PMHNP 4th Edition Review
Questions
The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and
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Standard of Practices to - Define the role and actions for the NP
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Primary prevention care practices are an essential aspect of the PMHNP role. Which of the
h h h h h h h h h h h h h h
following is the best example of a primary prevention care strategy for community behavioral
h h h h h h h h h h h h h h
health? - Parenting skills classes for pregnant adolescents
h h h h h h h h
The trend in legal ruling on cases involving mental illness over the past 25 years has been to -
h h h h h h h h h h h h h h h h h h
Protect the person's freedoms or rights when he or she is committed to a mental hospital
h h h h h h h h h h h h h h h h
Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to
h h h h h h h h h h
take any of his ordered meication because he believes "Jesus Christ told me I am the prophet
h h h h h h h h h h h h h h h h h
and must fast for a year." Your actions should be based on your knowledge of which of the
h h h h h h h h h h h h h h h h h h
following? - Psychiatric clients can refuse treatments
h h h h h h h
Which of the following statements best reflects the difference between the nurse-client (N-C)
h h h h h h h h h h h h
relationship and a social relationship - In the N-C relationship, the primary focus is on the client
h h h h h h h h h h h h h h h h h
and the client's needs.
h h h h
A community has an unusually high incidence of depression and drug use among the teenage
h h h h h h h h h h h h h h
population. The public health nurses decide to address this problem, in part, by modifying the
h h h h h h h h h h h h h h h
environment and strengthening the capacities of families to prevent the development of new
h h h h h h h h h h h h h
cases of depression and drug use. What is this is an example of? - Primary Prevention
h h h h h h h h h h h h h h h h
,Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes to leave
h h h h h h h h h h h h h h h h
because "this place can't help me." The best nursing action that reflects the legal right of this
h h h h h h h h h h h h h h h h h
client is - Explain that the client cannot leave until you can complete further assessment
h h h h h h h h h h h h h h h
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
h h h h h h h h h h h h
hcharacteristics that are known to be helpful in relationship-building. Which of the following is an
h h h h h h h h h h h h h h
hessential part of building a therapeutic relationship? - Authenticity
h h h h h h h h
According to the DSM-5, which of the following is true? (Ch. 3) - A culturally expected response
h h h h h h h h h h h h h h h h
to a stressor is not a mental disorder
h h h h h h h h
Mrs. French has been in individual therapy for 3 months. She has shown much growth and
h h h h h h h h h h h h h h h
improvement in her functioning and insight and is to discontinue services within the next few
h h h h h h h h h h h h h h h
weeks. In the next session, after you discuss service termination, she suddenly begins to
h h h h h h h h h h h h h h
demonstrate the original symptoms that had brought her to treatment initially. She is now
h h h h h h h h h h h h h h
hesitant to discharge, wants to continue services, and is displaying an increase in regressive
h h h h h h h h h h h h h h
defense mechanisms. What is the best explanation for Ms. French's behavior? - A sign of normal
h h h h h h h h h h h h h h h h
resistance to termination seen in the termination phase of therapy
h h h h h h h h h h
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of
h h h h h h h h h h h h h
dependency. These behaviors indicate developmental failure of which of the following stages of
h h h h h h h h h h h h h
development: - Early childhood
h h h h
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or
h h h h h h h h h h h h h h h
what time appointments are scheduled, and he has stated that he thinks these are just random
h h h h h h h h h h h h h h h h
behaviors that have no particular meaning. Which Freudian-based psychodynamic principle
