ANCC PMHNP 100 Multiple Choice E x a m
Questions and Answers
1. 1. 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
Establish the legal authority for the prescription of psychotropic
B. 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.
2. 2) 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.
3. 3
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: B. Identifies the trend of ensuring the protection
of individual civil liberties for psychiatric clients.
4. 4
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: 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.
5. 5. 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 rela-tionship work.
d)In the N-C relationship, there is no place for social interaction.: A. Social
relationships are mutual interpersonal relationships in which the needs of both parties are
addressed. The N-C relationship is most con- cerned with meeting the needs of the client.
6. 6. A community has an unusually high incidence of depression and
drug use among the teen- age 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: A. This action focuses on interventions designed to
reduce the incidence of new cases of disease.
7. 7
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 assess-ment
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: Correct Answer: B. Almost every state allows for a
brief period of detainment to as- sess a client for dangerousness to self or others before allowing
the client to leave a hospital setting, even if the admission was voluntary.
8. 8
In many characteristics that are known to be helpful in
Questions and Answers
1. 1. 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
Establish the legal authority for the prescription of psychotropic
B. 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.
2. 2) 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.
3. 3
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: B. Identifies the trend of ensuring the protection
of individual civil liberties for psychiatric clients.
4. 4
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: 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.
5. 5. 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 rela-tionship work.
d)In the N-C relationship, there is no place for social interaction.: A. Social
relationships are mutual interpersonal relationships in which the needs of both parties are
addressed. The N-C relationship is most con- cerned with meeting the needs of the client.
6. 6. A community has an unusually high incidence of depression and
drug use among the teen- age 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: A. This action focuses on interventions designed to
reduce the incidence of new cases of disease.
7. 7
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 assess-ment
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: Correct Answer: B. Almost every state allows for a
brief period of detainment to as- sess a client for dangerousness to self or others before allowing
the client to leave a hospital setting, even if the admission was voluntary.
8. 8
In many characteristics that are known to be helpful in
