PMHNP ANCC QUESTIONS AND ANSWERS GRADED A

PMHNP ANCC QUESTIONS AND ANSWERS GRADED A Deontological theory An action is judged as good or bad based on the act itself regardless of the consequences Teleological theory An action is judged as good or bad based on the consequences or outcome Virtue Ethics Actions are chosen based on the moral virtues or the character of the person making the decision Four elements of negligence that must be established to prove malpractice Duty Breach of Duty Proximate Cause Damages Phases of Policy Making Formulation Implementation Evaluation Team Leadership Model Should the leader monitor the team or take action? Should the leader intervene to meet the task or need? Should the leader intervene internally or externally? Incidence Number of new cases (INcidence = New cases) Prevalence Number of existing cases Tertiary k What is not a form of comfort in Kolcaba's Theory of Comfort? Tension Transcendence Relief Ease Tension According to Kolcaba's Theory of Comfort, comfort is an immediate desirable outcome of nursing care. So the nursing care shown to patients can directly affect their level of comfort and how they perceive relief. Relief, ease, and transcendence are types of comfort the patient can experience and can describe the different circumstances that can cause them. Tension is actually something that causes discomfort and is not included in Kolcaba's theory. Which of the following is not a disorder of cluster B personality disorder? histrionic personality disorder paranoid personality disorder borderline personality disorder narcissistic personality disorder paranoid personality disorder Cluster B personality disorder has patterns of pervasive affective and interpersonal disruption. They can display brief psychotic episodes under stress, and may require hospitalization during period of active symptoms. Paranoid personality disorder is not one of the cluster B personality disorders. Antisocial personality disorder is the fourth in the cluster B classification In terms of statistics for psychiatric disorders, the number of new cases occurring over a specified time period is known as which of the following? prevalence rate incidence rate duration rate distribution rate The incidence rate is the number of new cases occurring over a specified time period (usually one year). The prevalence rate is the number of existing cases of a disorder at a specified time. Epidemiology is the study of the distribution, incidence, prevalence, and duration of disease. Which of the following tools identifies essential treatment interventions that must be performed each day to meet the expected time-specific client outcomes? interdisciplinary treatment plans (ITPs) nursing care plans research based practice protocols critical pathways Critical pathways is the term used to identify essential treatment interventions that must be performed each day to meet the expected time-specific client outcomes. They are one of the main tools used to manage the quality in healthcare concerning the standardization of care processes. What therapeutic technique is used to encourage clients to keep talking? Restating Offer general leads Reflecting Give broad openings Offer general leads All of the answer choices are therapeutic communication techniques. The major purpose of general leads is to encourage the patient to speak spontaneously so that the nurse can can learn how he is perceiving his situation. Offering general leads encourages clients to continue talking about a specific subject. General leads such as "yes" or simply "uh hum" will usually encourage the patient to keep talking. General leads leave the direction of the conversation to the patient. They also convey to the patient that the nurse is listening and that she is interested in what he will say next When interpreting research findings, what type of validity is used to measure when the the treatment causes a change in the outcome? External Face Content Internal Correct answer: Internal Internal validity must be established before external validity. Internal validity occurs when a researcher controls all extraneous variables. The only variable influencing the results is the variable being manipulated by the researcher. In this case the variable the researcher is studying is the variable affecting the results. Pervasive developmental disorder is usually evident by which of the following ages? at birth 6 months of age one year of age three years of age Correct Answer: three years of age Pervasive developmental disorder (PDD) is a class of neurological disorders usually evident by age 3. They are characterized by severe and pervasive impairment in social interaction skills, communication skills and possibly by stereotyped behavior, interests and activities. These disorders include autism, Asperger's syndrome, and nonverbal learning disorder. The assessment that involves placing objects in the client's hands while his or her eyes are closed is testing the client's ability to distinguish forms. This is known as which of the following? superficial touch diadochokinesia stereognosis two-point discrimination Correct Answer: stereognosis Stereognosis is the ability to perceive and recognize the form of an object in the absence of visual and auditory information, by using tactile information to provide cues from texture, size, spatial properties, and temperature, etc. Stereognosis tests determine whether or not the parietal lobe of the brain is intact. What drug has not been approved for the treatment of OCD? Clomipramine Fluvoxamine Sertraline Clonazepam Correct answer: Clonazepam Clonazepam is used to treat panic disorders and anxiety, but it has not been approved for the treatment of OCD When your client is inducing an illness in order to receive attention this is called: anxiety disorder factitious disorder masochistic disorder malingering Correct Answer: factitious disorder Patients with factitious disorder simulate, induce, or aggravate illness in order to receive medical attention whether or not they are actually ill. Unlike malingering, the motive of patients with factitious disorder is not for financial gain. or avoidance of duties but to acquire medical care and to partake in the medical system Schizophrenic clients who senselessly repeat the same words or phrases, sometimes for days are exhibiting which of the following? verbigeration clang association echolalia thought blocking Correct Answer: verbigeration Verbigeration involves the use of words in a stereotypically repetitive fashion. This symptom is rare and is found almost exclusively in chronic and very regressed patients with schizophrenia. It consists of the senseless repetition of the same words or phrases, and it may go on for days