PMHNP Exam 1 Review with Questions and Answers

PMHNP Exam 1 Review with Questions and Answers A 25-year-old female presents to the ED, having just witnessed an accident. Her speech is pressured. She states "There were alot of people in need of care at the scene, and I should know because I traveled to many third world countries. I know how bad needs can get. The people were injured, and she was hit by a car before but did not suffer injuries. There were alot of police cars and ambulances." The patient was triaged to psychiatry. The PMHNP describes her thought process as: A. circumstantial B. tangential C. flight of ideas D. loose associations ANSWER A. circumstantial A 45-year-old man is reporting chest pressure, difficult breathing, numbness, and tingling in his hands and lips. He has been seen in the ED in which he underwent negative cardiac workup. He was subsequently triaged to psychiatry for evaluation. The PMHNP asks how he came to the hospital. He states "I felt awful, my heart was pounding, I was sweating so much, I thought I was going to die. My father had a similar problem but he died 10 years ago." Which of the following best describes his thought pattern? A. circumstantial B. tangential C. flight of ideas D. loose associations ANSWER B. tangential