NR 607- final Exam Questions And Answers

NR 607- final Exam Questions And Answers


/. The PMHNP (Psychiatric Mental Health Nurse Practitioner) is providing care to a 29-
year-old client who presents with persistent sadness and hopelessness for the last two
months. She is having difficulty sleeping and has a decreased appetite. This is the
patient's first contact with with the healthcare system about her concerns.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Primary Care

Rationale: This is the client's initial contact with the healthcare system about her
concerns

/.The client has experienced depressive symptoms. The PMHNP prescribes a selective
serotonin reuptake inhibitor (SSRI).
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Pharmacologic Intervention

Rationale: The PMHNP is prescribing psychopharmacotherapy for the client

/.The PMHNP provides the client with some mindfulness techniques to try at home.
PMHNP role:

,Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Psychotherapy

Rationale: The PMHNP is utilizing a psychotherapeutic approach to help the client gain
insight

/.Two weeks after starting on the SSRI, the client begins to experience suicidal
ideations and develops a plan to kill herself. A friend brings the client to the emergency
room. The PMHNP meets the client at the emergency room and collaborates with the
physician to coordinate care.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Crisis Intervention

Rationale: Suicidal ideation with a plan is a psychiatric emergency requiring immediate
intervention.

/.The client is admitted to the psychiatric and behavioral health unit at the local hospital
for a 72-hour observation where the PMHNP works with her team providing treatment.
The client remains hospitalized for a week while her medications are managed. The
client attends individual and group therapy sessions.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention

,Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Acute PMHNP Care

Rationale: Acute inpatient care occurs in an intensive hospital or psychiatric facility
setting.

/.Following hospitalization, the client returns home but commutes to a treatment center
for 4 hours a day 5 days per week for ongoing therapy, medication management, and
psychoeducation.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Partial Hospitalization/Intensive Outpatient Treatment

Rationale: Partial Hospitalization/Intensive Outpatient Treatment occurs when a client
receives intensive therapy on an outpatient basis, often used when a client do not
require 24-hour care but still require intense treatment.

/.The PMHNP serves as the point of contact person, coordinating the treatment team,
which consists of the PMHNP, a social worker, and possibly a psychologist and
psychiatrist.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Case Management

Rationale: Case management involves oversight and/or coordination of care.

, /.Over the course of 2 months, the client's condition improves. She is discharged from
intensive outpatient treatment and begins weekly appointments with the PMHNP at the
PMHNP's clinic.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Community-Based Care

Rationale: Community-based care is provided in a non-hospital community setting.

/.A global pandemic limits face-to-face mental health visits, the PMHNP determines that
the patient requires ongoing mental health treatment. The PMHNP arranges to meet
with the client via weekly interactive video sessions.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
Psychotherapy - Answer-✅Telehealth

Rationale: Telehealth services utilize telecommunication technology to deliver treatment
to clients.

/.The PMHNP owns the private practice that is providing services to the client.
PMHNP role:

Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention