Purple Book PMHNP 100 multiple
choice questions w/answers ANCC
1. The cause of the American Nurses Association's Psychiatric-Mental Health Nursing:
Scope and Standards of Practice is to
A. Define the function and moves for the NP
Establish the felony authority for the prescription of psychotropic
B. Medicines
C. Define the criminal statutes of the role of the PMHNP
D. Define the variations between the physician position and the NP role - ANS-Correct
Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope and Standards of Practice
defines the position and movements of the nurse practitioner.
1) The look at of what the body does to pills is known as
a) Pharmacodynamics
b) Pharmacology
c) Pharmacokinetics
d) Distribution - ANS-C. Pharmacokinetics is the look at of what the body does to tablets.
1) Which protection mechanisms are generally utilized by persons with
obsessive-compulsive character sickness?
A) Rationalization, isolation, and intellectualization
b) Projection, distortion, and hypochondriasis
c) Regression, somatization, and dissociation
d) Sexualization, displacement, and response formation - ANS-A. Persons with
obsessive-compulsive persona sickness use protection mechanisms of clarification, isolation
of affect, and intellectualization to make sense in their behavior.
2) Primary prevention care practices are an vital factor of the PMHNP role. Which of the
subsequent is the exceptional instance of a number one prevention care strategy for
community behavioral health?
A) Aftercare application for chronically mentally sick customers recently discharged from the
health center
b) Court-ordered counseling for abusive dad and mom
c) 24-hour disaster hotlines
d) Parenting skills instructions for pregnant youngsters - ANS-Correct Answer: D.
Information reduces incidence of disorder.
Three
The fashion in prison rulings on cases concerning intellectual illness during the last 25 years
has been to
a) Encourage juries to locate defendants not responsible by cause of madness
b) Protect the person's freedoms or rights while she or he is committed to a mental hospital
,c) Place increasing consider in mental fitness professionals to make properly and ethical
choices
d) Decrease the "crimson tape" related to commitments in order that commitments are
quicker and simpler - ANS-B. Identifies the trend of making sure the safety of person civil
liberties for psychiatric customers.
Four
Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic signs and
symptoms, refuses to take any of his ordered medicine because he believes "Jesus Christ
instructed me I am the prophet and have to fast for a year." Your actions must be based
totally on your knowledge of which of the following?
A) Psychiatric customers can not refuse treatment
b) Psychiatric clients do now not always recognize what is good for them
c) Psychiatric customers can refuse remedy
d) Psychiatric clients can't be depended on to make correct healthcare decisions and,
therefore, the nurse's best clinical judgment must manual movements - ANS-C. As with any
customer, psychiatric clients can refuse remedy un- much less a legal technique ensuing in
involuntary dedication or obligatory courtroom order for remedy has been obtained.
Five. Which of the following statements first-class displays the difference among the
nurse-customer (N-C) dating and a social dating?
A) In the N-C dating, the number one focus is on the consumer and the patron's desires.
B) Goals within the N-C dating are deliberately left vague and unstated so that the purchaser
can work on any trouble.
C) In the N-C dating, the nurse is solely liable for making the connection paintings.
D) In the N-C courting, there's no area for social interaction. - ANS-A. Social relationships
are mutual interpersonal relationships wherein the wishes of both events are addressed. The
N-C courting is most con- cerned with meeting the needs of the consumer.
6. A community has an surprisingly excessive incidence of despair and drug use most of the
teen- age population. The public fitness nurses determine to deal with this trouble, in
component, by enhancing the surroundings and strengthening the capacities of families to
save you the development of new cases of depression and drug use. What is this is an
example of?
A) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Protective factorial prevention - ANS-A. This motion makes a speciality of interventions
designed to lessen the occurrence of recent cases of disease.
7
Mrs. Kemp is voluntarily admitted to the clinic. After 24 hours, she states she desires to
leave because "this location can not help me." The high-quality nursing movement that
reflects the prison proper of this purchaser is
a) Discharge the customer
b) Explain that the purchaser can not go away until you may whole similarly evaluation
c) Allow the patron to leave but have her sign paperwork mentioning she is leaving against
clinical advice
, d) Immediately start the paperwork to dedicate the client and to permit you to treat her in
opposition to her desires - ANS-Correct Answer: B. Almost every state allows for a quick
duration of detainment to as- sess a client for dangerousness to self or others earlier than
allowing the customer to go away a sanatorium setting, even if the admission become
voluntary.
