PMHNP ANCC Review Questions/ PMHNP I - Exam 1||
Verified And Accurate Answers||Grantee Pass
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
Answer>a. the anas psych-mental health nursing scope and standards of
practice defines the role and actions of the nurse practitioner.
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
Answer>b. identifies the trend of ensuring the protection of individual civil
liberties for psychiatric clients.
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
1
,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
Answer>c. as with any client, psychiatric clients can refuse treatment
unless a legal process resulting in involuntary commitment or mandatory
court order for treatment has been obtained.
which of the following statements best reflects the difference between the
nurse-client (n-c) relationship and a social relationship?
a.in the n-c relationship, the primary focus is on the client and the client's
needs.
b.goals in the n-c relationship are deliberately left vague and unspoken so
that the client can work on any issue.
c. in the n-c relationship, the nurse is solely responsible for making the
relationship work.
d.in the n-c relationship, there is no place for social interaction.
Answer>a. 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.
a community has an unusually high incidence of depression and drug use
among the teenage population. the public health nurses decide to address
this problem, in part, by modifying the environment and strengthening the
capacities of families to prevent the development of new cases of depression
and drug use. what is this is an example of?
a.primary prevention
b.secondary prevention
c. tertiary prevention
d.protective factorial prevention
Answer>a. this action focuses on interventions designed to reduce the
incidence of new cases of disease.
1
,mrs. kemp is voluntarily admitted to the hospital. after 24 hours, she states
she wishes to leave because "this place can't help me." the best nursing
action that reflects the legal right of this client is
a.discharge the client
b.explain that the client cannot leave until you can complete further
assessment
c. allow the client to leave but have her sign forms stating she is leaving
against medical advice
d.immediately start the paperwork to commit the client and to allow you to
treat her against her wishes
Answer>b. almost every state allows for a brief for a period detainment to
assess a client for dangerousness to self or others before allowing the client
to leave a hospital setting, even if the admission was voluntary.
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
d.accuracy in assessment
Answer>c. authenticity. being genuine, honest, and respectful are essential
elements in establishing a working relationship with any client. like-
mindedness is not a part of the therapeutic relationship. although an
important aspect of the pmhnp role, collecting a family history and accuracy
in assessment does not in and of itself facilitate relationship building.
according to the dsm-5, which of the following is true? (ch. 3)
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.
1
, d.a culturally expected response to a stressor is not a mental disorder.
Answer>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 diagnosis.
mrs. french has been in individual therapy for 3 months. she has shown
much growth and improvement in her functioning and insight and is to
discontinue services within the next few weeks. in the next session, after you
discuss service termination, she suddenly begins to demonstrate the original
symptoms that had brought her to treatment initially. she is now hesitant to
discharge, wants to continue services, and is displaying an increase in
regressive defense mechanisms. what is the best explanation for ms.
french's behavior?
a.an exacerbation of her symptoms related to stress
b.the normal cyclic nature of chronic mental health symptoms
c. a sign of normal resistance to termination seen in the termination phase of
therapy
d.a sign of pathological attachment to the therapist that must be addressed
Answer>c. clients frequently display resistance and regression at the
termination of a meaningful therapeutic process. the pmhnp is responsible
for planning an effective termination and monitoring clients during the
termination period.
a client is displaying low self-esteem, poor self-control, self-doubt, and a high
level of dependency. these behaviors indicate developmental failure of which
of the following stages of development:
a.infancy
b.early childhood
c. late childhood
d.school age
Answer>b. these signs indicate developmental failure of early childhood.
1
Verified And Accurate Answers||Grantee Pass
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
Answer>a. the anas psych-mental health nursing scope and standards of
practice defines the role and actions of the nurse practitioner.
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
Answer>b. identifies the trend of ensuring the protection of individual civil
liberties for psychiatric clients.
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
1
,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
Answer>c. as with any client, psychiatric clients can refuse treatment
unless a legal process resulting in involuntary commitment or mandatory
court order for treatment has been obtained.
which of the following statements best reflects the difference between the
nurse-client (n-c) relationship and a social relationship?
a.in the n-c relationship, the primary focus is on the client and the client's
needs.
b.goals in the n-c relationship are deliberately left vague and unspoken so
that the client can work on any issue.
c. in the n-c relationship, the nurse is solely responsible for making the
relationship work.
d.in the n-c relationship, there is no place for social interaction.
Answer>a. 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.
a community has an unusually high incidence of depression and drug use
among the teenage population. the public health nurses decide to address
this problem, in part, by modifying the environment and strengthening the
capacities of families to prevent the development of new cases of depression
and drug use. what is this is an example of?
a.primary prevention
b.secondary prevention
c. tertiary prevention
d.protective factorial prevention
Answer>a. this action focuses on interventions designed to reduce the
incidence of new cases of disease.
1
,mrs. kemp is voluntarily admitted to the hospital. after 24 hours, she states
she wishes to leave because "this place can't help me." the best nursing
action that reflects the legal right of this client is
a.discharge the client
b.explain that the client cannot leave until you can complete further
assessment
c. allow the client to leave but have her sign forms stating she is leaving
against medical advice
d.immediately start the paperwork to commit the client and to allow you to
treat her against her wishes
Answer>b. almost every state allows for a brief for a period detainment to
assess a client for dangerousness to self or others before allowing the client
to leave a hospital setting, even if the admission was voluntary.
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
d.accuracy in assessment
Answer>c. authenticity. being genuine, honest, and respectful are essential
elements in establishing a working relationship with any client. like-
mindedness is not a part of the therapeutic relationship. although an
important aspect of the pmhnp role, collecting a family history and accuracy
in assessment does not in and of itself facilitate relationship building.
according to the dsm-5, which of the following is true? (ch. 3)
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.
1
, d.a culturally expected response to a stressor is not a mental disorder.
Answer>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 diagnosis.
mrs. french has been in individual therapy for 3 months. she has shown
much growth and improvement in her functioning and insight and is to
discontinue services within the next few weeks. in the next session, after you
discuss service termination, she suddenly begins to demonstrate the original
symptoms that had brought her to treatment initially. she is now hesitant to
discharge, wants to continue services, and is displaying an increase in
regressive defense mechanisms. what is the best explanation for ms.
french's behavior?
a.an exacerbation of her symptoms related to stress
b.the normal cyclic nature of chronic mental health symptoms
c. a sign of normal resistance to termination seen in the termination phase of
therapy
d.a sign of pathological attachment to the therapist that must be addressed
Answer>c. clients frequently display resistance and regression at the
termination of a meaningful therapeutic process. the pmhnp is responsible
for planning an effective termination and monitoring clients during the
termination period.
a client is displaying low self-esteem, poor self-control, self-doubt, and a high
level of dependency. these behaviors indicate developmental failure of which
of the following stages of development:
a.infancy
b.early childhood
c. late childhood
d.school age
Answer>b. these signs indicate developmental failure of early childhood.
1
