ANCC PMHNP Exam () Expected Questions and
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pv Verified Answers, 100% Guarantee Pass pv pv pv pv
1. The purpose of the American Nurses Association's Psychiatric-Mental Health
pv pv pv pv pv pv pv pv pv
pv Nursing: Scope and Standards of Practice is to
pv pv pv pv pv pv pv
a. Define the role and actions for the NP
pv pv pv pv pv pv pv pv
b. Establish the legal authority for the prescription of psychotropic medications
pv pv pv pv pv pv pv pv pv pv
c. Define the legal statutes of the role of the PMHNP
pv pv pv pv pv pv pv pv pv pv
d. Define the differences between the physician role and the NP role
pv pv pv pv pv pv pv pv pv pv pv
Correct Answer: a pv pv
Explanation: The ANA's Scope and Standards of Practice outlines the professional
pv pv pv pv pv pv pv pv pv pv
pv role, functions, and responsibilities of the PMHNP. It defines the scope of practice,
pv pv pv pv pv pv pv pv pv pv pv pv
pv standards of care, and performance expectations for the role. It is a professional
pv pv pv pv pv pv pv pv pv pv pv pv
pv guideline, not a legal statute, which is established by state boards of nursing.
pv pv pv pv pv pv pv pv pv pv pv pv
2. Primary prevention care practices are an essential aspect of the PMHNP role.
pv pv pv pv pv pv pv pv pv pv pv pv
pv Which of the following is the best example of a primary prevention care
pv pv pv pv pv pv pv pv pv pv pv pv
pv strategy for community behavioral health?
pv pv pv pv
a. Aftercare program for chronically mentally ill clients recently discharged from the
pv pv pv pv pv pv pv pv pv pv pv
pv hospital
b. Court-ordered counseling for abusive parents
pv pv pv pv pv
c. 24-hour crisis hotlines
pv pv pv
d. Parenting skills classes for pregnant adolescents
pv pv pv pv pv pv
Correct Answer: d pv pv
,Explanation: Primary prevention aims to prevent the initial occurrence of a disorder.
pv pv pv pv pv pv pv pv pv pv pv
pv Parenting skills classes for pregnant adolescents are designed to strengthen family
pv pv pv pv pv pv pv pv pv pv
pv capacities and prevent future issues like depression or drug use in the children,
pv pv pv pv pv pv pv pv pv pv pv pv
pv making it a primary prevention strategy. Aftercare and crisis hotlines are
pv pv pv pv pv pv pv pv pv pv
pv tertiary/secondary, and court-ordered counseling is a specific intervention. pv pv pv pv pv pv pv
3. The trend in legal rulings on cases involving mental illness over the past 25
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv years has been topv pv pv
a. Encourage juries to find defendants not guilty by reason of insanity
pv pv pv pv pv pv pv pv pv pv pv
b. Protect the person's freedoms or rights when he or she is committed to a mental
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv hospital
c. Place increasing trust in mental health professionals to make good and ethical
pv pv pv pv pv pv pv pv pv pv pv pv
pv decisions
d. Decrease the "red tape" associated with commitments so that commitments are
pv pv pv pv pv pv pv pv pv pv pv
pv faster and easierpv pv
Correct Answer: b pv pv
Explanation: The legal trend in recent decades has been to emphasize and protect
pv pv pv pv pv pv pv pv pv pv pv pv
pv the civil liberties and individual rights of persons with mental illness. This is reflected
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv in more stringent criteria for involuntary commitment and greater due process
pv pv pv pv pv pv pv pv pv pv
pv protections for individuals facing psychiatric hospitalization to prevent unjustified loss
pv pv pv pv pv pv pv pv pv
pv of freedom.
pv
4. Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic
pv pv pv pv pv pv pv pv
pv symptoms, refuses to take any of his ordered medication because he believes
pv pv pv pv pv pv pv pv pv pv pv
pv "Jesus Christ told me I am the prophet and must fast for a year." Your actions
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv should be based on your knowledge of which of the following?
