ANCC Test Questions from the book
What is the ANA Scope and Standards of Practice Mental Health Clinical Nursing
Practice do? - Define the role and actions for the NP
Parenting skills skills classes for pregnant adolescence is what type of prevention? -
Primary
The legal ruling on cases involving mental health cases is done to ------ - protect the
individuals freedom when he or she is comited to a mental health hospital
Modifying the environment and strengthening the capacities of families to prevent the
development of new cases of depression is what type of prevention? - Primary
If a voluntary patient wants to leave after a 24 hour stay in the hospital, what do you do?
- client can't leave until complete assessment to determine if the patient is danger to self
or others
A client is displaying low self esteem, poor self control, self doubt, and high level of
dependency. This beh indicates failure in which stage of life? - early childhood
Which Froidian psycodianamic principle assumes that all behaviors and actions are
purposeful? - Psychic Determinism principle
In Freudian psychoanalysis, what is the the *Pleasure principle*? - -The instinctual
seeking of pleasure and avoiding of pain in order to satisfy biological and psychological
needs.
-*The driving force guiding the Id*.
In Freudian psychoanalysis, what is the *Reality principle* - -The ability of the mind to
assess the reality of the external world, and to act upon it accordingly
-Allowing the individual to defer instant gratification,
-The driving force guiding the *ego*
An example of mature, healthy, defense mechanism is: - suppression
Defence Mechanisms: Suppression - deliberately pushing away thoughts and memories
Defense Mechanisms are best viewed as what: - Function of the EGO used to resolve
conflict
Defense Mechanisms: Repression - Unconsciously keeping disturbing or threatening
thoughts from becoming concious
, Defence Mechanisms: Denial - Uncouncious refusal to accept reality to avoid dealing
with conflict
Where is Serotonin produce? - Rafe nuclei
Where is Dopamine produce? - Substantia Nigra
Appetite, sleep and libido are controlled by what part of the brain? - hypothalamus
Glutamate is: - the primary *excitatory* neurotransm
What part of the brain is affected in individual with impaired working memory, planning
and prioritizing, insight into problems, and impulse control? - Frontal lobe
What class of antidepressants can be fatal in overdose? - TCA's
-no more than 1 week supply should be given
Increase depression, mild confusion, irritability and overall apathy are signs of what
mineral deficiency - Magnesium
What is the effect of beta blockers (propranolol) on depression? - may exacerbate it
Elderly have decreased protein levels which may cause - drug toxicity
What is the teratogenic effect of Lithium? - Epstain anomaly
What is the teratogenic effect of Depakote? - Spina Bifida
Pharmacokinetics is the study of: - what the *body does to the drug*
Group therapy - -increases social skills
-is cost effective
-unable participants to acquire the curative factor
CBT helps clients - recognize and change their automatic thoughts
Paradoxical dirrectives are used in what kind of therapy? - strategic
What is family homeostasis? - balance and stability that family returns to despide its
disfunction
Miracle questions are used in what kind of therapy? - solution-focussed
1. A patient with borderline personality disorder experiences intense anxiety when an
adult psychiatric and mental health nurse practitioner goes on vacation. The best
explanation for this reaction is that the patient:
What is the ANA Scope and Standards of Practice Mental Health Clinical Nursing
Practice do? - Define the role and actions for the NP
Parenting skills skills classes for pregnant adolescence is what type of prevention? -
Primary
The legal ruling on cases involving mental health cases is done to ------ - protect the
individuals freedom when he or she is comited to a mental health hospital
Modifying the environment and strengthening the capacities of families to prevent the
development of new cases of depression is what type of prevention? - Primary
If a voluntary patient wants to leave after a 24 hour stay in the hospital, what do you do?
- client can't leave until complete assessment to determine if the patient is danger to self
or others
A client is displaying low self esteem, poor self control, self doubt, and high level of
dependency. This beh indicates failure in which stage of life? - early childhood
Which Froidian psycodianamic principle assumes that all behaviors and actions are
purposeful? - Psychic Determinism principle
In Freudian psychoanalysis, what is the the *Pleasure principle*? - -The instinctual
seeking of pleasure and avoiding of pain in order to satisfy biological and psychological
needs.
-*The driving force guiding the Id*.
In Freudian psychoanalysis, what is the *Reality principle* - -The ability of the mind to
assess the reality of the external world, and to act upon it accordingly
-Allowing the individual to defer instant gratification,
-The driving force guiding the *ego*
An example of mature, healthy, defense mechanism is: - suppression
Defence Mechanisms: Suppression - deliberately pushing away thoughts and memories
Defense Mechanisms are best viewed as what: - Function of the EGO used to resolve
conflict
Defense Mechanisms: Repression - Unconsciously keeping disturbing or threatening
thoughts from becoming concious
, Defence Mechanisms: Denial - Uncouncious refusal to accept reality to avoid dealing
with conflict
Where is Serotonin produce? - Rafe nuclei
Where is Dopamine produce? - Substantia Nigra
Appetite, sleep and libido are controlled by what part of the brain? - hypothalamus
Glutamate is: - the primary *excitatory* neurotransm
What part of the brain is affected in individual with impaired working memory, planning
and prioritizing, insight into problems, and impulse control? - Frontal lobe
What class of antidepressants can be fatal in overdose? - TCA's
-no more than 1 week supply should be given
Increase depression, mild confusion, irritability and overall apathy are signs of what
mineral deficiency - Magnesium
What is the effect of beta blockers (propranolol) on depression? - may exacerbate it
Elderly have decreased protein levels which may cause - drug toxicity
What is the teratogenic effect of Lithium? - Epstain anomaly
What is the teratogenic effect of Depakote? - Spina Bifida
Pharmacokinetics is the study of: - what the *body does to the drug*
Group therapy - -increases social skills
-is cost effective
-unable participants to acquire the curative factor
CBT helps clients - recognize and change their automatic thoughts
Paradoxical dirrectives are used in what kind of therapy? - strategic
What is family homeostasis? - balance and stability that family returns to despide its
disfunction
Miracle questions are used in what kind of therapy? - solution-focussed
1. A patient with borderline personality disorder experiences intense anxiety when an
adult psychiatric and mental health nurse practitioner goes on vacation. The best
explanation for this reaction is that the patient:
