Ancc pmhnp psych mental health np test1

ANCC PMHNP PSYCH-MENTAL HEALTH NP TEST 1
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1. Your patient, whose wife died a few months ago, appears to be very un
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kempt and apathetic. Although several months have passed since his wif
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e's death he has not progressed at all through his grieving. You assessthis c
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ondition as which of the following? m m m m m


disenfranchised grief m m


panic disorder compl m m


icated grief m


physiologic grief: Correct Answer: m m m


complicated grief m




A person has uncomplicated grief when he or she has normal physical, psycholog-
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ical, cognitive and spiritual responses to the death of a significant other. But whenth
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e person shows persistent maladaptive behaviors such as not taking care of perso
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nal hygiene and/or appearance and does not progress through the mourningproces
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s, this is complicated grief.
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2. If a patient has had a myocardial infarction, which of the following atypical
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antidepressants should not be prescribed within the recovery phase? Traz m m m m m m m m m


odone
Duloxetine m


Bupropion
Desvenlafaxine: Correct Answer: m m


Trazodone

If a patient has had a myocardial infarction, during the recovery phase, the patient
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should not be prescribed this medication. Trazodone (Desyrel) can cause the pat
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ient to develop orthostatic hypotension and priapism.
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3. To get your teaching ideas and concepts across to a poor reader which of
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the following would be most appropriate?
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Use longer sentences. Us
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e abstract concepts. Disc
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ourage questioning. m


Use examples and review.: Correct Answer:
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Use examples and review.
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To get the idea across to a poor reader use examples and review. The other choicesar
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e not helpful. You should use short sentences and easy to read layouts; be
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, 2

concrete rather than abstract; and teach them how to ask questions about their
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1m/m 32

, ANCC PMHNP PSYCH-MENTAL HEALTH NP TEST 1
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health. Also, tell context first and use visual, use common words and examples,an
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d explain meaning.
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4. A 21- m


year old woman presents with complaints of milky discharge from her brea
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sts. She doesn't have any other symptoms and is not pregnant, norhas bee
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n before. She tells the nurse about each medication that she takes.Which o
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f these drugs may be implicated as the cause of the symptom? aspirin
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Lamotrigine Risperido m


ne
sertraline: Correct Answer: m m


Risperidone

Risperidone can cause the greatest prolactin elevation among atypical psychotics.
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A milky white discharge known as galactorrhea could be a sign of an underlying
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condition. The fact that the woman takes Risperidone, an atypical antipsychotic,
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would likely point to the cause and should be switched with one less likely to havet
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hat same side effect.
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5. Which of the following would be considered one of the main things that is
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responsible for about 2/3 of psychiatric hospital readmissions?
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Not sufficient care. Medic
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ation noncomplianceBioph
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ysical assessments m


None of the above: Correct Answer:
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Medication noncompliance m




Medication noncompliance is a major problem with the psychiatric mental health
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patients. The home health nurses assists by helping the patients
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to see the relationship between their compliance with their medication regimen and
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control of their symptoms. m m m



6. Which of the following would be considered an important form of commu-
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nication that can help to promote consistency in the care of the patient at t
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he
same time that it justifies their stay in the hospital?
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Review of care. m m


Documentation Verb m


al reporting
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, 4

None of the above: Correct Answer:
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Documentation
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