LMR PMHNP
When does behavior management and support begin? ANS: Admission- Behavior management and
support starts when the patient is admitted. It does not start couple days after or when they discharge
Where should you interview patients? ANS: When interviewing patient you want to interview them in
the day room where you can have the door slightly open this allows us to have confidentiality but also
keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? ANS: -You should separate parents and
child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual way with a toy. what
should you suspect? ANS: *sexual abuse
-You can immediately report to CPS suspecting alone is enough. You are not required to notify
parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
What should you do as the PMHNP if a patient comes in due to being a victim of abuse/rape? ANS: the
priority is to provide and environment of their safety or ensure them of safety, even if it is an
intervention
What would you do if a patient that came in for abuse/rape wants to discharge? ANS: If inpatient and
making a decision to discharge, make sure the patient is able to stay safe and developed coping skills
,Where would you interview a patient with a recent history of abuse/rape? ANS: -If inpatient and
interviewing patients, do not interview in their room or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? ANS: *If the patient is suicidal and have an
intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? ANS: Due to the gap of care, it is
important to collaborate with OB Dr. to do risk assessment
As a PMHNP would it be in the patient's best interest to ask/delegate to another professional to do a
job? ANS: -It should not be delegated, should be collaborated team effort.
- Before picking the answer to refer the patient out, make sure there is nothing else in your scope that
you can do
Ex: You notice a lot of women have Post-partum depression and are discharged after delivery without
mental health evaluation and have noticed a gap in care - collaboration might be working with OB to
develop a screening process that is interprofessional collaboration
If the patient inhaled acetone and is feeling weird should you refer to primary care dr.? ANS: -Assess
them first before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
,11a. Is a cultural response a mental illness? ANS: A cultural expected response to a stressor in NOT a
mental illness
What culture can have an imbalance between an individual relationship with the world? ANS: Native
Americans
A patient presents with a culture base. what should the interview be based on? ANS: - When a question
is very specific on cultural of patient it is most of the time a cultural question
- Then cultural assessment (cultural formulation interview) is important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental illnes
What is the process of Cultural formulation? ANS: * Interview (assessment) → Clarify the meaning of the
illness → Contextualize the situation in local world → Empower the patient
13. If the patient is dealing with cultural syndrome, what should you do? ANS: - Offer them brief
supportive therapy
Respect
- Educate others regarding cultural sensitivity.
Ex. In the Native cultures, mental illness is viewed as an imbalance between an individual relationship
and the world.
What ethnic group/culture is the Healing stick associated with and what is its purpose? ANS: They
believe it helps them heal. Teach the staff about cultural competencies.
If the patient lost their job, or/and house, what should you offer? ANS: Offer them brief supportive
therapy
, What if the patient is dealing with somatic complaints of pain but states the primary care could not find
anything what should you do? ANS: - Conduct a cultural assessment
- Validate the patient symptoms
- Clarify formulation interviews
- Clarify meaning of illness or predicament
- Contextualize their situation in their local world
- Empower the patient.
What is ethnocpecific assessment parameters? when should it be used? ANS: Should be used during
multicultural teaching based on individual culture.
What is the only medication that can decrease thought of self-harm in patients with schizophrenia? ANS:
Clozaril
What culture/ethnic group has the highest risk of suicide in the US? ANS: Native Americans
What should you do if your patient does not understand the English language? ANS: Make
accommodations and get an interpreter that is called being culturally sensitive.
Patient wants you to provide information to their traditional healer. What should you do first? ANS: You
should obtain clearance first and get informed consent.
What are Cultural syndromes? ANS: It is the symptoms and attributions that are usually seen in
individuals in specific cultural group and communities.
What is Susto (Fright)? ANS: It is a common folk illness in the latino population that results from a
shocking, unpleasant, or frightening experience that is believed to cause the soul to leave the body.
When does behavior management and support begin? ANS: Admission- Behavior management and
support starts when the patient is admitted. It does not start couple days after or when they discharge
Where should you interview patients? ANS: When interviewing patient you want to interview them in
the day room where you can have the door slightly open this allows us to have confidentiality but also
keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? ANS: -You should separate parents and
child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual way with a toy. what
should you suspect? ANS: *sexual abuse
-You can immediately report to CPS suspecting alone is enough. You are not required to notify
parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
What should you do as the PMHNP if a patient comes in due to being a victim of abuse/rape? ANS: the
priority is to provide and environment of their safety or ensure them of safety, even if it is an
intervention
What would you do if a patient that came in for abuse/rape wants to discharge? ANS: If inpatient and
making a decision to discharge, make sure the patient is able to stay safe and developed coping skills
,Where would you interview a patient with a recent history of abuse/rape? ANS: -If inpatient and
interviewing patients, do not interview in their room or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? ANS: *If the patient is suicidal and have an
intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? ANS: Due to the gap of care, it is
important to collaborate with OB Dr. to do risk assessment
As a PMHNP would it be in the patient's best interest to ask/delegate to another professional to do a
job? ANS: -It should not be delegated, should be collaborated team effort.
- Before picking the answer to refer the patient out, make sure there is nothing else in your scope that
you can do
Ex: You notice a lot of women have Post-partum depression and are discharged after delivery without
mental health evaluation and have noticed a gap in care - collaboration might be working with OB to
develop a screening process that is interprofessional collaboration
If the patient inhaled acetone and is feeling weird should you refer to primary care dr.? ANS: -Assess
them first before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
,11a. Is a cultural response a mental illness? ANS: A cultural expected response to a stressor in NOT a
mental illness
What culture can have an imbalance between an individual relationship with the world? ANS: Native
Americans
A patient presents with a culture base. what should the interview be based on? ANS: - When a question
is very specific on cultural of patient it is most of the time a cultural question
- Then cultural assessment (cultural formulation interview) is important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental illnes
What is the process of Cultural formulation? ANS: * Interview (assessment) → Clarify the meaning of the
illness → Contextualize the situation in local world → Empower the patient
13. If the patient is dealing with cultural syndrome, what should you do? ANS: - Offer them brief
supportive therapy
Respect
- Educate others regarding cultural sensitivity.
Ex. In the Native cultures, mental illness is viewed as an imbalance between an individual relationship
and the world.
What ethnic group/culture is the Healing stick associated with and what is its purpose? ANS: They
believe it helps them heal. Teach the staff about cultural competencies.
If the patient lost their job, or/and house, what should you offer? ANS: Offer them brief supportive
therapy
, What if the patient is dealing with somatic complaints of pain but states the primary care could not find
anything what should you do? ANS: - Conduct a cultural assessment
- Validate the patient symptoms
- Clarify formulation interviews
- Clarify meaning of illness or predicament
- Contextualize their situation in their local world
- Empower the patient.
What is ethnocpecific assessment parameters? when should it be used? ANS: Should be used during
multicultural teaching based on individual culture.
What is the only medication that can decrease thought of self-harm in patients with schizophrenia? ANS:
Clozaril
What culture/ethnic group has the highest risk of suicide in the US? ANS: Native Americans
What should you do if your patient does not understand the English language? ANS: Make
accommodations and get an interpreter that is called being culturally sensitive.
Patient wants you to provide information to their traditional healer. What should you do first? ANS: You
should obtain clearance first and get informed consent.
What are Cultural syndromes? ANS: It is the symptoms and attributions that are usually seen in
individuals in specific cultural group and communities.
What is Susto (Fright)? ANS: It is a common folk illness in the latino population that results from a
shocking, unpleasant, or frightening experience that is believed to cause the soul to leave the body.
