PMH exam 3 practice questions with complete solutions
a 73 year old man was diagnosed with a serious mental illness at
age 20. Subsequently, he was frequently hospitalized. Two years
ago, he was transferred to a group home. When considering the
effects of institutionalization, which behavior demonstrates
adaptation to the new environment
a. willingly takes his medications
b. keeps his room neat and clean
c. makes himself lunch when he is hungry
d. enjoys spending the afternoon watching TV Correct Answers
c
A female consumer with severe and recurrent mania argues with
outpatient staff about her medication. She does not believe she
has a mental illness. Although she takes medication during
hospitalizations, she stops taking them after discharge. Which
intervention is most helpful in promoting medication adherence?
a. Assign a new outpatient staff to reduce the conflicts she is
experiencing with her current providers.
b. Explain that the medications will help her and that all
medications have side effects, but she can learn to live with
these.
c. Involve her in a medication group that will teach her the types
and names of psychotropic medications, their purpose, and
possible side effects.
d. Explore her perceptions and experiences regarding medication
and help her to connect taking medications with achieving her
goals. Correct Answers d
,a newly admitted male pt has a long hx of aggressive behavior
toward staff. Which statement by the nurse demonstrates the
need for more info about the use of restraint
a. if his behavior warrants restraints someone will stay with him
the entire time hes restrained
b. I'll call the primary provider and get an as needed order
c. if he is restrained be sure to offer food and fluids regularly
d. remember that physical restraints are our last resort Correct
Answers b
a nurse named darryl has been hired to work in a psych ICU. He
has undergone training on recognizing escalating anger. Which
statement indicates that he understands danger signs in regard to
aggression
a. I need to be aware of patients who are withdrawn and sitting
alone
b. an obvious change in behavior is a risk factor for aggression
c. patients who seek constant attention are more likely to be
violent
d. patient who talk to themselves are the most dangerous
Correct Answers b
an appropriate expected outcome in individual therapy regarding
the perpetrator of abuse would be
a. a decrease in family interaction so that there are fewer
opportunities for abuse to occur
, b. the perpetrator will recognize destructive patterns of behavior
and learn alternate responses
c. the perpetrator will no longer live with the family but have
supervised contact while undergoing intensive inpatient therapy
d. a triad of treatment modalities, including medication,
counseling, and role playing opportunities Correct Answers b
an effective method of preventing escalation in an environment
with violent offender is to develop a level of trust through
a. a casual authoritative demeanor
b. keeping patients busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion or punishment Correct Answers c
Anxiety problems in older adults can manifest as a fear of
falling, greatly influencing an older adult's personal freedom. A
home health nurse checking on a patient with mild dementia and
anxiety related to falling should question which new order?
a. Yoga and tai-chi
b. Xanax
c. Relaxation techniques
d. Electric wheelchair Correct Answers b
Charlie is coping well with a severe mental illness diagnosis. He
and his 91-year-old father live together on the family farm. This
stable and secluded life has allowed Charlie to live with minimal
stimulation, and his relapses have been few. Charlie's
caseworker makes a visit to open up a conversation on where
Charlie will live when his father can no longer care for him. By
bringing up the topic now, the caseworker is hoping to:
a 73 year old man was diagnosed with a serious mental illness at
age 20. Subsequently, he was frequently hospitalized. Two years
ago, he was transferred to a group home. When considering the
effects of institutionalization, which behavior demonstrates
adaptation to the new environment
a. willingly takes his medications
b. keeps his room neat and clean
c. makes himself lunch when he is hungry
d. enjoys spending the afternoon watching TV Correct Answers
c
A female consumer with severe and recurrent mania argues with
outpatient staff about her medication. She does not believe she
has a mental illness. Although she takes medication during
hospitalizations, she stops taking them after discharge. Which
intervention is most helpful in promoting medication adherence?
a. Assign a new outpatient staff to reduce the conflicts she is
experiencing with her current providers.
b. Explain that the medications will help her and that all
medications have side effects, but she can learn to live with
these.
c. Involve her in a medication group that will teach her the types
and names of psychotropic medications, their purpose, and
possible side effects.
d. Explore her perceptions and experiences regarding medication
and help her to connect taking medications with achieving her
goals. Correct Answers d
,a newly admitted male pt has a long hx of aggressive behavior
toward staff. Which statement by the nurse demonstrates the
need for more info about the use of restraint
a. if his behavior warrants restraints someone will stay with him
the entire time hes restrained
b. I'll call the primary provider and get an as needed order
c. if he is restrained be sure to offer food and fluids regularly
d. remember that physical restraints are our last resort Correct
Answers b
a nurse named darryl has been hired to work in a psych ICU. He
has undergone training on recognizing escalating anger. Which
statement indicates that he understands danger signs in regard to
aggression
a. I need to be aware of patients who are withdrawn and sitting
alone
b. an obvious change in behavior is a risk factor for aggression
c. patients who seek constant attention are more likely to be
violent
d. patient who talk to themselves are the most dangerous
Correct Answers b
an appropriate expected outcome in individual therapy regarding
the perpetrator of abuse would be
a. a decrease in family interaction so that there are fewer
opportunities for abuse to occur
, b. the perpetrator will recognize destructive patterns of behavior
and learn alternate responses
c. the perpetrator will no longer live with the family but have
supervised contact while undergoing intensive inpatient therapy
d. a triad of treatment modalities, including medication,
counseling, and role playing opportunities Correct Answers b
an effective method of preventing escalation in an environment
with violent offender is to develop a level of trust through
a. a casual authoritative demeanor
b. keeping patients busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion or punishment Correct Answers c
Anxiety problems in older adults can manifest as a fear of
falling, greatly influencing an older adult's personal freedom. A
home health nurse checking on a patient with mild dementia and
anxiety related to falling should question which new order?
a. Yoga and tai-chi
b. Xanax
c. Relaxation techniques
d. Electric wheelchair Correct Answers b
Charlie is coping well with a severe mental illness diagnosis. He
and his 91-year-old father live together on the family farm. This
stable and secluded life has allowed Charlie to live with minimal
stimulation, and his relapses have been few. Charlie's
caseworker makes a visit to open up a conversation on where
Charlie will live when his father can no longer care for him. By
bringing up the topic now, the caseworker is hoping to:
