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Purple Book PMHNP - ANCC Exam Questions And Answers
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Purple Book PMHNP - ANCC ExamQuestions And 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
Establish the legal authority for the prescription of psychotropic
B. 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 ANA's Psychiatric-Mental Health Nursing: Scope
and Standards of Practice defines the role and actions of the nurse
practitioner.
2) 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 Correct Answer: D.
Information reduces incidence of disease.
3
The trend in legal rulings on cases involving mental illness over the past
25 years has been to
,Purple Book PMHNP - ANCC Exam
Questions And Answers
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 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 C. As with any client, psychiatric clients can refuse
treatment un- less a legal process resulting in involuntary commitment
or mandatory court order for treatment has been obtained.
,Purple Book PMHNP - ANCC Exam
Questions And Answers
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. A.
Social relationships are mutual interpersonal relationships in which the
needs of both parties are addressed. The N-C relationship is most con-
cerned with meeting the needs of the client.
6. A community has an unusually high incidence of depression and drug
use among the teen- age 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 A. This action focuses on interventions
designed to reduce the incidence of new cases of disease.
7
, Purple Book PMHNP - ANCC Exam
Questions And Answers
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 period of detainment to as- sess a client for
dangerousness to self or others before allowing the client to leave a
hospital setting, even if the admission was voluntary.
8
In many characteristics that are known to be helpful in relationship-
building. Which of the fol- lowing is an essential part of building a
therapeutic relationship? forming a therapeutic relationship with
clients, the PMHNP must consider developing
a) Collecting a family history
b) Like-mindedness
c) Authenticity
d) Accuracy in assessment C. Authenticity. Being genuine, honest, and
respectful are essential elements in establishing a working relationship
with any client. Like-mindednessis not a part of the therapeutic
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