PMHNP purple book questions
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1. The purpose of the American Nurses Association's Psychiatric-Mental Health
Nursing: Scope and Standards of Practice is to:: Define the role and actions for the NP.
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?: Parenting skills classes for pregnant adolescents.
3. The trend in legal rulings on cases involving mental illness over the past 25
years has been to:: Protect the person's freedoms or rights when he or she is committed to a mental hospital.
4. Mr. Smithers, an involuntary hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he believes
"Jesus Christ tole me I am the prophet and must fast for a year." Your actions
should be based on your knowledge of which of the following:: Psychiatric clients can
refuse treatment.
5. Which of the following statements best reflects the difference between the
nurse-client (N-C) relationship and a social relationship?: In the N-C relationship, the
primary focus is on the client and the client's needs.
6. A community has an unusually high incidence of depression and drug use
among the teenage population. The public health nurses decide to address
the 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 an example of?: Primary prevention.
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:: Explain that the client cannot leave until you can
complete further assessment.
8. In forming a therapeutic relationship with clients, the PMHNP must con-
sider developing many characteristics that are known to be helpful in rela-
tionship-building. Which of the following is an essential part of building a
therapeutic relationship?: Authenticity.
9. According to the DSM-V, which of the following is true?: A culturally expected response
to a stressor in not a mental disorder.
10. Mrs. French has been in individual therapy for 3 months. She has shown
much growth and improvement in her functioning and insight and is to dis-
, PMHNP purple book questions
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continue services within the next few weeks. In the next session, after you
discuss service termination, she suddenly begins to demonstrate the original
symptoms that had brought her 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 Mrs. French's
behavior?: A sign of normal resistance to termination seen in the termination phase of therapy.
11. A client is displaying low self-esteem, poor self-control, self-doubt, and a high
level of dependency. These behaviors indicate developmental failure of which
of the following stages of development:: Early childhood.
12. Mr. Thompson has been forgetful lately, for example, forgetting where he
has placed his keys or what time appointments are scheduled, and he has
stated that he thinks these are just random behaviors that have no particular
meaning. Which Freudian-based psychodynamic principle assumes that all
behavior and actions are purposeful?: Psychic determinism principle.
13. An example of a mature, healthy defense mechanism is:: Suppression.
14. Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of:: Immature
regressive defense mechanism.
15. Defense mechanisms are best viewed as a function of the ego:: Used to resolve a
conflict.
16. One of the health care changes that has occurred as a result of the affordable
care act (ACA) is that doctors/hospitals/clinic groups or health systems are com-
ing together and assuming the responsibility for quality care to large groups
of individuals insured by Medicare. The health care clinics/systems doctors
or hospitals that join together are called which of the following?: Accountable Care
Organization (ACO).
17. Health care economics is concerned with making decisions so the benefits
outweigh the cost of resource utilization. What are two concepts that health-
care economics is concerned with in regard to fair distribution of resources and
allocation?: Equity and efficiency.
, PMHNP purple book questions
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18. What four elements need to be present for a malpractice lawsuit to be
filed?: Duty of care, Breach of standard of care, Injury, and Injury must be related to breach of the standard of care.
19. Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is work-
ing in a hospitalist role. Mary has encountered over five incidences in which
attending psychiatrists and medical residents have been demeaning to nursing
staff and not answering calls in the middle of the night or telling the nursing
staff to write orders and the MD would sign off in the a.m. Mary is concerned
about errors and wants to improve quality, reduce errors to promote safety.
What concept is Mary employing?: Just Culture.
20. The role of neurotransmitters in the central nervous system is to function
as:: A communication medium.
21. Serotonin is produced in which of the following locations:: Raphe nuclei.
22. Dopamine is produced in which of the following locations:: Substantia nigra.
23. A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the neu-
roanatomical area of the brain that is responsible for the normal regulation of
these functions?: Hypothalamus.
24. In considering whether to order an MRI of the head for a client, which of the
following would be a contraindication to this diagnostic test?: Pacemaker.
25. The primary excitatory neurotransmitter is:: Glutamate.
26. A client who is experiencing difficulties with working memory, planning and
prioritizing, insight into his problems, and impulse control presents for assess-
ment. In planning his care, the PMHNP should apply his or her knowledge that
these symptoms represent problems with the:: Frontal lobe.
27. The concept of target symptom identification is best explained as:: Identification
of specific, precise, and individualized symptoms reasonably expected to improve with medication.
28. The goal of the psychiatric assessment process performed by the PMHNP is
to:: Identify the mental health needs of the client.
29. Mr. Johnson is a client newly admitted to an inpatient psychiatric hospital.
The PMHNP on call at the facility plans to perform the initial intake assessment
and diagnostic process. Mr. Johnson asks to please talk in his room because,
he says, "People make me nervous." His room is at the end of the hallway and
Study online at https://quizlet.com/_eebtbf
1. The purpose of the American Nurses Association's Psychiatric-Mental Health
Nursing: Scope and Standards of Practice is to:: Define the role and actions for the NP.