h h h h h h h h h h
assumes that all behavior and actions are purposeful? - Psychic determinism principle
h h h h h h h h h h h h
An example of a mature, healthy defense mechanism is - Suppression
h h h h h h h h h h
, Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While
h h h h h h h h h h h h h h h
discussing his current concerns of marital stress, he lies on the floor and assumes the fetal
h h h h h h h h h h h h h h h h
position. This is most likely an example of - Immature regressive defense mechanism
h h h h h h h h h h h h h
Defense mechanisms are best viewed as a function of the ego - Used to resolve a conflict
h h h h h h h h h h h h h h h h
One of the health care changes that has occurred as a result of the affordable care act (ACA) is
h h h h h h h h h h h h h h h h h h
that doctors/hospitals/clinic groups or health systems are coming together and assuming the
h h h h h h h h h h h h
responsibility for quality care to large groups of individuals insured by Medicare. The health care
h h h h h h h h h h h h h h h
clinics/systems doctors or hospitals that join together are called which of the following? -
h h h h h h h h h h h h h h
Accountable Care Organization (ACO)
h h h h
Health care economics is concerned with making decisions so the benefits outweigh the cost of
h h h h h h h h h h h h h h
resource utilization. What are two concepts that healthcare economics is concerned with in
h h h h h h h h h h h h h
regard to fair distribution of resources and allocation? - Equity and efficiency
h h h h h h h h h h h h
What four elements need to be present for a malpractice lawsuit to be filed? - Duty of care,
h h h h h h h h h h h h h h h h h
Breach of standard of care, Injury, and Injury must be related to breach of the standard of care
h h h h h h h h h h h h h h h h h h
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist
h h h h h h h h h h h h h
role. Mary has encountered over five incidences in which attending psychiatrists and medical
h h h h h h h h h h h h h
residents have been demeaning to nursing staff and not answering calls in the middle of the
h h h h h h h h h h h h h h h h
night or telling the nursing staff to write orders and the MD would sign off in the a.m. Mary is
h h h h h h h h h h h h h h h h h h h h
concerned about errors and wants to improve quality, reduce errors to promote safety. What
h h h h h h h h h h h h h h
concept is Mary employing? - Just Culture
h h h h h h h
The role of neurotransmitters in the central nervous system is to function as - A communication
h h h h h h h h h h h h h h h
medium
h
Serotonin is produced in which of the following locations: - Raphe nuclei
h h h h h h h h h h h
Questions
The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and
h h h h h h h h h h h h h
Standard of Practices to - Define the role and actions for the NP
h h h h h h h h h h h h h
Primary prevention care practices are an essential aspect of the PMHNP role. Which of the
h h h h h h h h h h h h h h
following is the best example of a primary prevention care strategy for community behavioral
h h h h h h h h h h h h h h
health? - Parenting skills classes for pregnant adolescents
h h h h h h h h
The trend in legal ruling on cases involving mental illness over the past 25 years has been to -
h h h h h h h h h h h h h h h h h h
Protect the person's freedoms or rights when he or she is committed to a mental hospital
h h h h h h h h h h h h h h h h
Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to
h h h h h h h h h h
take any of his ordered meication because he believes "Jesus Christ told me I am the prophet
h h h h h h h h h h h h h h h h h
and must fast for a year." Your actions should be based on your knowledge of which of the
h h h h h h h h h h h h h h h h h h
following? - Psychiatric clients can refuse treatments
h h h h h h h
Which of the following statements best reflects the difference between the nurse-client (N-C)
h h h h h h h h h h h h
relationship and a social relationship - In the N-C relationship, the primary focus is on the client
h h h h h h h h h h h h h h h h h
and the client's needs.
