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The purpose of the American Nurses Association's Psychiatric-Mental Health
Nursing:
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
Correct Answer: A.
The ANA’s Psychiatric–Mental Health Nursing: Scope and Standards of
Practice defines the role and actions of the nurse practitioner.
REF: Pg. 16
Primary prevention care practices are an essential aspect of the PMHNP role.
Which of the following is the best example of a primary prevention care
strategy for community behavioral health?
a. Aftercare program for chronically mentally ill clients recently discharged
from the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
Correct Answer: D.
Information reduces incidence of disease.
REF: Pg. 103
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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 person'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
Correct Answer: B.
Identifies the trend of ensuring the protection of individual civil liberties for
psychiatric clients.
REF: Pg. 20, 21
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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 of which of the following?
a. Psychiatric clients cannot refuse treatment
b. Psychiatric clients do not always know what is good for them
c. Psychiatric clients can refuse treatment
d. Psychiatric clients cannot be trusted to make good healthcare
decisions and, therefore, the nurse's best clinical judgment should
guide actions
Correct Answer: C.
As with any client, psychiatric clients can refuse treatment un-less a legal process
resulting in involuntary commitment or mandatory court order for treatment
has been obtained.
REF: Pg. 19, 31
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Dopamine is produced in which of the following locations:
a. Locus ceruleus
b. Nucleus basalis
c. Raphe nuclei
d. Substantia nigra
Correct Answer: D.
Dopamine is produced in the substantia nigra.
REF: Pg. 69
A client presents with complaints of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the
neuroanatomical area of the brain
that is responsible for the normal regulation of these functions?
a. Thalamus
b. Hypothalamus
c. Limbic system
d. Hippocampus
Correct Answer: B.
Appetite, sleep, and libido are regulated by the hypothalamus
REF: Pg. 66
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