NR607 Final Exam Questions AND Correct Answers
________ in treatment-resistant cases. - ✔✔clozapine
-Patients should be offered a clozapine trial if they have a
partial or non-response to two antipsychotic trials, assuming
those antipsychotic trials are an adequate dose and duration
(four to eight weeks)
___________ is FDA approved for tx of tardive dyskinesia -
✔✔Valbenazine (Ingrezza)
_____________________ for care and treatment is a
fundamental ethical and legal principle - ✔✔Informed consent
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the
client via weekly interactive video sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
,Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ✔✔Telehealth
Rationale: Telehealth services utilize telecommunication
technology to deliver treatment to clients.
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession - ✔✔Contributions to
Healthcare Environments
,Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or
violate public trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession - ✔✔Promotion of the
Nursing Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable
and ensures that nursing care is delivered with respect to
human needs and values without prejudice.
, Acute inpatient care - ✔✔short-term treatment to provide
care for acutely ill clients who are unable to meet basic
needs due to a mental health condition or are at risk of
harming themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
Agnieszka has experienced persistent racial discrimination
since immigrating to the United States, which has led to
chronic stress, anxiety, depression, and post-traumatic stress
disorder (PTSD), exacerbating her chronic depression
What racism's effect is the patient experiencing?
Limited access to resources
Intersections with other social determinants
Cultural mistrust and mental healthcare disparities
Discrimination and racial trauma - ✔✔Discrimination and
racial trauma
Agranulocytosis - ✔✔-Clozapine-induced agranulocytosis
(CLIA)
• potentially life-threatening
• occurs in less than 1% of clients prescribed clozapine
• cause unknown; may be genetic
________ in treatment-resistant cases. - ✔✔clozapine
-Patients should be offered a clozapine trial if they have a
partial or non-response to two antipsychotic trials, assuming
those antipsychotic trials are an adequate dose and duration
(four to eight weeks)
___________ is FDA approved for tx of tardive dyskinesia -
✔✔Valbenazine (Ingrezza)
_____________________ for care and treatment is a
fundamental ethical and legal principle - ✔✔Informed consent
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the
client via weekly interactive video sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
,Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - ✔✔Telehealth
Rationale: Telehealth services utilize telecommunication
technology to deliver treatment to clients.
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession - ✔✔Contributions to
Healthcare Environments
,Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address
problems faced by colleagues that impact client safety or
violate public trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession - ✔✔Promotion of the
Nursing Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable
and ensures that nursing care is delivered with respect to
human needs and values without prejudice.
, Acute inpatient care - ✔✔short-term treatment to provide
care for acutely ill clients who are unable to meet basic
needs due to a mental health condition or are at risk of
harming themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
Agnieszka has experienced persistent racial discrimination
since immigrating to the United States, which has led to
chronic stress, anxiety, depression, and post-traumatic stress
disorder (PTSD), exacerbating her chronic depression
What racism's effect is the patient experiencing?
Limited access to resources
Intersections with other social determinants
Cultural mistrust and mental healthcare disparities
Discrimination and racial trauma - ✔✔Discrimination and
racial trauma
Agranulocytosis - ✔✔-Clozapine-induced agranulocytosis
(CLIA)
• potentially life-threatening
• occurs in less than 1% of clients prescribed clozapine
• cause unknown; may be genetic
