GEORGETTE'S REVIEW QUESTIONS
AND CORRECT ANSWERS) A GRADE
,Test taking strategies - ANSWER- read carefully and use info provided by examiner to
answer question
- narrow down options to 2 possible right answers
- partially correct answers are not the correct answers
- when 2 answer choices are the opposite of one another, one is usually the correct
answer (hypoglycemia vs hyperglycemia)
- the right answer might use the same word as the test question
- we do not do medical evals, correct answer would be to refer in this case
- when many response choices are remarkably similar, they are usually wrong
Order of importance - ANSWER- questions that use adjectives like priority and initial
action test abilify to prioritize
- most important is airway, breathing, and circulation
- second is maslow's heirarchy of needs (physical needs, food, water, warmth, rest,
safety, security)
- then the nursing process (assessment before intervention).
Assessment - ANSWERcollecting data to support the problem towards a resolution.
SAFETY BEFORE ASSESSMENT
Tics - ANSWERIf tics are noted, stimulants are contraindicated
Safety - ANSWERSafety for the patient and other is usually the right answer. Safety
first.
Abuse - ANSWERIf a patient is a victim of violence or abuse, assure them of their
personal safety first and foremost
Before discharging - ANSWERMake sure patient is safe and can cope affectively
Safety/no harm contract - ANSWERmost likely incorrect answer
When does behavioral management and support start - ANSWERonce the patient is
admitted (not after discharge)
Where to interview an patient? - ANSWERIn a private office with door open or partially
open. NOT in their room or in the day room. Safety >>> privacy
,Client comes in with parents and is reporting abuse. What should the PMHNP do? -
ANSWERInterview the child separately from the parents and then the parents
separately from child.
Then report to CPS
Child comes into a follow up without parents. This child is holding and playing with a toy
in a sexual way. What to do? - ANSWERImmediately contact CPS (suspicion alone is
enough to report to CPS)
How to build therapeutic rapport with adolescents - ANSWERLetting them know
everything will be confidential except harm to themselves or others.
Try to see them without parents present as well.
Confidential verse nonconfidential - ANSWERPatient is attracted to the same gender-
confidential
Patient is in a consensual relationship with another person of their same age-
confidential
Suicidal- non confidential
Delegating verse collaborating in a question - ANSWERDelegating will likely be
incorrect but collaborating is good
Example- PMHNP notices a lot of women commiting suicide during post partum care
because they're discharged without a risk assessment. The PMHNP should use
interpersonal collaboration by collaborating with OB docs to do an assessment before
discharge. PMHNP identified a gap in care.
Always choose an answer where we are actively involved.
A patient is being discharged and the rehab facility is requesting lab results. What
should the PMHNP do? - ANSWERPMHNP should obtain informed consent and fax
labs over (because this is the most actively involved answer)
14yo boy comes to office and says he is "feeling weird/funny" because he inhaled
acetone. What should the PMHNP do? - ANSWERUrine drugs screen. This is correct
because the PMHNP should chose to do what is in their scope of practice. He does not
necessarily need to be referred out. Before referring out, ask yourself is there an answer
than can be done within my scope of practice
Culture related question (one that specifies ethnicity of ancestry) - ANSWERFirst thing
to note is culturally expected response to stressor (their response does not always
mean they have a mental illness)
, Cultural syndrome - ANSWERBrief supportive therapy
Example, if someone lost their job or house they might just need brief supportive
therapy. They might not need meds.
Example, if a person is experiencing pain or somatic complaints, interpret their
symptoms based on cultural context
Cultural formulation interviews - ANSWERClarify meaning of illness or predicament,
contextualize their situation in their local world, empower the patient
Psychoeducation to a client with specific culture should be based on cultural context
When serving a multicultural poputlation - ANSWERit is important to provide
multicultural teaching by using ethnospecific assessment parameters. Respect is very
important
Example native americans might believe that substance use or mental illness is -
ANSWERan imbalance between an individuals relationship with the world
Healing sticks - ANSWERNative americans believe that healing sticks have healing
powers.
A Native American patient on an inpatient unit has a healing stick and insists on keeping
it. The nurse is trying to take it. What does the PMHNP do? - ANSWERTeach nurse
cultural competence
If a cultural question has a judgmental answer - ANSWERit is usually incorrect
A Native American patient wants to send notes to his traditional healer. What to do? -
ANSWERObtain clearance for informed consent then send the notes
Susto ("fright") - ANSWEROne of the common folk illnesses seen in the latino
population. Illnesses from susto are believed to result from a shocking, unpleasant, or
frightenin experience that is believed to cause the soul to leave the body
Ataque de nervios (puerto rican syndrome) - ANSWERAttack of nerves. Uncontrollable
shouting, attacks of crying, tremling, heat in the chest rising into the head, and verbal or
physical aggression
Mal de ojo (evil eye) - ANSWERfatigue, headache, weight loss, exhaustion, and
malaise
Empacho (blocked intestine) - ANSWERindigestion (feeling bloated or nauseous)
Mollera caida - ANSWERsunken fontanel
AND CORRECT ANSWERS) A GRADE
,Test taking strategies - ANSWER- read carefully and use info provided by examiner to
answer question
- narrow down options to 2 possible right answers
- partially correct answers are not the correct answers
- when 2 answer choices are the opposite of one another, one is usually the correct
answer (hypoglycemia vs hyperglycemia)
- the right answer might use the same word as the test question
- we do not do medical evals, correct answer would be to refer in this case
- when many response choices are remarkably similar, they are usually wrong
Order of importance - ANSWER- questions that use adjectives like priority and initial
action test abilify to prioritize
- most important is airway, breathing, and circulation
- second is maslow's heirarchy of needs (physical needs, food, water, warmth, rest,
safety, security)
- then the nursing process (assessment before intervention).
