GEORGETTE'S REVIEWED QUESTIONS WITH
100% CORRECT RIGHT ACTUAL ANSWERS
\GRADED A+ .
Test taking strategies - correct Answers -- read carefully and use info provided by examiner to
answer question
- narrow down options to 2 possible right answers
- partially correct answers are not the correct answers
- when 2 answer choices are the opposite of one another, one is usually the correct answer
(hypoglycemia vs hyperglycemia)
- the right answer might use the same word as the test question
- we do not do medical evals, correct answer would be to refer in this case
- when many response choices are remarkably similar, they are usually wrong
Order of importance - correct Answers -- questions that use adjectives like priority and initial
action test abilify to prioritize
- most important is airway, breathing, and circulation
- second is maslow's heirarchy of needs (physical needs, food, water, warmth, rest, safety,
security)
- then the nursing process (assessment before intervention).
Assessment - correct Answers -collecting data to support the problem towards a resolution.
SAFETY BEFORE ASSESSMENT
Tics - correct Answers -If tics are noted, stimulants are contraindicated
Safety - correct Answers -Safety for the patient and other is usually the right answer. Safety first.
,Abuse - correct Answers -If a patient is a victim of violence or abuse, assure them of their
personal safety first and foremost
Before discharging - correct Answers -Make sure patient is safe and can cope affectively
Safety/no harm contract - correct Answers -most likely incorrect answer
When does behavioral management and support start - correct Answers -once the patient is
admitted (not after discharge)
Where to interview an patient? - correct Answers -In a private office with door open or partially
open. NOT in their room or in the day room. Safety >>> privacy
Client comes in with parents and is reporting abuse. What should the PMHNP do? - correct
Answers -Interview the child separately from the parents and then the parents separately from
child.
Then report to CPS
Child comes into a follow up without parents. This child is holding and playing with a toy in a
sexual way. What to do? - correct Answers -Immediately contact CPS (suspicion alone is enough
to report to CPS)
How to build therapeutic rapport with adolescents - correct Answers -Letting them know
everything will be confidential except harm to themselves or others.
Try to see them without parents present as well.
Confidential verse nonconfidential - correct Answers -Patient is attracted to the same gender-
confidential
,Patient is in a consensual relationship with another person of their same age- confidential
Suicidal- non confidential
Delegating verse collaborating in a question - correct Answers -Delegating will likely be
incorrect but collaborating is good
Example- PMHNP notices a lot of women commiting suicide during post partum care because
they're discharged without a risk assessment. The PMHNP should use interpersonal collaboration
by collaborating with OB docs to do an assessment before discharge. PMHNP identified a gap in
care.
Always choose an answer where we are actively involved.
A patient is being discharged and the rehab facility is requesting lab results. What should the
PMHNP do? - correct Answers -PMHNP should obtain informed consent and fax labs over
(because this is the most actively involved answer)
14yo boy comes to office and says he is "feeling weird/funny" because he inhaled acetone. What
should the PMHNP do? - correct Answers -Urine drugs screen. This is correct because the
PMHNP should chose to do what is in their scope of practice. He does not necessarily need to be
referred out. Before referring out, ask yourself is there an answer than can be done within my
scope of practice
Culture related question (one that specifies ethnicity of ancestry) - correct Answers -First thing to
note is culturally expected response to stressor (their response does not always mean they have a
mental illness)
Cultural syndrome - correct Answers -Brief supportive therapy
Example, if someone lost their job or house they might just need brief supportive therapy. They
might not need meds.
, Example, if a person is experiencing pain or somatic complaints, interpret their symptoms based
on cultural context
Cultural formulation interviews - correct Answers -Clarify meaning of illness or predicament,
contextualize their situation in their local world, empower the patient
Psychoeducation to a client with specific culture should be based on cultural context
When serving a multicultural poputlation - correct Answers -it is important to provide
multicultural teaching by using ethnospecific assessment parameters. Respect is very important
Example native americans might believe that substance use or mental illness is - correct Answers
-an imbalance between an individuals relationship with the world
Healing sticks - correct Answers -Native americans believe that healing sticks have healing
powers.
A Native American patient on an inpatient unit has a healing stick and insists on keeping it. The
nurse is trying to take it. What does the PMHNP do? - correct Answers -Teach nurse cultural
competence
If a cultural question has a judgmental answer - correct Answers -it is usually incorrect
A Native American patient wants to send notes to his traditional healer. What to do? - correct
Answers -Obtain clearance for informed consent then send the notes
Susto ("fright") - correct Answers -One of the common folk illnesses seen in the latino
population. Illnesses from susto are believed to result from a shocking, unpleasant, or frightenin
experience that is believed to cause the soul to leave the body
100% CORRECT RIGHT ACTUAL ANSWERS
\GRADED A+ .
