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PMHNP ANCC REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PMHNP ANCC REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PMHNP ANCC REVIEW QUESTIONSAND ANSWERS WITH SOLUTIONS 2024
TheRpurposeRofRtheRAmericanRNursesRAssociation'sRPsychiatric-MentalRHealthRNursing:
ScopeRandRStandardsRofRPracticeRisRto
a.RDefineRtheRroleRandRactionsRforRtheRNP
b.REstablishRtheRlegalRauthorityRforRtheRprescriptionRofRpsychotropicRmedications
c.RDefineRtheRlegalRstatutesRofRtheRroleRofRtheRPMHNP
d.RDefineRtheRdifferencesRbetweenRtheRphysicianRroleRandRtheRNPRroleR-RANSWERRA.RTheRANAsRPsych-
MentalRHealthRNursingRScopeRandRStandardsRofRPracticeRdefinesRtheRroleRandRactionsRofRtheRnurseRpractiti
oner.
D.RInformationRreducesRincidenceRofRdisease.R-
RANSWERRPrimaryRpreventionRcareRpracticesRareRanRessentialRaspectRofRtheRPMHNPRrole.RWhichRofRtheRfoll
owingRisRtheRbestRexampleRofRaRprimaryRpreventionRcareRstrategyRforRcommunityRbehavioralRhealth?
a.RAftercareRprogramRforRchronicallyRmentallyRillRclientsRrecentlyRdischargedRfromRtheRhospital
b.RCourt-orderedRcounselingRforRabusiveRparents
c.R24-hourRcrisisRhotlines
d.RParentingRskillsRclassesRforRpregnantRadolescents
TheRtrendRinRlegalRrulingsRonRcasesRinvolvingRmentalRillnessRoverRtheRpastR25RyearsRhasRbeenRto
a.REncourageRjuriesRtoRfindRdefendantsRnotRguiltyRbyRreasonRofRinsanity
b.RProtectRtheRperson'sRfreedomsRorRrightsRwhenRheRorRsheRisRcommittedRtoRaRmentalRhospital
c.RPlaceRincreasingRtrustRinRmentalRhealthRprofessionalsRtoRmakeRgoodRandRethicalRdecisions
d.RDecreaseRtheR"redRtape"RassociatedRwithRcommitmentsRsoRthatRcommitmentsRareRfasterRandReasierR-
RANSWERRB.RIdentifiesRtheRtrendRofRensuringRtheRprotectionRofRindividualRcivilRlibertiesRforRpsychiatricRclie
nts.
Mr.RSmithers,RanRinvoluntarilyRhospitalizedRpatientRexperiencingRpsychoticRsymptoms,RrefusesRtoRtakeRanyR
ofRhisRorderedRmedicationRbecauseRheRbelievesR"JesusRChristRtoldRmeRIRamRtheRprophetRandRmustRfastRforR
aRyear."RYourRactionsRshouldRbeRbasedRonRyourRknowledgeRofRwhichRofRtheRfollowing?
a.RPsychiatricRclientsRcannotRrefuseRtreatment
,b.RPsychiatricRclientsRdoRnotRalwaysRknowRwhatRisRgoodRforRthem
c.RPsychiatricRclientsRcanRrefuseRtreatment
d.RPsychiatricRclientsRcannotRbeRtrustedRtoRmakeRgoodRhealthcareRdecisionsRand,Rtherefore,RtheRnurse'sRbe
stRclinicalRjudgmentRshouldRguideRactionsR-
RANSWERRC.RAsRwithRanyRclient,RpsychiatricRclientsRcanRrefuseRtreatmentRunlessRaRlegalRprocessRresultingRi
nRinvoluntaryRcommitmentRorRmandatoryRcourtRorderRforRtreatmentRhasRbeenRobtained.
