PMHNP I - Exam 1 - Review Book Exam
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The purpose of the ANA's PMH Nsg: Scope and a. Define the role and actions for the NP
Standards of Practice is to:
a.Define the role and actions for the NP
b. Establish the legal authority for the
prescription of psychotropic medications
c. Define the legal statutes of the role of
the PMHNP
d. Define the differences between the physician
role and the NP role
The trend in legal rulings on cases involving B. Identifies the trend of ensuring the protection of individual
civil mental illness over the past 25 years has been to: liberties for psychiatric clients.
A - Encourage juries to find defendants not guilty
by reason of insanity
B - Protect the individual's freedoms or rights
when he or she is committed to a mental hospital
C - Place increasing trust in mental health
professionals to make good and ethical decisions
D - Decrease the "red tape" associated with
commitments so that commitments are faster and
easier
Mr Smithers, an involuntarily hospitalized patient C. As with any client, psych clients can refuse treatment unless a
legal experiencing psychotic symptoms, refuses to take process resulting in a mandatory court order for
treatment has been any of his ordered medication because he believes obtained.
"Jesus Christ told me I am the prophet and
must fast for a year." Your actions should be
based on your knowledge that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's
good for them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good
healthcare decisions and, therefore, the
nurse's best clinical judgment should guide
actions
, Which of the following statements best reflects the A - the primary focus is on the client and his
needs. difference between the nurse-client (N-C)
relationship and a social relationship? In the N-C Social relationships are mutual interpersonal relationships in which
the relationship... needs of both parties are addressed. The N-C relationship is most
concerned with meeting the needs of the client.
A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken
so that the client can work on any issue.
C - the nurse is solely responsible for making the
relationship work.
D - there is no place for social interaction.
In forming a therapeutic relationship with clients, D - accuracy in assessment
the PMHNP must consider developing many
characteristics that are known to be helpful in Although an important aspect of the PMHNP role, accuracy in
relationship-building. These characteristics include assessment does not in and of itself facilitate relationship
building all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment
In forming a therapeutic relationship with clients, C. Authenticity - Being genuine, honest, and respectful are
essential the PMHNP must consider developing many elements in establishing a working relationship with any
client. Like-characteristics that are known to be helpful in mindedness is not a part of the therapeutic relationship.
Although an relationship building. Which of the following is an important aspect of the PMHNP role, collecting a
family history and
essential part of building a therapeutic accuracy in assessment does not in and of itself facilitate
relationship-relationship? building.
A. Collecting a family history
B.Like-mindedness
C. Authenticity
D.Accuracy in Assessment
The DSM-IV provides for holistic client assessment C - Axis III
by using a multiaxial assessment format. The
general medical conditions experienced by a Medical conditions are coded on Axis III
client that may influence treatment of his or her
psychiatric disorders are coded on which of the
five axes of the DSM?
A - Axis I
B - Axis II
C - Axis III
D - Axis IV
According to the DSM-5, which of the following is D - All DSM-5 disorders need to be made taking a person's culture into
true? account. A cultural expression of a response to grief, loss, or stress
is
A. A mental disorder is equivalent to the need for not considered a DSM-5 dx.
treatment.
B.Diagnostic criteria are used to inform clinical
judgment.
C. Socially deviant behavior is considered a
mental disorder.
D.A culturally expected response to a stressor
is not a mental disorder.