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PURPLE BOOK PMHNP 100 MULTIPLE CHOICE QUESTIONS WITH ANSWERS ANCC
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PURPLE BOOK PMHNP 100 MULTIPLE CHOICE QUESTIONS WITH ANSWERS ANCC
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PURPLE BOOK PMHNP100 MULTIPLE CHOICE
QUESTIONS WITH
ANSWERS ANCC
1.vThevpurposevofvthevAmericanvNursesvAssociation'svPsychiatric-
MentalvHealthvNursing:vScopevandvStandardsvofvPracticevisvto
A.vDefinevthevrolevandvactionsvforvthevNP
Establishvthevlegalvauthorityvforvthevprescriptionvofvpsychotropicv
B.vmedications
C.vDefinevthevlegalvstatutesvofvthevrolevofvthevPMHNP
D.vDefinevthevdifferencesvbetweenvthevphysicianvrolevandvthevNPvrolev-
vcorrectvanswer-CorrectvAnswer:vA.vThevANA'svPsychiatric-
MentalvHealthvNursing:vScopevandvStandardsvofvPracticevdefinesvthevrolevandvactio
nsvofvthevnursevpractitioner.
2)vPrimaryvpreventionvcarevpracticesvarevanvessentialvaspectvofvthevPMHNPvrole.vW
hichvofvthevfollowingvisvthevbestvexamplevofvavprimaryvpreventionvcarevstrategyvforvc
ommunityvbehavioralvhealth?
a)vAftercarevprogramvforvchronicallyvmentallyvillvclientsvrecentlyvdischargedvfromvthev
hospital
b)vCourt-orderedvcounselingvforvabusivevparents
c)v24-hourvcrisisvhotlines
,d)vParentingvskillsvclassesvforvpregnantvadolescentsv-vcorrectvanswer-
CorrectvAnswer:vD.vInformationvreducesvincidencevofvdisease.
3
Thevtrendvinvlegalvrulingsvonvcasesvinvolvingvmentalvillnessvovervthevpastv25vyearsvh
asvbeenvto
a)vEncouragevjuriesvtovfindvdefendantsvnotvguiltyvbyvreasonvofvinsanity
b)vProtectvthevperson'svfreedomsvorvrightsvwhenvhevorvshevisvcommittedvtovavmental
vhospital
c)vPlacevincreasingvtrustvinvmentalvhealthvprofessionalsvtovmakevgoodvandvethicalvd
ecisions
d)vDecreasevthev"redvtape"vassociatedvwithvcommitmentsvsovthatvcommitmentsvarevf
astervandveasierv-vcorrectvanswer-
B.vIdentifiesvthevtrendvofvensuringvthevprotectionvofvindividualvcivilvlibertiesvforvpsychi
atricvclients.
4
vMr.vSmithers,vanvinvoluntarilyvhospitalizedvpatientvexperiencingvpsychoticvsymptom
s,vrefusesvtovtakevanyvofvhisvorderedvmedicationvbecausevhevbelievesv"JesusvChristv
toldvmevIvamvthevprophetvandvmustvfastvforvavyear."vYourvactionsvshouldvbevbasedvo
nvyourvknowledgevofvwhichvofvthevfollowing?
a)vPsychiatricvclientsvcannotvrefusevtreatment
b)vPsychiatricvclientsvdovnotvalwaysvknowvwhatvisvgoodvforvthem
c)vPsychiatricvclientsvcanvrefusevtreatment
d)vPsychiatricvclientsvcannotvbevtrustedvtovmakevgoodvhealthcarevdecisionsvand,vthe
refore,vthevnurse'svbestvclinicalvjudgmentvshouldvguidevactionsv-vcorrectvanswer-
C.vAsvwithvanyvclient,vpsychiatricvclientsvcanvrefusevtreatmentvun-
vlessvavlegalvprocessvresultingvinvinvoluntaryvcommitmentvorvmandatoryvcourtvordervf
orvtreatmentvhasvbeenvobtained.
5.vWhichvofvthevfollowingvstatementsvbestvreflectsvthevdifferencevbetweenvthevnurse-
clientv(N-C)vrelationshipvandvavsocialvrelationship?
a)vInvthevN-Cvrelationship,vthevprimaryvfocusvisvonvthevclientvandvthevclient'svneeds.
b)vGoalsvinvthevN-
Cvrelationshipvarevdeliberatelyvleftvvaguevandvunspokenvsovthatvthevclientvcanvworkv
onvanyvissue.
c)vInvthevN-
Cvrelationship,vthevnursevisvsolelyvresponsiblevforvmakingvthevrelationshipvwork.
d)vInvthevN-Cvrelationship,vtherevisvnovplacevforvsocialvinteraction.v-vcorrectvanswer-
A.vSocialvrelationshipsvarevmutualvinterpersonalvrelationshipsvinvwhichvthevneedsvofv
bothvpartiesvarevaddressed.vThevN-Cvrelationshipvisvmostvcon-
vcernedvwithvmeetingvthevneedsvofvthevclient.
