ANCC PM HNP PSYCH-MENTAL HEALTH NP TE ST 1
n n n n n n
1. Your patient, whose wife died a few months ago, appears to be very unke
n n n n n n n n n n n n n
mpt and apathetic. Although several months have passed since his wife's
n n n n n n n n n n n
death he has not progressed at all through his grieving. You assess this con
n n n n n n n n n n n n n
dition as which of the following? n n n n n
disenfranchised grief pa n n
nic disorder complicate
n n
d grief
n
physiologic grief: Correct Answer: n n n
complicated grief n
A person has uncomplicated grief when he or she has normal physical, psycholog-
n n n n n n n n n n n n
nical, cognitive and spiritual responses to the death of a significant other. But when th
n n n n n n n n n n n n n n
e person shows persistent maladaptive behaviors such as not taking care of person
n n n n n n n n n n n n
al hygiene and/or appearance and does not progress through the mourning process,
n n n n n n n n n n n n
this is complicated grief.
n n n
2. If a patient has had a myocardial infarction, which of the following atypical a
n n n n n n n n n n n n n
ntidepressants should not be prescribed within the recovery phase? Trazod n n n n n n n n n
one
Duloxetine
nBupropio
n
Desvenlafaxine: Correct Answer: n n
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient sho
n n n n n n n n n n n n n n
d not be prescribed this medication. Trazodone (Desyrel) can cause the patient to d
n n n n n n n n n n n n n
elop orthostatic hypotension and priapism.
n n n n
3. To get your teaching ideas and concepts across to a poor reader which of th
n n n n n n n n n n n n n n
e following would be most appropriate?
n n n n n
Use longer sentences. U n n n
se abstract concepts. Di
n n n
scourage questioning. n
Use examples and review.: Correct Answer:
n n n n n
Use examples and review.n n n
To get the idea across to a poor reader use examples and review. The other choices are
n n n n n n n n n n n n n n n n n
not helpful. You should use short sentences and easy to read layouts; be
n n n n n n n n n n n n
, 2
concrete rather than abstract; and teach them how to ask questions about their
n n n n n n n n n n n n
1n/n32
, ANCC PM HNP PSYCH-MENTAL HEALTH NP TE ST 1
n n n n n n
health. Also, tell context first and use visual, use common words and examples, and
n n n n n n n n n n n n n n
explain meaning. n
4. A 21- n
year old woman presents with complaints of milky discharge from her breast
n n n n n n n n n n n
s. She doesn't have any other symptoms and is not pregnant, nor has been be
n n n n n n n n n n n n n n
fore. She tells the nurse about each medication that she takes. Which of thes
n n n n n n n n n n n n n
e drugs may be implicated as the cause of the symptom? aspirin
n n n n n n n n n n n
Lamotrigine Ris n
peridone
sertraline: Correct Answer: n n
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A
n n n n n n n n n n n
milky white discharge known as galactorrhea could be a sign of an underlying condi
n n n n n n n n n n n n n
tion. The fact that the woman takes Risperidone, an atypical antipsychotic, would lik
n n n n n n n n n n n n
ely point to the cause and should be switched with one less likely to have that same si
n n n n n n n n n n n n n n n n n
de effect. n
5. Which of the following would be considered one of the main things that is re
n n n n n n n n n n n n n n
sponsible for about 2/3 of psychiatric hospital readmissions?
n n n n n n n
Not sufficient care. Medicatio
n n n
n noncompliance Biophysical
n n n
assessments
None of the above: Correct Answer:
n n n n n
Medication noncompliance n
Medication noncompliance is a major problem with the psychiatric mental health pati
n n n n n n n n n n n
ts. The home health nurses assists by helping the patients
n n n n n n n n n
to see the relationship between their compliance with their medication regimen and con
n n n n n n n n n n n n
ol of their symptoms.
