PMHNP I - Exam 1 - Review Book Questions
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 -✔✔ a. Define the role and
actions for the NP
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 individual'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.
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 that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for them
C - Psych clients can refuse treatment
D - Psych 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, psych clients can refuse
treatment unless a legal process resulting in a 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? 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. -✔✔ 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.
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
characteristics that are known to be helpful in relationship-building. These characteristics include all
of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment -✔✔ D - accuracy in assessment
Although an important aspect of the PMHNP role, accuracy in assessment does not in and of itself
facilitate relationship building
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 -✔✔ 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.
The DSM-IV provides for holistic client assessment by using a multiaxial assessment format. The
general medical conditions experienced by a client that may influence treatment of his or her
psychiatric disorders are coded on which of the five axes of the DSM?
A - Axis I
B - Axis II
C - Axis III
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 -✔✔ a. Define the role and
actions for the NP
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 individual'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.
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 that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for them
C - Psych clients can refuse treatment
D - Psych 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, psych clients can refuse
treatment unless a legal process resulting in a 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? 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. -✔✔ 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.
In forming a therapeutic relationship with clients, the PMHNP must consider developing many
characteristics that are known to be helpful in relationship-building. These characteristics include all
of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment -✔✔ D - accuracy in assessment
Although an important aspect of the PMHNP role, accuracy in assessment does not in and of itself
facilitate relationship building
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 -✔✔ 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.
The DSM-IV provides for holistic client assessment by using a multiaxial assessment format. The
general medical conditions experienced by a client that may influence treatment of his or her
psychiatric disorders are coded on which of the five axes of the DSM?
A - Axis I
B - Axis II
C - Axis III
