PSYCHIATRIC MENTAL HEALTH NURSE
PRACTITIONER BOARD PREP & PRACTICE
QUESTIONS
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Updated 2026 Questions and Answers
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,4 elements of negligence 1. Duty - NP had a duty to exercise reasonable care
2. Breach of Duty - The NP violated the applicable standard of care
3. Proximate cause- Causal relationship between breach in care and client's injury
4. Damages - client suffers permanent and substantial damages
Client advocacy includes participating in professional nursing organizations
Time until PTSD diagnosis can be given ? 1 month - prior is acute stress disorder (3 days to 1 month)
According to Erikson, when does somatization disorder initiative v guilt
occur?
overall goal of case management promote quality, cost-effective outcomes
environment includes physical and psychosocial factors
highest risk for homeless single parent household, usually a female . teen moms also
Elements of working phase of therapy - clarifying client expectations
- implementing treatment plan
- measuring and evaluating outcomes of care
- here, client transference occurs and client is resistant to care practices and
change
Elements of termination phase - reviewing client's progress
- establishing long term plan of care
- focusing on self-management strategies
- client often resistance to termination, shows regression and re-emergence of
symptoms
Trust v. Mistrust - first stage
- birth to 1
- Ability to form meaning relationships and hope for the future, trust in others
-
Trust v. mistrust failures results in? poor relationships, lack of future hope, suspicion of others
- development of addiction, psychosis, depression
,Autonomy v. Shame and Doubt - 1 to 3 years
- Self- control, self-esteem and will power
- lack of fulfillment leads to poor self-control, low self-esteem, lack of
independence
- paranoia, OCD, impulsivity
Initiative v. Guilt - 3 to 6
- self- directed behavior, goal formation, sense of purpose
- lack of self-initiated behavior
- lack of goal orientation
- conversion disorder
Industry v. Inferiority - 6 to 12
- ability to work; sense of competency and achievement
- problems are sense of inferiority and difficulty with working/learning
- problems with creative inhibition
Indentity v. Role Confusion - 12 to 20
- personal sense of identity
- identity confusion, poor self-identification in group settings
Intimacy v. Isolation - 20 to 35 years
- committed relationships and capacity to love
- problems are emotional isolation and egocentrism
Generavity v. self-absorption -35-65 years
- ability to give time and talents to others
-ability to care for others
- problems here are self-absorption, inability to grow and change as a person,
inability to care for others
Integrity v despair Late adulthood
- fulfillment and comfort with life
- willingness to face death
- insight on life's events
- problems here can be bitterness, sense of dissatisfaction with life, despair over
impending death
Who should and shouldn't get the shingles vaccine - anyone 60 and over who had the chicken pox
- do not give to immunocompromised /HIV?AIDS or people on high dose
steroids
10 year plan for nursing's plan toward computer literacy? TIGER
, O'Connor v. Donaldson Established that mental illness alone is not enough for involuntary hospitalization -
- mentally ill cannot be confined against their will if they can survive on their own
Rennie V. Klein patients have the right to refuse any treatment
Roger v. Oken patient can refuse treatment but guardian may authorize their treatment
Durham v. United States not responsible if crime was committed due to mental illness
HITECH included under which bill? American Recovery and reinvestment act
Oral phase - birth to 1
Anal phase - 1 to 3
- basis for the development of self-confidence and personal autonomy
- failure results in excessive orderliness, stubbornness, willfulness
Phallic - 3 to 5/6
- identify with the same sex parent
- come to terms with the oedipal complex
- penis was interest of both of male and female kids
- unconscious fantasies of sex with opposite sex parent
Latency - 5/6 to adolescence
- not interested in sexual stuff
Genital - adolescence to adulthood
Caucus group of politicians or congress members created to support a defined political
ideology
Special interest group - group of individuals who coordinate lobbying efforts around a common interest
and seek to influence policy makers