1
LMR PMHNP | most recent |COMPLETE
MOST TESTED QUESTIONS AND
VERIFIED ANSWERS | (100% correct
solutions)|GET IT A+ RIGHT!!
When does behavior management and support begin? - (ANSWER)Admission-
Behavior management and support starts when the patient is admitted. It does
not start couple days after or when they discharge
Where should you interview patients? - (ANSWER)When interviewing patient you
want to interview them in the day room where you can have the door slightly
open this allows us to have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - (ANSWER)-You
should separate parents and child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual way
with a toy. what should you suspect? - (ANSWER)*sexual abuse
-You can immediately report to CPS suspecting alone is enough. You are not
required to notify parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
,2
What should you do as the PMHNP if a patient comes in due to being a victim of
abuse/rape? - (ANSWER)the priority is to provide and environment of their safety
or ensure them of safety, even if it is an intervention
What would you do if a patient that came in for abuse/rape wants to discharge? -
(ANSWER)If inpatient and making a decision to discharge, make sure the patient is
able to stay safe and developed coping skills
Where would you interview a patient with a recent history of abuse/rape? -
(ANSWER)-If inpatient and interviewing patients, do not interview in their room
or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? - (ANSWER)*If the
patient is suicidal and have an intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? - (ANSWER)Due to
the gap of care, it is important to collaborate with OB Dr. to do risk assessment
,3
As a PMHNP would it be in the patient's best interest to ask/delegate to another
professional to do a job? - (ANSWER)-It should not be delegated, should be
collaborated team effort.
- Before picking the answer to refer the patient out, make sure there is nothing
else in your scope that you can do
Ex: You notice a lot of women have Post-partum depression and are discharged
after delivery without mental health evaluation and have noticed a gap in care -
collaboration might be working with OB to develop a screening process that is
interprofessional collaboration
If the patient inhaled acetone and is feeling weird should you refer to primary
care dr.? - (ANSWER)-Assess them first before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
11a. Is a cultural response a mental illness? - (ANSWER)A cultural expected
response to a stressor in NOT a mental illness
What culture can have an imbalance between an individual relationship with the
world? - (ANSWER)Native Americans
A patient presents with a culture base. what should the interview be based on? -
(ANSWER)- When a question is very specific on cultural of patient it is most of the
time a cultural question
, 4
- Then cultural assessment (cultural formulation interview) is important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental illnes
What is the process of Cultural formulation? - (ANSWER)* Interview (assessment)
→ Clarify the meaning of the illness → Contextualize the situation in local world
→ Empower the patient
13. If the patient is dealing with cultural syndrome, what should you do? -
(ANSWER)- Offer them brief supportive therapy
Respect
- Educate others regarding cultural sensitivity.
Ex. In the Native cultures, mental illness is viewed as an imbalance between an
individual relationship and the world.
What ethnic group/culture is the Healing stick associated with and what is its
purpose? - (ANSWER)They believe it helps them heal. Teach the staff about
cultural competencies.
If the patient lost their job, or/and house, what should you offer? -
(ANSWER)Offer them brief supportive therapy
What if the patient is dealing with somatic complaints of pain but states the
primary care could not find anything what should you do? - (ANSWER)- Conduct a
cultural assessment
LMR PMHNP | most recent |COMPLETE
MOST TESTED QUESTIONS AND
VERIFIED ANSWERS | (100% correct
solutions)|GET IT A+ RIGHT!!
When does behavior management and support begin? - (ANSWER)Admission-
Behavior management and support starts when the patient is admitted. It does
not start couple days after or when they discharge
Where should you interview patients? - (ANSWER)When interviewing patient you
want to interview them in the day room where you can have the door slightly
open this allows us to have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - (ANSWER)-You
should separate parents and child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual way
with a toy. what should you suspect? - (ANSWER)*sexual abuse
-You can immediately report to CPS suspecting alone is enough. You are not
required to notify parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
,2
What should you do as the PMHNP if a patient comes in due to being a victim of
abuse/rape? - (ANSWER)the priority is to provide and environment of their safety
or ensure them of safety, even if it is an intervention
What would you do if a patient that came in for abuse/rape wants to discharge? -
(ANSWER)If inpatient and making a decision to discharge, make sure the patient is
able to stay safe and developed coping skills
Where would you interview a patient with a recent history of abuse/rape? -
(ANSWER)-If inpatient and interviewing patients, do not interview in their room
or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? - (ANSWER)*If the
patient is suicidal and have an intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? - (ANSWER)Due to
the gap of care, it is important to collaborate with OB Dr. to do risk assessment
,3
As a PMHNP would it be in the patient's best interest to ask/delegate to another
professional to do a job? - (ANSWER)-It should not be delegated, should be
collaborated team effort.
- Before picking the answer to refer the patient out, make sure there is nothing
else in your scope that you can do
Ex: You notice a lot of women have Post-partum depression and are discharged
after delivery without mental health evaluation and have noticed a gap in care -
collaboration might be working with OB to develop a screening process that is
interprofessional collaboration
If the patient inhaled acetone and is feeling weird should you refer to primary
care dr.? - (ANSWER)-Assess them first before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
11a. Is a cultural response a mental illness? - (ANSWER)A cultural expected
response to a stressor in NOT a mental illness
What culture can have an imbalance between an individual relationship with the
world? - (ANSWER)Native Americans
A patient presents with a culture base. what should the interview be based on? -
(ANSWER)- When a question is very specific on cultural of patient it is most of the
time a cultural question
, 4
- Then cultural assessment (cultural formulation interview) is important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental illnes
What is the process of Cultural formulation? - (ANSWER)* Interview (assessment)
→ Clarify the meaning of the illness → Contextualize the situation in local world
→ Empower the patient
13. If the patient is dealing with cultural syndrome, what should you do? -
(ANSWER)- Offer them brief supportive therapy
Respect
- Educate others regarding cultural sensitivity.
Ex. In the Native cultures, mental illness is viewed as an imbalance between an
individual relationship and the world.
What ethnic group/culture is the Healing stick associated with and what is its
purpose? - (ANSWER)They believe it helps them heal. Teach the staff about
cultural competencies.
If the patient lost their job, or/and house, what should you offer? -
(ANSWER)Offer them brief supportive therapy
What if the patient is dealing with somatic complaints of pain but states the
primary care could not find anything what should you do? - (ANSWER)- Conduct a
cultural assessment
