PMH-BC Exam Questions and Answers
100% Solved | Graded A+
A rape victim with multiple injuries has been brought to the emergency
department for evaluation and treatment. The first thing that the psychiatric
and mental health nurse should communicate is:
A. "I am so sorry this happened to you"
B. "You are safe here. No one can hurt you."
C. "This was not your fault"
D. "I'm thankful you survived this attack." - ✔✔B. "you are safe here. No
one can hurt you."
Patients who have been raped are often severely traumatized emotionally
and physically, and are commonly very fearful and panicked, so the first
thing that the mental health nurse should communicate is "you are safe
here, no one can hurt you". The psychiatric and mental health nurse may
need to repeat this a number of times because traumatized patients may
block out what people are saying. The nurse should also reassure the
1
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,patient that the attack was not the patient's fault and that the nurse is sorry
for what the patient has gone through.
A patient has signed the consent form for ECT under pressure from her
spouse but confides in the psychiatric and mental health nurse that she
does not want the treatment and is terrified but afraid to stand up to her
spouse. The psychiatric and mental nurse should:
A.) Ask the patient if she wants to rescind the content form.
B.) Tell the patient that she must tell her spouse she does not want the
treatment .
C.) Tell the patient she must go through with the treatment since she
signed the consent.
D.) Notify the physician of the patient's feelings about the treatment. -
✔✔(D.) Notify the physician of the patients feelings about the treatment.
Because the patient is intimidated by her spouse and has stated she is
afraid to stand up to him, as an advocate for the patient, the nurse should
notify the physician of the patient's feelings about the treatment. Being
coerced into signing a consent form is not the same is not the same as
giving informed consent, which is required by law. Because patients are
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,vulnerable to manipulation, the nurse must ensure that the actual wishes of
the patient are respected.
A patient was able to slowly read aloud an information sheet but when
asked to state what she had read in her own words was unable to do so.
The most likely reason is:
A.) Low self-esteem
B.) Poor hearing
C.) Low health literacy
D.) Anxiety - ✔✔(C.) Low health literacy
The most likely reason the patient was able to read slowly but not state
what she had read is low health literacy. The ability to read is different from
the ability to comprehend, and comprehension usually lags behind reading
skills by about three grade levels. Thus, a person whop is able to read at
the fourth-grade level may have only a first-grade reading comprehension,
making it difficult for the person to understand health materials, especially
since the vocabulary is often more difficult.t to understand than that found
in other readings.
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, Testing testing a patient who has repeated arrests for driving under the
influence of alcohol refuses to admit that he has a drinking problem and
states that the police have targeted him unfairly. The ego defense
mechanisms that the patient is using is:
A.) Denial
B.) Reaction formation
C.) Regression
D.) Undoing - ✔✔A.) Denial
The patient is using the ego defense mechanism of denial when the
patient, who has repeated arrests for driving under the influence of alcohol,
refuses to admit that he has a drinking problem and states that the police
have targeted him unfairly. Reaction formation is refusing to acknowledge
undesirable feelings, thoughts, or behavior by exaggerating the opposite.
Regression is retreating to an earlier level of development. Undoing is still
carrying out of an action to indicate a previous unacceptable action.
A patient with schizophrenia has delusions and believes that his family
members cannot be trusted. According to Maslow's hierarchy of needs, the
patient's delusions are interfering with the development at the level of:
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
100% Solved | Graded A+
A rape victim with multiple injuries has been brought to the emergency
department for evaluation and treatment. The first thing that the psychiatric
and mental health nurse should communicate is:
A. "I am so sorry this happened to you"
B. "You are safe here. No one can hurt you."
C. "This was not your fault"
D. "I'm thankful you survived this attack." - ✔✔B. "you are safe here. No
one can hurt you."
Patients who have been raped are often severely traumatized emotionally
and physically, and are commonly very fearful and panicked, so the first
thing that the mental health nurse should communicate is "you are safe
here, no one can hurt you". The psychiatric and mental health nurse may
need to repeat this a number of times because traumatized patients may
block out what people are saying. The nurse should also reassure the
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,patient that the attack was not the patient's fault and that the nurse is sorry
for what the patient has gone through.
A patient has signed the consent form for ECT under pressure from her
spouse but confides in the psychiatric and mental health nurse that she
does not want the treatment and is terrified but afraid to stand up to her
spouse. The psychiatric and mental nurse should:
A.) Ask the patient if she wants to rescind the content form.
B.) Tell the patient that she must tell her spouse she does not want the
treatment .
C.) Tell the patient she must go through with the treatment since she
signed the consent.
D.) Notify the physician of the patient's feelings about the treatment. -
✔✔(D.) Notify the physician of the patients feelings about the treatment.
Because the patient is intimidated by her spouse and has stated she is
afraid to stand up to him, as an advocate for the patient, the nurse should
notify the physician of the patient's feelings about the treatment. Being
coerced into signing a consent form is not the same is not the same as
giving informed consent, which is required by law. Because patients are
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,vulnerable to manipulation, the nurse must ensure that the actual wishes of
the patient are respected.
A patient was able to slowly read aloud an information sheet but when
asked to state what she had read in her own words was unable to do so.
The most likely reason is:
A.) Low self-esteem
B.) Poor hearing
C.) Low health literacy
D.) Anxiety - ✔✔(C.) Low health literacy
The most likely reason the patient was able to read slowly but not state
what she had read is low health literacy. The ability to read is different from
the ability to comprehend, and comprehension usually lags behind reading
skills by about three grade levels. Thus, a person whop is able to read at
the fourth-grade level may have only a first-grade reading comprehension,
making it difficult for the person to understand health materials, especially
since the vocabulary is often more difficult.t to understand than that found
in other readings.
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, Testing testing a patient who has repeated arrests for driving under the
influence of alcohol refuses to admit that he has a drinking problem and
states that the police have targeted him unfairly. The ego defense
mechanisms that the patient is using is:
A.) Denial
B.) Reaction formation
C.) Regression
D.) Undoing - ✔✔A.) Denial
The patient is using the ego defense mechanism of denial when the
patient, who has repeated arrests for driving under the influence of alcohol,
refuses to admit that he has a drinking problem and states that the police
have targeted him unfairly. Reaction formation is refusing to acknowledge
undesirable feelings, thoughts, or behavior by exaggerating the opposite.
Regression is retreating to an earlier level of development. Undoing is still
carrying out of an action to indicate a previous unacceptable action.
A patient with schizophrenia has delusions and believes that his family
members cannot be trusted. According to Maslow's hierarchy of needs, the
patient's delusions are interfering with the development at the level of:
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
