PMHNP Exam 2024 questions with complete
solution| answers well highlighted | Guaranteed
100% PASS
Commitment process of forcing a person to receive involuntarily evaluation or treatment
- Process may differ from state to state but basic criteria include:
-Person has a diagnosed psychiatric disorder,
-Person is harmful to self or others as a consequence of the disorder,
-Person is unaware or unwilling to accept the nature and severity of the disorder,
-Tx likely to improve functioning.
Involuntary admission - -Admission to a hospital or other treatment facility against the
person's will
-Clients maintain all civil liberties except the ability to come and go as they please
-Amount of time clients can be kept against their wishes varies by state
Voluntary admission - -Admission to a hospital or other treatment facility that a person
desires or agrees to
-Client maintains all civil liberties
-Client consents to potential confinement within the structure of a hospital setting
It is important for NPs to engage in the following scholarly activities: - -Publishing
-Lecturing or presenting
-Preceptorship
-Continuing education
Mentoring - -A process in which a more experienced NP agrees to guide and support a
junior colleague in the role, competencies, and skills
-Requires mutual respect and an interactive process of learning
-Needs involvement by both the mentor and the mentee in the relationship
Client Advocacy - -Stand up for clients' rights and empower them to become their own
advocates
-Reduce the stigma of mental illness
-Help clients receive available services
-Promote mental health by participating in one or more of these professional
organizations:
American Nurses Association (ANA), American Psychiatric Nurses Association (APNA),
International Society of Psychiatric Nurses (ISPN)
,Responsibilities in Health Policy - -Advanced practice nurses have a legal and ethical
responsibility to be a client advocate.
-Participation in local, state, national, and international health policy activities
-Involvement: Testify at a public meeting, lobby, or work with the media to bring
awareness to an issue
-Phases of policy-making: formulation, implementation, and evaluation
Case Management - -System of controlled oversight and authorization of services and
benefits provided to clients:
-Consists of coordinating care, ensuring quality outcomes, monitoring plan of care,
and doing advocacy
-Overall goal is to promote quality, cost-effective outcomes
Risk Management - -Activities or systems designed to recognize and intervene to
reduce the risk of injury to clients
-Appropriate interventions implemented to reduce non-healthy behaviors in clients
and high-risk situations
-Recognition and intervention to reduce subsequent claims against healthcare providers
Durable power of attorney for health care or healthcare proxy - -Legally binding in all 50
states
-Designates, in writing, an agent to act on behalf of a person should he or she become
unable to make healthcare decisions
-Not limited to terminal illness; also covers other aspects of illness, such as financial
decisions during a person's illness
-Should be considered as an aspect of relapse planning for clients with chronic
psychiatric disorders
Living will - -Document prepared while client is mentally competent to designate
preferences for care if client becomes incompetent or terminally ill
-Not legally binding in all states
Sexual identity - How people identify psychologically on a continuum between female
and male and to whom they are sexually or affectionately attracted
Gender identity - A person's identity along a continuum between normative constructs of
masculinity and femininity
-Influences of gender identity may consist of biological and social factors.
-Biological factors may include pre- and postnatal hormone levels and gene expression.
-Social factors may include gender messages from family, mass media, and cultural
attitudes.
The following are a few characteristics of a therapeutic relationship: - -Focused on the
client's needs, and are goal-directed, theory-based, and open to supervision.
-Genuineness
-Acceptance
, -Nonjudgment
-Authenticity
-Empathy
-Respect
-Professional boundaries
Transference - Displacement of feelings for significant people in the client's past onto
the PMHNP in the present relationship
Countertransference - The nurse's emotional reaction to the client based on her/his past
experiences
Phases of a therapeutic nurse-client relationship:
Introduction (Orientation)
-Nursing Action
-Common client behaviors - 1st stage
Nursing Action:
-Creating a trusting environment
-Estab professional boundaries
-Estab the length of anticipated interaction
-Providing diagnostic eval
-Setting mutually agreed-upon
treatment objectives
Common client behaviors:
-Initial hesitancy by the client to
participate fully in assessment
and treatment planning (approach
avoidance)
Phases of a therapeutic nurse-client relationship:
Working (Identification and Exploitation)
-Nursing Action
-Common client behaviors - 2nd stage
Nursing Action:
-Clarifying client expectations and
mutually set goals
-Implementing treatment plan
-Monitoring health
-Undertaking preventative health
care
-Measuring outcomes of care
solution| answers well highlighted | Guaranteed
100% PASS
Commitment process of forcing a person to receive involuntarily evaluation or treatment
- Process may differ from state to state but basic criteria include:
-Person has a diagnosed psychiatric disorder,
-Person is harmful to self or others as a consequence of the disorder,
-Person is unaware or unwilling to accept the nature and severity of the disorder,
-Tx likely to improve functioning.
