PSYCH NP Exam Newest Exam Preparation
With Complete 170 Questions And Correct
Answers | Already Graded A+||Brand New
Version!!
The psychiatric-mental health nurse practitioner conducts a class on practical social skills for a group
of patients with schizophrenia. This intervention exemplifies which level of prevention?
☐ Intermediate.
☐ Primary.
☐ Secondary.
☐ Tertiary.ary.
☐ Tertiary.
A patient with bipolar disorder tells the psychiatric-mental health nurse practitioner that he or she
is thinking about starting a family and wants to know the risk of a child inheriting bipolar disorder.
Which factor in the family history indicates an increased risk of bipolar disorder?
☐ Current genetic assay of the client indicates genetic variants.
☐ Multiple individuals with bipolar disorder over several generations.
☐ Multiple individuals with early age of death.
☐ Paternal family history is unknown.
☐ Current genetic assay of the client indicates genetic variants.\
As part of a psychiatric evaluation, a 35-year-old patient scores 28 on the Hamilton Rating Scale for
Depression . Which of the initial intervention for this patient?
☐ Assessing the patient's suicidal risk.
☐ Initiate an inpatient admission.
☐ Initiate antidepressant medication.
☐ Observing the patient for decreased symptoms of depression.
☐ Assessing the patient's suicidal risk.
,The psychiatric-mental health nurse practitioner evaluates a 16-year-old patient for anxiety. The
patient has a body mass index (BMI) of 14 and reports she never had her menses. Vital signs show a
heart rate of 45 beats/min, hypothermia, and orthostatic hypotension with lightheadedness. The
patient's parent dismisses concerns about the BMI and vital signs and refuses to seek urgent medical
evaluation, adding that he or she will pursue treatment elsewhere unless the patient receives a
prescription for anxiety. The nurse practitioner's priority is to:
☐ Establish a therapeutic alliance with the parent by prescribing a low-dose anxiolytic.
☐ Refer the patient to a pediatric endocrinologist.
☐ Report the case to child protective services.
☐ Request release of information to discuss findings with the patient's pediatrician
☐ Report the case to child protective services.
Question 1
A 45-year-old patient has been diagnosed with a frontal lobe tumor. The psychiatric-mental health
nurse practitioner anticipates that the patient may.
☐ Display difficulty solving problems
☐ Experience problems with balance and coordination
☐ Experience slurred speech
☐ Have difficulty with comprehension
☐ Display difficulty solving problems
The psychiatric-mental health nurse practitioner evaluates a 16-year-old patient for anxiety. The
patient has a body mass index (BMI) of 14 and reports she never had her menses. Vital signs show a
heart rate of 45 beats/min, hypothermia, and orthostatic hypotension with lightheadedness. The
patient's parent dismisses concerns about the BMI and vital signs and refuses to seek urgent medical
evaluation, adding that he or she will pursue treatment elsewhere unless the patient receives a
prescription for anxiety. The nurse practitioner's priority is to:
☐ Establish a therapeutic alliance with the parent by prescribing a low-dose anxiolytic.
☐ Refer the patient to a pediatric endocrinologist.
☐ Report the case to child protective services.
☐ Request release of information to discuss findings with the patient's pediatrician
☐ Report the case to child protective services.
As the first stage of overidentification in countertransference issues between a patient and a
therapist, dependency can result in subtle pathological bonding. The therapist may misinterpret the
patient’s reaction as:
☐ Cooperation and functioning.
,☐ Enmeshment.
☐ Idealization of the therapist.
☐ Overcommitment
☐ Enmeshment.
As the first stage of overidentification in countertransference issues between a patient and a
therapist, dependency can result in subtle pathological bonding. The therapist may misinterpret the
patient's reaction as:
☐ Cooperation and functioning.
☐ Enmeshment.-personal boundaries are unclear
☐ Idealization of the therapist.
☐ Overcommitment
☐ Enmeshment.-personal boundaries are unclear
A 30-year-old patient who is Hispanic and is being treated for depression following the death of a
parent one year ago reports to the psychiatric-mental health nurse practitioner that he or she
has chronic stomach aches that the primary care doctor has been unable to treat. The nurse
practitioner creates culturally sensitive care for the patient by:
☐ Providing psychoeducation about manifestations of the grief process.
☐ Sharing that Hispanic individuals often experience depression through stomach symptoms.
☐ Speaking to the primary care doctor to improve clinical care.
☐ Validating the patient’s experience within the context of his or her culture.
