NR607 Final Exam Questions With Complete Solutions
________ in treatment-resistant cases. Correct Answer
clozapine
-Patients should be offered a clozapine trial if they have a partial
or non-response to two antipsychotic trials, assuming those
antipsychotic trials are an adequate dose and duration (four to
eight weeks)
___________ is FDA approved for tx of tardive dyskinesia
Correct Answer Valbenazine (Ingrezza)
_____________________ for care and treatment is a
fundamental ethical and legal principle Correct Answer
Informed consent
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the client
via weekly interactive video sessions.
PMHNP role:
Acute PMHNP Care
Telehealth
Case Management
Primary Care
Pharmacologic Intervention
Crisis Intervention
Partial Hospitalization/Intensive Outpatient Tx
Community-Based Care
Self-Employment
,Psychotherapy Correct Answer Telehealth
Rationale: Telehealth services utilize telecommunication
technology to deliver treatment to clients.
A PMHNP discovers her colleague is diverting scheduled
medications to self-medicate anxiety. The PMHNP reports the
concerns to the colleagues supervisor.
How the PMHNP applied ethical principles:
-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession Correct Answer
Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of
psychiatric disorders in the workplace reporting peer
observations to leadership. The PMHNP helps address problems
faced by colleagues that impact client safety or violate public
trust, including substance abuse.
A PMHNP speaks at a school board meeting about the need
develop policies to expand mental health services for
underserved students.
How the PMHNP applied ethical principles:
,-Respect for the Individual
-Commitment to the Healthcare Consumer
-Advocacy for the Healthcare Consumer
-Responsibility and Accountability for Practice
-Duties to Self and Others
-Contributions to Healthcare Environments
-Advancement of the Nursing Profession
-Collaboration to Meet Health Needs
-Promotion of the Nursing Profession Correct Answer
Promotion of the Nursing Profession
Rationale: The PMHNP participates in policy development and
implementation that recognizes PMH disorders as treatable and
ensures that nursing care is delivered with respect to human
needs and values without prejudice.
Acute inpatient care Correct Answer short-term treatment to
provide care for acutely ill clients who are unable to meet basic
needs due to a mental health condition or are at risk of harming
themselves or others
-focus is crisis stabilization
-may be voluntary or involuntary
Agnieszka has experienced persistent racial discrimination since
immigrating to the United States, which has led to chronic
stress, anxiety, depression, and post-traumatic stress disorder
(PTSD), exacerbating her chronic depression
What racism's effect is the patient experiencing?
Limited access to resources
, Intersections with other social determinants
Cultural mistrust and mental healthcare disparities
Discrimination and racial trauma Correct Answer
Discrimination and racial trauma
Agranulocytosis Correct Answer -Clozapine-induced
agranulocytosis (CLIA)
• potentially life-threatening
• occurs in less than 1% of clients prescribed clozapine
• cause unknown; may be genetic
-Onset of symptoms any time following initiation of clozapine,
most common after 4-5 weeks of drug therapy
-symptoms of CLIA:
• fever and chills
• increased heart rate
• sudden hypotension
• muscle weakness and fatigue
• mouth ulcers
• sore throat
-Diagnosis: absolute neutrophil counts (ANC) less than
100/mcL.
Agranulocytosis Tx Correct Answer -immediate
discontinuation of clozapine
-supportive care for infection
-consultation with hematology
AIMS Correct Answer Abnormal Involuntary Movement Scale
-12 questions
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