pv pv pv pv pv pv pv pv pv pv
a. Psychiatric clients cannot refuse treatment
pv pv pv pv pv
b. Psychiatric clients do not always know what is good for them
pv pv pv pv pv pv pv pv pv pv pv
,c. Psychiatric clients can refuse treatment
pv pv pv pv pv
d. Psychiatric clients cannot be trusted to make good healthcare decisions and,
pv pv pv pv pv pv pv pv pv pv pv
pv therefore, the nurse's best clinical judgment should guide actions
pv pv pv pv pv pv pv pv
Correct Answer: c pv pv
Explanation: Even individuals who are involuntarily hospitalized generally retain the
pv pv pv pv pv pv pv pv pv
pv right to refuse treatment, including medication, unless a specific legal process has
pv pv pv pv pv pv pv pv pv pv pv
pv been completed. This process typically requires a court order or an independent
pv pv pv pv pv pv pv pv pv pv pv
pv clinical review determining that the patient lacks capacity to make such a decision or
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv poses an imminent danger to self or others.
pv pv pv pv pv pv pv
5. Which of the following statements best reflects the difference between the
pv pv pv pv pv pv pv pv pv pv pv
pv nurse-client (N-C) relationship and a social relationship? pv pv pv pv pv pv
a. In the N-C relationship, the primary focus is on the client and the client's needs.
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
b. Goals in the N-C relationship are deliberately left vague and unspoken so that the
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv client can work on any issue.
pv pv pv pv pv
c. In the N-C relationship, the nurse is solely responsible for making the relationship
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv work.
d. In the N-C relationship, there is no place for social interaction.
pv pv pv pv pv pv pv pv pv pv pv
Correct Answer: a pv pv
Explanation: The therapeutic nurse-client relationship is purposefully designed to be
pv pv pv pv pv pv pv pv pv
pv client-centered, with the primary focus on meeting the client's needs and achieving
pv pv pv pv pv pv pv pv pv pv pv
pv the client's therapeutic goals. This contrasts with a social relationship, which is mutual
pv pv pv pv pv pv pv pv pv pv pv pv
pv and aims to meet the needs of all parties involved.
pv pv pv pv pv pv pv pv pv
6. A community has an unusually high incidence of depression and drug use
pv pv pv pv pv pv pv pv pv pv pv pv
pv among the teenage population. The public health nurses decide to address this
pv pv pv pv pv pv pv pv pv pv pv
pv problem, in part, by modifying the environment and strengthening the
pv pv pv pv pv pv pv pv pv
pv capacities of families to prevent the development of new cases of depression
pv pv pv pv pv pv pv pv pv pv pv
, pv and drug use. What is this an example of?
pv pv pv pv pv pv pv pv
a. Primary prevention
pv pv
b. Secondary prevention
pv pv
c. Tertiary prevention
pv pv
d. Protective factorial prevention
pv pv pv
Correct Answer: a pv pv
Explanation: This action describes primary prevention, which aims to reduce the
pv pv pv pv pv pv pv pv pv pv
pv incidence (new cases) of a disorder in a population. By modifying the environment
pv pv pv pv pv pv pv pv pv pv pv pv
pv and strengthening families, the nurses are intervening before the onset of the disease
pv pv pv pv pv pv pv pv pv pv pv pv
pv to prevent it from occurring in the first place.
