PMHNP I EXAM 1 REVIEW QUESTIONS WITH 100% CORRECTLY SOLVED ANSWERS

PMHNP I: EXAM 1: REVIEW QUESTIONS WITH 100%
CORRECTLY SOLVED ANSWERS.

1) A client is displaying low self-esteem, poor self-control, self-doubt, and a high level
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of dependency. These behaviors indicate developmental failure of which of the
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following stages of development: t t t




A) - Infancy t




B) - Early childhood t t




C) - Late childhood t t




D) - School age -- Correct Answer ✔✔ B- Early Childhood t t t t t t t t t




2) When conducting a neurological examination on a client, the PMHNP asks the client
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to hold out her arms and stick out her tongue while assessing for tremors. Which
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cranial nerve is being assessed? t t t t




A) Glossopharyngeal
B) Vagus
C) Trigeminal
D) Hypoglossal -- Correct Answer ✔✔ D - The tongue is controlled by the t t t t t t t t t t t t




hypoglossal cranial nerve. t t t




3) Mr. Thompson has been forgetful lately, for example forgetting where he has placed
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his keys or what time appointments are scheduled, and he stated that he thinks
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these are just random behaviors that have no particular meaning. Which Freudian-
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based psychodynamic principle assumes that all behavior and actions are purposeful?
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A) - Pleasure principle t t




B) - Psychic determinism principle t t t




C) - Reality principle t t




D) - Unconsciousness principle -- Correct Answer ✔✔ B - The psychic
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determinism principle states that all behavior has purpose and meaning, t t t t t t t t t t




often unconscious in nature, and that no behaviors occur randomly or t t t t t t t t t t t




by coincidence. t

, 4) An example of a mature, healthy defense mechanism is
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A) - Denial t




B) - Rationalization t




C) - Repression t




D) - Suppression -- Correct Answer ✔✔ D - Suppression is the only
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defense mechanism listed in which the client channels conflicting t t t t t t t t t




energies into growth-promoting activities. t t t




5) Mr. Johnson is a 54-year-old client you have been seeing for several weeks in
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therapy. While discussing his current concerns of marital stress, he lies on the floor
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and assumes the fetal position. This is most likely an example of
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A) - Immature regressive defense mechanism t t t t




B) - Denial of reality t t t




C) - Immature fantasy defense mechanism t t t t




D) - Repressive behavior -- Correct Answer ✔✔ A - Immature regressive
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defense mechanism is a return to a behavior common to an earlier stage t t t t t t t t t t t t




of development. t t




6) Defense mechanisms are best viewed a function of the ego
t t t t t t t t t




A) - To alert us to harm and danger t t t t t t t




B) - To alert us to problems t t t t t




C) - Used to resolve a conflict t t t t t




D) - Used to protect the id -- Correct Answer ✔✔ C - Defense
t t t t t t t t t t t t t




mechanisms are a function of the ego used to resolve a conflict. t t t t t t t t t t t




7) One of the health care changes that has occurred as a result of the ACA is that
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doctors/hospitals/clinic groups or health systems are coming together and assuming t t t t t t t t t t




the responsibility for quality care to large groups of individuals insured by Medicare.
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The health care clinics/systems doctors or hospitals that join together are called
t t t t t t t t t t t t




which of the following?t t t




A) HMO
B) PPO
C) Accountable Care Organization (ACO) t t t




D) Individual Health Plan (IHP) -- Correct Answer ✔✔ C. - ACO's are t t t t t t t t t t t t




groups of doctors or other HCPs who voluntarily come together and t t t t t t t t t t t




assume the care provided to Medicare patients. t t t t t t