PMH exam 3 practice questions and
answers23
individuals with SMI diagnoses can suffer from ineffective healthcare. Providers may be
unaccustomed to working with this population or not comprehend obscure details described by
the person seeking medical attention. This hurdle can be overcome by
a. seeking medical attention at the ED
b. having a community clinic in the area where the SMI live
c. medicate the pt before a medical exam
d. integrating mental and physical health in one setting - ANSWERS -d
A female consumer with severe and recurrent mania argues with outpatient staff about her
medication. She does not believe she has a mental illness. Although she takes medication during
hospitalizations, she stops taking them after discharge. Which intervention is most helpful in
promoting medication adherence?
a. Assign a new outpatient staff to reduce the conflicts she is experiencing with her current
providers.
b. Explain that the medications will help her and that all medications have side effects, but she
can learn to live with these.
c. Involve her in a medication group that will teach her the types and names of psychotropic
medications, their purpose, and possible side effects.
d. Explore her perceptions and experiences regarding medication and help her to connect taking
medications with achieving her goals. - ANSWERS -d
,isadora is a middle aged woman living in a group home after being discharged from a psych
institution nearly 20 years ago. Isadora keeps to herself, stays in her room most of the day, and
only ventures out for meals. Cassandra, the house manager encourages Isadora to
a. begin looking for a job
b. join a day treatment program clubhouse
c. assist in the kitchen washing dishes
d. taken on a roommate so as not be be alone - ANSWERS -b
which statement made by the primary caregiver of a pt diagnosed with dementia demonstrates
accurate understanding of providing the pt with a safe environment
a. the local PD know that he has wandered off before
b. I keep the noise level low in the house
c. we've installed locks on the outside doors
d. our telephone number is always attached to the inside of his shirt pocket - ANSWERS -c
which statement made by a family member tends to support a diagnosis of delirium rather than
dementia
a. she was fine last night but this morning she was confused
b. dad doesn't seem to recognize us anymore
c. shes convinced that snakes come into her room at night
d. he can't remember when to take his pills or whether hes bathed - ANSWERS -a
when considering the patho responsible for both delirium and dementia, which intervention is
appropriate for delirium specifically
, a. assist with needs r/t nutrition, elimination, hydration and personal hygiene
b. monitor neuro status on an ongoing basis
c. place identification bracelet on pt
d. give one simple direction at a time in a respectful tone of voice - ANSWERS -b
what side effects should the nurse monitor for when caring for a patient prescribed donepezil?
SATA
a. insomnia
b. constipation
c. bradycardia
d. signs of dizziness
e. reports of HA - ANSWERS -a,c,d,e
what is the rationale for providing a patient dx with dementia easily accessible finger foods
throughout the day
a. increases input throughout the day
b. the person may be anorexic
c. assist with monitoring food intake
d. helps prevent constipation - ANSWERS -a
Ophelia, a 69-year-old retired nurse, attends a reunion of her former coworkers. Ophelia is
concerned because she usually knows everyone, and she cannot recognize faces today. A
registered nurse colleague recognizes Ophelia's distress and "introduces" Ophelia to those
attending. The nurse practitioner recognizes that Ophelia seems to have a deficit in:
a. Lower-level cognitive domain
b. Delirium threshold
answers23
individuals with SMI diagnoses can suffer from ineffective healthcare. Providers may be
unaccustomed to working with this population or not comprehend obscure details described by
the person seeking medical attention. This hurdle can be overcome by
a. seeking medical attention at the ED
b. having a community clinic in the area where the SMI live
c. medicate the pt before a medical exam
d. integrating mental and physical health in one setting - ANSWERS -d
A female consumer with severe and recurrent mania argues with outpatient staff about her
medication. She does not believe she has a mental illness. Although she takes medication during
hospitalizations, she stops taking them after discharge. Which intervention is most helpful in
promoting medication adherence?
a. Assign a new outpatient staff to reduce the conflicts she is experiencing with her current
providers.
b. Explain that the medications will help her and that all medications have side effects, but she
can learn to live with these.
c. Involve her in a medication group that will teach her the types and names of psychotropic
medications, their purpose, and possible side effects.
d. Explore her perceptions and experiences regarding medication and help her to connect taking
medications with achieving her goals. - ANSWERS -d
,isadora is a middle aged woman living in a group home after being discharged from a psych
institution nearly 20 years ago. Isadora keeps to herself, stays in her room most of the day, and
only ventures out for meals. Cassandra, the house manager encourages Isadora to
a. begin looking for a job
b. join a day treatment program clubhouse
c. assist in the kitchen washing dishes
d. taken on a roommate so as not be be alone - ANSWERS -b
which statement made by the primary caregiver of a pt diagnosed with dementia demonstrates
accurate understanding of providing the pt with a safe environment
a. the local PD know that he has wandered off before
b. I keep the noise level low in the house
c. we've installed locks on the outside doors
d. our telephone number is always attached to the inside of his shirt pocket - ANSWERS -c
which statement made by a family member tends to support a diagnosis of delirium rather than
dementia
a. she was fine last night but this morning she was confused
b. dad doesn't seem to recognize us anymore
c. shes convinced that snakes come into her room at night
d. he can't remember when to take his pills or whether hes bathed - ANSWERS -a
when considering the patho responsible for both delirium and dementia, which intervention is
appropriate for delirium specifically
, a. assist with needs r/t nutrition, elimination, hydration and personal hygiene
b. monitor neuro status on an ongoing basis
c. place identification bracelet on pt
d. give one simple direction at a time in a respectful tone of voice - ANSWERS -b
what side effects should the nurse monitor for when caring for a patient prescribed donepezil?
SATA
a. insomnia
b. constipation
c. bradycardia
d. signs of dizziness
e. reports of HA - ANSWERS -a,c,d,e
what is the rationale for providing a patient dx with dementia easily accessible finger foods
throughout the day
a. increases input throughout the day
b. the person may be anorexic
c. assist with monitoring food intake
d. helps prevent constipation - ANSWERS -a
Ophelia, a 69-year-old retired nurse, attends a reunion of her former coworkers. Ophelia is
concerned because she usually knows everyone, and she cannot recognize faces today. A
registered nurse colleague recognizes Ophelia's distress and "introduces" Ophelia to those
attending. The nurse practitioner recognizes that Ophelia seems to have a deficit in:
a. Lower-level cognitive domain
b. Delirium threshold