☐ Validating the patient's experience within the context of his or her culture.
Screening, brief intervention, and referral to treatment (SBIRT) is an assessment for which condition?
☐ Anxiety in adolescents.
☐ Autism spectrum disorder.
☐ Risk for suicide.
☐ Substance use disorder.
☐ Substance use disorder.
The psychiatric-mental health nurse practitioner assesses a patient who has admitted to injecting
fecal matter into his or her intravenous catheter. During the interview the patient admits to seeking
attention by playing the sick role. For what psychiatric diagnosis does the patient meet the criteria?
, ☐ Borderline personality disorder.
☐ Factitious disorder- could also inject bleach into his I.V
☐ Illness anxiety disorder.
☐ Malingering.
☐ Factitious disorder- could also inject bleach into his I.V
A patient's spouse arrives for a scheduled conjoint appointment at a mental health clinic. The patient,
a military service member, is not present. The psychiatric-mental health nurse practitioner's action is
to:
☐ Contact the service member to seek permission to meet independently with the spouse.
☐ Meet with the spouse to explore issues regarding the patient's progress.
☐ Notify the service member's commanding officer of the missed appointment.
☐ Reschedule for a time that is convenient for both the spouse and the patient.
☐ Reschedule for a time that is convenient for both the spouse and the patient.
A 65-year-old patient with bipolar disorder takes valsartan (Diovan) for hypertension and meloxicam
(Mobic) for osteoarthritis. The patient has a BMI OF 34 and states he or she is prediabetic
and concerned about weight gain. What is an appropriate mood stabilizer for this patient?
☐ Lamotrigine (Lamictal)
☐ Lithium carbonate.
☐ Olanzapine (Zyprexa)
☐ Oxcarbazepine (Trileptal).
☐ Lamotrigine (Lamictal)
A local school district in a predominantly military community contacts the psychiatric-mental health
nurse practitioner for information to help children cope the death of a parent. The nurse practitioner
emphasizes.
☐ Children should be encouraged to participate in activities to distract them from grief.
☐ Children should be given relaxed responsibilities during the grieving process.
☐ Grief precipitates problematic behavior, and teachers should set limits when children act out.
☐ Grief responses vary, and the more intact the family, the easier it is for the child to adapt.
With Complete 170 Questions And Correct
Answers | Already Graded A+||Brand New
Version!!
The psychiatric-mental health nurse practitioner conducts a class on practical social skills for a group
of patients with schizophrenia. This intervention exemplifies which level of prevention?
☐ Intermediate.
☐ Primary.
☐ Secondary.
☐ Tertiary.ary.
☐ Tertiary.
A patient with bipolar disorder tells the psychiatric-mental health nurse practitioner that he or she
is thinking about starting a family and wants to know the risk of a child inheriting bipolar disorder.
Which factor in the family history indicates an increased risk of bipolar disorder?
☐ Current genetic assay of the client indicates genetic variants.
☐ Multiple individuals with bipolar disorder over several generations.
☐ Multiple individuals with early age of death.
☐ Paternal family history is unknown.
☐ Current genetic assay of the client indicates genetic variants.\
As part of a psychiatric evaluation, a 35-year-old patient scores 28 on the Hamilton Rating Scale for
Depression . Which of the initial intervention for this patient?
☐ Assessing the patient's suicidal risk.
☐ Initiate an inpatient admission.
☐ Initiate antidepressant medication.
☐ Observing the patient for decreased symptoms of depression.
☐ Assessing the patient's suicidal risk.
,The psychiatric-mental health nurse practitioner evaluates a 16-year-old patient for anxiety. The
patient has a body mass index (BMI) of 14 and reports she never had her menses. Vital signs show a
heart rate of 45 beats/min, hypothermia, and orthostatic hypotension with lightheadedness. The
patient's parent dismisses concerns about the BMI and vital signs and refuses to seek urgent medical
evaluation, adding that he or she will pursue treatment elsewhere unless the patient receives a
prescription for anxiety. The nurse practitioner's priority is to:
☐ Establish a therapeutic alliance with the parent by prescribing a low-dose anxiolytic.
☐ Refer the patient to a pediatric endocrinologist.
☐ Report the case to child protective services.
☐ Request release of information to discuss findings with the patient's pediatrician
☐ Report the case to child protective services.
Question 1
A 45-year-old patient has been diagnosed with a frontal lobe tumor. The psychiatric-mental health
nurse practitioner anticipates that the patient may.
