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PMHNP ANCC Exam Review Questions With 100% Correct And Verified Answers
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PMHNP ANCC Exam Review Questions With 100% Correct And Verified Answers
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PMHNP ANCC Exam Review QuestionsWith 100% Correct And Verified Answers
The purpose of the American Nurses Association's
Psychiatric-Mental Health Nursing:
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 - Correct Answer-A. The ANAs
Psych-Mental Health Nursing Scope and Standards
of Practice defines the role and actions of the nurse
practitioner.
D. Information reduces incidence of disease. -
Correct Answer-Primary prevention care practices
are an essential aspect of the PMHNP role. Which
of the following is the best example of a primary
prevention care strategy for community behavioral
health?
a. Aftercare program for chronically mentally ill
clients recently discharged from the hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
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
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,b. Protect the person'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 - Correct Answer-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 of which of the following?
a. Psychiatric clients cannot refuse treatment
b. Psychiatric clients do not always know what is
good for them
c. Psychiatric clients can refuse treatment
d. Psychiatric clients cannot be trusted to make
good healthcare decisions and, therefore, the
nurse's best clinical judgment should guide actions
- Correct Answer-C. As with any client, psychiatric
clients can refuse treatment unless a legal process
resulting in involuntary commitment or 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?
a. In the N-C relationship, the primary focus is on
the client and the client's needs.
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,b. Goals in the N-C relationship are deliberately left
vague and unspoken so that the client can work on any issue.
c. In the N-C relationship, the nurse is solely responsible for making
the relationship work.
d. In the N-C relationship, there is no place for social interaction. -
Correct Answer-A. 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.
A community has an unusually high incidence of depression and
drug use among the teenage population. The public health nurses
decide to address this problem, in part, by modifying the
environment and strengthening the capacities of families to prevent
the development of new cases of depression and drug use. What is
this is an example of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention - Correct Answer-A. This action
focuses on interventions designed to reduce the incidence of new
cases of disease.
Mrs. Kemp is voluntarily admitted to the hospital. After 24 hours,
she states she wishes to leave because "this place can't help me."
The best nursing action that reflects the legal right of this client is
a. Discharge the client
b. Explain that the client cannot leave until you can complete
further assessment
c. Allow the client to leave but have her sign forms stating she is
leaving against medical advice
d. Immediately start the paperwork to commit the client and to
allow you to treat her against her wishes - Correct Answer-B.
Almost every state allows for a brief for a period detainment to
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, assess a client for dangerousness to self or others before allowing the
client to leave a hospital setting, even if the admission was voluntary.
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 - Correct Answer-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.
According to the DSM-5, which of the following is true? (Ch. 3)
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. -
Correct Answer-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 diagnosis.
Mrs. French has been in individual therapy for 3 months. She has shown
much growth and improvement in her functioning and insight and is to
discontinue services within the next few weeks. In the next session, after
you discuss service termination, she suddenly begins to demonstrate the
original symptoms that had brought her to treatment initially. She is now
hesitant to discharge, wants to continue services, and is displaying an
increase in regressive defense mechanisms. What is the best explanation
for Ms. French's behavior?
a. An exacerbation of her symptoms related to stress
b. The normal cyclic nature of chronic mental health symptoms
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