8
In many characteristics which are regarded to be useful in dating-constructing. Which of the
fol- lowing is an vital part of constructing a healing courting? Forming a therapeutic dating
with clients, the PMHNP should consider growing
a) Collecting a family records
b) Like-mindedness
c) Authenticity
d) Accuracy in evaluation - ANS-C. Authenticity. Being actual, sincere, and respectful are
important factors in organising a working relationship with any purchaser. Like-mindednessis
not part of the healing courting. Although an critical issue of the PMHNP role, amassing a
family records and accuracy in evaluation does no longer in and of itself facilitate
courting-constructing.
9
According to the DSM-five, which of the subsequent is genuine? (Ch. 3)
a) A mental ailment is equal to the need for treatment.
B) Diagnostic standards are used to tell clinical judgment.
C) Socially deviant conduct is taken into consideration a intellectual sickness.
D) A culturally anticipated reaction to a stressor isn't a mental disorder. - ANS-Correct
Answer: D. All DSM-five issues need to be made taking someone's lifestyle into
consideration. A cultural expression of a response to grief, loss, or pressure isn't always con-
sidered a DSM-five diagnosis.
10
Mrs. French has been in character remedy for three months. She has shown plenty boom
and development in her functioning and perception and is to discontinue services in the next
few weeks. In the following consultation, once you talk provider termination, she all at once
starts to demonstrate the authentic signs and symptoms that had introduced her to treatment
initially. She is now hesitant to discharge, desires to hold offerings, and is displaying an
growth in regressive defense mechanisms. What is the satisfactory cause of Ms. French's
conduct?
A) An exacerbation of her signs and symptoms associated with stress
b) The ordinary cyclic nature of chronic mental fitness signs and symptoms
c) A sign of normal resistance to termination seen inside the termination segment of remedy
d) A signal of pathological attachment to the therapist that need to be addressed - ANS-C.
Clients frequently display resistance and regression at the termination of a significant
therapeutic system. The PMHNP is responsible for planning an effective termination and
tracking customers all through the termination duration.
11
choice questions w/answers ANCC
1. The cause of the American Nurses Association's Psychiatric-Mental Health Nursing:
Scope and Standards of Practice is to
A. Define the function and moves for the NP
Establish the felony authority for the prescription of psychotropic
B. Medicines
C. Define the criminal statutes of the role of the PMHNP
D. Define the variations between the physician position and the NP role - ANS-Correct
Answer: A. The ANA's Psychiatric-Mental Health Nursing: Scope and Standards of Practice
defines the position and movements of the nurse practitioner.
1) The look at of what the body does to pills is known as
a) Pharmacodynamics
b) Pharmacology
c) Pharmacokinetics
d) Distribution - ANS-C. Pharmacokinetics is the look at of what the body does to tablets.
1) Which protection mechanisms are generally utilized by persons with
obsessive-compulsive character sickness?
A) Rationalization, isolation, and intellectualization
b) Projection, distortion, and hypochondriasis
c) Regression, somatization, and dissociation
d) Sexualization, displacement, and response formation - ANS-A. Persons with
obsessive-compulsive persona sickness use protection mechanisms of clarification, isolation
of affect, and intellectualization to make sense in their behavior.
2) Primary prevention care practices are an vital factor of the PMHNP role. Which of the
subsequent is the exceptional instance of a number one prevention care strategy for
community behavioral health?
A) Aftercare application for chronically mentally sick customers recently discharged from the
health center
b) Court-ordered counseling for abusive dad and mom
c) 24-hour disaster hotlines
d) Parenting skills instructions for pregnant youngsters - ANS-Correct Answer: D.
Information reduces incidence of disorder.
Three
The fashion in prison rulings on cases concerning intellectual illness during the last 25 years
has been to
a) Encourage juries to locate defendants not responsible by cause of madness
b) Protect the person's freedoms or rights while she or he is committed to a mental hospital
,c) Place increasing consider in mental fitness professionals to make properly and ethical
choices
d) Decrease the "crimson tape" related to commitments in order that commitments are
quicker and simpler - ANS-B. Identifies the trend of making sure the safety of person civil
liberties for psychiatric customers.
Four
Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic signs and
symptoms, refuses to take any of his ordered medicine because he believes "Jesus Christ
instructed me I am the prophet and have to fast for a year." Your actions must be based
totally on your knowledge of which of the following?
A) Psychiatric customers can not refuse treatment
b) Psychiatric clients do now not always recognize what is good for them
c) Psychiatric customers can refuse remedy
d) Psychiatric clients can't be depended on to make correct healthcare decisions and,
therefore, the nurse's best clinical judgment must manual movements - ANS-C. As with any
customer, psychiatric clients can refuse remedy un- much less a legal technique ensuing in
involuntary dedication or obligatory courtroom order for remedy has been obtained.
Five. Which of the following statements first-class displays the difference among the
nurse-customer (N-C) dating and a social dating?
A) In the N-C dating, the number one focus is on the consumer and the patron's desires.
B) Goals within the N-C dating are deliberately left vague and unstated so that the purchaser
can work on any trouble.
C) In the N-C dating, the nurse is solely liable for making the connection paintings.
D) In the N-C courting, there's no area for social interaction. - ANS-A. Social relationships
are mutual interpersonal relationships wherein the wishes of both events are addressed. The
N-C courting is most con- cerned with meeting the needs of the consumer.
6. A community has an surprisingly excessive incidence of despair and drug use most of the
teen- age population. The public fitness nurses determine to deal with this trouble, in
component, by enhancing the surroundings and strengthening the capacities of families to
save you the development of new cases of depression and drug use. What is this is an
example of?
A) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Protective factorial prevention - ANS-A. This motion makes a speciality of interventions
designed to lessen the occurrence of recent cases of disease.
7
Mrs. Kemp is voluntarily admitted to the clinic. After 24 hours, she states she desires to
leave because "this location can not help me." The high-quality nursing movement that
reflects the prison proper of this purchaser is
a) Discharge the customer
b) Explain that the purchaser can not go away until you may whole similarly evaluation
c) Allow the patron to leave but have her sign paperwork mentioning she is leaving against
clinical advice
, d) Immediately start the paperwork to dedicate the client and to permit you to treat her in
opposition to her desires - ANS-Correct Answer: B. Almost every state allows for a quick
duration of detainment to as- sess a client for dangerousness to self or others earlier than
allowing the customer to go away a sanatorium setting, even if the admission become
voluntary.
8
In many characteristics which are regarded to be useful in dating-constructing. Which of the
fol- lowing is an vital part of constructing a healing courting? Forming a therapeutic dating
with clients, the PMHNP should consider growing
a) Collecting a family records
b) Like-mindedness
c) Authenticity
d) Accuracy in evaluation - ANS-C. Authenticity. Being actual, sincere, and respectful are
important factors in organising a working relationship with any purchaser. Like-mindednessis
not part of the healing courting. Although an critical issue of the PMHNP role, amassing a
family records and accuracy in evaluation does no longer in and of itself facilitate
courting-constructing.
9
According to the DSM-five, which of the subsequent is genuine? (Ch. 3)
a) A mental ailment is equal to the need for treatment.
B) Diagnostic standards are used to tell clinical judgment.
C) Socially deviant conduct is taken into consideration a intellectual sickness.
D) A culturally anticipated reaction to a stressor isn't a mental disorder. - ANS-Correct
Answer: D. All DSM-five issues need to be made taking someone's lifestyle into
consideration. A cultural expression of a response to grief, loss, or pressure isn't always con-
sidered a DSM-five diagnosis.
10
Mrs. French has been in character remedy for three months. She has shown plenty boom
and development in her functioning and perception and is to discontinue services in the next
few weeks. In the following consultation, once you talk provider termination, she all at once
starts to demonstrate the authentic signs and symptoms that had introduced her to treatment
initially. She is now hesitant to discharge, desires to hold offerings, and is displaying an
growth in regressive defense mechanisms. What is the satisfactory cause of Ms. French's
conduct?
A) An exacerbation of her signs and symptoms associated with stress
b) The ordinary cyclic nature of chronic mental fitness signs and symptoms
c) A sign of normal resistance to termination seen inside the termination segment of remedy
d) A signal of pathological attachment to the therapist that need to be addressed - ANS-C.
Clients frequently display resistance and regression at the termination of a significant
therapeutic system. The PMHNP is responsible for planning an effective termination and
tracking customers all through the termination duration.
11