n n n
6. Which of the following would be considered an important form of commu-
n n n n n n n n n n n
nnication that can help to promote consistency in the care of the patient at the
n n n n n n n n n n n n n n
same time that it justifies their stay in the hospital? Review
n n n n n n n n n n n
of care.n
Documentation n
Verbal reporting n
, 4
None of the above: Correct Answer: Documentatio
n n n n n n
n
2n/n32
n n n n n n
1. Your patient, whose wife died a few months ago, appears to be very unke
n n n n n n n n n n n n n
mpt and apathetic. Although several months have passed since his wife's
n n n n n n n n n n n
death he has not progressed at all through his grieving. You assess this con
n n n n n n n n n n n n n
dition as which of the following? n n n n n
disenfranchised grief pa n n
nic disorder complicate
n n
d grief
n
physiologic grief: Correct Answer: n n n
complicated grief n
A person has uncomplicated grief when he or she has normal physical, psycholog-
n n n n n n n n n n n n
nical, cognitive and spiritual responses to the death of a significant other. But when th
n n n n n n n n n n n n n n
e person shows persistent maladaptive behaviors such as not taking care of person
n n n n n n n n n n n n
al hygiene and/or appearance and does not progress through the mourning process,
n n n n n n n n n n n n
this is complicated grief.
n n n
2. If a patient has had a myocardial infarction, which of the following atypical a
n n n n n n n n n n n n n
ntidepressants should not be prescribed within the recovery phase? Trazod n n n n n n n n n
one
Duloxetine
nBupropio
n
Desvenlafaxine: Correct Answer: n n
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient sho
n n n n n n n n n n n n n n
d not be prescribed this medication. Trazodone (Desyrel) can cause the patient to d
n n n n n n n n n n n n n
elop orthostatic hypotension and priapism.
n n n n
3. To get your teaching ideas and concepts across to a poor reader which of th
n n n n n n n n n n n n n n
e following would be most appropriate?
n n n n n
Use longer sentences. U n n n
se abstract concepts. Di
n n n
scourage questioning. n
Use examples and review.: Correct Answer:
n n n n n
Use examples and review.n n n
To get the idea across to a poor reader use examples and review. The other choices are
n n n n n n n n n n n n n n n n n
not helpful. You should use short sentences and easy to read layouts; be
n n n n n n n n n n n n
, 2
concrete rather than abstract; and teach them how to ask questions about their
n n n n n n n n n n n n
1n/n32
, ANCC PM HNP PSYCH-MENTAL HEALTH NP TE ST 1
n n n n n n
health. Also, tell context first and use visual, use common words and examples, and
n n n n n n n n n n n n n n
explain meaning. n
4. A 21- n
year old woman presents with complaints of milky discharge from her breast
n n n n n n n n n n n
s. She doesn't have any other symptoms and is not pregnant, nor has been be
n n n n n n n n n n n n n n
fore. She tells the nurse about each medication that she takes. Which of thes
n n n n n n n n n n n n n
e drugs may be implicated as the cause of the symptom? aspirin
n n n n n n n n n n n
Lamotrigine Ris n
peridone
sertraline: Correct Answer: n n
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A
n n n n n n n n n n n
milky white discharge known as galactorrhea could be a sign of an underlying condi
n n n n n n n n n n n n n
tion. The fact that the woman takes Risperidone, an atypical antipsychotic, would lik
n n n n n n n n n n n n
ely point to the cause and should be switched with one less likely to have that same si
n n n n n n n n n n n n n n n n n
de effect. n
5. Which of the following would be considered one of the main things that is re
n n n n n n n n n n n n n n
sponsible for about 2/3 of psychiatric hospital readmissions?
n n n n n n n
Not sufficient care. Medicatio
n n n
n noncompliance Biophysical
n n n
assessments
None of the above: Correct Answer:
n n n n n
Medication noncompliance n
Medication noncompliance is a major problem with the psychiatric mental health pati
n n n n n n n n n n n
ts. The home health nurses assists by helping the patients
n n n n n n n n n
to see the relationship between their compliance with their medication regimen and con
n n n n n n n n n n n n
ol of their symptoms.
n n n
6. Which of the following would be considered an important form of commu-
n n n n n n n n n n n
nnication that can help to promote consistency in the care of the patient at the
n n n n n n n n n n n n n n
same time that it justifies their stay in the hospital? Review
n n n n n n n n n n n
of care.n
Documentation n
Verbal reporting n
, 4
None of the above: Correct Answer: Documentatio
n n n n n n
n
2n/n32
