Term 1 of 31
The PMHNP is asked to consult with a local inpatient psychiatric facility to provide nursing staff
development. After meeting with the administrator to identify the nature of the problem
requiring the consultation, the PMHNP's next step is to:
create an interdisciplinary teaching team
develop outcome measures
market the educational plan
utilize a survey to assess the educational needs of the staff
Term 2 of 31
A PMHNP and a staff nurse are discussing the amount of time required to perform safety rounds
on a psychiatric inpatient unit. An initial evidence-based approach for investigating this topic is
to
conduct a time study
identify community standards
perform a literature search
survey the nursing staff
,Term 3 of 31
If you see "initial action" in a question what do you want to do in answering?
D. Respects the mother's understanding of the child's illness
Of note: respect is very important in cultural questions.
Prioritize which means
1st: Assessment
2nd: Maslow's hierarchy of needs
3rd: Nursing process.
Also choose answers that have you actively involved.
D. utilize a survey to assess the educational needs of the staff
This is kind of an "initial step" question and the answer actually has "assess" in it.
Patient/population of Patients/ and Problem
Intervention
Comparison
Outcome
Time
,Term 4 of 31
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist
role. Mary has encountered over five incidences in which attending psychiatrists and medical
residents have been demeaning to nursing staff and not answering calls in the middle of the
night or telling the nursing staff to write orders and the MD would sign off in the a.m. Mary is
concerned about errors and wants to improve quality, reduce errors to promote safety. What
concept is Mary employing?
Bullying
Abuse
Civil Disobedience
Just Culture
Term 5 of 31
While providing a history, a patient request that a PMHNP disclose the information gathered
with no one but the patient's spouse. By respecting this request, the nurse practitioner
demonstrates which component of a therapeutic relationship?
Nonmaleficience
Beneficence
Confidentiatlity
Empathy
Term 6 of 31
The parent or legal guardian of a seven-year-old child must approve any medication orders
because a child of this age fails to meet which of two of the five elements of informed consent?
Autonomy and veracity
Decision capacity and comprehension.
Confidentiality and beneficence
Disclosure of information and voluntariness
, Term 7 of 31
The psychiatric nurse practitioner participates in a hospital-based quality improvement project.
The nurse practitioner reviews four charts per month of a nurse practitioner colleague to ensure
diabetes protocols are met. This process is a:
Core competency
Force field analysis
Peer review
Risk analysis
Term 8 of 31
Mr. Smithers, an involuntary hospitalized patient experiencing psychotic symptoms, refuses to
take any of his ordered medication because he believes "Jesus Christ told him I am the prophet
and must fast for a year." Your actions should be based on your knowledge of which of the
following?
Psycchiatric patients cannot refuse treatment
Psychiatric patients do not always know what is good for them
Psychiatric patients can refuse treatment
Psychiatric patients cannot be trusted to make good healthcare decisions and,
therefore, the nurse's best clinical judgment should guide actions.
Term 9 of 31
If the question is cultural i.e. it specifies the ethnicity or religion of a patient, what type of answer
should we choose?
A. Meta-Analysis
A. e-mail drug information and resources
A cultural answer
Telling the truth
The PMHNP is asked to consult with a local inpatient psychiatric facility to provide nursing staff
development. After meeting with the administrator to identify the nature of the problem
requiring the consultation, the PMHNP's next step is to:
create an interdisciplinary teaching team
develop outcome measures
market the educational plan
utilize a survey to assess the educational needs of the staff
Term 2 of 31
A PMHNP and a staff nurse are discussing the amount of time required to perform safety rounds
on a psychiatric inpatient unit. An initial evidence-based approach for investigating this topic is
to
conduct a time study
identify community standards
perform a literature search
survey the nursing staff
,Term 3 of 31
If you see "initial action" in a question what do you want to do in answering?
D. Respects the mother's understanding of the child's illness
Of note: respect is very important in cultural questions.
Prioritize which means
1st: Assessment
2nd: Maslow's hierarchy of needs
3rd: Nursing process.
Also choose answers that have you actively involved.
D. utilize a survey to assess the educational needs of the staff
This is kind of an "initial step" question and the answer actually has "assess" in it.
Patient/population of Patients/ and Problem
Intervention
Comparison
Outcome
Time
,Term 4 of 31
Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist
role. Mary has encountered over five incidences in which attending psychiatrists and medical
residents have been demeaning to nursing staff and not answering calls in the middle of the
night or telling the nursing staff to write orders and the MD would sign off in the a.m. Mary is
concerned about errors and wants to improve quality, reduce errors to promote safety. What
concept is Mary employing?
Bullying
Abuse
Civil Disobedience
Just Culture
Term 5 of 31
While providing a history, a patient request that a PMHNP disclose the information gathered
with no one but the patient's spouse. By respecting this request, the nurse practitioner
demonstrates which component of a therapeutic relationship?
Nonmaleficience
Beneficence
Confidentiatlity
Empathy
Term 6 of 31
The parent or legal guardian of a seven-year-old child must approve any medication orders
because a child of this age fails to meet which of two of the five elements of informed consent?
Autonomy and veracity
Decision capacity and comprehension.
Confidentiality and beneficence
Disclosure of information and voluntariness
, Term 7 of 31
The psychiatric nurse practitioner participates in a hospital-based quality improvement project.
The nurse practitioner reviews four charts per month of a nurse practitioner colleague to ensure
diabetes protocols are met. This process is a:
Core competency
Force field analysis
Peer review
Risk analysis
Term 8 of 31
Mr. Smithers, an involuntary hospitalized patient experiencing psychotic symptoms, refuses to
take any of his ordered medication because he believes "Jesus Christ told him I am the prophet
and must fast for a year." Your actions should be based on your knowledge of which of the
following?
Psycchiatric patients cannot refuse treatment
Psychiatric patients do not always know what is good for them
Psychiatric patients can refuse treatment
Psychiatric patients cannot be trusted to make good healthcare decisions and,
therefore, the nurse's best clinical judgment should guide actions.
Term 9 of 31
If the question is cultural i.e. it specifies the ethnicity or religion of a patient, what type of answer
should we choose?
A. Meta-Analysis
A. e-mail drug information and resources
A cultural answer
Telling the truth
