PMHN Cert EXAM WITH VERIFIED QUESTIONS AND ANSWERS| LATEST UPLOAD
|GRADED A+
A rape victim with multiple injuries has been brought to the ED for evaluation and
treatment. The first thing that the PMHN should communicate is:
a. "I'm so sorry this happened to you"
b. "You are safe here. No one can hurt you"
c. "This was not your fault"
d. "I'm thankful you survived this attack" - correct answer-b. "You are safe here. No one can
hurt you"
A patient has signed the consent for for ECT under pressure from her spouse but confides
in the PMHN that she does not want the treatment and is terrified but afraid to stand-up to
her spouse. The PMHN should:
a. asks the patient if she wants to rescind the consent form
b. tells the patient that she must tell her spouse she does not want the treatment
c. tells the patient she must go through with the treatment because she signed the consent
d. notifies the physician of the patient's feelings about the treatment - correct answer-d.
notify the physician of the patient's feelings about the treatment
A patient was able to slowly read aloud an information sheet but when asked to state what
she had read in her own words was unable to do so. The most likely reason is:
a. low self-esteem
b. poor hearing
c. low health-literacy
d. anxiety - correct answer-c. low health-literacy
A patient who has had repeated arrests for DUI of alcohol refuses to admit that he has a
drinking problem and states that the police have targeted him unfairly. The ego defense
mechanism that the patient is using is:
a. denial
b. reaction formation
c. regression
d. undoing - correct answer-a. denial
,reaction formation is refusing to acknowledge undesirable feelings, thoughts, or behavior
by exaggerating the opposite
A patient with schizophrenia has delusions and believes that his family members cannot
be trusted. According to Maslow's hierarchy of needs, the patient's delusions are
interfering with development at the level of:
a. physiological needs
b. love/belonging needs
c. safety needs
d. self-esteem needs - correct answer-b. love/belonging needs
Physiological: basic needs such as air, food, water, shelter
Safety and security: freedom from fear, physical comfort, safety
Love and belonging: companionship, love, group ID, satisfying interpersonal relationships
Self-esteem: working for success, desiring respect and prestige, seeking self-respect
Self-actualization: feeling of self-fulfillment, satisfaction with achievements
A patient states that, on the advice of a friend, he has been treating his anxiety with large
doses of kava in addition to the amitriptyline that was prescribed for depression, but he has
been feeling excessively fatigued and has noted dark urine. Which diagnostic test or tests
are indicated?
a. renal function tests
b. CBC
c. urinalysis
d. liver function tests - correct answer-d. liver function tests
kava can result in liver damage and amitriptyline is processed through the liver
According to Erickson's stages of psychosocial development, which of the following best
characterizes the developmental task of adulthood and the generativity-vs.-stagnation
stage?
a. achieving self-confidence by performing successfully and gaining recognition from peers
b. developing a sense of positive self-worth from reviewing the events of life
c. achieving the personal life goals that the person had formulated
,d. making a commitment to another person as part of a long-term relationship - correct
answer-c. achieving the personal life goals that the person had formulated
trust vs mistrust: infancy-18 mos. (infancy)
autonomy vs shame/doubt: 18 mo. - 3 years (early childhood)
initiative vs guilt: 3 - 6 years (late childhood)
industry vs inferiority: 6 - 12 years (school age)
identify vs role confusion: 12 - 20 years (adolescence)
intimacy vs isolation: 20 - 30 years (young adulthood)
generativity vs stagnation: 30 - 65 years (adulthood)
ego integrity vs despair: 65 years - death (old age)
The International Society of Psychiatric Mental Health Nurses (ISPN) contains how many
divisions representing different nursing specialty areas?
