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PMHNP I - Exam 1 - Review Book Questions | Certified Q&A Verified 2026 | 2027 (Latest Update Rated Grade A+)

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PMHNP I - Exam 1 - Review Book Questions | Certified Q&A Verified 2026 | 2027 (Latest Update Rated Grade A+) Quiz_________________? A - Asking the client how to help is an aspect of assessment - all other answers are aspects of interventions, which are not initial actions of the PMHNP. - Answer Mrs. Shea has come to the MH center seeking tx for depression. She has a history of a suicide attempt by overdose 1 mo ago. She was started on imipramine (TCA) after that event but stopped taking the medication 1 week later because it "did no good." The PMHNP meets with Mrs. Shea to plan care with her. Which of the following is the most appropriate initial action? A. Asking Mrs. Shea how to help her. B. Providing client teaching about the long time frame for TCAs to work C. Contracting with Mrs. Shea for 6 sessions of individual therapy. D. Providing Mrs. Shea with feedback about how suicide might affect her family. Quiz_________________? A - Benzos are CI in clients with a TBI due to increased rates of confusion and memory problems. - Answer What is the reason for the PMHNP to taper off Clonazepam if diagnosed with a TBI? A. Benzos cause memory problems and confusion in clients with a hx of TBI B. Benzos lower the seizure threshold in clients with a history of TBI C. VA has banned bentos from the medication formulary. D. Benzos place clients with a TBI at risk for a second head injury. Quiz_________________? A - Immature regressive defense mechanism is a return to a behavior common to an earlier stage of development. - Answer Mr Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most likely an example of A - Immature regressive defense mechanism B - Denial of reality C - Immature fantasy defense mechanism D - Repressive behavior Quiz_________________? A - the primary focus is on the client and his needs. 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. - Answer Which of the following statements best reflects the difference between the nurse-client (N-C) relationship and a social relationship? In the N-C relationship... A - the primary focus is on the client and his needs. B - goals are deliberately left vague and unspoken so that the client can work on any issue. C - the nurse is solely responsible for making the relationship work. D - there is no place for social interaction. Quiz_________________? A. - Answer A man thinks to himself that his wife is really ugly as they sit at the breakfast table, but of course he does not verbalize his feelings. Later in the day he gets a sudden unexplainable urge to send her flowers. The best explanation for his unconscious action is A - Undoing B - Suppression C - Denial D - Repression Quiz_________________? a. Define the role and actions for the NP - Answer The purpose of the ANA's PMH Nsg: 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 Quiz_________________? a. Frontal Lobe - Problems with working memory, planning and prioritizing, insight into problems, and impulse control indicate a problem in the frontal lobe. - Answer A client is experiencing difficulties with working memory, planning and prioritizing, insight into his problems, and impulse control presents for assessment. In planning his care, the PMHNP should apply his or her knowledge that these symptoms represent problems with the a. Frontal Lobe b. Temporal Lobe c. Parietal Lob d. Occipital Lobe Quiz_________________? A. Health care efficiency is making risk and benefit decision about how care resources are allocated and equity is ensuring that there is a fair distribution of the resources. - Answer Health care economics is concerned with making decisions so the benefits outweigh the cost of resource utilization. What are two concepts that healthcare economics is concerned with in regard to fair distribution of resources and allocation? A. Equity and Efficiency B. Cost and Benefits C. Opportunity and Waste D. Affordable and Quality

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Institution
PMHNP I -
Course
PMHNP I -

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Quiz_________________?

1. changes in role or social function

2. history of abuse and victimization -

Answer✅

Social History:




Quiz_________________?

1. complaints of depression

2. duration -

Answer✅

Depression




Quiz_________________?

1. constantly washing hands

2. constantly checking things

3. annoying, repetitive thoughts -

Answer✅

Symptoms of obsessive compulsive disorder:




1

, Quiz_________________?

1. Does the patient have any SOCIAL SUPPORT?

2. Is the plan LETHAL?

3. Does the patient have ACCESS to the means to end his/her life?

4. Can the patient describe the PLAN and PREVIOUS attempts?

5. Family history of suicide? -

Answer✅

Suicidal risk (SLAP)




Quiz_________________?

1. exacerbating factors

2. triggers

3. connecting events

4. causality -

Answer✅

Precipitating factors:




Quiz_________________?

1. family members with mental illness

2. unusual symptoms and behaviors

3. substance abuse/use -

Answer✅

Family history:




Quiz_________________?

2

, 1. friendships/ relationships with service providers

2. religious groups and/or clergy

3. history re: intimate relationships

4. status of interpersonal relationships

5. are important people in client's life- loving vs angry

6. involvement of family or other's in client's care

7. client's living situation

8. occupational status

9. educational/training status

10. financial situation

11. difficulties of activities of daily living -

Answer✅

Social history continued:




Quiz_________________?

1. have you ever tried to CUT down on your drinking?

2. have you ever been ANNOYED about criticism of your drinking?

3. Have you ever felt GUILTY about your drinking?

4. Have you ever had a morning EYE opener? -

Answer✅

CAGE questionnaire




Quiz_________________?

1. identify who played roles in person's life.

2. Who are presently involved.

3. Social support -

Answer✅

3

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PMHNP I -

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