PMHNP-BC LMR EXAM QUESTIONS &
VERIFIED DETAILED ANSWERS ALL
PASSED & ALREADY GRADED A+
Priority questions...
Initial action questions...
1. ABC's - Airway, Breathing, Circulation
2. Maslow's Hierarchy (physiologic needs first: food, water, warmth, rest)
3. Nursing process (Assessment before intervention). Collect data to support the problem
towards a resolution.
Safety for the patient is....
Usually the right answer
Interprofessional collaboration...
Is encouraged
Culture...
Is important to be included in all nursing care
SAFETY is...
,a PRIORITY. Reassure the patient they are safe and that it is a priority
Goal of safety is...
to ensure they are safe and can cope effectively before they leave
No harm contracts...
Safety/no harm contract or agreement is incorrect
Pseudo dementia and depression
Can be used simultaneously in exam
Hallmarks of vascular dementia
Carotid bruits, fundoscopic abnormalities, enlarged cardiac chambers
Safety starts at...
Admission or right after the patient is admitted
Interviewing patients...
> In a private office with the door open or partially opened.
> Do not interview in their room or dayroom
,> Safety over privacy!! People need to have access to help you if patient becomes aggressive
Doll/Toy play in sexualized way
Report to CPS immediately
Adolescents
> build therapeutic rapport - what they tell you is confidential unless harmful to self or others
> No need to interview adolescents with their parents.
Adolescents and relationships
> If consensual with a different gender of the same age = OK
> If one is older, might need to let parent know
Referring Out
If there is something you can do before referring them out that is within your scope of practice -
help before referring
Culture expected response to a stressor =
meaning/context = cultural syndrome = brief supportive therapy = job/house loss
, Cultural Formulation Interviews
> Clarify meaning of illness or predicament
> Contextualize their situation in their local world
> Empower the patient
Somatic complaints of pain
understand patient's symptoms based on context
Multicultural population
> multicultural teaching = ethnospecific assessment parameters
> Respect
> Native Americans - Highest ethnic suicide rate
> Imbalance between and individuals relationship with the world
Ethnic groups...
***Healing stick = teach nurse about cultural competency
> Choose non-confrontational answers
Release of Information (ROI)
If patient wants you to release information to a traditional healer, family member, or spiritual
leader - this is OK, just need informed consent as it is culturally sensitive.
VERIFIED DETAILED ANSWERS ALL
PASSED & ALREADY GRADED A+
Priority questions...
Initial action questions...
1. ABC's - Airway, Breathing, Circulation
2. Maslow's Hierarchy (physiologic needs first: food, water, warmth, rest)
3. Nursing process (Assessment before intervention). Collect data to support the problem
towards a resolution.
Safety for the patient is....
Usually the right answer
Interprofessional collaboration...
Is encouraged
Culture...
Is important to be included in all nursing care
SAFETY is...
,a PRIORITY. Reassure the patient they are safe and that it is a priority
Goal of safety is...
to ensure they are safe and can cope effectively before they leave
No harm contracts...
Safety/no harm contract or agreement is incorrect
Pseudo dementia and depression
Can be used simultaneously in exam
Hallmarks of vascular dementia
Carotid bruits, fundoscopic abnormalities, enlarged cardiac chambers
Safety starts at...
Admission or right after the patient is admitted
Interviewing patients...
> In a private office with the door open or partially opened.
> Do not interview in their room or dayroom
,> Safety over privacy!! People need to have access to help you if patient becomes aggressive
Doll/Toy play in sexualized way
Report to CPS immediately
Adolescents
> build therapeutic rapport - what they tell you is confidential unless harmful to self or others
> No need to interview adolescents with their parents.
Adolescents and relationships
> If consensual with a different gender of the same age = OK
> If one is older, might need to let parent know
Referring Out
If there is something you can do before referring them out that is within your scope of practice -
help before referring
Culture expected response to a stressor =
meaning/context = cultural syndrome = brief supportive therapy = job/house loss
, Cultural Formulation Interviews
> Clarify meaning of illness or predicament
> Contextualize their situation in their local world
> Empower the patient
Somatic complaints of pain
understand patient's symptoms based on context
Multicultural population
> multicultural teaching = ethnospecific assessment parameters
> Respect
> Native Americans - Highest ethnic suicide rate
> Imbalance between and individuals relationship with the world
Ethnic groups...
***Healing stick = teach nurse about cultural competency
> Choose non-confrontational answers
Release of Information (ROI)
If patient wants you to release information to a traditional healer, family member, or spiritual
leader - this is OK, just need informed consent as it is culturally sensitive.