WhichRofRtheRfollowingRstatementsRbestRreflectsRtheRdifferenceRbetweenRtheRnurse-clientR(N-
C)RrelationshipRandRaRsocialRrelationship?
a.RInRtheRN-CRrelationship,RtheRprimaryRfocusRisRonRtheRclientRandRtheRclient'sRneeds.
b.RGoalsRinRtheRN-
CRrelationshipRareRdeliberatelyRleftRvagueRandRunspokenRsoRthatRtheRclientRcanRworkRonRanyRissue.
c.RInRtheRN-CRrelationship,RtheRnurseRisRsolelyRresponsibleRforRmakingRtheRrelationshipRwork.
d.RInRtheRN-CRrelationship,RthereRisRnoRplaceRforRsocialRinteraction.R-
RANSWERRA.RSocialRrelationshipsRareRmutualRinterpersonalRrelationshipsRinRwhichRtheRneedsRofRbothRparti
esRareRaddressed.RTheRN-CRrelationshipRisRmostRconcernedRwithRmeetingRtheRneedsRofRtheRclient.
ARcommunityRhasRanRunusuallyRhighRincidenceRofRdepressionRandRdrugRuseRamongRtheRteenageRpopulatio
n.RTheRpublicRhealthRnursesRdecideRtoRaddressRthisRproblem,RinRpart,RbyRmodifyingRtheRenvironmentRandRs
trengtheningRtheRcapacitiesRofRfamiliesRtoRpreventRtheRdevelopmentRofRnewRcasesRofRdepressionRandRdrug
Ruse.RWhatRisRthisRisRanRexampleRof?
a.RPrimaryRprevention
b.RSecondaryRprevention
c.RTertiaryRprevention
d.RProtectiveRfactorialRpreventionR-
RANSWERRA.RThisRactionRfocusesRonRinterventionsRdesignedRtoRreduceRtheRincidenceRofRnewRcasesRofRdisea
se.
Mrs.RKempRisRvoluntarilyRadmittedRtoRtheRhospital.RAfterR24Rhours,RsheRstatesRsheRwishesRtoRleaveRbecause
R"thisRplaceRcan'tRhelpRme."RTheRbestRnursingRactionRthatRreflectsRtheRlegalRrightRofRthisRclientRis
a.RDischargeRtheRclient
b.RExplainRthatRtheRclientRcannotRleaveRuntilRyouRcanRcompleteRfurtherRassessment
c.RAllowRtheRclientRtoRleaveRbutRhaveRherRsignRformsRstatingRsheRisRleavingRagainstRmedicalRadvice
,d.RImmediatelyRstartRtheRpaperworkRtoRcommitRtheRclientRandRtoRallowRyouRtoRtreatRherRagainstRherRwishe
sR -
RANSWERRB.RAlmostReveryRstateRallowsRforRaRbriefRforRaRperiodRdetainmentRtoRassessRaRclientRforRdangerou
snessRtoRselfRorRothersRbeforeRallowingRtheRclientRtoRleaveRaRhospitalRsetting,RevenRifRtheRadmissionRwasRvo
luntary.
InRformingRaRtherapeuticRrelationshipRwithRclients,RtheRPMHNPRmustRconsiderRdevelopingRmanyRcharacter
isticsRthatRareRknownRtoRbeRhelpfulRinRrelationship-
building.RWhichRofRtheRfollowingRisRanRessentialRpartRofRbuildingRaRtherapeuticRrelationship?
a.RCollectingRaRfamilyRhistory
b.RLike-mindedness
c.RAuthenticity
d.RAccuracyRinRassessmentR-
RANSWERRC.RAuthenticity.RBeingRgenuine,Rhonest,RandRrespectfulRareRessentialRelementsRinRestablishingRaR
workingRrelationshipRwithRanyRclient.RLike-
mindednessRisRnotRaRpartRofRtheRtherapeuticRrelationship.RAlthoughRanRimportantRaspectRofRtheRPMHNPRr
ole,RcollectingRaRfamilyRhistoryRandRaccuracyRinRassessmentRdoesRnotRinRandRofRitselfRfacilitateRrelationship
Rbuilding.