Assessment - ANSWERcollecting data to support the problem towards a resolution.
SAFETY BEFORE ASSESSMENT
Tics - ANSWERIf tics are noted, stimulants are contraindicated
Safety - ANSWERSafety for the patient and other is usually the right answer. Safety
first.
Abuse - ANSWERIf a patient is a victim of violence or abuse, assure them of their
personal safety first and foremost
Before discharging - ANSWERMake sure patient is safe and can cope affectively
Safety/no harm contract - ANSWERmost likely incorrect answer
When does behavioral management and support start - ANSWERonce the patient is
admitted (not after discharge)
Where to interview an patient? - ANSWERIn a private office with door open or partially
open. NOT in their room or in the day room. Safety >>> privacy
,Client comes in with parents and is reporting abuse. What should the PMHNP do? -
ANSWERInterview the child separately from the parents and then the parents
separately from child.
Then report to CPS
Child comes into a follow up without parents. This child is holding and playing with a toy
in a sexual way. What to do? - ANSWERImmediately contact CPS (suspicion alone is
enough to report to CPS)
How to build therapeutic rapport with adolescents - ANSWERLetting them know
everything will be confidential except harm to themselves or others.
Try to see them without parents present as well.
Confidential verse nonconfidential - ANSWERPatient is attracted to the same gender-
confidential
Patient is in a consensual relationship with another person of their same age-
confidential
Suicidal- non confidential
Delegating verse collaborating in a question - ANSWERDelegating will likely be
incorrect but collaborating is good
Example- PMHNP notices a lot of women commiting suicide during post partum care
because they're discharged without a risk assessment. The PMHNP should use
interpersonal collaboration by collaborating with OB docs to do an assessment before
discharge. PMHNP identified a gap in care.
Always choose an answer where we are actively involved.
A patient is being discharged and the rehab facility is requesting lab results. What
should the PMHNP do? - ANSWERPMHNP should obtain informed consent and fax
labs over (because this is the most actively involved answer)
14yo boy comes to office and says he is "feeling weird/funny" because he inhaled
acetone. What should the PMHNP do? - ANSWERUrine drugs screen. This is correct
because the PMHNP should chose to do what is in their scope of practice. He does not
necessarily need to be referred out. Before referring out, ask yourself is there an answer
than can be done within my scope of practice
Culture related question (one that specifies ethnicity of ancestry) - ANSWERFirst thing
to note is culturally expected response to stressor (their response does not always
mean they have a mental illness)
, Cultural syndrome - ANSWERBrief supportive therapy
Example, if someone lost their job or house they might just need brief supportive
therapy. They might not need meds.
Example, if a person is experiencing pain or somatic complaints, interpret their
symptoms based on cultural context
Cultural formulation interviews - ANSWERClarify meaning of illness or predicament,
contextualize their situation in their local world, empower the patient
Psychoeducation to a client with specific culture should be based on cultural context
When serving a multicultural poputlation - ANSWERit is important to provide
multicultural teaching by using ethnospecific assessment parameters. Respect is very
important
Example native americans might believe that substance use or mental illness is -
ANSWERan imbalance between an individuals relationship with the world
Healing sticks - ANSWERNative americans believe that healing sticks have healing
powers.
A Native American patient on an inpatient unit has a healing stick and insists on keeping
it. The nurse is trying to take it. What does the PMHNP do? - ANSWERTeach nurse
cultural competence
If a cultural question has a judgmental answer - ANSWERit is usually incorrect
A Native American patient wants to send notes to his traditional healer. What to do? -
ANSWERObtain clearance for informed consent then send the notes
Susto ("fright") - ANSWEROne of the common folk illnesses seen in the latino
population. Illnesses from susto are believed to result from a shocking, unpleasant, or
frightenin experience that is believed to cause the soul to leave the body
Ataque de nervios (puerto rican syndrome) - ANSWERAttack of nerves. Uncontrollable
shouting, attacks of crying, tremling, heat in the chest rising into the head, and verbal or
physical aggression
Mal de ojo (evil eye) - ANSWERfatigue, headache, weight loss, exhaustion, and
malaise
Empacho (blocked intestine) - ANSWERindigestion (feeling bloated or nauseous)
Mollera caida - ANSWERsunken fontanel
