PMHNP I - Exam 1 - Review Book
Questions
Mr Smithers, an involuntarily hospitalized patient experiencing psychotic symptoms,
refuses to take any of his ordered medication 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 that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good healthcare decisions and, therefore,
the nurse's best clinical judgment should guide actions - ANSWERS--C. As with any
client, psych clients can refuse treatment unless a legal process resulting in a
mandatory court order for treatment has been obtained.
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to:
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription of psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the NP role - ANSWERS--a.
Define the role and actions for the NP
The trend in legal rulings on cases involving mental illness over the past 25 years has
been to:
A - Encourage juries to find defendants not guilty by reason of insanity
B - Protect the individual's freedoms or rights when he or she is committed to a mental
hospital
C - Place increasing trust in mental health professionals to make good and ethical
decisions
, D - Decrease the "red tape" associated with commitments so that commitments are
faster and easier - ANSWERS--B. Identifies the trend of ensuring the protection of
individual civil liberties for psychiatric clients.
In forming a therapeutic relationship with clients, the PMHNP must consider developing
many characteristics that are known to be helpful in relationship-building. These
characteristics include all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment - ANSWERS--D - accuracy in assessment
Which of the following statements best reflects the difference between the nurse-client
(N-C) relationship and a social relationship? In the N-C relationship...
A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken so that the client can work on any
issue.
C - the nurse is solely responsible for making the relationship work.
D - there is no place for social interaction. - ANSWERS--A - the primary focus is on the
client and his needs.
Social relationships are mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most concerned with meeting the needs
of the client.
Although an important aspect of the PMHNP role, accuracy in assessment does not in
and of itself facilitate relationship building
According to the DSM-5, which of the following is true?
A. A mental disorder is equivalent to the need for treatment.
B. Diagnostic criteria are used to inform clinical judgment.
C. Socially deviant behavior is considered a mental disorder.
D. A culturally expected response to a stressor is not a mental disorder. - ANSWERS--D
- All DSM-5 disorders need to be made taking a person's culture into account. A cultural
expression of a response to grief, loss, or stress is not considered a DSM-5 dx.
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?
A. Collecting a family history
B. Like-mindedness
C. Authenticity
Questions
Mr Smithers, an involuntarily hospitalized patient experiencing psychotic symptoms,
refuses to take any of his ordered medication 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 that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good healthcare decisions and, therefore,
the nurse's best clinical judgment should guide actions - ANSWERS--C. As with any
client, psych clients can refuse treatment unless a legal process resulting in a
mandatory court order for treatment has been obtained.
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to:
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription of psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the NP role - ANSWERS--a.
Define the role and actions for the NP
The trend in legal rulings on cases involving mental illness over the past 25 years has
been to:
A - Encourage juries to find defendants not guilty by reason of insanity
B - Protect the individual's freedoms or rights when he or she is committed to a mental
hospital
C - Place increasing trust in mental health professionals to make good and ethical
decisions
, D - Decrease the "red tape" associated with commitments so that commitments are
faster and easier - ANSWERS--B. Identifies the trend of ensuring the protection of
individual civil liberties for psychiatric clients.
In forming a therapeutic relationship with clients, the PMHNP must consider developing
many characteristics that are known to be helpful in relationship-building. These
characteristics include all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment - ANSWERS--D - accuracy in assessment
Which of the following statements best reflects the difference between the nurse-client
(N-C) relationship and a social relationship? In the N-C relationship...
A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken so that the client can work on any
issue.
C - the nurse is solely responsible for making the relationship work.
D - there is no place for social interaction. - ANSWERS--A - the primary focus is on the
client and his needs.
Social relationships are mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most concerned with meeting the needs
of the client.
Although an important aspect of the PMHNP role, accuracy in assessment does not in
and of itself facilitate relationship building
According to the DSM-5, which of the following is true?
A. A mental disorder is equivalent to the need for treatment.
B. Diagnostic criteria are used to inform clinical judgment.
C. Socially deviant behavior is considered a mental disorder.
D. A culturally expected response to a stressor is not a mental disorder. - ANSWERS--D
- All DSM-5 disorders need to be made taking a person's culture into account. A cultural
expression of a response to grief, loss, or stress is not considered a DSM-5 dx.
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?
A. Collecting a family history
B. Like-mindedness
C. Authenticity