AccordingRtoRtheRDSM-5,RwhichRofRtheRfollowingRisRtrue?R(Ch.R3)
a.RARmentalRdisorderRisRequivalentRtoRtheRneedRforRtreatment.
b.RDiagnosticRcriteriaRareRusedRtoRinformRclinicalRjudgment.
c.RSociallyRdeviantRbehaviorRisRconsideredRaRmentalRdisorder.
d.RARculturallyRexpectedRresponseRtoRaRstressorRisRnotRaRmentalRdisorder.R-RANSWERRD.RAllRDSM-
5RdisordersRneedRtoRbeRmadeRtakingRaRperson'sRcultureRintoRaccount.RARculturalRexpressionRofRaRresponseR
toRgrief,Rloss,RorRstressRisRnotRconsideredRaRDSM-5Rdiagnosis.
Mrs.RFrenchRhasRbeenRinRindividualRtherapyRforR3Rmonths.RSheRhasRshownRmuchRgrowthRandRimprovemen
tRinRherRfunctioningRandRinsightRandRisRtoRdiscontinueRservicesRwithinRtheRnextRfewRweeks.RInRtheRnextRsess
ion,RafterRyouRdiscussRserviceRtermination,RsheRsuddenlyRbeginsRtoRdemonstrateRtheRoriginalRsymptomsRth
atRhadRbroughtRherRtoRtreatmentRinitially.RSheRisRnowRhesitantRtoRdischarge,RwantsRtoRcontinueRservices,Ra
ndRisRdisplayingRanRincreaseRinRregressiveRdefenseRmechanisms.RWhatRisRtheRbestRexplanationRforRMs.RFre
nch'sRbehavior?
a.RAnRexacerbationRofRherRsymptomsRrelatedRtoRstress
b.RTheRnormalRcyclicRnatureRofRchronicRmentalRhealthRsymptoms
, c.RARsignRofRnormalRresistanceRtoRterminationRseenRinRtheRterminationRphaseRofRtherapy
d.RARsignRofRpathologicalRattachmentRtoRtheRtherapistRthatRmustRbeRaddressedR-
RANSWERRC.RClientsRfrequentlyRdisplayRresistanceRandRregressionRatRtheRterminationRofRaRmeaningfulRther
apeuticRprocess.RTheRPMHNPRisRresponsibleRforRplanningRanReffectiveRterminationRandRmonitoringRclientsR
duringRtheRterminationRperiod.
ARclientRisRdisplayingRlowRself-esteem,RpoorRself-control,Rself-
doubt,RandRaRhighRlevelRofRdependency.RTheseRbehaviorsRindicateRdevelopmentalRfailureRofRwhichRofRtheRf
ollowingRstagesRofRdevelopment:
a.RInfancy
b.REarlyRchildhood
c.RLateRchildhood
d.RSchoolRageR-RANSWERRB.RTheseRsignsRindicateRdevelopmentalRfailureRofRearlyRchildhood.
Mr.RThompsonRhasRbeenRforgetfulRlately,RforRexample,RforgettingRwhereRheRhasRplacedRhisRkeysRorRwhatRti
meRappointmentsRareRscheduled,RandRheRhasRstatedRthatRheRthinksRtheseRareRjustRrandomRbehaviorsRthatR
haveRnoRparticularRmeaning.RWhichRFreudian-
basedRpsychodynamicRprincipleRassumesRthatRallRbehaviorRandRactionsRareRpurposeful?
a.RPleasureRprinciple
b.RPsychicRdeterminismRprinciple
c.RRealityRprinciple
d.RUnconsciousnessRprincipleR-
RANSWERRB.RTheRpsychicRdeterminismRprincipleRstatesRthatRallRbehaviorRhasRpurposeRandRmeaning,RoftenR
unconsciousRinRnature,RandRthatRnoRbehaviorsRoccurRrandomlyRorRbyRcoincidence.
AnRexampleRofRaRmature,RhealthyRdefenseRmechanismRis
a.RDenial
b.RRationalization
c.RRepression
d.RSuppressionR-
RANSWERRD.RSuppressionRisRtheRonlyRdefenseRmechanismRlistedRinRwhichRtheRclientRchannelsRconflictingRe
nergiesRintoRgrowth-promotingRactivities.
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