6.vAvcommunityvhasvanvunusuallyvhighvincidencevofvdepressionvandvdrugvusevamon
gvthevteen-
vagevpopulation.vThevpublicvhealthvnursesvdecidevtovaddressvthisvproblem,vinvpart,vb
yvmodifyingvthevenvironmentvandvstrengtheningvthevcapacitiesvofvfamiliesvtovprevent
vthevdevelopmentvofvnewvcasesvofvdepressionvandvdrugvuse.vWhatvisvthisvisvanvexa
mplevof?
a)vPrimaryvprevention
, b)vSecondaryvprevention
c)vTertiaryvprevention
d)vProtectivevfactorialvpreventionv-vcorrectvanswer-
A.vThisvactionvfocusesvonvinterventionsvdesignedvtovreducevthevincidencevofvnewvca
sesvofvdisease.
7
Mrs.vKempvisvvoluntarilyvadmittedvtovthevhospital.vAfterv24vhours,vshevstatesvshevwis
hesvtovleavevbecausev"thisvplacevcan'tvhelpvme."vThevbestvnursingvactionvthatvreflect
svthevlegalvrightvofvthisvclientvis
a)vDischargevthevclient
b)vExplainvthatvthevclientvcannotvleavevuntilvyouvcanvcompletevfurthervassessment
c)vAllowvthevclientvtovleavevbutvhavevhervsignvformsvstatingvshevisvleavingvagainstvm
edicalvadvice
d)vImmediatelyvstartvthevpaperworkvtovcommitvthevclientvandvtovallowvyouvtovtreatvhe
rvagainstvhervwishesv-vcorrectvanswer-
CorrectvAnswer:vB.vAlmostveveryvstatevallowsvforvavbriefvperiodvofvdetainmentvtovas-
vsessvavclientvforvdangerousnessvtovselfvorvothersvbeforevallowingvthevclientvtovleave
vavhospitalvsetting,vevenvifvthevadmissionvwasvvoluntary.
8
Invmanyvcharacteristicsvthatvarevknownvtovbevhelpfulvinvrelationship-
building.vWhichvofvthevfol-
vlowingvisvanvessentialvpartvofvbuildingvavtherapeuticvrelationship?
vformingvavtherapeuticvrelationshipvwithvclients,vthevPMHNPvmustvconsidervdevelopi
ng
a)vCollectingvavfamilyvhistory
b)vLike-mindedness
c)vAuthenticity
d)vAccuracyvinvassessmentv-vcorrectvanswer-
C.vAuthenticity.vBeingvgenuine,vhonest,vandvrespectfulvarevessentialvelementsvinvest
ablishingvavworkingvrelationshipvwithvanyvclient.vLike-
mindednessisvnotvavpartvofvthevtherapeuticvrelationship.vAlthoughvanvimportantvaspe
ctvofvthevPMHNPvrole,vcollectingvavfamilyvhistoryvandvaccuracyvinvassessmentvdoesv
notvinvandvofvitselfvfacilitatevrelationship-building.
9
AccordingvtovthevDSM-5,vwhichvofvthevfollowingvisvtrue?v(Ch.v3)
a)vAvmentalvdisordervisvequivalentvtovthevneedvforvtreatment.
b)vDiagnosticvcriteriavarevusedvtovinformvclinicalvjudgment.
c)vSociallyvdeviantvbehaviorvisvconsideredvavmentalvdisorder.
d)vAvculturallyvexpectedvresponsevtovavstressorvisvnotvavmentalvdisorder.v-
vcorrectvanswer-CorrectvAnswer:vD.vAllvDSM-
5vdisordersvneedvtovbevmadevtakingvavperson'svculturevintovaccount.vAvculturalvexpr
essionvofvavresponsevtovgrief,vloss,vorvstressvisvnotvcon-vsideredvavDSM-5vdiagnosis.
10
Mrs.vFrenchvhasvbeenvinvindividualvtherapyvforv3vmonths.vShevhasvshownvmuchvgro
wthvandvimprovementvinvhervfunctioningvandvinsightvandvisvtovdiscontinuevservicesv
withinvthevnextvfewvweeks.vInvthevnextvsession,vaftervyouvdiscussvservicevterminatio
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