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
Give this one a try later!
, C. As with any client, psychiatric clients can refuse treatment unless a legal
process resulting in involuntary commitment or mandatory court order for
treatment has been obtained.
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
Give this one a try later!
A. Persons intoxicated on cannabis exhibit distorted perceptions, increase
relaxation and sensitivity, and loss of coordination.
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
Give this one a try later!
B. Identifies the trend of ensuring the protection of individual civil liberties
for psychiatric clients.
,A mother brings in her 7-year-old son for a psychiatric follow-up visit with the
PMHNP. This is the fourth visit the PMHNP has had with the client, his mother, and his
younger sister, Renee, now 7 months old. You notice that she has a decrease in head
growth, along with stereotypic motions of the hands, often licking and slapping.
Renee has also lost her language skills. What medical condition do you suspect
Renee has developed?
a. Autism spectrum disorder
b. Rett syndrome
c. Selective mutism
d. Childhood onset diabetes
Give this one a try later!
B. Girls with Rett's syndrome develop normally and around the 7th month
regress, with a decrease in head size and language loss.
Mrs. Shea has come to the mental health center seeking treatment for depression. She
has a history of a suicide attempt by overdose 1 month ago. She was started on
imipramine (tricyclic antidepressant [TCA]) after that event but stopped taking the
medication 1 week later because it "did no good." The PMHNP meets with Mrs. Shea to
plan care with her. Which of the following is the most appropriate initial action?
a. Asking Mrs. Shea how to help her
b. Providing client teaching about the long time frame for TCAs to work
c. Contracting with Mrs. Shea for 6 sessions of individual therapy
d. Providing Mrs. Shea with feedback about how suicide might affect her family
Give this one a try later!
A. Asking the client how to help is an aspect of assessment—all other
answers are aspects of interventions, which are not initial actions of the
PMHNP.
, As a PMHNP, you understand the genetic factors that contribute to psychiatric and
personality disorders. Persons who develop antisocial personality disorder often are
raised in families with high rates of which of the following?
a. Psychotic disorders
b. Alcohol use disorders
c. Anxiety disorders
d. Mood disorders
Give this one a try later!
B. Being raised in an alcoholic family increases the likelihood of chaos,
unpredictability, and lack of rules and order, leading to higher rates of
developing antisocial personality disorder.
An example of a mature, healthy defense mechanism is
a. Denial
b. Rationalization
c. Repression
d. Suppression
Give this one a try later!
D. Suppression is the only defense mechanism listed in which the client
channels conflicting energies into growth-promoting activities.
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?
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
Give this one a try later!
, C. As with any client, psychiatric clients can refuse treatment unless a legal
process resulting in involuntary commitment or mandatory court order for
treatment has been obtained.
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
Give this one a try later!
A. Persons intoxicated on cannabis exhibit distorted perceptions, increase
relaxation and sensitivity, and loss of coordination.
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
Give this one a try later!
B. Identifies the trend of ensuring the protection of individual civil liberties
for psychiatric clients.
,A mother brings in her 7-year-old son for a psychiatric follow-up visit with the
PMHNP. This is the fourth visit the PMHNP has had with the client, his mother, and his
younger sister, Renee, now 7 months old. You notice that she has a decrease in head
growth, along with stereotypic motions of the hands, often licking and slapping.
Renee has also lost her language skills. What medical condition do you suspect
Renee has developed?
a. Autism spectrum disorder
b. Rett syndrome
c. Selective mutism
d. Childhood onset diabetes
Give this one a try later!
B. Girls with Rett's syndrome develop normally and around the 7th month
regress, with a decrease in head size and language loss.
Mrs. Shea has come to the mental health center seeking treatment for depression. She
has a history of a suicide attempt by overdose 1 month ago. She was started on
imipramine (tricyclic antidepressant [TCA]) after that event but stopped taking the
medication 1 week later because it "did no good." The PMHNP meets with Mrs. Shea to
plan care with her. Which of the following is the most appropriate initial action?
a. Asking Mrs. Shea how to help her
b. Providing client teaching about the long time frame for TCAs to work
c. Contracting with Mrs. Shea for 6 sessions of individual therapy
d. Providing Mrs. Shea with feedback about how suicide might affect her family
Give this one a try later!
A. Asking the client how to help is an aspect of assessment—all other
answers are aspects of interventions, which are not initial actions of the
PMHNP.
, As a PMHNP, you understand the genetic factors that contribute to psychiatric and
personality disorders. Persons who develop antisocial personality disorder often are
raised in families with high rates of which of the following?
a. Psychotic disorders
b. Alcohol use disorders
c. Anxiety disorders
d. Mood disorders
Give this one a try later!
B. Being raised in an alcoholic family increases the likelihood of chaos,
unpredictability, and lack of rules and order, leading to higher rates of
developing antisocial personality disorder.
An example of a mature, healthy defense mechanism is
a. Denial
b. Rationalization
c. Repression
d. Suppression
Give this one a try later!
D. Suppression is the only defense mechanism listed in which the client
channels conflicting energies into growth-promoting activities.
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?