pv pv pv pv pv pv pv pv
7. Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv she wishes to leave because "this place can't help me." The best nursing action
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv that reflects the legal right of this client is
pv pv pv pv pv pv pv pv
a. Discharge the client
pv pv pv
b. Explain that the client cannot leave until you can complete further assessment
pv pv pv pv pv pv pv pv pv pv pv pv
c. Allow the client to leave but have her sign forms stating she is leaving against
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv medical advice pv
d. Immediately start the paperwork to commit the client and to allow you to treat her
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv against her wishes pv pv
Correct Answer: b pv pv
Explanation: Even with a voluntary admission, most states allow for a brief period of
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv detainment (e.g., for evaluation) if a patient expresses a desire to leave. This allows
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv staff to assess the patient for dangerousness to self or others before discharge,
pv pv pv pv pv pv pv pv pv pv pv pv
pv ensuring safety and compliance with legal requirements for potential involuntary
pv pv pv pv pv pv pv pv pv
pv commitment if criteria are met. pv pv pv pv
pv pv pv pv pv pv pv pv
pv Verified Answers, 100% Guarantee Pass pv pv pv pv
1. The purpose of the American Nurses Association's Psychiatric-Mental Health
pv pv pv pv pv pv pv pv pv
pv Nursing: Scope and Standards of Practice is to
pv pv pv pv pv pv pv
a. Define the role and actions for the NP
pv pv pv pv pv pv pv pv
b. Establish the legal authority for the prescription of psychotropic medications
pv pv pv pv pv pv pv pv pv pv
c. Define the legal statutes of the role of the PMHNP
pv pv pv pv pv pv pv pv pv pv
d. Define the differences between the physician role and the NP role
pv pv pv pv pv pv pv pv pv pv pv
Correct Answer: a pv pv
Explanation: The ANA's Scope and Standards of Practice outlines the professional
pv pv pv pv pv pv pv pv pv pv
pv role, functions, and responsibilities of the PMHNP. It defines the scope of practice,
pv pv pv pv pv pv pv pv pv pv pv pv
pv standards of care, and performance expectations for the role. It is a professional
pv pv pv pv pv pv pv pv pv pv pv pv
pv guideline, not a legal statute, which is established by state boards of nursing.
pv pv pv pv pv pv pv pv pv pv pv pv
2. Primary prevention care practices are an essential aspect of the PMHNP role.
pv pv pv pv pv pv pv pv pv pv pv pv
pv Which of the following is the best example of a primary prevention care
pv pv pv pv pv pv pv pv pv pv pv pv
pv strategy for community behavioral health?
pv pv pv pv
a. Aftercare program for chronically mentally ill clients recently discharged from the
pv pv pv pv pv pv pv pv pv pv pv
pv hospital
b. Court-ordered counseling for abusive parents
pv pv pv pv pv
c. 24-hour crisis hotlines
pv pv pv
d. Parenting skills classes for pregnant adolescents
pv pv pv pv pv pv
Correct Answer: d pv pv
,Explanation: Primary prevention aims to prevent the initial occurrence of a disorder.
pv pv pv pv pv pv pv pv pv pv pv
pv Parenting skills classes for pregnant adolescents are designed to strengthen family
pv pv pv pv pv pv pv pv pv pv
pv capacities and prevent future issues like depression or drug use in the children,
pv pv pv pv pv pv pv pv pv pv pv pv
pv making it a primary prevention strategy. Aftercare and crisis hotlines are
pv pv pv pv pv pv pv pv pv pv
pv tertiary/secondary, and court-ordered counseling is a specific intervention. pv pv pv pv pv pv pv
3. The trend in legal rulings on cases involving mental illness over the past 25
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv years has been topv pv pv
a. Encourage juries to find defendants not guilty by reason of insanity
pv pv pv pv pv pv pv pv pv pv pv
b. Protect the person's freedoms or rights when he or she is committed to a mental
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv hospital
c. Place increasing trust in mental health professionals to make good and ethical
pv pv pv pv pv pv pv pv pv pv pv pv
pv decisions
d. Decrease the "red tape" associated with commitments so that commitments are
pv pv pv pv pv pv pv pv pv pv pv
pv faster and easierpv pv
Correct Answer: b pv pv
Explanation: The legal trend in recent decades has been to emphasize and protect
pv pv pv pv pv pv pv pv pv pv pv pv
pv the civil liberties and individual rights of persons with mental illness. This is reflected
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv in more stringent criteria for involuntary commitment and greater due process
pv pv pv pv pv pv pv pv pv pv
pv protections for individuals facing psychiatric hospitalization to prevent unjustified loss
pv pv pv pv pv pv pv pv pv
pv of freedom.
pv
4. Mr. Smithers, an involuntarily hospitalized patient experiencing psychotic
pv pv pv pv pv pv pv pv
pv symptoms, refuses to take any of his ordered medication because he believes
pv pv pv pv pv pv pv pv pv pv pv
pv "Jesus Christ told me I am the prophet and must fast for a year." Your actions
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv should be based on your knowledge of which of the following?
