UPGRADED GEORGETTE LMR PMHNP FINAL EXAM WITH CORRECT ANSWERS

UPGRADED GEORGETTE LMR PMHNP FINAL EXAM WITH CORRECT ANSWERS 1. A 42-year-old male with alcohol use disorder for 5 years is referred to the PMHNP from his primary care provider for addiction treatment. Which of the following laboratory findings would be consistent with his diagnosis? - CORRECT ANSWER -Increased mean corpuscular volume and triglycerides 2. A 9-year-old girl with a history of generalized anxiety disorder has been stable on fluoxetine 10 mg for 6 months and presents for follow-up complaining of bilateral leg pain. The physical exam, complete blood count, and metabolic profile are normal except for an elevated alkaline phosphatase. The PMHNP understands that this finding is: - CORRECT ANSWER Commonly occurring pre-puberty findings known as growing pains 3. A 50-year-old physician presents with complaints of fatigue, headache, abdominal distress, and weight loss. His husband reports increasingly irritability, inattentiveness, and low libido over the last month. He was seen by his primary care provider who just notified him he had pre-diabetes, hypercholesterolemia, and hypertension despite weight loss. These findings are most consistent with - CORRECT ANSWER -Major depression 4. The purpose of a professional organization's scope and standards of practice is to: - CORRECT ANSWER -Define the role and actions for that particular profession 5. An APRN recognizes the essential nature of primary prevention strategies for a community. Which of the following is an example of a primary prevention strategy? - CORRECT ANSWER -A skills class for at risk adolescents 6. Which of the following is representative of legal ruling trends over the past 30 years? - CORRECT ANSWER -Juries have been encouraged to find defendants not guilty because of insanity 7. A patient who has been voluntarily committed is experiencing symptoms of psychosis; he declares he has "the right to refuse his medications despite the court order because God told him he would be healed by his faith alone." Based on your knowledge of court-ordered treatment, which of the following statements as true? - CORRECT ANSWER -Psychiatric clients can refuse treatment unless it is court ordered 8. Which of the following elements is reflective of a professional relationship rather than a social relationship? - CORRECT ANSWER -In a professional relationship, the primary focus is on the client and their needs 9. In light of the recent school shootings, the local high schools have noticed an unusually high incidence of depressive symptoms and illicit drug use among their students. The PMHNP formulates a plan to address the problem. The goal of the program is to enhance the capabilities of families and teachers to identify antecedents of depression and drug use to prevent new cases from developing. What level of prevention is this strategy? - CORRECT ANSWER Primary prevention 10. A 45-year-old White female agreed to hospitalization after presenting to the emergency department with passive suicidal ideations. After 24 hours she states that she wishes to leave because "this place cannot help her." Which of the following actions reflects the legal right of the client? - CORRECT ANSWER -Explain that the patient cannot leave until further assessments are completed and collateral information obtained