h h h h
A community has an unusually high incidence of depression and drug use among the teenage
h h h h h h h h h h h h h h
population. The public health nurses decide to address this problem, in part, by modifying the
h h h h h h h h h h h h h h h
environment and strengthening the capacities of families to prevent the development of new
h h h h h h h h h h h h h
cases of depression and drug use. What is this is an example of? - Primary Prevention
h h h h h h h h h h h h h h h h
,Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes to leave
h h h h h h h h h h h h h h h h
because "this place can't help me." The best nursing action that reflects the legal right of this
h h h h h h h h h h h h h h h h h
client is - Explain that the client cannot leave until you can complete further assessment
h h h h h h h h h h h h h h h
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
h h h h h h h h h h h h
hcharacteristics that are known to be helpful in relationship-building. Which of the following is an
h h h h h h h h h h h h h h
hessential part of building a therapeutic relationship? - Authenticity
h h h h h h h h
According to the DSM-5, which of the following is true? (Ch. 3) - A culturally expected response
h h h h h h h h h h h h h h h h
to a stressor is not a mental disorder
h h h h h h h h
Mrs. French has been in individual therapy for 3 months. She has shown much growth and
h h h h h h h h h h h h h h h
improvement in her functioning and insight and is to discontinue services within the next few
h h h h h h h h h h h h h h h
weeks. In the next session, after you discuss service termination, she suddenly begins to
h h h h h h h h h h h h h h
demonstrate the original symptoms that had brought her to treatment initially. She is now
h h h h h h h h h h h h h h
hesitant to discharge, wants to continue services, and is displaying an increase in regressive
h h h h h h h h h h h h h h
defense mechanisms. What is the best explanation for Ms. French's behavior? - A sign of normal
h h h h h h h h h h h h h h h h
resistance to termination seen in the termination phase of therapy
h h h h h h h h h h
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of
h h h h h h h h h h h h h
dependency. These behaviors indicate developmental failure of which of the following stages of
h h h h h h h h h h h h h
development: - Early childhood
h h h h
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or
h h h h h h h h h h h h h h h
what time appointments are scheduled, and he has stated that he thinks these are just random
h h h h h h h h h h h h h h h h
behaviors that have no particular meaning. Which Freudian-based psychodynamic principle
h h h h h h h h h h
assumes that all behavior and actions are purposeful? - Psychic determinism principle
h h h h h h h h h h h h
An example of a mature, healthy defense mechanism is - Suppression
h h h h h h h h h h
, Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While
h h h h h h h h h h h h h h h
discussing his current concerns of marital stress, he lies on the floor and assumes the fetal
h h h h h h h h h h h h h h h h
position. This is most likely an example of - Immature regressive defense mechanism
h h h h h h h h h h h h h
Defense mechanisms are best viewed as a function of the ego - Used to resolve a conflict
h h h h h h h h h h h h h h h h
One of the health care changes that has occurred as a result of the affordable care act (ACA) is
h h h h h h h h h h h h h h h h h h
that doctors/hospitals/clinic groups or health systems are coming together and assuming the
h h h h h h h h h h h h
responsibility for quality care to large groups of individuals insured by Medicare. The health care
h h h h h h h h h h h h h h h
clinics/systems doctors or hospitals that join together are called which of the following? -
h h h h h h h h h h h h h h
Accountable Care Organization (ACO)
h h h h
Health care economics is concerned with making decisions so the benefits outweigh the cost of
h h h h h h h h h h h h h h
resource utilization. What are two concepts that healthcare economics is concerned with in
h h h h h h h h h h h h h
regard to fair distribution of resources and allocation? - Equity and efficiency
h h h h h h h h h h h h
What four elements need to be present for a malpractice lawsuit to be filed? - Duty of care,
h h h h h h h h h h h h h h h h h
Breach of standard of care, Injury, and Injury must be related to breach of the standard of care
h h h h h h h h h h h h h h h h h h
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist
h h h h h h h h h h h h h
role. Mary has encountered over five incidences in which attending psychiatrists and medical
h h h h h h h h h h h h h
residents have been demeaning to nursing staff and not answering calls in the middle of the
h h h h h h h h h h h h h h h h
night or telling the nursing staff to write orders and the MD would sign off in the a.m. Mary is
h h h h h h h h h h h h h h h h h h h h
concerned about errors and wants to improve quality, reduce errors to promote safety. What
h h h h h h h h h h h h h h
concept is Mary employing? - Just Culture
h h h h h h h
The role of neurotransmitters in the central nervous system is to function as - A communication
h h h h h h h h h h h h h h h
medium
h
Serotonin is produced in which of the following locations: - Raphe nuclei
h h h h h h h h h h h
