PMHNP I - Exam 1 - Review Book Questions and
Correct Answers, With Complete Verified Solution.
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to:
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription of psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the NP role
a. Define the role and actions for the NP
The trend in legal rulings on cases involving mental illness over the past 25 years
has been to:
A - Encourage juries to find defendants not guilty by reason of insanity
B - Protect the individual's freedoms or rights when he or she is committed to a
mental hospital
C - Place increasing trust in mental health professionals to make good and ethical
decisions
D - Decrease the "red tape" associated with commitments so that commitments
are faster and easier
B. Identifies the trend of ensuring the protection of individual civil liberties for psychiatric
clients.
Mr Smithers, an involuntarily hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he believes
"Jesus Christ told me I am the prophet and must fast for a year." Your actions
should be based on your knowledge that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good healthcare decisions and,
therefore, the nurse's best clinical judgment should guide actions
C. As with any client, psych clients can refuse treatment unless a legal process resulting
in a mandatory court order for treatment has been obtained.
Which of the following statements best reflects the difference between the nurse-
client (N-C) relationship and a social relationship? In the N-C relationship...
A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken so that the client can work on
any issue.
C - the nurse is solely responsible for making the relationship work.
D - there is no place for social interaction.
A - the primary focus is on the client and his needs.
Social relationships are mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most concerned with meeting the needs
of the client.
, In forming a therapeutic relationship with clients, the PMHNP must consider
developing many characteristics that are known to be helpful in relationship-
building. These characteristics include all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment
D - accuracy in assessment
Although an important aspect of the PMHNP role, accuracy in assessment does not in
and of itself facilitate relationship building
In forming a therapeutic relationship with clients, the PMHNP must consider
developing many characteristics that are known to be helpful in relationship
building. Which of the following is an essential part of building a therapeutic
relationship?
A. Collecting a family history
B. Like-mindedness
C. Authenticity
D. Accuracy in Assessment
C. Authenticity - Being genuine, honest, and respectful are essential elements in
establishing a working relationship with any client. Like-mindedness is not a part of the
therapeutic relationship. Although an important aspect of the PMHNP role, collecting a
family history and accuracy in assessment does not in and of itself facilitate relationship-
building.
The DSM-IV provides for holistic client assessment by using a multiaxial
assessment format. The general medical conditions experienced by a client that
may influence treatment of his or her psychiatric disorders are coded on which of
the five axes of the DSM?
A - Axis I
B - Axis II
C - Axis III
D - Axis IV
C - Axis III
Medical conditions are coded on Axis III
According to the DSM-5, which of the following is true?
A. A mental disorder is equivalent to the need for treatment.
B. Diagnostic criteria are used to inform clinical judgment.
C. Socially deviant behavior is considered a mental disorder.
D. A culturally expected response to a stressor is not a mental disorder.
D - All DSM-5 disorders need to be made taking a person's culture into account. A
cultural expression of a response to grief, loss, or stress is not considered a DSM-5 dx.
Mrs French has been in individual therapy for 3 months, and is clinically ready to
terminate treatment. After discussing termination, she suddenly begins to
demonstrate some of her original symptoms; is hesitant to discharge; and
Correct Answers, With Complete Verified Solution.
The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to:
a. Define the role and actions for the NP
b. Establish the legal authority for the prescription of psychotropic medications
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the NP role
a. Define the role and actions for the NP
The trend in legal rulings on cases involving mental illness over the past 25 years
has been to:
A - Encourage juries to find defendants not guilty by reason of insanity
B - Protect the individual's freedoms or rights when he or she is committed to a
mental hospital
C - Place increasing trust in mental health professionals to make good and ethical
decisions
D - Decrease the "red tape" associated with commitments so that commitments
are faster and easier
B. Identifies the trend of ensuring the protection of individual civil liberties for psychiatric
clients.
Mr Smithers, an involuntarily hospitalized patient experiencing psychotic
symptoms, refuses to take any of his ordered medication because he believes
"Jesus Christ told me I am the prophet and must fast for a year." Your actions
should be based on your knowledge that:
A - Psych clients cannot refuse treatment
B - Psych clients don't always know what's good for them
C - Psych clients can refuse treatment
D - Psych clients cannot be trusted to make good healthcare decisions and,
therefore, the nurse's best clinical judgment should guide actions
C. As with any client, psych clients can refuse treatment unless a legal process resulting
in a mandatory court order for treatment has been obtained.
Which of the following statements best reflects the difference between the nurse-
client (N-C) relationship and a social relationship? In the N-C relationship...
A - the primary focus is on the client and his needs.
B - goals are deliberately left vague and unspoken so that the client can work on
any issue.
C - the nurse is solely responsible for making the relationship work.
D - there is no place for social interaction.
A - the primary focus is on the client and his needs.
Social relationships are mutual interpersonal relationships in which the needs of both
parties are addressed. The N-C relationship is most concerned with meeting the needs
of the client.
, In forming a therapeutic relationship with clients, the PMHNP must consider
developing many characteristics that are known to be helpful in relationship-
building. These characteristics include all of the following EXCEPT:
A - genuineness
B - acceptance
C - authenticity
D - accuracy in assessment
D - accuracy in assessment
Although an important aspect of the PMHNP role, accuracy in assessment does not in
and of itself facilitate relationship building
In forming a therapeutic relationship with clients, the PMHNP must consider
developing many characteristics that are known to be helpful in relationship
building. Which of the following is an essential part of building a therapeutic
relationship?
A. Collecting a family history
B. Like-mindedness
C. Authenticity
D. Accuracy in Assessment
C. Authenticity - Being genuine, honest, and respectful are essential elements in
establishing a working relationship with any client. Like-mindedness is not a part of the
therapeutic relationship. Although an important aspect of the PMHNP role, collecting a
family history and accuracy in assessment does not in and of itself facilitate relationship-
building.
The DSM-IV provides for holistic client assessment by using a multiaxial
assessment format. The general medical conditions experienced by a client that
may influence treatment of his or her psychiatric disorders are coded on which of
the five axes of the DSM?
A - Axis I
B - Axis II
C - Axis III
D - Axis IV
C - Axis III
Medical conditions are coded on Axis III
According to the DSM-5, which of the following is true?
A. A mental disorder is equivalent to the need for treatment.
B. Diagnostic criteria are used to inform clinical judgment.
C. Socially deviant behavior is considered a mental disorder.
D. A culturally expected response to a stressor is not a mental disorder.
D - All DSM-5 disorders need to be made taking a person's culture into account. A
cultural expression of a response to grief, loss, or stress is not considered a DSM-5 dx.
Mrs French has been in individual therapy for 3 months, and is clinically ready to
terminate treatment. After discussing termination, she suddenly begins to
demonstrate some of her original symptoms; is hesitant to discharge; and
