PMHNP ANCC Practice Questions and answers

The purpose of the ANCC PMHNP Scope and Practice is to Define the role of the NP Primary Prevention Actions that change overall background conditions to prevent some unwanted event or circumstance, such as injury, disease, or abuse. EX: Parenting skills classes for pregnant adolescents. In the N-C relationship Primary focus is on the client and their needs After 24 hrs a patient wants to leave inpatient setting, the best nurse action Tell client they cannot leave until a further assessment has been completed A culturally response to a stressor is Not a mental disorder A client is displaying poor self-control, low self esteem, and high levels of dependency. What developmental phase has this client struggled through? Early Childhood 1-3 YOA Psychic determinism principal Freud's assumption that all our mental and behavioral responses are caused by unconscious traumas, desires, or conflicts. An example of a mature, healthy defense mechanism. Suppression: Consciously and intentionally pushing unpleasant feelings out of one's mind Defense mechanism are best viewed as a function of the ego Used to resolve conflict Accountable Care Organization (ACO) An organization of healthcare providers accountable for the quality, cost, and overall care of Medicare beneficiaries who are assigned and enrolled in the traditional fee-for-service program Four elements of malpractice duty, breach of duty, causation, damages/injury just culture Culture where staff are willing to come forward with information about errors so everyone can learn from mistakes; the culture recognizes the need for accountability & at times disciplinary action Serotonin is produced in Raphe nuclei Dopamine is produced in Substantia nigra Contraindicated for MRI Pacemaker Primary excitatory neurotransmitter glutamate Frontal lobe A region of the cerebral cortex that has specialized areas for movement, abstract thinking, planning, memory, and judgement