59. A PMHNP who is working on the consult liaison service is referred to a patient in
the medical intensive care unit by the attending hospitalist. The consult note read
"Evaluate the patient for competency to make independent medical decisions and
consent for a surgical procedure." Based on the scope of practice of a PMHNP, which
response would be most appropriate?
a. Complete the patient assessment and write up the findings in the patient's medical
record.
b. Complete a patient assessment, including the mini mental status examination and
family collateral data to determine competency.
C. Call the hospitalist and provide education that competency is a legal concept and
explain that you can assess the patient for the capacity to make medical decisions.
d. Refuse the consult and inform the hospitalist that this is outside your scope of
practice.
Give this one a try later!
, C
The legal system makes determination whether a person is competent;
practitioners can assess and make a determination about a person's
capacity to make medical decisions
68. A 20-year-old Asian man who was recently diagnosed with schizophrenia comes
to your office for a follow-up appointment. During the assessment, he talks about his
experience in the group home, thinking that the television is sending him messages
through news anchors during the 10 p.m. evening news. What symptom is the client
describing?
a. Paranoia
b. Illusions
C. Ideas of reference
d. Neologisms
Give this one a try later!
C
Ideas of reference are misinterpretations of incidents and evens that one
believes have a direct personal reference to oneself
33. A client says to the PMHNP, "Some days life is just not worth it. All my wife and I
ever do is fight and scream. Things at home would be calmer and simpler if I just
wasn't there any-more." The most therapeutic response for the PMHNP to make is
a. "Do you mean that you are thinking about leaving your wife and moving out?"
b."Tell me what you mean by 'it would be simpler if you just weren't there anymore!"
C. "So you are thinking suicide might be an option for you?"
d. Remain silent
Give this one a try later!
, B
Most therapeutic response
20. The role of neurotransmitters in the central nervous system is to function as
a.A communication medium
b.A gatekeeper for transmissions
C. A building block for amino acids
d.An agent to break down enzymes
Give this one a try later!
A
Neurotransmitters in the CNS function as a communication medium
12. Mr. Thompson has been forgetful lately, for example, forgetting where he has
placed his keys or what time appointments are scheduled, and he has stated that he
thinks these are just random behaviors that have no particular meaning. Which
Freudian-based psychodynamic principle assumes that all behavior and actions are
purposeful?
a.Pleasure principle
b. Psychic determinism principle
C.Reality principle
D.Unconsciousness principle
Give this one a try later!
B
The psychic determinism principle states that all behavior has purpose and
meaning, often unconscious in nature, and that no behaviors occur
randomly or by coincidence
, 46.In an attempt to bring the client toward the goal he or she is working on, you ask
the client, "If a miracle were to happen tonight while you slept, and you awoke in the
morning and the problem no longer existed, how would you know, and what would
be different?" This technique is used in which type of therapy?
a. Behavioral therapy
b. Solution-focused therapy
C. Adlerian therapy
d. Existential therapy
Give this one a try later!
B
Miracle questions are used in solution-focused therapy
77. Which type of hallucination is rare in persons with psychotic illnesses and is often
associated with an organic etiology?
a. Auditory hallucinations
b. Gustatory hallucinations
C. Visual hallucinations
d. Combination hallucinations
Give this one a try later!
B
The most common type of hallucinations in persons with psychotic illnesses
are auditory and visual. Tactile and gustatory hallucinations are less
common and more likely related to an organic illness.
15. Defense mechanisms are best viewed as a function of the ego
а.To alert us to harm and danger
b. To alert us to problems
the medical intensive care unit by the attending hospitalist. The consult note read
"Evaluate the patient for competency to make independent medical decisions and
consent for a surgical procedure." Based on the scope of practice of a PMHNP, which
response would be most appropriate?
a. Complete the patient assessment and write up the findings in the patient's medical
record.
b. Complete a patient assessment, including the mini mental status examination and
family collateral data to determine competency.
C. Call the hospitalist and provide education that competency is a legal concept and
explain that you can assess the patient for the capacity to make medical decisions.
d. Refuse the consult and inform the hospitalist that this is outside your scope of
practice.
Give this one a try later!
, C
The legal system makes determination whether a person is competent;
practitioners can assess and make a determination about a person's
capacity to make medical decisions
68. A 20-year-old Asian man who was recently diagnosed with schizophrenia comes
to your office for a follow-up appointment. During the assessment, he talks about his
experience in the group home, thinking that the television is sending him messages
through news anchors during the 10 p.m. evening news. What symptom is the client
describing?
a. Paranoia
b. Illusions
C. Ideas of reference
d. Neologisms
Give this one a try later!
C
Ideas of reference are misinterpretations of incidents and evens that one
believes have a direct personal reference to oneself
33. A client says to the PMHNP, "Some days life is just not worth it. All my wife and I
ever do is fight and scream. Things at home would be calmer and simpler if I just
wasn't there any-more." The most therapeutic response for the PMHNP to make is
a. "Do you mean that you are thinking about leaving your wife and moving out?"
b."Tell me what you mean by 'it would be simpler if you just weren't there anymore!"
C. "So you are thinking suicide might be an option for you?"
d. Remain silent
Give this one a try later!
, B
Most therapeutic response
20. The role of neurotransmitters in the central nervous system is to function as
a.A communication medium
b.A gatekeeper for transmissions
C. A building block for amino acids
d.An agent to break down enzymes
Give this one a try later!
A
Neurotransmitters in the CNS function as a communication medium
12. Mr. Thompson has been forgetful lately, for example, forgetting where he has
placed his keys or what time appointments are scheduled, and he has stated that he
thinks these are just random behaviors that have no particular meaning. Which
Freudian-based psychodynamic principle assumes that all behavior and actions are
purposeful?
a.Pleasure principle
b. Psychic determinism principle
C.Reality principle
D.Unconsciousness principle
Give this one a try later!
B
The psychic determinism principle states that all behavior has purpose and
meaning, often unconscious in nature, and that no behaviors occur
randomly or by coincidence
, 46.In an attempt to bring the client toward the goal he or she is working on, you ask
the client, "If a miracle were to happen tonight while you slept, and you awoke in the
morning and the problem no longer existed, how would you know, and what would
be different?" This technique is used in which type of therapy?
a. Behavioral therapy
b. Solution-focused therapy
C. Adlerian therapy
d. Existential therapy
Give this one a try later!
B
Miracle questions are used in solution-focused therapy
77. Which type of hallucination is rare in persons with psychotic illnesses and is often
associated with an organic etiology?
a. Auditory hallucinations
b. Gustatory hallucinations
C. Visual hallucinations
d. Combination hallucinations
Give this one a try later!
B
The most common type of hallucinations in persons with psychotic illnesses
are auditory and visual. Tactile and gustatory hallucinations are less
common and more likely related to an organic illness.
15. Defense mechanisms are best viewed as a function of the ego
а.To alert us to harm and danger
b. To alert us to problems
