PMHNP 4th Edition Review Questions
The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and Standard
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of Practices to - Define the role and actions for the NP
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Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following is the
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best example of a primary prevention care strategy for community behavioral health? - Parenting skills
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classes for pregnant adolescents
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The trend in legal ruling on cases involving mental illness over the past 25 years has been to - Protect the
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person's freedoms or rights when he or she is committed to a mental hospital
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Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to take any
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of his ordered meication because he believes "Jesus Christ told me I am the prophet and must fast for a
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year." Your actions should be based on your knowledge of which of the following? - Psychiatric clients can
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refuse treatments
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Which of the following statements best reflects the difference between the nurse-client (N-C) relationship
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and a social relationship - In the N-C relationship, the primary focus is on the client and the client's needs.
h h h h h h h h h h h h h h h h h h h h
A community has an unusually high incidence of depression and drug use among the teenage population.
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The public health nurses decide to address this problem, in part, by modifying the environment and
h h h h h h h h h h h h h h h h
strengthening the capacities of families to prevent the development of new cases of depression and drug
h h h h h h h h h h h h h h h h
use. What is this is an example of? - Primary Prevention
h h h h h h h h h h h
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes to leave because
h h h h h h h h h h h h h h h h h
"this place can't help me." The best nursing action that reflects the legal right of this client is - Explain that
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the client cannot leave until you can complete further assessment
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, In forming a therapeutic relationship with clients, the PMHNP must consider developing many
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characteristics that are known to be helpful in relationship-building. Which of the following is an essential
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part of building a therapeutic relationship? - Authenticity
h h h h h h h h
According to the DSM-5, which of the following is true? (Ch. 3) - A culturally expected response to a stressor
h h h h h h h h h h h h h h h h h h h
is not a mental disorder
h h h h h
Mrs. French has been in individual therapy for 3 months. She has shown much growth and improvement in
h h h h h h h h h h h h h h h h h
her functioning and insight and is to discontinue services within the next few weeks. In the next session,
h h h h h h h h h h h h h h h h h h
after you discuss service termination, she suddenly begins to demonstrate the original symptoms that had
h h h h h h h h h h h h h h h
brought her to treatment initially. She is now hesitant to discharge, wants to continue services, and is
h h h h h h h h h h h h h h h h h
displaying an increase in regressive defense mechanisms. What is the best explanation for Ms. French's
h h h h h h h h h h h h h h h
behavior? - A sign of normal resistance to termination seen in the termination phase of therapy
h h h h h h h h h h h h h h h h
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of dependency. These
h h h h h h h h h h h h h h h
behaviors indicate developmental failure of which of the following stages of development: - Early
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childhood
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Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or what time
h h h h h h h h h h h h h h h h h
appointments are scheduled, and he has stated that he thinks these are just random behaviors that have no
h h h h h h h h h h h h h h h h h h
particular meaning. Which Freudian-based psychodynamic principle assumes that all behavior and actions
h h h h h h h h h h h h
are purposeful? - Psychic determinism principle
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An example of a mature, healthy defense mechanism is - Suppression
h h h h h h h h h h
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing his
h h h h h h h h h h h h h h h h h
current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most likely an
h h h h h h h h h h h h h h h h h h h h
example of - Immature regressive defense mechanism
h h h h h h h
Defense mechanisms are best viewed as a function of the ego - Used to resolve a conflict
h h h h h h h h h h h h h h h h
The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and Standard
h h h h h h h h h h h h h h
of Practices to - Define the role and actions for the NP
h h h h h h h h h h h h
Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following is the
h h h h h h h h h h h h h h h h h
best example of a primary prevention care strategy for community behavioral health? - Parenting skills
h h h h h h h h h h h h h h h
classes for pregnant adolescents
h h h h
The trend in legal ruling on cases involving mental illness over the past 25 years has been to - Protect the
h h h h h h h h h h h h h h h h h h h h
person's freedoms or rights when he or she is committed to a mental hospital
h h h h h h h h h h h h h h
Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to take any
h h h h h h h h h h h h
of his ordered meication because he believes "Jesus Christ told me I am the prophet and must fast for a
h h h h h h h h h h h h h h h h h h h h
year." Your actions should be based on your knowledge of which of the following? - Psychiatric clients can
h h h h h h h h h h h h h h h h h h
refuse treatments
h h
Which of the following statements best reflects the difference between the nurse-client (N-C) relationship
h h h h h h h h h h h h h
and a social relationship - In the N-C relationship, the primary focus is on the client and the client's needs.
h h h h h h h h h h h h h h h h h h h h
A community has an unusually high incidence of depression and drug use among the teenage population.
h h h h h h h h h h h h h h h
The public health nurses decide to address this problem, in part, by modifying the environment and
h h h h h h h h h h h h h h h h
strengthening the capacities of families to prevent the development of new cases of depression and drug
h h h h h h h h h h h h h h h h
use. What is this is an example of? - Primary Prevention
h h h h h h h h h h h
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states she wishes to leave because
h h h h h h h h h h h h h h h h h
"this place can't help me." The best nursing action that reflects the legal right of this client is - Explain that
h h h h h h h h h h h h h h h h h h h h h
the client cannot leave until you can complete further assessment
h h h h h h h h h h
, In forming a therapeutic relationship with clients, the PMHNP must consider developing many
h h h h h h h h h h h h
characteristics that are known to be helpful in relationship-building. Which of the following is an essential
h h h h h h h h h h h h h h h h
part of building a therapeutic relationship? - Authenticity
h h h h h h h h
According to the DSM-5, which of the following is true? (Ch. 3) - A culturally expected response to a stressor
h h h h h h h h h h h h h h h h h h h
is not a mental disorder
h h h h h
Mrs. French has been in individual therapy for 3 months. She has shown much growth and improvement in
h h h h h h h h h h h h h h h h h
her functioning and insight and is to discontinue services within the next few weeks. In the next session,
h h h h h h h h h h h h h h h h h h
after you discuss service termination, she suddenly begins to demonstrate the original symptoms that had
h h h h h h h h h h h h h h h
brought her to treatment initially. She is now hesitant to discharge, wants to continue services, and is
h h h h h h h h h h h h h h h h h
displaying an increase in regressive defense mechanisms. What is the best explanation for Ms. French's
h h h h h h h h h h h h h h h
behavior? - A sign of normal resistance to termination seen in the termination phase of therapy
h h h h h h h h h h h h h h h h
A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of dependency. These
h h h h h h h h h h h h h h h
behaviors indicate developmental failure of which of the following stages of development: - Early
h h h h h h h h h h h h h h
childhood
h
Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or what time
h h h h h h h h h h h h h h h h h
appointments are scheduled, and he has stated that he thinks these are just random behaviors that have no
h h h h h h h h h h h h h h h h h h
particular meaning. Which Freudian-based psychodynamic principle assumes that all behavior and actions
h h h h h h h h h h h h
are purposeful? - Psychic determinism principle
h h h h h h
An example of a mature, healthy defense mechanism is - Suppression
h h h h h h h h h h
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing his
h h h h h h h h h h h h h h h h h
current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most likely an
h h h h h h h h h h h h h h h h h h h h
example of - Immature regressive defense mechanism
h h h h h h h
Defense mechanisms are best viewed as a function of the ego - Used to resolve a conflict
h h h h h h h h h h h h h h h h
