©THEBRIGHT EXAM SOLUTIONS
11/05/2024 12:06 PM
PMHNP 4th Edition Review Questions With
100% Verified Answers
The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and
Standard of Practices to - answer✔Define the role and actions for the NP
Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following is
the best example of a primary prevention care strategy for community behavioral health? -
answer✔Parenting skills classes for pregnant adolescents
The trend in legal ruling on cases involving mental illness over the past 25 years has been to -
answer✔Protect the person's freedoms or rights when he or she is committed to a mental hospital
Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to take
any of his ordered meication because he believes "Jesus Christ told me I am the prophet and must fast
for a year." Your actions should be based on your knowledge of which of the following? -
answer✔Psychiatric clients can refuse treatments
Which of the following statements best reflects the difference between the nurse-client (N-C)
relationship and a social relationship - answer✔In the N-C relationship, the primary focus is on the client
and the client's needs.
A community has an unusually high incidence of depression and drug use among the teenage
population. The public health nurses decide to address this problem, in part, by modifying the
environment and strengthening the capacities of families to prevent the development of new cases of
depression and drug use. What is this is an example of? - answer✔Primary Prevention
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes to leave because
"this place can't help me." The best nursing action that reflects the legal right of this client is -
answer✔Explain that the client cannot leave until you can complete further assessment
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
characteristics that are known to be helpful in relationship-building. Which of the following is an
essential part of building a therapeutic relationship? - answer✔Authenticity
According to the DSM-5, which of the following is true? (Ch. 3) - answer✔A culturally expected response
to a stressor is not a mental disorder
, ©THEBRIGHT EXAM SOLUTIONS
11/05/2024 12:06 PM
Mrs. French has been in individual therapy for 3 months. She has shown much growth and improvement
in her functioning and insight and is to discontinue services within the next few weeks. In the next
session, after you discuss service termination, she suddenly begins to demonstrate the original
symptoms that had brought her to treatment initially. She is now hesitant to discharge, wants to
continue services, and is displaying an increase in regressive defense mechanisms. What is the best
explanation for Ms. French's behavior? - answer✔A sign of normal resistance to termination seen in the
termination phase of therapy
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of dependency.
These behaviors indicate developmental failure of which of the following stages of development: -
answer✔Early childhood
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or what
time appointments are scheduled, and he has stated that he thinks these are just random behaviors that
have no particular meaning. Which Freudian-based psychodynamic principle assumes that all behavior
and actions are purposeful? - answer✔Psychic determinism principle
An example of a mature, healthy defense mechanism is - answer✔Suppression
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing
his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most
likely an example of - answer✔Immature regressive defense mechanism
Defense mechanisms are best viewed as a function of the ego - answer✔Used to resolve a conflict
One of the health care changes that has occurred as a result of the affordable care act (ACA) is that
doctors/hospitals/clinic groups or health systems are coming together and assuming the responsibility
for quality care to large groups of individuals insured by Medicare. The health care clinics/systems
doctors or hospitals that join together are called which of the following? - answer✔Accountable Care
Organization (ACO)
Health care economics is concerned with making decisions so the benefits outweigh the cost of resource
utilization. What are two concepts that healthcare economics is concerned with in regard to fair
distribution of resources and allocation? - answer✔Equity and efficiency
What four elements need to be present for a malpractice lawsuit to be filed? - answer✔Duty of care,
Breach of standard of care, Injury, and Injury must be related to breach of the standard of care
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist role.
Mary has encountered over five incidences in which attending psychiatrists and medical residents have
been demeaning to nursing staff and not answering calls in the middle of the night or telling the nursing
staff to write orders and the MD would sign off in the a.m. Mary is concerned about errors and wants to
improve quality, reduce errors to promote safety. What concept is Mary employing? - answer✔Just
Culture
11/05/2024 12:06 PM
PMHNP 4th Edition Review Questions With
100% Verified Answers
The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and
Standard of Practices to - answer✔Define the role and actions for the NP
Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following is
the best example of a primary prevention care strategy for community behavioral health? -
answer✔Parenting skills classes for pregnant adolescents
The trend in legal ruling on cases involving mental illness over the past 25 years has been to -
answer✔Protect the person's freedoms or rights when he or she is committed to a mental hospital
Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to take
any of his ordered meication because he believes "Jesus Christ told me I am the prophet and must fast
for a year." Your actions should be based on your knowledge of which of the following? -
answer✔Psychiatric clients can refuse treatments
Which of the following statements best reflects the difference between the nurse-client (N-C)
relationship and a social relationship - answer✔In the N-C relationship, the primary focus is on the client
and the client's needs.
A community has an unusually high incidence of depression and drug use among the teenage
population. The public health nurses decide to address this problem, in part, by modifying the
environment and strengthening the capacities of families to prevent the development of new cases of
depression and drug use. What is this is an example of? - answer✔Primary Prevention
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes to leave because
"this place can't help me." The best nursing action that reflects the legal right of this client is -
answer✔Explain that the client cannot leave until you can complete further assessment
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
characteristics that are known to be helpful in relationship-building. Which of the following is an
essential part of building a therapeutic relationship? - answer✔Authenticity
According to the DSM-5, which of the following is true? (Ch. 3) - answer✔A culturally expected response
to a stressor is not a mental disorder
, ©THEBRIGHT EXAM SOLUTIONS
11/05/2024 12:06 PM
Mrs. French has been in individual therapy for 3 months. She has shown much growth and improvement
in her functioning and insight and is to discontinue services within the next few weeks. In the next
session, after you discuss service termination, she suddenly begins to demonstrate the original
symptoms that had brought her to treatment initially. She is now hesitant to discharge, wants to
continue services, and is displaying an increase in regressive defense mechanisms. What is the best
explanation for Ms. French's behavior? - answer✔A sign of normal resistance to termination seen in the
termination phase of therapy
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of dependency.
These behaviors indicate developmental failure of which of the following stages of development: -
answer✔Early childhood
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or what
time appointments are scheduled, and he has stated that he thinks these are just random behaviors that
have no particular meaning. Which Freudian-based psychodynamic principle assumes that all behavior
and actions are purposeful? - answer✔Psychic determinism principle
An example of a mature, healthy defense mechanism is - answer✔Suppression
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing
his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most
likely an example of - answer✔Immature regressive defense mechanism
Defense mechanisms are best viewed as a function of the ego - answer✔Used to resolve a conflict
One of the health care changes that has occurred as a result of the affordable care act (ACA) is that
doctors/hospitals/clinic groups or health systems are coming together and assuming the responsibility
for quality care to large groups of individuals insured by Medicare. The health care clinics/systems
doctors or hospitals that join together are called which of the following? - answer✔Accountable Care
Organization (ACO)
Health care economics is concerned with making decisions so the benefits outweigh the cost of resource
utilization. What are two concepts that healthcare economics is concerned with in regard to fair
distribution of resources and allocation? - answer✔Equity and efficiency
What four elements need to be present for a malpractice lawsuit to be filed? - answer✔Duty of care,
Breach of standard of care, Injury, and Injury must be related to breach of the standard of care
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist role.
Mary has encountered over five incidences in which attending psychiatrists and medical residents have
been demeaning to nursing staff and not answering calls in the middle of the night or telling the nursing
staff to write orders and the MD would sign off in the a.m. Mary is concerned about errors and wants to
improve quality, reduce errors to promote safety. What concept is Mary employing? - answer✔Just
Culture