a. two
b. four
c. six
d. eight - correct answer-b. four
Association of Child and Adolescent Psychiatric Nurses (ACAPN)
International Society of Psychiatric Consultation Liaison Nurses (ISPCLN)
Society of Education and Research in Psychiatric Mental Health Nursing (SERPN)
Adult and Geropsychiatric Mental Health Nurses (AGPN)
When utilizing AHRQ's 'You Can Quit Smoking' guide to help a patient quit smoking, the first
step of 'Getting Ready' includes:
a. talking with the physician about nicotine medication
b. telling friends and family members about quitting
c. getting group counseling
d. setting a date to quit, cold turkey - correct answer-d. setting a date to quit, cold turkey
An elderly patient scored 18/30 on the MMSE. This score usually indicates:
a. severe cognitive impairment
b. mild cognitive impairment
c. moderate cognitive impairment
, d. normal cognition - correct answer-c. moderate cognitive impairment
The PMHN needs to complete a history and physical examination on a patient who is
extremely depressed and suicidal. The best approach is to:
a. delays the history and physical exam until the patient is stabilized
b. conducts the baseline physical examination but delay the history-taking
c. obtains the history from a family member and conduct the physical exam
d. conducts the history and physical in a supportive manner - correct answer-d. conduct
the history and physical in a supportive manner
Piaget's Theory of Cognitive Development in children applies to adults in relation to
concepts about:
a. readiness to learn
b. self-efficacy
c. self-determination
d. intelligence - correct answer-a. readiness to learn
When conducting the brief mental status evaluation as part of the clinical interview, which
of the following is an appropriate activity to evaluate the patient's ability to concentrate?
a. list 3 objects and ask the patient to repeat the list immediately and again in a few
minutes
b. asks the patient to spell the word 'world' in reverse
c. asks the patient to carry out a two-to-three-step task
d. asks the patient what 'a stitch in time saves nine' means - correct answer-b. ask the
patient to spell the word 'world' in reverse
Which of the following is a developmental milestone that usually occurs during
adolescence (12-to-18 years)?
a. understanding abstract concepts
b. comprehending and carrying-out multiple directions in sequence
c. understanding concepts of size and time
d. enjoying doing things without assistance - correct answer-a. understanding abstract
concepts
|GRADED A+
A rape victim with multiple injuries has been brought to the ED for evaluation and
treatment. The first thing that the PMHN should communicate is:
a. "I'm so sorry this happened to you"
b. "You are safe here. No one can hurt you"
c. "This was not your fault"
d. "I'm thankful you survived this attack" - correct answer-b. "You are safe here. No one can
hurt you"
A patient has signed the consent for for ECT under pressure from her spouse but confides
in the PMHN that she does not want the treatment and is terrified but afraid to stand-up to
her spouse. The PMHN should:
a. asks the patient if she wants to rescind the consent form
b. tells the patient that she must tell her spouse she does not want the treatment
c. tells the patient she must go through with the treatment because she signed the consent
d. notifies the physician of the patient's feelings about the treatment - correct answer-d.
notify the physician of the patient's feelings about the treatment
A patient was able to slowly read aloud an information sheet but when asked to state what
she had read in her own words was unable to do so. The most likely reason is:
a. low self-esteem
b. poor hearing
c. low health-literacy
d. anxiety - correct answer-c. low health-literacy
A patient who has had repeated arrests for DUI of alcohol refuses to admit that he has a
drinking problem and states that the police have targeted him unfairly. The ego defense
mechanism that the patient is using is:
a. denial
b. reaction formation
c. regression
d. undoing - correct answer-a. denial
,reaction formation is refusing to acknowledge undesirable feelings, thoughts, or behavior
by exaggerating the opposite
A patient with schizophrenia has delusions and believes that his family members cannot
be trusted. According to Maslow's hierarchy of needs, the patient's delusions are
interfering with development at the level of:
a. physiological needs
b. love/belonging needs
c. safety needs
d. self-esteem needs - correct answer-b. love/belonging needs
Physiological: basic needs such as air, food, water, shelter
Safety and security: freedom from fear, physical comfort, safety
Love and belonging: companionship, love, group ID, satisfying interpersonal relationships
Self-esteem: working for success, desiring respect and prestige, seeking self-respect
Self-actualization: feeling of self-fulfillment, satisfaction with achievements
A patient states that, on the advice of a friend, he has been treating his anxiety with large
doses of kava in addition to the amitriptyline that was prescribed for depression, but he has
been feeling excessively fatigued and has noted dark urine. Which diagnostic test or tests
are indicated?
