NSG 679 PMHNP Exam Questions With Complete Solutions
A 22-year-old client diagnosed with schizophrenia is refusing
antipsychotic medication. The client states, "I don't like the
dopey way it makes me feel. I feel like I'm walking underwater
when I take it." the PMH nurse explains to the client, "Your
schizophrenia is caused by a chemical imbalance in your brain,
and this medication helps fix that chemical imbalance. You need
to take it so your symptoms will get better." This conversation
reflects a conflict between which two types of ethical principles?
A) Autonomy and justice
B) Paternalism and veracity
C) Justice and nonmaleficence
D) Autonomy and beneficence Correct Answers D
A 22-year-old college student received permanent traumatic
brain injury (TBI) as a consequence of an automobile accident
that resulted in the death of a close friend. The client feels guilty
about the friend's death. Which assessment would be a priority
for this client?
A) Risk for suicide
B) Level of depression
C) Social support systems
D) Financial status Correct Answers A
A child and the child's family visit a psychiatric outpatient
setting because the parent is concerned about the child's
behavior at school. The child scores 65 on the Global
Assessment of Functioning (GAF) scale. The PMH nurse
interprets this finding as which of the following?
,A) The child requires inpatient therapy.
B) The child is experiencing homicidal thoughts.
C) The child is functioning well in the area of school.
D) The child can be treated effectively as an outpatient. Correct
Answers D
A child with a tic disorder is prescribed medication as part of the
treatment plan. Which medication would the PMH nurse least
expect to be prescribed?
A) Aripiprazole
B) Haloperidol
C) Clonidine
D) Guanfacine Correct Answers B
A client attempted to inject diluted feces into his or her child's
intravenous line. The client has a history of similar attempts of
harming the child and has now been admitted to a mental health
unit. The PMH nurse would most likely suspect which
diagnosis?
A) Schizoid personality traits
B) Factitious disorder imposed on another
C) Functional neurologic symptoms
D) Borderline personality disorder Correct Answers B
A client comes to the emergency department due to symptoms
of a potential heart attack. Further assessment determines that
the client is not having a heart attack but is having a panic
attack. When beginning to interview the client, which question
would be most appropriate for the PMH nurse to ask?
,A) "Are you feeling much better now that you are lying down?"
B) "What did you experience just before and during the attack?"
C) "Do you think you will be able to drive home?"
D) "What do you think caused you to feel this way?" Correct
Answers B
A client diagnosed with a mental illness is receiving supportive
housing during a 24-hour period on an ongoing basis. Which
type service is the client most likely receiving?
A) Peer support services
B) Community supportive housing
C) Supervised living services
D) Community-based residential services Correct Answers D
A client diagnosed with dementia is having difficulty finding the
words that the client wants to use. When asked, the client could
not identify the shoes as "shoes." the PMH nurse interprets this
as which condition?
A) Agnosia
B) Aphasia
C) Apraxia
D) Confabulation Correct Answers B
A client diagnosed with obsessive-compulsive disorder (OCD)
comes to the clinic with a spouse. During the visit, the spouse
states, "It isn't normal to always be checking and rechecking to
ensure that all of the appliances are turned off before we go out.
It is nerve-wracking. We can never get out of the house on time.
"Isn't checking once enough?" Which explanation of this
behavior would the PMH nurse need to incorporate into the
response?
, A) The client is attempting to exert control over the situation.
B) The client performs the ritual to relieve anxiety temporarily.
C) The client's behavior reflects a need for safety.
D) The client is attempting to use thought stopping to decrease
the behavior. Correct Answers B
A client diagnosed with obsessive-compulsive disorder (OCD)
is receiving treatment that involves being subjected to situations
that are known to trigger anxiety. The client is asked not to
engage in performing the ritual behavior. Which type of therapy
is being used?
A) Thought stopping
B) Cognitive restructuring
C) Exposure and response prevention
D) Cue cards Correct Answers C
A client has been diagnosed with memory dysfunction
associated with Alzheimer's disease. The PMH nurse determines
that damage to the client's brain includes deterioration of
temporal lobe structures and the nerves of which area?
A) Basal ganglia
B) Limbic system
C) Frontal lobe
D) Hippocampus Correct Answers D
A client informs the PMH nurse that while on vacation at a
theme park, the sound of fireworks triggered an intense reminder
of a house fire experienced as a child. The client describes
experiencing the smells from the fire, choking sensations,
burning eyes, and images of the flames destroying the insides of
the home. Which symptom is experienced by the client?