pv pv pv pv pv pv pv pv pv pv
a. Psychiatric clients cannot refuse treatment
pv pv pv pv pv
b. Psychiatric clients do not always know what is good for them
pv pv pv pv pv pv pv pv pv pv pv
,c. Psychiatric clients can refuse treatment
pv pv pv pv pv
d. Psychiatric clients cannot be trusted to make good healthcare decisions and,
pv pv pv pv pv pv pv pv pv pv pv
pv therefore, the nurse's best clinical judgment should guide actions
pv pv pv pv pv pv pv pv
Correct Answer: c pv pv
Explanation: Even individuals who are involuntarily hospitalized generally retain the
pv pv pv pv pv pv pv pv pv
pv right to refuse treatment, including medication, unless a specific legal process has
pv pv pv pv pv pv pv pv pv pv pv
pv been completed. This process typically requires a court order or an independent
pv pv pv pv pv pv pv pv pv pv pv
pv clinical review determining that the patient lacks capacity to make such a decision or
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv poses an imminent danger to self or others.
pv pv pv pv pv pv pv
5. Which of the following statements best reflects the difference between the
pv pv pv pv pv pv pv pv pv pv pv
pv nurse-client (N-C) relationship and a social relationship? pv pv pv pv pv pv
a. In the N-C relationship, the primary focus is on the client and the client's needs.
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
b. Goals in the N-C relationship are deliberately left vague and unspoken so that the
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv client can work on any issue.
pv pv pv pv pv
c. In the N-C relationship, the nurse is solely responsible for making the relationship
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv work.
d. In the N-C relationship, there is no place for social interaction.
pv pv pv pv pv pv pv pv pv pv pv
Correct Answer: a pv pv
Explanation: The therapeutic nurse-client relationship is purposefully designed to be
pv pv pv pv pv pv pv pv pv
pv client-centered, with the primary focus on meeting the client's needs and achieving
pv pv pv pv pv pv pv pv pv pv pv
pv the client's therapeutic goals. This contrasts with a social relationship, which is mutual
pv pv pv pv pv pv pv pv pv pv pv pv
pv and aims to meet the needs of all parties involved.
pv pv pv pv pv pv pv pv pv
6. A community has an unusually high incidence of depression and drug use
pv pv pv pv pv pv pv pv pv pv pv pv
pv among the teenage population. The public health nurses decide to address this
pv pv pv pv pv pv pv pv pv pv pv
pv problem, in part, by modifying the environment and strengthening the
pv pv pv pv pv pv pv pv pv
pv capacities of families to prevent the development of new cases of depression
pv pv pv pv pv pv pv pv pv pv pv
, pv and drug use. What is this an example of?
pv pv pv pv pv pv pv pv
a. Primary prevention
pv pv
b. Secondary prevention
pv pv
c. Tertiary prevention
pv pv
d. Protective factorial prevention
pv pv pv
Correct Answer: a pv pv
Explanation: This action describes primary prevention, which aims to reduce the
pv pv pv pv pv pv pv pv pv pv
pv incidence (new cases) of a disorder in a population. By modifying the environment
pv pv pv pv pv pv pv pv pv pv pv pv
pv and strengthening families, the nurses are intervening before the onset of the disease
pv pv pv pv pv pv pv pv pv pv pv pv
pv to prevent it from occurring in the first place.
pv pv pv pv pv pv pv pv
7. Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours, she states
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv she wishes to leave because "this place can't help me." The best nursing action
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv that reflects the legal right of this client is
pv pv pv pv pv pv pv pv
a. Discharge the client
pv pv pv
b. Explain that the client cannot leave until you can complete further assessment
pv pv pv pv pv pv pv pv pv pv pv pv
c. Allow the client to leave but have her sign forms stating she is leaving against
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv medical advice pv
d. Immediately start the paperwork to commit the client and to allow you to treat her
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
pv against her wishes pv pv
Correct Answer: b pv pv
Explanation: Even with a voluntary admission, most states allow for a brief period of
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv detainment (e.g., for evaluation) if a patient expresses a desire to leave. This allows
pv pv pv pv pv pv pv pv pv pv pv pv pv
pv staff to assess the patient for dangerousness to self or others before discharge,
pv pv pv pv pv pv pv pv pv pv pv pv
pv ensuring safety and compliance with legal requirements for potential involuntary
pv pv pv pv pv pv pv pv pv
pv commitment if criteria are met. pv pv pv pv
