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ANCC PMHNP Exam Review Questions and Answers-Part 1
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ANCC PMHNP Exam Review Questions and Answers-Part 1
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ANCC PMHNP Review Part 1What should you do if a child reports being abused? - Answer -Interview the child separately and report
to CPS.
What should you do if you observe a child playing with a doll/toy in a sexual way? - Answer -
Immediately report to CPS.
How should you conduct an interview with an inpatient? - Answer -In a private area with the door
open/partially open.
Why is it important to build therapy rapport with adolescents? - Answer -To establish trust and
confidentiality, while informing them of exceptions.
What can create an ethical dilemma when it comes to patient confidentiality? - Answer -Parents feel
entitled to information, but you must advocate for your patient and their confidentiality.
What should you obtain before faxing labs to a referral? - Answer -Informed consent.
What should you do if a patient inhales acetone/nail polish and feels weird? - Answer -Consider doing a
urine drug screen and get involved.
What is cultural expected response to a stressor? - Answer -Interpret patient's symptoms based on their
culture.
,· This does not mean your patient has a mental illness.
· Ask the patient to interpret the patient's (cultural) symptoms.
· Cultural assessment - Cultural Formulation Interview
What is the purpose of cultural assessment? - Answer -To understand the cultural context of the
patient's symptoms.
What is a cultural formulation interview? - Answer -An interview to clarify the meaning of illness or
predicament in the patient's cultural context.
What is brief supportive therapy? - Answer -Therapy offered to patients experiencing cultural
syndromes, such as job loss or house loss.
How should somatic complaints of pain be validated? - Answer -Validate the patient's pain based on
their cultural context.
What is the goal of culture formulation interviews? - Answer -To empower the patient and contextualize
their situation in their local world.
How should Native Americans' interpretation of mental illness be respected? - Answer -Respect their
belief that it is caused by an imbalance between an individual's relationship with the world.
Which ethnic group has the highest rate of suicide/suicide attempts in the United States? - Answer -
Native Americans.
What do Native Americans believe in for healing? - Answer -They believe in a Healing stick with healing
powers.
What is susto? - Answer -Folk illness in the Latino population caused by a shocking, unpleasant, or
frightening experience that is believed to cause the soul to leave the body.
,What is ataque de nervios? - Answer -Puerto Rican syndrome characterized by uncontrollable shouting
and aggression.
o Attack of nerves: Uncontrollable shouting, attacks of crying, trembling, heat in the cheat rising into the
head, and verbal or physical aggression.
What is mal de ojo? - Answer -Illness caused by the evil eye, resulting in fatigue, headache, weight loss,
exhaustion, and malaise
What is empacho? - Answer -Blocked intestine causing indigestion (feeling bloated and nausea).
What is mollera caida? - Answer -Sunken fontanel in infants.
What is the role of a traditional healer? - Answer -May be included in the patient's care plan with
informed consent.
What should be considered when providing psychoeducation to a patient from a specific culture? -
Answer -Information should be based on cultural context.
What is the purpose of diverse population education? - Answer -To provide multicultural teaching and
education.
What assessment parameters should be used when providing psychoeducation to a patient from a
specific culture? - Answer -Ethnospecific assessment parameters.
What should be done if a patient cannot understand English? - Answer -Provide an interpreter to be
culturally sensitive.
What should a staff nurse do if a Native American patient has a healing stick? - Answer -Accommodate
the patient and allow them to keep the healing stick.
What should a staff nurse do if a Native American patient has a healing stick? - Answer -Accommodate
the patient and allow them to keep the healing stick.
, If a question has an answer that says, "It goes against our policies and procedures," is it right or wrong? -
Answer -Probably wrong
What is Thyroid Stimulating Hormone (TSH)? - Answer -Hormone that regulates thyroid function
Therapeutic range for TSH - Answer -0.5-5.0 Mu/L
What are the symptoms of hypothyroidism? - Answer -Mimic symptoms of depression
Cold intolerance, lethargy, weight gain, decreased libido
What are the symptoms of hyperthyroidism? - Answer -Mimic symptoms of mania
Heat intolerance, agitation, anxiety, irritability, tachycardia, mood swings, weight loss
What happens to TSH secretion when T4 and T3 are high? - Answer -Decreases
What happens to TSH secretion when T4 and T3 are low? - Answer -Increases
What is the relationship between T4, T3, and TSH? - Answer -Inverse
What does a low TSH level indicate? - Answer -Hyperthyroidism
What does a high TSH level indicate? - Answer -Hypothyroidism
What is Divalproex sodium (Depakote)? - Answer -Medication used for various conditions including
epilepsy and bipolar disorder
Also, Valproic Acid
What is a potential pregnancy side effect of Depakote? - Answer -Spina bifida (neural tube defect)
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