PMHNP I - Exam 1 -
Review Book
Questions(solved)
The purpose of the ANA's PMH Nsg: Scope and
Standards of Practice is to:
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription
of psychotropic medications
c. Define the legal statutes of the role of the
PMHNP
d. Define the differences between the physician
role and the NP role - answer a. Define the role and
actions for the NP
The trend in legal rulings on cases involving
mental illness over the past 25 years has been to:
A - Encourage juries to find defendants not guilty
by reason of insanity
B - Protect the individual's freedoms or rights
when he or she is committed to a mental hospital
C - Place increasing trust in mental health
professionals to make good and ethical decisions
,D - Decrease the "red tape" associated with
commitments so that commitments are faster and
easier - answer B. Identifies the trend of ensuring
the protection of individual civil liberties for
psychiatric clients.
Mr Smithers, an involuntarily hospitalized patient
experiencing psychotic symptoms, refuses to take
any of his ordered medication because he believes
"Jesus Christ told me I am the prophet and must
fast for a year." Your actions should be based on
your knowledge that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for
them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good
healthcare decisions and, therefore, the nurse's
best clinical judgment should guide actions -
answer C. As with any client, psych clients can
refuse treatment unless a legal process resulting
in a mandatory court order for treatment has been
obtained.
Which of the following statements best reflects the
difference between the nurse-client (N-C)
relationship and a social relationship? In the N-C
relationship...
, A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken
so that the client can work on any issue.
C - the nurse is solely responsible for making the
relationship work.
D - there is no place for social interaction. - answer
A - the primary focus is on the client and his needs.
Social relationships are mutual interpersonal
relationships in which the needs of both parties
are addressed. The N-C relationship is most
concerned with meeting the needs of the client.
In forming a therapeutic relationship with clients,
the PMHNP must consider developing many
characteristics that are known to be helpful in
relationship-building. These characteristics include
all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment - answer D - accuracy in
assessment
Review Book
Questions(solved)
The purpose of the ANA's PMH Nsg: Scope and
Standards of Practice is to:
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription
of psychotropic medications
c. Define the legal statutes of the role of the
PMHNP
d. Define the differences between the physician
role and the NP role - answer a. Define the role and
actions for the NP
The trend in legal rulings on cases involving
mental illness over the past 25 years has been to:
A - Encourage juries to find defendants not guilty
by reason of insanity
B - Protect the individual's freedoms or rights
when he or she is committed to a mental hospital
C - Place increasing trust in mental health
professionals to make good and ethical decisions
,D - Decrease the "red tape" associated with
commitments so that commitments are faster and
easier - answer B. Identifies the trend of ensuring
the protection of individual civil liberties for
psychiatric clients.
Mr Smithers, an involuntarily hospitalized patient
experiencing psychotic symptoms, refuses to take
any of his ordered medication because he believes
"Jesus Christ told me I am the prophet and must
fast for a year." Your actions should be based on
your knowledge that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for
them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good
healthcare decisions and, therefore, the nurse's
best clinical judgment should guide actions -
answer C. As with any client, psych clients can
refuse treatment unless a legal process resulting
in a mandatory court order for treatment has been
obtained.
Which of the following statements best reflects the
difference between the nurse-client (N-C)
relationship and a social relationship? In the N-C
relationship...
, A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken
so that the client can work on any issue.
C - the nurse is solely responsible for making the
relationship work.
D - there is no place for social interaction. - answer
A - the primary focus is on the client and his needs.
Social relationships are mutual interpersonal
relationships in which the needs of both parties
are addressed. The N-C relationship is most
concerned with meeting the needs of the client.
In forming a therapeutic relationship with clients,
the PMHNP must consider developing many
characteristics that are known to be helpful in
relationship-building. These characteristics include
all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment - answer D - accuracy in
assessment