Involuntary admission - -Admission to a hospital or other treatment facility against the
person's will
-Clients maintain all civil liberties except the ability to come and go as they please
-Amount of time clients can be kept against their wishes varies by state
Voluntary admission - -Admission to a hospital or other treatment facility that a person
desires or agrees to
-Client maintains all civil liberties
-Client consents to potential confinement within the structure of a hospital setting
It is important for NPs to engage in the following scholarly activities: - -Publishing
-Lecturing or presenting
-Preceptorship
-Continuing education
Mentoring - -A process in which a more experienced NP agrees to guide and support a
junior colleague in the role, competencies, and skills
-Requires mutual respect and an interactive process of learning
-Needs involvement by both the mentor and the mentee in the relationship
Client Advocacy - -Stand up for clients' rights and empower them to become their own
advocates
-Reduce the stigma of mental illness
-Help clients receive available services
-Promote mental health by participating in one or more of these professional
organizations:
American Nurses Association (ANA), American Psychiatric Nurses Association (APNA),
International Society of Psychiatric Nurses (ISPN)
,Responsibilities in Health Policy - -Advanced practice nurses have a legal and ethical
responsibility to be a client advocate.
-Participation in local, state, national, and international health policy activities
-Involvement: Testify at a public meeting, lobby, or work with the media to bring
awareness to an issue
-Phases of policy-making: formulation, implementation, and evaluation
Case Management - -System of controlled oversight and authorization of services and
benefits provided to clients:
-Consists of coordinating care, ensuring quality outcomes, monitoring plan of care,
and doing advocacy
-Overall goal is to promote quality, cost-effective outcomes
Risk Management - -Activities or systems designed to recognize and intervene to
reduce the risk of injury to clients
-Appropriate interventions implemented to reduce non-healthy behaviors in clients
and high-risk situations
-Recognition and intervention to reduce subsequent claims against healthcare providers
Durable power of attorney for health care or healthcare proxy - -Legally binding in all 50
states
-Designates, in writing, an agent to act on behalf of a person should he or she become
unable to make healthcare decisions
-Not limited to terminal illness; also covers other aspects of illness, such as financial
decisions during a person's illness
-Should be considered as an aspect of relapse planning for clients with chronic
psychiatric disorders
Living will - -Document prepared while client is mentally competent to designate
preferences for care if client becomes incompetent or terminally ill
-Not legally binding in all states
Sexual identity - How people identify psychologically on a continuum between female
and male and to whom they are sexually or affectionately attracted
Gender identity - A person's identity along a continuum between normative constructs of
masculinity and femininity
-Influences of gender identity may consist of biological and social factors.
-Biological factors may include pre- and postnatal hormone levels and gene expression.
-Social factors may include gender messages from family, mass media, and cultural
attitudes.
The following are a few characteristics of a therapeutic relationship: - -Focused on the
client's needs, and are goal-directed, theory-based, and open to supervision.
-Genuineness
-Acceptance
, -Nonjudgment
-Authenticity
-Empathy
-Respect
-Professional boundaries
Transference - Displacement of feelings for significant people in the client's past onto
the PMHNP in the present relationship
Countertransference - The nurse's emotional reaction to the client based on her/his past
experiences
Phases of a therapeutic nurse-client relationship:
Introduction (Orientation)
-Nursing Action
-Common client behaviors - 1st stage
Nursing Action:
-Creating a trusting environment
-Estab professional boundaries
-Estab the length of anticipated interaction
-Providing diagnostic eval
-Setting mutually agreed-upon
treatment objectives
Common client behaviors:
-Initial hesitancy by the client to
participate fully in assessment
and treatment planning (approach
avoidance)
Phases of a therapeutic nurse-client relationship:
Working (Identification and Exploitation)
-Nursing Action
-Common client behaviors - 2nd stage
Nursing Action:
-Clarifying client expectations and
mutually set goals
-Implementing treatment plan
-Monitoring health
-Undertaking preventative health
care
-Measuring outcomes of care
