NR607 Final Exam with correct answers
The |PMHNP |(Psychiatric |Mental |Health |Nurse |Practitioner) |is |providing |care |to |a |29-year-old |client |
who |presents |with |persistent |sadness |and |hopelessness |for |the |last |two |months. |She |is |having |
difficulty |sleeping |and |has |a |decreased |appetite. |This |is |the |patient's |first |contact |with |with |the |
healthcare |system |about |her |concerns.
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 |- |CORRECT |ANSWER-Primary |Care
Rationale: |This |is |the |client's |initial |contact |with |the |healthcare |system |about |her |concerns
The |client |has |experienced |depressive |symptoms. |The |PMHNP |prescribes |a |selective |serotonin |
reuptake |inhibitor |(SSRI).
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 |- |CORRECT |ANSWER-Pharmacologic |Intervention
Rationale: |The |PMHNP |is |prescribing |psychopharmacotherapy |for |the |client
The |PMHNP |provides |the |client |with |some |mindfulness |techniques |to |try |at |home.
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 |- |CORRECT |ANSWER-Psychotherapy
Rationale: |The |PMHNP |is |utilizing |a |psychotherapeutic |approach |to |help |the |client |gain |insight
Two |weeks |after |starting |on |the |SSRI, |the |client |begins |to |experience |suicidal |ideations |and |develops |
a |plan |to |kill |herself. |A |friend |brings |the |client |to |the |emergency |room. |The |PMHNP |meets |the |client |
at |the |emergency |room |and |collaborates |with |the |physician |to |coordinate |care.
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 |- |CORRECT |ANSWER-Crisis |Intervention
Rationale: |Suicidal |ideation |with |a |plan |is |a |psychiatric |emergency |requiring |immediate |intervention.
The |client |is |admitted |to |the |psychiatric |and |behavioral |health |unit |at |the |local |hospital |for |a |72-hour |
observation |where |the |PMHNP |works |with |her |team |providing |treatment. |The |client |remains |
hospitalized |for |a |week |while |her |medications |are |managed. |The |client |attends |individual |and |group |
therapy |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 |- |CORRECT |ANSWER-Acute |PMHNP |Care
Rationale: |Acute |inpatient |care |occurs |in |an |intensive |hospital |or |psychiatric |facility |setting.
Following |hospitalization, |the |client |returns |home |but |commutes |to |a |treatment |center |for |4 |hours |a |
day |5 |days |per |week |for |ongoing |therapy, |medication |management, |and |psychoeducation.
, 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 |- |CORRECT |ANSWER-Partial |Hospitalization/Intensive |Outpatient |Treatment
Rationale: |Partial |Hospitalization/Intensive |Outpatient |Treatment |occurs |when |a |client |receives |
intensive |therapy |on |an |outpatient |basis, |often |used |when |a |client |do |not |require |24-hour |care |but |
still |require |intense |treatment.
The |PMHNP |serves |as |the |point |of |contact |person, |coordinating |the |treatment |team, |which |consists |
of |the |PMHNP, |a |social |worker, |and |possibly |a |psychologist |and |psychiatrist.
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 |- |CORRECT |ANSWER-Case |Management
The |PMHNP |(Psychiatric |Mental |Health |Nurse |Practitioner) |is |providing |care |to |a |29-year-old |client |
who |presents |with |persistent |sadness |and |hopelessness |for |the |last |two |months. |She |is |having |
difficulty |sleeping |and |has |a |decreased |appetite. |This |is |the |patient's |first |contact |with |with |the |
healthcare |system |about |her |concerns.
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 |- |CORRECT |ANSWER-Primary |Care
Rationale: |This |is |the |client's |initial |contact |with |the |healthcare |system |about |her |concerns
The |client |has |experienced |depressive |symptoms. |The |PMHNP |prescribes |a |selective |serotonin |
reuptake |inhibitor |(SSRI).
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 |- |CORRECT |ANSWER-Pharmacologic |Intervention
Rationale: |The |PMHNP |is |prescribing |psychopharmacotherapy |for |the |client
The |PMHNP |provides |the |client |with |some |mindfulness |techniques |to |try |at |home.
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 |- |CORRECT |ANSWER-Psychotherapy
Rationale: |The |PMHNP |is |utilizing |a |psychotherapeutic |approach |to |help |the |client |gain |insight
Two |weeks |after |starting |on |the |SSRI, |the |client |begins |to |experience |suicidal |ideations |and |develops |
a |plan |to |kill |herself. |A |friend |brings |the |client |to |the |emergency |room. |The |PMHNP |meets |the |client |
at |the |emergency |room |and |collaborates |with |the |physician |to |coordinate |care.
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 |- |CORRECT |ANSWER-Crisis |Intervention
Rationale: |Suicidal |ideation |with |a |plan |is |a |psychiatric |emergency |requiring |immediate |intervention.
The |client |is |admitted |to |the |psychiatric |and |behavioral |health |unit |at |the |local |hospital |for |a |72-hour |
observation |where |the |PMHNP |works |with |her |team |providing |treatment. |The |client |remains |
hospitalized |for |a |week |while |her |medications |are |managed. |The |client |attends |individual |and |group |
therapy |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 |- |CORRECT |ANSWER-Acute |PMHNP |Care
Rationale: |Acute |inpatient |care |occurs |in |an |intensive |hospital |or |psychiatric |facility |setting.
Following |hospitalization, |the |client |returns |home |but |commutes |to |a |treatment |center |for |4 |hours |a |
day |5 |days |per |week |for |ongoing |therapy, |medication |management, |and |psychoeducation.
, 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 |- |CORRECT |ANSWER-Partial |Hospitalization/Intensive |Outpatient |Treatment
Rationale: |Partial |Hospitalization/Intensive |Outpatient |Treatment |occurs |when |a |client |receives |
intensive |therapy |on |an |outpatient |basis, |often |used |when |a |client |do |not |require |24-hour |care |but |
still |require |intense |treatment.
The |PMHNP |serves |as |the |point |of |contact |person, |coordinating |the |treatment |team, |which |consists |
of |the |PMHNP, |a |social |worker, |and |possibly |a |psychologist |and |psychiatrist.
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 |- |CORRECT |ANSWER-Case |Management
