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PMHNP - Purple Book 4th Edition Latest Test With questions and 100% verified answers

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PMHNP - Purple Book 4th Edition Latest Test With questions and 100% verified answers

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Signs and symptoms of cannabis intoxication include:


a. Increase sensitivity to external stimuli
b. Enhanced motor skills
c. Fast passage of time
d. Lower heart rate

, Correct Answer: A.


Increase sensitivity to external stimuli

Persons intoxicated on cannabis exhibit distorted perceptions, increase
relaxation and sensitivity, and loss of coordination.

REF: Pg. 301 – Confusion, paranoia, and panic are expressly mentioned.




Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a
hospitalist role. Mary has encountered over five incidences in which attending
psychiatrists and medical residents have been demeaning to nursing staff and not
answering calls in the middle of the night or telling the nursing staff to write orders and
the MD would sign off in the a.m. Mary is concerned about errors and wants to improve
quality, reduce errors to promote safety. What concept is Mary employing?


a. Bullying
b. Abuse
c. Civil Disobedience
d. Just Culture

, Correct Answer: D.

Just Culture

The ANA has a position statement that nurses are responsible for developing
health care settings that include just culture initiatives understanding that
human error can cause error and harm by creating an open and fair
environment.

REF: Pg. 55, 56




Samantha is a 26-year-old partnered woman who works full time as a teacher. She is in a
long-term relationship with Mary and they are getting along well, and doing well
financially. They have two children, ages 2 and 6. Samantha is seeing the PMHNP to
address her concerns that she is feeling down and sad for no reason and states, "I know
my life is going well but I just don't feel happy. I have always worried a lot and have been
sad most of my life." As a PMHNP trained in transactional analysis (TA), you understand
that personality is multifaceted and wonder if which of the following is affecting her
ability to experience happiness:


a. She had long periods of separation from her primary caregiver as a child and now has
a difficult time accepting and receiving love and experiencing happiness
b. She likely had a traumatic event in her childhood and her thoughts and feelings related
to the event are locked together in her brain and cannot be accessed
c. Her unhappiness is likely related to distorted thoughts and feelings about her
relationship
d. As an adolescent she experienced an event that was processed in an ego state as an
older sibling

, Correct Answer: B.

She likely had a traumatic event in her childhood and her thoughts and
feelings related to the event are locked together in her brain and cannot be
accessed

According to Transactional Analysis, when a person is traumatized the
thoughts and feelings get tied together and the process of therapy is to
unlock the two

REF: Pg. 224




Secondary Prevention is aimed at decreasing:


Give this one a try later!


Aimed at decreasing the prevalence (number of existing cases) of mental
disorders

- Early case finding
- Screening
- Prompt and effective treatment


Examples:
- Telephone hotlines
- Crisis intervention
- Disaster responses

REF: Pg. 103




A client presents with complaints of changes in appetite, feeling fatigued, problems with
sleep-rest cycle, and changes in libido. What is the neuroanatomical area of the brain

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