A 22-year-old client diagnosed with schizophrenia is refusing
antipsychotic medication. The client states, "I don't like the
dopey way it makes me feel. I feel like I'm walking underwater
when I take it." the PMH nurse explains to the client, "Your
schizophrenia is caused by a chemical imbalance in your brain,
and this medication helps fix that chemical imbalance. You need
to take it so your symptoms will get better." This conversation
reflects a conflict between which two types of ethical principles?
A) Autonomy and justice
B) Paternalism and veracity
C) Justice and nonmaleficence
D) Autonomy and beneficence Correct Answers D
A 22-year-old college student received permanent traumatic
brain injury (TBI) as a consequence of an automobile accident
that resulted in the death of a close friend. The client feels guilty
about the friend's death. Which assessment would be a priority
for this client?
A) Risk for suicide
B) Level of depression
C) Social support systems
D) Financial status Correct Answers A
A child and the child's family visit a psychiatric outpatient
setting because the parent is concerned about the child's
behavior at school. The child scores 65 on the Global
Assessment of Functioning (GAF) scale. The PMH nurse
interprets this finding as which of the following?
,A) The child requires inpatient therapy.
B) The child is experiencing homicidal thoughts.
C) The child is functioning well in the area of school.
D) The child can be treated effectively as an outpatient. Correct
Answers D
A child with a tic disorder is prescribed medication as part of the
treatment plan. Which medication would the PMH nurse least
expect to be prescribed?
A) Aripiprazole
B) Haloperidol
C) Clonidine
D) Guanfacine Correct Answers B
A client attempted to inject diluted feces into his or her child's
intravenous line. The client has a history of similar attempts of
harming the child and has now been admitted to a mental health
unit. The PMH nurse would most likely suspect which
diagnosis?
A) Schizoid personality traits
B) Factitious disorder imposed on another
C) Functional neurologic symptoms
D) Borderline personality disorder Correct Answers B
A client comes to the emergency department due to symptoms
of a potential heart attack. Further assessment determines that
the client is not having a heart attack but is having a panic
attack. When beginning to interview the client, which question
would be most appropriate for the PMH nurse to ask?
,A) "Are you feeling much better now that you are lying down?"
B) "What did you experience just before and during the attack?"
C) "Do you think you will be able to drive home?"
D) "What do you think caused you to feel this way?" Correct
Answers B
A client diagnosed with a mental illness is receiving supportive
housing during a 24-hour period on an ongoing basis. Which
type service is the client most likely receiving?
A) Peer support services
B) Community supportive housing
C) Supervised living services
D) Community-based residential services Correct Answers D
A client diagnosed with dementia is having difficulty finding the
words that the client wants to use. When asked, the client could
not identify the shoes as "shoes." the PMH nurse interprets this
as which condition?
A) Agnosia
B) Aphasia
C) Apraxia
D) Confabulation Correct Answers B
A client diagnosed with obsessive-compulsive disorder (OCD)
comes to the clinic with a spouse. During the visit, the spouse
states, "It isn't normal to always be checking and rechecking to
ensure that all of the appliances are turned off before we go out.
It is nerve-wracking. We can never get out of the house on time.
"Isn't checking once enough?" Which explanation of this
behavior would the PMH nurse need to incorporate into the
response?
, A) The client is attempting to exert control over the situation.
B) The client performs the ritual to relieve anxiety temporarily.
C) The client's behavior reflects a need for safety.
D) The client is attempting to use thought stopping to decrease
the behavior. Correct Answers B
A client diagnosed with obsessive-compulsive disorder (OCD)
is receiving treatment that involves being subjected to situations
that are known to trigger anxiety. The client is asked not to
engage in performing the ritual behavior. Which type of therapy
is being used?
A) Thought stopping
B) Cognitive restructuring
C) Exposure and response prevention
D) Cue cards Correct Answers C
A client has been diagnosed with memory dysfunction
associated with Alzheimer's disease. The PMH nurse determines
that damage to the client's brain includes deterioration of
temporal lobe structures and the nerves of which area?
A) Basal ganglia
B) Limbic system
C) Frontal lobe
D) Hippocampus Correct Answers D
A client informs the PMH nurse that while on vacation at a
theme park, the sound of fireworks triggered an intense reminder
of a house fire experienced as a child. The client describes
experiencing the smells from the fire, choking sensations,
burning eyes, and images of the flames destroying the insides of
the home. Which symptom is experienced by the client?
