ANCC PMHNP chapter 5 exam questions
with complete answers
Epidemiology - Answer-Study of distribution, incidence, prevalence, duration
Incidence rate - Answer-Number of new cases over specified time (usually 1 year)
Prevalence - Answer-Number of existing cases at a specific time. ex.one in 4 adults will
be diagnosed with with a psychiatric disorder within their lifetime
Interviewing - Answer-The primary form of assessment and data collection
Fundamentals of interviewing during the psych interview - Answer-Openness,
therapeutic communication
Establish rapport
Critical thinking to identify needs of the client
The psychiatric assessment process - Answer-is a structured,focused, goal-directed,
interactional process between the PMHNP and the client and family with multiple
components: patient history,physical examination, mental status, diagnostic and
laboratory test.
Initial assessment of the client - Answer-focus on the process of differential diagnostic
assessment
Subsequent assessment - Answer-focus on monitoring client outcomes, general health
status, and on modifying care practices based on clinical outcomes
Therapeutic communication - Answer-takes place betweenthe nurse and client and
focuses on the
client's thoughts, feelings, behavior, and roles
with the expectation that the active listening
of the nurse will help the client explore, understand,
and change.
Communication techniques - Answer-Broad openings: What brings you here today?
Accepting:"I can imagine that it has been very difficult for you."
Summarizing: "So let me see if I understand..."
Reflection: " You worry about the future"
Focusing: "Tell me more about your suicidal thoughts"
Validating: "It sounds like you are saying..."
Exploring: " How does your depression affect your marriage"
Clarifying: Can you tell me how that happened?
Sequencing: "Was that before or after the hospital?"
, Recognizing: " I notice you still have hand tremors"
Theming: "We have talked for a while now, and I've noticed that we ...."
Culture - Answer-The pattern of behavior of a group that includes thoughts, customs,
beliefs, values, or communication patterns
Culture Competence - Answer-Viewing the patient Viewing the patient has an individual
that is unique, and providing care that is sensitive to issues related to culture, race,
gender, and sexual orientation
Interview styles an culture - Answer-Interviews and assessments need to be modified
based on the culture of the individual. Specifically pay attention to taboos, gender
issues, and health beliefs and practices
Cultural bound syndrome - Answer-Specific behaviors related to a person's culture and
not linked to a psychiatric disorder
Acculturation - Answer-The process by which the person acquires the culture of the
society that he or she inhabits
Components of the PMHNP assessment process - Answer-History of present illness
past medical history
social history
family history
developmental history
functional assessment
physical exam
neurological exam
sensory functioning
motor functioning
Mental status exam
History of present illness - Answer-Start with chief complaint - record verbatim Then
assess PPQRST: - palliative, proactive, quality, radiation, severity, timing
History taking during crisis - Answer-Focus on most pressing needs. Be alert for
impending violence risk. Safety first. Assess alcohol use, mental status, coping skills
Functional assessment - Answer-Assess the patient's ability to perform tasks needed in
his or her life. Look at activities of daily living, instrumental activities of daily living, and
executive functions.
Instrumental activities of daily living are what is needed for independent living:
shopping, cooking, etc.
Executive functions entail higher functions such as budgeting, balancing checkbook
and filing taxes
with complete answers
Epidemiology - Answer-Study of distribution, incidence, prevalence, duration
Incidence rate - Answer-Number of new cases over specified time (usually 1 year)
Prevalence - Answer-Number of existing cases at a specific time. ex.one in 4 adults will
be diagnosed with with a psychiatric disorder within their lifetime
Interviewing - Answer-The primary form of assessment and data collection
Fundamentals of interviewing during the psych interview - Answer-Openness,
therapeutic communication
Establish rapport
Critical thinking to identify needs of the client
The psychiatric assessment process - Answer-is a structured,focused, goal-directed,
interactional process between the PMHNP and the client and family with multiple
components: patient history,physical examination, mental status, diagnostic and
laboratory test.
Initial assessment of the client - Answer-focus on the process of differential diagnostic
assessment
Subsequent assessment - Answer-focus on monitoring client outcomes, general health
status, and on modifying care practices based on clinical outcomes
Therapeutic communication - Answer-takes place betweenthe nurse and client and
focuses on the
client's thoughts, feelings, behavior, and roles
with the expectation that the active listening
of the nurse will help the client explore, understand,
and change.
Communication techniques - Answer-Broad openings: What brings you here today?
Accepting:"I can imagine that it has been very difficult for you."
Summarizing: "So let me see if I understand..."
Reflection: " You worry about the future"
Focusing: "Tell me more about your suicidal thoughts"
Validating: "It sounds like you are saying..."
Exploring: " How does your depression affect your marriage"
Clarifying: Can you tell me how that happened?
Sequencing: "Was that before or after the hospital?"
, Recognizing: " I notice you still have hand tremors"
Theming: "We have talked for a while now, and I've noticed that we ...."
Culture - Answer-The pattern of behavior of a group that includes thoughts, customs,
beliefs, values, or communication patterns
Culture Competence - Answer-Viewing the patient Viewing the patient has an individual
that is unique, and providing care that is sensitive to issues related to culture, race,
gender, and sexual orientation
Interview styles an culture - Answer-Interviews and assessments need to be modified
based on the culture of the individual. Specifically pay attention to taboos, gender
issues, and health beliefs and practices
Cultural bound syndrome - Answer-Specific behaviors related to a person's culture and
not linked to a psychiatric disorder
Acculturation - Answer-The process by which the person acquires the culture of the
society that he or she inhabits
Components of the PMHNP assessment process - Answer-History of present illness
past medical history
social history
family history
developmental history
functional assessment
physical exam
neurological exam
sensory functioning
motor functioning
Mental status exam
History of present illness - Answer-Start with chief complaint - record verbatim Then
assess PPQRST: - palliative, proactive, quality, radiation, severity, timing
History taking during crisis - Answer-Focus on most pressing needs. Be alert for
impending violence risk. Safety first. Assess alcohol use, mental status, coping skills
Functional assessment - Answer-Assess the patient's ability to perform tasks needed in
his or her life. Look at activities of daily living, instrumental activities of daily living, and
executive functions.
Instrumental activities of daily living are what is needed for independent living:
shopping, cooking, etc.
Executive functions entail higher functions such as budgeting, balancing checkbook
and filing taxes