a. renal function tests
b. CBC
c. urinalysis
d. liver function tests - correct answer-d. liver function tests
kava can result in liver damage and amitriptyline is processed through the liver
According to Erickson's stages of psychosocial development, which of the following best
characterizes the developmental task of adulthood and the generativity-vs.-stagnation
stage?
a. achieving self-confidence by performing successfully and gaining recognition from peers
b. developing a sense of positive self-worth from reviewing the events of life
c. achieving the personal life goals that the person had formulated
,d. making a commitment to another person as part of a long-term relationship - correct
answer-c. achieving the personal life goals that the person had formulated
trust vs mistrust: infancy-18 mos. (infancy)
autonomy vs shame/doubt: 18 mo. - 3 years (early childhood)
initiative vs guilt: 3 - 6 years (late childhood)
industry vs inferiority: 6 - 12 years (school age)
identify vs role confusion: 12 - 20 years (adolescence)
intimacy vs isolation: 20 - 30 years (young adulthood)
generativity vs stagnation: 30 - 65 years (adulthood)
ego integrity vs despair: 65 years - death (old age)
The International Society of Psychiatric Mental Health Nurses (ISPN) contains how many
divisions representing different nursing specialty areas?
a. two
b. four
c. six
d. eight - correct answer-b. four
Association of Child and Adolescent Psychiatric Nurses (ACAPN)
International Society of Psychiatric Consultation Liaison Nurses (ISPCLN)
Society of Education and Research in Psychiatric Mental Health Nursing (SERPN)
Adult and Geropsychiatric Mental Health Nurses (AGPN)
When utilizing AHRQ's 'You Can Quit Smoking' guide to help a patient quit smoking, the first
step of 'Getting Ready' includes:
a. talking with the physician about nicotine medication
b. telling friends and family members about quitting
c. getting group counseling
d. setting a date to quit, cold turkey - correct answer-d. setting a date to quit, cold turkey
An elderly patient scored 18/30 on the MMSE. This score usually indicates:
a. severe cognitive impairment
b. mild cognitive impairment
c. moderate cognitive impairment
, d. normal cognition - correct answer-c. moderate cognitive impairment
The PMHN needs to complete a history and physical examination on a patient who is
extremely depressed and suicidal. The best approach is to:
a. delays the history and physical exam until the patient is stabilized
b. conducts the baseline physical examination but delay the history-taking
c. obtains the history from a family member and conduct the physical exam
d. conducts the history and physical in a supportive manner - correct answer-d. conduct
the history and physical in a supportive manner
Piaget's Theory of Cognitive Development in children applies to adults in relation to
concepts about:
a. readiness to learn
b. self-efficacy
c. self-determination
d. intelligence - correct answer-a. readiness to learn
When conducting the brief mental status evaluation as part of the clinical interview, which
of the following is an appropriate activity to evaluate the patient's ability to concentrate?
a. list 3 objects and ask the patient to repeat the list immediately and again in a few
minutes
b. asks the patient to spell the word 'world' in reverse
c. asks the patient to carry out a two-to-three-step task
d. asks the patient what 'a stitch in time saves nine' means - correct answer-b. ask the
patient to spell the word 'world' in reverse
Which of the following is a developmental milestone that usually occurs during
adolescence (12-to-18 years)?
a. understanding abstract concepts
b. comprehending and carrying-out multiple directions in sequence
c. understanding concepts of size and time
d. enjoying doing things without assistance - correct answer-a. understanding abstract
concepts
