A mother brings in her 7-year-old son for a psychiatric follow-up visit with the
PMHNP. This is the fourth visit the PMHNP has had with the client, his mother, and his
younger sister, Renee, now 7 months old. You notice that she ahs a decrease in head
growth, along with stereotypic motions of the hands, often licking and slapping.
Renee has also lost her language skills. What medical condition do you suspect
Renee has developed?
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Rett syndrome.
Defense mechanisms are best viewed as a function of the ego:
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, Used to resolve a conflict.
You have been working with a 54-year-old man who has been treated for
schizophrenia since age 19. He has limited social interactions, likes to be alone, and
has never dated nor had a desire to date. His symptoms are best explained by which
of the following?
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Negative symptoms.
The purpose of the American Nurses Association's Psychiatric-Mental Health Nursing:
Scope and Standards of Practice is to:
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Define the role and actions for the NP.
When working in individual psychotherapy with a client who has a personality
disorder, what are the primary treatment goals?
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Assist the client in changing dysfunctional interpersonal relationships and
use of immature defense mechanisms.
,What is the best treatment for AIDS dementia complex?
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Antiretroviral therapy.
Which of the following is a function of the psychiatric interview?
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Identify the mental health needs of the client.
A client with bipolar I disorder presents to your PMHNP office for a follow-up visit.
During the visit the client informs you that he no longer wants to be treated with
medication, and he does not have bipolar disorder, that was a misdiagnosis. He
further informs you he stopped all his medication 2 months ago and is here to thank
you for your care and tell you that he no longer needs follow-up appointments.
Understanding the ethical conflict, you use which of the following ethical principles in
working with this client?
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Autonomy.
A client who is experiencing difficulties with working memory, planning and
prioritizing, insight into his problems, and impulse control presents for assessment. In
, planning his care, the PMHNP should apply his or her knowledge that these
symptoms represent problems with the:
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Frontal lobe.
In assessing a client, you ask him the meaning of the proverb "People who live in glass
houses shouldn't throw stones." He replies, "Because it will break the windows." The
correct interpretation of this finding is:
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Unable to interpret the finding without knowing the client's age.
As a PMHNP working in a crisis evaluation center, you are aware that the initial focus
of a crisis assessment is on which of the following?
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Safety of the client and others.
In considering whether to order an MRI of the head for a client, which of the
following would be a contraindication to this diagnostic test?
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PMHNP. This is the fourth visit the PMHNP has had with the client, his mother, and his
younger sister, Renee, now 7 months old. You notice that she ahs a decrease in head
growth, along with stereotypic motions of the hands, often licking and slapping.
Renee has also lost her language skills. What medical condition do you suspect
Renee has developed?
Give this one a try later!
Rett syndrome.
Defense mechanisms are best viewed as a function of the ego:
Give this one a try later!
, Used to resolve a conflict.
You have been working with a 54-year-old man who has been treated for
schizophrenia since age 19. He has limited social interactions, likes to be alone, and
has never dated nor had a desire to date. His symptoms are best explained by which
of the following?
Give this one a try later!
Negative symptoms.
The purpose of the American Nurses Association's Psychiatric-Mental Health Nursing:
Scope and Standards of Practice is to:
Give this one a try later!
Define the role and actions for the NP.
When working in individual psychotherapy with a client who has a personality
disorder, what are the primary treatment goals?
Give this one a try later!
Assist the client in changing dysfunctional interpersonal relationships and
use of immature defense mechanisms.
,What is the best treatment for AIDS dementia complex?
Give this one a try later!
Antiretroviral therapy.
Which of the following is a function of the psychiatric interview?
Give this one a try later!
Identify the mental health needs of the client.
A client with bipolar I disorder presents to your PMHNP office for a follow-up visit.
During the visit the client informs you that he no longer wants to be treated with
medication, and he does not have bipolar disorder, that was a misdiagnosis. He
further informs you he stopped all his medication 2 months ago and is here to thank
you for your care and tell you that he no longer needs follow-up appointments.
Understanding the ethical conflict, you use which of the following ethical principles in
working with this client?
Give this one a try later!
Autonomy.
A client who is experiencing difficulties with working memory, planning and
prioritizing, insight into his problems, and impulse control presents for assessment. In
, planning his care, the PMHNP should apply his or her knowledge that these
symptoms represent problems with the:
Give this one a try later!
Frontal lobe.
In assessing a client, you ask him the meaning of the proverb "People who live in glass
houses shouldn't throw stones." He replies, "Because it will break the windows." The
correct interpretation of this finding is:
Give this one a try later!
Unable to interpret the finding without knowing the client's age.
As a PMHNP working in a crisis evaluation center, you are aware that the initial focus
of a crisis assessment is on which of the following?
Give this one a try later!
Safety of the client and others.
In considering whether to order an MRI of the head for a client, which of the
following would be a contraindication to this diagnostic test?
Give this one a try later!