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?: Parenting skills classes for pregnant adolescents.
3. The trend in legal rulings on cases involving mental illness over the past 25
years has been to:: Protect the person's freedoms or rights when he or she is committed to a mental hospital.
4. Mr. Smithers, an involuntary hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he believes
"Jesus Christ tole me I am the prophet and must fast for a year." Your actions
should be based on your knowledge of which of the following:: Psychiatric clients can
refuse treatment.
5. Which of the following statements best reflects the difference between the
nurse-client (N-C) relationship and a social relationship?: In the N-C relationship, the
primary focus is on the client and the client's needs.
6. A community has an unusually high incidence of depression and drug use
among the teenage population. The public health nurses decide to address
the 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 an example of?: Primary prevention.
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:: Explain that the client cannot leave until you can
complete further assessment.
8. In forming a therapeutic relationship with clients, the PMHNP must con-
sider developing many characteristics that are known to be helpful in rela-
tionship-building. Which of the following is an essential part of building a
therapeutic relationship?: Authenticity.
9. According to the DSM-V, which of the following is true?: A culturally expected response
to a stressor in not a mental disorder.
10. Mrs. French has been in individual therapy for 3 months. She has shown
much growth and improvement in her functioning and insight and is to dis-
, PMHNP purple book questions
Study online at https://quizlet.com/_eebtbf
continue services within the next few weeks. In the next session, after you
discuss service termination, she suddenly begins to demonstrate the original
symptoms that had brought her 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 Mrs. French's
behavior?: A sign of normal resistance to termination seen in the termination phase of therapy.
11. A client is displaying low self-esteem, poor self-control, self-doubt, and a high
level of dependency. These behaviors indicate developmental failure of which
of the following stages of development:: Early childhood.
12. Mr. Thompson has been forgetful lately, for example, forgetting where he
has placed his keys or what time appointments are scheduled, and he has
stated that he thinks these are just random behaviors that have no particular
meaning. Which Freudian-based psychodynamic principle assumes that all
behavior and actions are purposeful?: Psychic determinism principle.
13. An example of a mature, healthy defense mechanism is:: Suppression.
14. Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
therapy. While discussing his current concerns of marital stress, he lies on the
floor and assumes the fetal position. This is most likely an example of:: Immature
regressive defense mechanism.
15. Defense mechanisms are best viewed as a function of the ego:: Used to resolve a
conflict.
16. One of the health care changes that has occurred as a result of the affordable
care act (ACA) is that doctors/hospitals/clinic groups or health systems are com-
ing together and assuming the responsibility for quality care to large groups
of individuals insured by Medicare. The health care clinics/systems doctors
or hospitals that join together are called which of the following?: Accountable Care
Organization (ACO).
17. Health care economics is concerned with making decisions so the benefits
outweigh the cost of resource utilization. What are two concepts that health-
care economics is concerned with in regard to fair distribution of resources and
allocation?: Equity and efficiency.
, PMHNP purple book questions
Study online at https://quizlet.com/_eebtbf
18. What four elements need to be present for a malpractice lawsuit to be
filed?: Duty of care, Breach of standard of care, Injury, and Injury must be related to breach of the standard of care.
19. Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is work-
ing in a hospitalist role. Mary has encountered over five incidences in which
attending psychiatrists and medical residents have been demeaning to nursing
staff and not answering calls in the middle of the night or telling the nursing
staff to write orders and the MD would sign off in the a.m. Mary is concerned
about errors and wants to improve quality, reduce errors to promote safety.
What concept is Mary employing?: Just Culture.
20. The role of neurotransmitters in the central nervous system is to function
as:: A communication medium.
21. Serotonin is produced in which of the following locations:: Raphe nuclei.
22. Dopamine is produced in which of the following locations:: Substantia nigra.
23. A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the neu-
roanatomical area of the brain that is responsible for the normal regulation of
these functions?: Hypothalamus.
24. In considering whether to order an MRI of the head for a client, which of the
following would be a contraindication to this diagnostic test?: Pacemaker.
25. The primary excitatory neurotransmitter is:: Glutamate.
26. A client who is experiencing difficulties with working memory, planning and
prioritizing, insight into his problems, and impulse control presents for assess-
ment. In planning his care, the PMHNP should apply his or her knowledge that
these symptoms represent problems with the:: Frontal lobe.
27. The concept of target symptom identification is best explained as:: Identification
of specific, precise, and individualized symptoms reasonably expected to improve with medication.
28. The goal of the psychiatric assessment process performed by the PMHNP is
to:: Identify the mental health needs of the client.
29. Mr. Johnson is a client newly admitted to an inpatient psychiatric hospital.
The PMHNP on call at the facility plans to perform the initial intake assessment
and diagnostic process. Mr. Johnson asks to please talk in his room because,
he says, "People make me nervous." His room is at the end of the hallway and
