Purple Book PMHNP 100
multiple choice ANCC WITH
QUESTIONS AND ANSWERS
,
,1. The purpose of the American Nurses Association's Psychiatric-Mental
Health Nursing: Scope and Standards of Practice is to
A. Define the role and actions for the NP
Establish the legal authority for the prescription of psychotropic
B. medications
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role - correct
ans:Correct Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope
and Standards of Practice defines the role and actions of the nurse
practitioner.
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?
a) Aftercare program for chronically mentally ill clients recently discharged
from the hospital
b) Court-ordered counseling for abusive parents
c) 24-hour crisis hotlines
d) Parenting skills classes for pregnant adolescents - correct ans:Correct
Answer: D. Information reduces incidence of disease.
3
The trend in legal rulings on cases involving mental illness over the past 25
years has been to
a) Encourage juries to find defendants not guilty by reason of insanity
b) Protect the person'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 - correct ans:B. Identifies the trend of
ensuring the protection of individual civil liberties for psychiatric clients.
4
Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he
believes "Jesus Christ told me I am the prophet and must fast for a year."
Your actions should be based on your knowledge of which of the following?
a) Psychiatric clients cannot refuse treatment
b) Psychiatric clients do not always know what is good for them
c) Psychiatric clients can refuse treatment
d) Psychiatric clients cannot be trusted to make good healthcare decisions
and, therefore, the nurse's best clinical judgment should guide actions -
correct ans:C. As with any client, psychiatric clients can refuse treatment un-
less a legal process resulting in involuntary commitment or mandatory court
order for treatment has been obtained.
5. Which of the following statements best reflects the difference between the
nurse-client (N-C) relationship and a social relationship?
a) In the N-C relationship, the primary focus is on the client and the client's
needs.
b) Goals in the N-C relationship are deliberately left vague and unspoken so
that the client can work on any issue.
c) In the N-C relationship, the nurse is solely responsible for making the
relationship work.
d) In the N-C relationship, there is no place for social interaction. - correct
ans:A. Social relationships are mutual interpersonal relationships in which the
needs of both parties are addressed. The N-C relationship is most con-
cerned with meeting the needs of the client.
multiple choice ANCC WITH
QUESTIONS AND ANSWERS
,
,1. The purpose of the American Nurses Association's Psychiatric-Mental
Health Nursing: Scope and Standards of Practice is to
A. Define the role and actions for the NP
Establish the legal authority for the prescription of psychotropic
B. medications
C. Define the legal statutes of the role of the PMHNP
D. Define the differences between the physician role and the NP role - correct
ans:Correct Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope
and Standards of Practice defines the role and actions of the nurse
practitioner.
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?
a) Aftercare program for chronically mentally ill clients recently discharged
from the hospital
b) Court-ordered counseling for abusive parents
c) 24-hour crisis hotlines
d) Parenting skills classes for pregnant adolescents - correct ans:Correct
Answer: D. Information reduces incidence of disease.
3
The trend in legal rulings on cases involving mental illness over the past 25
years has been to
a) Encourage juries to find defendants not guilty by reason of insanity
b) Protect the person'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 - correct ans:B. Identifies the trend of
ensuring the protection of individual civil liberties for psychiatric clients.
4
Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he
believes "Jesus Christ told me I am the prophet and must fast for a year."
Your actions should be based on your knowledge of which of the following?
a) Psychiatric clients cannot refuse treatment
b) Psychiatric clients do not always know what is good for them
c) Psychiatric clients can refuse treatment
d) Psychiatric clients cannot be trusted to make good healthcare decisions
and, therefore, the nurse's best clinical judgment should guide actions -
correct ans:C. As with any client, psychiatric clients can refuse treatment un-
less a legal process resulting in involuntary commitment or mandatory court
order for treatment has been obtained.
5. Which of the following statements best reflects the difference between the
nurse-client (N-C) relationship and a social relationship?
a) In the N-C relationship, the primary focus is on the client and the client's
needs.
b) Goals in the N-C relationship are deliberately left vague and unspoken so
that the client can work on any issue.
c) In the N-C relationship, the nurse is solely responsible for making the
relationship work.
d) In the N-C relationship, there is no place for social interaction. - correct
ans:A. Social relationships are mutual interpersonal relationships in which the
needs of both parties are addressed. The N-C relationship is most con-
cerned with meeting the needs of the client.