☐ Display difficulty solving problems
☐ Experience problems with balance and coordination
☐ Experience slurred speech
☐ Have difficulty with comprehension
☐ Display difficulty solving problems
The psychiatric-mental health nurse practitioner evaluates a 16-year-old patient for anxiety. The
patient has a body mass index (BMI) of 14 and reports she never had her menses. Vital signs show a
heart rate of 45 beats/min, hypothermia, and orthostatic hypotension with lightheadedness. The
patient's parent dismisses concerns about the BMI and vital signs and refuses to seek urgent medical
evaluation, adding that he or she will pursue treatment elsewhere unless the patient receives a
prescription for anxiety. The nurse practitioner's priority is to:
☐ Establish a therapeutic alliance with the parent by prescribing a low-dose anxiolytic.
☐ Refer the patient to a pediatric endocrinologist.
☐ Report the case to child protective services.
☐ Request release of information to discuss findings with the patient's pediatrician
☐ Report the case to child protective services.
As the first stage of overidentification in countertransference issues between a patient and a
therapist, dependency can result in subtle pathological bonding. The therapist may misinterpret the
patient’s reaction as:
☐ Cooperation and functioning.
,☐ Enmeshment.
☐ Idealization of the therapist.
☐ Overcommitment
☐ Enmeshment.
As the first stage of overidentification in countertransference issues between a patient and a
therapist, dependency can result in subtle pathological bonding. The therapist may misinterpret the
patient's reaction as:
☐ Cooperation and functioning.
☐ Enmeshment.-personal boundaries are unclear
☐ Idealization of the therapist.
☐ Overcommitment
☐ Enmeshment.-personal boundaries are unclear
A 30-year-old patient who is Hispanic and is being treated for depression following the death of a
parent one year ago reports to the psychiatric-mental health nurse practitioner that he or she
has chronic stomach aches that the primary care doctor has been unable to treat. The nurse
practitioner creates culturally sensitive care for the patient by:
☐ Providing psychoeducation about manifestations of the grief process.
☐ Sharing that Hispanic individuals often experience depression through stomach symptoms.
☐ Speaking to the primary care doctor to improve clinical care.
☐ Validating the patient’s experience within the context of his or her culture.
☐ Validating the patient's experience within the context of his or her culture.
Screening, brief intervention, and referral to treatment (SBIRT) is an assessment for which condition?
☐ Anxiety in adolescents.
☐ Autism spectrum disorder.
☐ Risk for suicide.
☐ Substance use disorder.
☐ Substance use disorder.
The psychiatric-mental health nurse practitioner assesses a patient who has admitted to injecting
fecal matter into his or her intravenous catheter. During the interview the patient admits to seeking
attention by playing the sick role. For what psychiatric diagnosis does the patient meet the criteria?
, ☐ Borderline personality disorder.
☐ Factitious disorder- could also inject bleach into his I.V
☐ Illness anxiety disorder.
☐ Malingering.
☐ Factitious disorder- could also inject bleach into his I.V
A patient's spouse arrives for a scheduled conjoint appointment at a mental health clinic. The patient,
a military service member, is not present. The psychiatric-mental health nurse practitioner's action is
to:
☐ Contact the service member to seek permission to meet independently with the spouse.
☐ Meet with the spouse to explore issues regarding the patient's progress.
☐ Notify the service member's commanding officer of the missed appointment.
☐ Reschedule for a time that is convenient for both the spouse and the patient.
☐ Reschedule for a time that is convenient for both the spouse and the patient.
A 65-year-old patient with bipolar disorder takes valsartan (Diovan) for hypertension and meloxicam
(Mobic) for osteoarthritis. The patient has a BMI OF 34 and states he or she is prediabetic
and concerned about weight gain. What is an appropriate mood stabilizer for this patient?
☐ Lamotrigine (Lamictal)
☐ Lithium carbonate.
☐ Olanzapine (Zyprexa)
☐ Oxcarbazepine (Trileptal).
☐ Lamotrigine (Lamictal)
A local school district in a predominantly military community contacts the psychiatric-mental health
nurse practitioner for information to help children cope the death of a parent. The nurse practitioner
emphasizes.
☐ Children should be encouraged to participate in activities to distract them from grief.
☐ Children should be given relaxed responsibilities during the grieving process.
☐ Grief precipitates problematic behavior, and teachers should set limits when children act out.
☐ Grief responses vary, and the more intact the family, the easier it is for the child to adapt.
