PMHNP Exam Prep Comprehensive Questions with Correct Answers Graded A+ Pass 100%
PMHNP Exam Prep Comprehensive Questions with Correct Answers Graded A+ Pass 100% A 16-year-old male patient is hospitalized for depression after attempting suicide by overdose. Several days later, the patient reports feeling less depressed and having fewer suicidal thoughts, but begins to threaten suicide "if things do not work out." Nursing staff members report feeling resentful and manipulated, but fear for the patient's safety. The adult psychiatric and mental health nurse practitioner's intervention is to a) :assist the staff in developing a treatment plan that limits contact with the patient to one person per shift. b) develop a "no suicide" pact with the patient to decrease his helplessness and increase his feelings of control. c) encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. d) increase supervision and restrict milieu participation to decrease the secondary gain from manipulation. - Answer encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. A 17-year-old female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric and mental health nurse advises the family to: Question 82 options: a) discourage the patient from sneaking food between meals by unobtrusively reducing her access to the kitchen. b) encourage the patient's interest in menu planning, food magazines, and cooking lessons by leaving information and materials around the house. c) inform the patient that she is expected to join in routine family meals and clear the dishes after dinner, even if she does not eat. d) permit the patient to eat her meals privately in her bedroom to discourage family preoccupation with meals. - Answer A 23-year-old female patient with borderline personality disorder reports a frequent desire to cut herself and insists that only a specific psychiatric and mental health nurse can help her. The nursing care plan for the patient includes: - Answer a) allowing her to choose the nurse assigned to her. b) decreasing stimuli. c) holding frequent interdisciplinary staff meetings to provide consistent care. d) providing one-to-one suicide precautions. A common nursing diagnosis for a patient with antisocial personality disorder is: Question 69 options: a) impaired social interaction, related to manipulative behaviors and repeated lying. b) chronic low self-esteem, related to poor self-image and excessive fear of failure. c) disturbed thought processes, related to sensory-perceptual alterations. d) social isolation, related to anxiety in social situations. - Answer
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