Test taking strategies - correct Answers -- read carefully and use info provided by examiner to
answer question
- narrow down options to 2 possible right answers
- partially correct answers are not the correct answers
- when 2 answer choices are the opposite of one another, one is usually the correct answer
(hypoglycemia vs hyperglycemia)
- the right answer might use the same word as the test question
- we do not do medical evals, correct answer would be to refer in this case
- when many response choices are remarkably similar, they are usually wrong
Order of importance - correct Answers -- questions that use adjectives like priority and initial
action test abilify to prioritize
- most important is airway, breathing, and circulation
- second is maslow's heirarchy of needs (physical needs, food, water, warmth, rest, safety,
security)
- then the nursing process (assessment before intervention).
Assessment - correct Answers -collecting data to support the problem towards a resolution.
SAFETY BEFORE ASSESSMENT
Tics - correct Answers -If tics are noted, stimulants are contraindicated
Safety - correct Answers -Safety for the patient and other is usually the right answer. Safety first.
,Abuse - correct Answers -If a patient is a victim of violence or abuse, assure them of their
personal safety first and foremost
Before discharging - correct Answers -Make sure patient is safe and can cope affectively
Safety/no harm contract - correct Answers -most likely incorrect answer
When does behavioral management and support start - correct Answers -once the patient is
admitted (not after discharge)
Where to interview an patient? - correct Answers -In a private office with door open or partially
open. NOT in their room or in the day room. Safety >>> privacy
Client comes in with parents and is reporting abuse. What should the PMHNP do? - correct
Answers -Interview the child separately from the parents and then the parents separately from
child.
Then report to CPS
Child comes into a follow up without parents. This child is holding and playing with a toy in a
sexual way. What to do? - correct Answers -Immediately contact CPS (suspicion alone is enough
to report to CPS)
How to build therapeutic rapport with adolescents - correct Answers -Letting them know
everything will be confidential except harm to themselves or others.
Try to see them without parents present as well.
Confidential verse nonconfidential - correct Answers -Patient is attracted to the same gender-
confidential
,Patient is in a consensual relationship with another person of their same age- confidential
Suicidal- non confidential
Delegating verse collaborating in a question - correct Answers -Delegating will likely be
incorrect but collaborating is good
Example- PMHNP notices a lot of women commiting suicide during post partum care because
they're discharged without a risk assessment. The PMHNP should use interpersonal collaboration
by collaborating with OB docs to do an assessment before discharge. PMHNP identified a gap in
care.
Always choose an answer where we are actively involved.
A patient is being discharged and the rehab facility is requesting lab results. What should the
PMHNP do? - correct Answers -PMHNP should obtain informed consent and fax labs over
(because this is the most actively involved answer)
14yo boy comes to office and says he is "feeling weird/funny" because he inhaled acetone. What
should the PMHNP do? - correct Answers -Urine drugs screen. This is correct because the
PMHNP should chose to do what is in their scope of practice. He does not necessarily need to be
referred out. Before referring out, ask yourself is there an answer than can be done within my
scope of practice
Culture related question (one that specifies ethnicity of ancestry) - correct Answers -First thing to
note is culturally expected response to stressor (their response does not always mean they have a
mental illness)
Cultural syndrome - correct Answers -Brief supportive therapy
Example, if someone lost their job or house they might just need brief supportive therapy. They
might not need meds.
, Example, if a person is experiencing pain or somatic complaints, interpret their symptoms based
on cultural context
Cultural formulation interviews - correct Answers -Clarify meaning of illness or predicament,
contextualize their situation in their local world, empower the patient
Psychoeducation to a client with specific culture should be based on cultural context
When serving a multicultural poputlation - correct Answers -it is important to provide
multicultural teaching by using ethnospecific assessment parameters. Respect is very important
Example native americans might believe that substance use or mental illness is - correct Answers
-an imbalance between an individuals relationship with the world
Healing sticks - correct Answers -Native americans believe that healing sticks have healing
powers.
A Native American patient on an inpatient unit has a healing stick and insists on keeping it. The
nurse is trying to take it. What does the PMHNP do? - correct Answers -Teach nurse cultural
competence
If a cultural question has a judgmental answer - correct Answers -it is usually incorrect
A Native American patient wants to send notes to his traditional healer. What to do? - correct
Answers -Obtain clearance for informed consent then send the notes
Susto ("fright") - correct Answers -One of the common folk illnesses seen in the latino
population. Illnesses from susto are believed to result from a shocking, unpleasant, or frightenin
experience that is believed to cause the soul to leave the body
