ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
Your patient, whose wife died a few months ago, appears to be very
unkempt and apathetic. Although several months have passed since his
wife's death he has not progressed at all through his grieving. You
assess this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - ANSWER-Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical,
psychological, cognitive and spiritual responses to the death of a
significant other. But when the person shows persistent maladaptive
behaviors such as not taking care of personal hygiene and/or
appearance and does not progress through the mourning process, this
is complicated grief.
If a patient has had a myocardial infarction, which of the following
atypical antidepressants should not be prescribed within the recovery
phase?
Trazodone
Duloxetine
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
,ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
Bupropion
Desvenlafaxine - ANSWER-Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase,
the patient should not be prescribed this medication. Trazodone
(Desyrel) can cause the patient to develop orthostatic hypotension and
priapism.
To get your teaching ideas and concepts across to a poor reader which
of the following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - ANSWER-Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The
other choices are not helpful. You should use short sentences and easy
to read layouts; be concrete rather than abstract; and teach them how
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
,ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
to ask questions about their health. Also, tell context first and use
visual, use common words and examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from
her breasts. She doesn't have any other symptoms and is not pregnant,
nor has been before. She tells the nurse about each medication that she
takes. Which of these drugs may be implicated as the cause of the
symptom?
aspirin
Lamotrigine
Risperidone
sertraline - ANSWER-Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical
psychotics. A milky white discharge known as galactorrhea could be a
sign of an underlying condition. The fact that the woman takes
Risperidone, an atypical antipsychotic, would likely point to the cause
and should be switched with one less likely to have that same side
effect.
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
, ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
Which of the following would be considered one of the main things that
is responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - ANSWER-Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric
mental health patients. The home health nurses assists by helping the
patients
to see the relationship between their compliance with their medication
regimen and control of their symptoms.
Which of the following would be considered an important form of
communication that can help to promote consistency in the care of the
patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
Your patient, whose wife died a few months ago, appears to be very
unkempt and apathetic. Although several months have passed since his
wife's death he has not progressed at all through his grieving. You
assess this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - ANSWER-Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical,
psychological, cognitive and spiritual responses to the death of a
significant other. But when the person shows persistent maladaptive
behaviors such as not taking care of personal hygiene and/or
appearance and does not progress through the mourning process, this
is complicated grief.
If a patient has had a myocardial infarction, which of the following
atypical antidepressants should not be prescribed within the recovery
phase?
Trazodone
Duloxetine
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
,ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
Bupropion
Desvenlafaxine - ANSWER-Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase,
the patient should not be prescribed this medication. Trazodone
(Desyrel) can cause the patient to develop orthostatic hypotension and
priapism.
To get your teaching ideas and concepts across to a poor reader which
of the following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - ANSWER-Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The
other choices are not helpful. You should use short sentences and easy
to read layouts; be concrete rather than abstract; and teach them how
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
,ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
to ask questions about their health. Also, tell context first and use
visual, use common words and examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from
her breasts. She doesn't have any other symptoms and is not pregnant,
nor has been before. She tells the nurse about each medication that she
takes. Which of these drugs may be implicated as the cause of the
symptom?
aspirin
Lamotrigine
Risperidone
sertraline - ANSWER-Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical
psychotics. A milky white discharge known as galactorrhea could be a
sign of an underlying condition. The fact that the woman takes
Risperidone, an atypical antipsychotic, would likely point to the cause
and should be switched with one less likely to have that same side
effect.
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
, ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
Which of the following would be considered one of the main things that
is responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - ANSWER-Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric
mental health patients. The home health nurses assists by helping the
patients
to see the relationship between their compliance with their medication
regimen and control of their symptoms.
Which of the following would be considered an important form of
communication that can help to promote consistency in the care of the
patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
ANCC PMHNP PSYC -Test 1 Questions & Answers Rationales
