized amnesia is for a short time period; generalized amnesia pertains
to a whole lifetime of experiences; and selective amnesia occurs for some, but not all events.
Which of the following statements about mood disorders is least accurate?
The most common mood disorder is major depressive disorder.
Mood disorders are diseases.
The signs and symptoms of mood disorders tend to recur, often in periodic or cyclical fashion.
Mood disorders are caused by a complex interplay of biological and psychological factors.
Correct Answer:
Mood disorders are diseases.
Mood disorders are not diseases; they are syndromes. They consist of signs and symptoms
A+ TEST BANK 4
Georgette Review PMHNP Exam COMPLETE
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
What is a characteristic of dementia, but is not characteristic of delirium?
Duration of hours to days
Gradual change in mental status
Change in psychomotor activity, either hyperactive or hypoactive
Perceptual disturbances
Correct answer: Gradual change in mental status
This is a characteristic of dementia. The other choices are all characteristic of delirium.
Dementia has a gradual and insidious onset. Delirium does not have an insidious onset; its
onset is abrupt. It can usually be noted at a precise date as a rapidly progressive change in
mental status.
There are how many conditions that allow NPs to challenge a patient's refusal of treatment
after informed consent?
3.
4.
5.
6.
Correct Answer:
5.
A+ TEST BANK 1
, Georgette Review PMHNP Exam
There are five conditions that allow NPs to challenge a patient's refusal to treatment. They
include: when a patient is mentally incompetent, when refusing treatment causes danger to
the life/health of another, in an emergency situation, when the patient is a child, and in the
case of therapeutic privilege.
When would a patient's informed consent not be necessary?
The patient has dementia.
The patient has delusional thoughts.
The patient is exhibiting violent ideation.
The patient has bipolar disorder.
Correct answer: The patient is exhibiting violent ideation.
Informed consent is not always necessary. Exceptions are made in an effort to preserve life. A
patient who is experiencing violent ideation and is a threat to others may be treated without
informed consent.
According to studies, which group of people with bipolar I is more likely to experience rapid
cycling?
Older people
Men
Young people
Women
Correct answer: Women
According to evidence, female patients are more likely to experience rapid cycling. Male
patients have a higher risk of manic episodes.
Long-term involuntary admission to a psychiatric inpatient setting is for extended care and
treatment of the mentally ill. The patient can be admitted for this type of admission through
A+ TEST BANK 2
, Georgette Review PMHNP Exam
which of the following means?
medical certification
judicial review
administrative action
all of the above
Correct answer:
all of the above
Long-term involuntary admission has as its primary purpose extended care and treatment of
the mentally ill. Those who undergo extended involuntary hospitalization are admitted
through medical certification, judicial review, or administrative actions. This type of
involuntary hospitalization generally lasts 60 to 180 days, but may also be for an
indeterminate period.
If there is an absence of state statutes, what is used as the basis of liability for injuries related
to negligence?
Federal law.
Common law.
Administrative law.
Criminal law.
Correct Answer: Common law
If there is an absence of state statutes, common law is used as the basis of liability for injuries
related to negligence. Common law is also used for malpractice as well, if there is an absence
of state statutes.
What key principle of ethical decision making is defined as the right of self-determination,
independence, and freedom?
Autonomy
Justice
A+ TEST BANK 3
, Georgette Review PMHNP Exam
Fidelity
Beneficence
Correct answer: Autonomy
Autonomy is the right of self-determination, independence, and freedom. Autonomy in the
healthcare setting involves the healthcare provider's willingness to respect patients' rights to
make decisions for themselves, even if the provider does not agree with those decisions.
A client who is alert at the time of an event which he then forgets along with other successive
events as they occur suffers from which of the following types of amnesia?
localized
generalized
continuous
selective
Correct Answer:
continuous
A client with continuous amnesia forgets successive events as they occur, but is alert at the
time of the event. Localized amnesia is for a short time period; generalized amnesia pertains
to a whole lifetime of experiences; and selective amnesia occurs for some, but not all events.
Which of the following statements about mood disorders is least accurate?
The most common mood disorder is major depressive disorder.
Mood disorders are diseases.
The signs and symptoms of mood disorders tend to recur, often in periodic or cyclical fashion.
Mood disorders are caused by a complex interplay of biological and psychological factors.
Correct Answer:
Mood disorders are diseases.
Mood disorders are not diseases; they are syndromes. They consist of signs and symptoms
A+ TEST BANK 4
