PMHN TEST PREPARATION EXAM SECRETS |LATEST UPLOAD |GRADED A+
Patients who have been raped are often severely traumatized emotionally and physically
and are commonly very fearful and panicked, so the first thing that the mental health nurse
should communicate is "You are here’s________ here. No one can h___________ you." -
correct answer-safe; hurt
The psychiatric and mental health nurse may need to repeat this a number of times
because traumatized patients may be___________ out what people are saying. The nurse
should also reassure the patient that the attack was not the patient's f_________ and that
the nurse is s________ for what the patient has gone through. - correct answer-block; fault;
sorry
Because the patient is intimidated by her spouse and has stated she is afraid to stand up to
him, as an advocate for the patient, the nurse should notify the p_______________ of the
patient's feelings about the treatment. Being coerced into signing a consent form is not the
same as giving informed consent, which is required by law. Because patients are
vulnerable to manipulation, the nurse must ensure that the actual wishes of the patient are
respected. - correct answer-physician
The most likely reason the patient was able to read slowly but not state what she had read
is low h__________ l____________. The ability to read is different from the ability to
comprehend, and comprehension usually lags behind reading skills by about three grade
levels. Thus, a person who is able to read at the fourth-grade level may have only a first-
grade comprehension, making it difficult for the person to understand health materials,
especially since the vocabulary is often more difficult to understand than that found in
other readings. - correct answer-health literary
The patient is using the defense mechanism of d__________ when the patient, who has had
repeated arrests for driving under the influence of alcohol, refuses to admit that he has a
drinking problem and states that the police have targeted him unfairly. - correct answer-
denial
Refuse to acknowledge undesirable feelings, thoughts, or behavior by exaggerating the
opposite. - correct answer-Reaction formation
Retreating to an earlier level of development. - correct answer-Regression
,Carrying out an action to negate a previous unacceptable one. - correct answer-Undoing
Question-A patient with schizophrenia has delusions and believes that his family members
cannot be trusted. According to Maslow's hierarchy of needs, the patient's delusions are
interfering with development at the level of:
a. physiological needs
b. Love/belonging needs
c. Safety needs
d. Self-esteem needs
Rationale: The patient's delusions are interfering with development at the level of
____________/________________ needs. Maslow's hierarchy of needs is based on the
premise that one must satisfy one type of need before one can attain the next. The
hierarchy of needs includes:
Physiological: Basic needs such as air, food, water, shelter
Safety and security: Freedom from fear; physical comfort, safety
Love and belonging: Companionship, giving and receiving love, group identification,
satisfying interpersonal relationships - correct answer-love/belonging
Kava is contraindicated because of safety issues and can result in liver damage, so the
patient should have ________function tests completed. Early signs of ________ damage
include fatigue and dark urine. Some people may exhibit jaundice as well. - correct answer-
liver; liver; liver
Amitriptyline is broken down by the liver, so kava may increase the rate at which that
occurs, also increasing the adverse effects of the drug. Kava, which has been used in the
past for a_____________, may increase d______________. - correct answer-anxiety;
depression
Question-According to Erikson's stages of psychosocial development, which of the
following best characterizes the developmental task of adulthood and the generativity vs.
stagnation stage?
a. Achieving self-confidence by performing successfully and gaining recognition from peers
b. Developing a sense of positive self-worth from reviewing the event of life
c. Achieving the personal life goals that the person has formulated
,d. Making a commitment to another person as part of a long-term relationship - correct
answer-Rationale: Achieving the personal life goals that the person has formulated
____________ different mental health associations came together to create the international
society of psychiatric-mental health nurses in 1999. - correct answer-b. 4
When utilizing AHRQ's You Can Quit Smoking guide to help a patient quit smoking, the first
step of "Getting Ready" includes:
a. Talking with the physician about nicotine medication
b. Telling friends and family members about quitting
c. Getting group counseling
d. Setting a date to quit, cold turkey - correct answer-D: Setting a date to quit, cold turkey
Rationale: AHRQ's You Can Quit Smoking guide includes five steps:
1. Getting ready: Considering past attempts (successes/failures) and setting a d__________
for quitting c___________ t_____________
2. Getting support/encouragement: Telling others and contacting support groups/helplines
3. Learning new skills/behaviors: Drinking plenty of water, establishing new habits,
practicing distractions, and reducing s__________.
4. Getting and using medication correctly: Obtaining nicotine replacement or other
medications as needed.
