ANCC PMHNP EXAM
Questions and Answers (Verified Answers)
1. 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 medica-
tions
c. Define the legal statutes of the role of the PMHNP
d. Define the differences between the physician role and the NP role
Ans: A. The ANAs Psych-Mental Health Nursing Scope and Standards of Practice
defines the role and actions of the nurse practitioner.
2. D. Information reduces incidence of disease.:
,Ans: Primary prevention care prac- tices 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
3. 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 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
Ans: B. Identifies the trend of ensuring the protection of individual civil liberties for
psychiatric clients.
,4. 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
Ans: 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.
5. 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.
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.
Ans: 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.
6. 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?
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