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As the PMHNP working with a young female recently diagnosed with bipolar
disorder and using a recovery model, what will be the focus of your interactions
with this patient?
a. Psychoeducation about her disease process
b. Assisting in gainful employment
c. Focus on the side effects of her medications
d. Focus on her feelings, experience, and what she wants to achieve - ANSWER ✓
D
A 32-year-old Caucasian Catholic female patient presents for her therapy session.
She is upset because she and her husband have been in an argument over finances.
She does not work and stays at home to take care of the children. She reports
feeling sad and has had thoughts of hurting herself. She has a past history of
overdosing with Tylenol several years ago. Which of the following places her at
high-risk for suicide?
a. Age
b. Previous suicide attempt
c. Marital status
d. Gender - ANSWER ✓ B
During an initial assessment, the PMHNP asks the patient to perform the serial 7's.
What aspect of the mental status exam would the nurse practitioner be assessing?
a. Memory
b. Concentration
c. Speech
d. Affect - ANSWER ✓ B
, Which of the following illustrates the role of the PMHNP in reducing the stigma
of mental illness through community education as primary prevention?
a. Professional speaker interviewed by morning television talk show anchor on
depression.
b. Expert witness for standard of care regarding psychiatric nursing staff in
wrongful death lawsuit
c. Teaching high school class about depression and teen suicide
d. Volunteering to help with depression screenings at a community health fair -
ANSWER ✓ A
In a psychiatric emergency, the PMHNP is aware that the most important goal of
the interview is self-protection. What can the PMHNP do to keep himself or
herself safe?
a. Make sure the patient is restrained before beginning the evaluation
b. Enter the room alone, in order to build a therapeutic alliance
c. Know as much about the person as possible prior to starting the interview
d. Inform the patient that violence is not acceptable. - ANSWER ✓ C
When questioning a patient regarding alcohol use during an intake, the patient
t3ells you he only drinks socially. Which initial response is most appropriate?
a. What amount and what kind of alcohol do you drink in a week?
b. I am glad you are a responsible drinker.
c. Many people with alcohol issues say they are social drinkers.
d. Do other people in your household drink alcohol? - ANSWER ✓ A
During a follow-up medication visit with a 13-year-old male, his mother stayed
longer to ask the PMHNP a question. Specifically, his mother states, "The school
sent home information about the human papillomavirus and suggested my son see
his primary care provider to get an immunization. Why did I get this information
for my son? Furthermore, he is not sexually active." Which of the following would
be the PMHNP's best response?
a. I understand your concern with talking to your son about becoming sexually
active. Let's address how to start the conversation.
b. You are correct, only females need to receive the human papillomavirus
vaccination. This letter must have been sent to you by mistake.
c. Decisions about immunizations can be difficult. The Centers for Disease Control
and Prevention recommend that all males between the ages of 11-12, or as early as
9 years of age, receive this vaccination. What concerns do you ha - ANSWER ✓ C