5. Preparing for relapse/difficult situations: Avoiding other smokers and alcohol or
situations that trigger the desire for cigarettes. Eating well and living a healthy lifestyle -
correct answer-date; cold turkey
stress
Question: An elderly patient scored 18 out of a possible maximum score of 30 on the mini
mental state examination (MMSE). This score usually indicates:
a. Severe cognitive impairment
b. Mild cognitive impairment
c. Moderate cognitive impairment
d. Normal cognition - correct answer-c. moderate cognitive impairment
Rationale: A score of 18 out of 30 on the MMSS usually indicates m_____________ cognitive
impairment. Scores of 24 to 30 indicate n_________ cognition while 10 to 18 indicate
m_________ cognitive impairment. Scores may be affected by numerous variables (age,
, hearing, intelligence, vision, physical condition), so the MMSE score alone is not adequate
for the diagnosis of dementia. However, it is a good guide, and those with very low scores (<
________) usually demonstrate severe cognitive impairment. - correct answer-moderate
normal
moderate
<9
Question: The psychiatric and mental health nurse needs to complete a history and
physical examination on a patient who is extremely depressed and suicidal. The best
approach is to:
a. Delay the history and physical exam until the patient is stabilized
b. Conduct the baseline physical examination but delay the history taking.
c. Obtain the history from a family member and conduct the physical exam.
d. Conduct the history and physical in a supportive manner. - correct answer-d. Conduct
the history and physical in a supportive manner
Question- Piaget's theory of cognitive development in children applies to adults in relation
to concepts about:
a. Readiness to learn
b. self-efficacy
c. self-determination
d. intelligence - correct answer-a. Readiness to learn
Rationale- Piaget's theory of cognitive development in children applies to adults in relation
to readiness to l_________. Like the child, the adult can incorporate new l_____________
experiences through assimilation and goes through changes in dealing with these new
experiences through accommodation. - correct answer-learn; learning
Piaget stressed the idea that a child must be developmentally ready for learning and that
trying to teach a child who is not ready may result in rote m___________ but not real
l___________. These same concepts can apply equally to adult learning. - correct answer-
memorization; learning
Question-When conducting the brief mental status evaluation as part of the clinical
interview, which of the following is an appropriate activity to evaluate the patient's ability to
concentrate? - correct answer-b. Ask the patient to spell the word "world" in reverse
Patients who have been raped are often severely traumatized emotionally and physically
and are commonly very fearful and panicked, so the first thing that the mental health nurse
should communicate is "You are here’s________ here. No one can h___________ you." -
correct answer-safe; hurt
The psychiatric and mental health nurse may need to repeat this a number of times
because traumatized patients may be___________ out what people are saying. The nurse
should also reassure the patient that the attack was not the patient's f_________ and that
the nurse is s________ for what the patient has gone through. - correct answer-block; fault;
sorry
Because the patient is intimidated by her spouse and has stated she is afraid to stand up to
him, as an advocate for the patient, the nurse should notify the p_______________ of the
patient's feelings about the treatment. Being coerced into signing a consent form is not the
same as giving informed consent, which is required by law. Because patients are
vulnerable to manipulation, the nurse must ensure that the actual wishes of the patient are
respected. - correct answer-physician
The most likely reason the patient was able to read slowly but not state what she had read
is low h__________ l____________. The ability to read is different from the ability to
comprehend, and comprehension usually lags behind reading skills by about three grade
levels. Thus, a person who is able to read at the fourth-grade level may have only a first-
grade comprehension, making it difficult for the person to understand health materials,
especially since the vocabulary is often more difficult to understand than that found in
other readings. - correct answer-health literary
The patient is using the defense mechanism of d__________ when the patient, who has had
repeated arrests for driving under the influence of alcohol, refuses to admit that he has a
drinking problem and states that the police have targeted him unfairly. - correct answer-
denial
Refuse to acknowledge undesirable feelings, thoughts, or behavior by exaggerating the
opposite. - correct answer-Reaction formation
Retreating to an earlier level of development. - correct answer-Regression
,Carrying out an action to negate a previous unacceptable one. - correct answer-Undoing
Question-A patient with schizophrenia has delusions and believes that his family members
cannot be trusted. According to Maslow's hierarchy of needs, the patient's delusions are
interfering with development at the level of:
a. physiological needs
b. Love/belonging needs
c. Safety needs
d. Self-esteem needs
Rationale: The patient's delusions are interfering with development at the level of
____________/________________ needs. Maslow's hierarchy of needs is based on the
premise that one must satisfy one type of need before one can attain the next. The
hierarchy of needs includes:
Physiological: Basic needs such as air, food, water, shelter
Safety and security: Freedom from fear; physical comfort, safety
Love and belonging: Companionship, giving and receiving love, group identification,
satisfying interpersonal relationships - correct answer-love/belonging
Kava is contraindicated because of safety issues and can result in liver damage, so the
patient should have ________function tests completed. Early signs of ________ damage
include fatigue and dark urine. Some people may exhibit jaundice as well. - correct answer-
liver; liver; liver
Amitriptyline is broken down by the liver, so kava may increase the rate at which that
occurs, also increasing the adverse effects of the drug. Kava, which has been used in the
past for a_____________, may increase d______________. - correct answer-anxiety;
depression
Question-According to Erikson's stages of psychosocial development, which of the
following best characterizes the developmental task of adulthood and the generativity vs.
stagnation stage?
a. Achieving self-confidence by performing successfully and gaining recognition from peers
b. Developing a sense of positive self-worth from reviewing the event of life
c. Achieving the personal life goals that the person has formulated
,d. Making a commitment to another person as part of a long-term relationship - correct
answer-Rationale: Achieving the personal life goals that the person has formulated
____________ different mental health associations came together to create the international
society of psychiatric-mental health nurses in 1999. - correct answer-b. 4
When utilizing AHRQ's You Can Quit Smoking guide to help a patient quit smoking, the first
step of "Getting Ready" includes:
a. Talking with the physician about nicotine medication
b. Telling friends and family members about quitting
c. Getting group counseling
d. Setting a date to quit, cold turkey - correct answer-D: Setting a date to quit, cold turkey
Rationale: AHRQ's You Can Quit Smoking guide includes five steps:
1. Getting ready: Considering past attempts (successes/failures) and setting a d__________
for quitting c___________ t_____________
2. Getting support/encouragement: Telling others and contacting support groups/helplines
3. Learning new skills/behaviors: Drinking plenty of water, establishing new habits,
practicing distractions, and reducing s__________.
4. Getting and using medication correctly: Obtaining nicotine replacement or other
medications as needed.
5. Preparing for relapse/difficult situations: Avoiding other smokers and alcohol or
situations that trigger the desire for cigarettes. Eating well and living a healthy lifestyle -
correct answer-date; cold turkey
stress
Question: An elderly patient scored 18 out of a possible maximum score of 30 on the mini
mental state examination (MMSE). This score usually indicates:
a. Severe cognitive impairment
b. Mild cognitive impairment
c. Moderate cognitive impairment
d. Normal cognition - correct answer-c. moderate cognitive impairment
Rationale: A score of 18 out of 30 on the MMSS usually indicates m_____________ cognitive
impairment. Scores of 24 to 30 indicate n_________ cognition while 10 to 18 indicate
m_________ cognitive impairment. Scores may be affected by numerous variables (age,
, hearing, intelligence, vision, physical condition), so the MMSE score alone is not adequate
for the diagnosis of dementia. However, it is a good guide, and those with very low scores (<
________) usually demonstrate severe cognitive impairment. - correct answer-moderate
normal
moderate
<9
Question: The psychiatric and mental health nurse needs to complete a history and
physical examination on a patient who is extremely depressed and suicidal. The best
approach is to:
a. Delay the history and physical exam until the patient is stabilized
b. Conduct the baseline physical examination but delay the history taking.
c. Obtain the history from a family member and conduct the physical exam.
d. Conduct the history and physical in a supportive manner. - correct answer-d. Conduct
the history and physical in a supportive manner
Question- Piaget's theory of cognitive development in children applies to adults in relation
to concepts about:
a. Readiness to learn
b. self-efficacy
c. self-determination
d. intelligence - correct answer-a. Readiness to learn
Rationale- Piaget's theory of cognitive development in children applies to adults in relation
to readiness to l_________. Like the child, the adult can incorporate new l_____________
experiences through assimilation and goes through changes in dealing with these new
experiences through accommodation. - correct answer-learn; learning
Piaget stressed the idea that a child must be developmentally ready for learning and that
trying to teach a child who is not ready may result in rote m___________ but not real
l___________. These same concepts can apply equally to adult learning. - correct answer-
memorization; learning
Question-When conducting the brief mental status evaluation as part of the clinical
interview, which of the following is an appropriate activity to evaluate the patient's ability to
concentrate? - correct answer-b. Ask the patient to spell the word "world" in reverse
