NR607 Week 1 | Diagnosis & Management in Psychiatric Mental Health III Practice Exam | Questions and Answers Graded A+ |2024/2025 Guide
NR607 Week 1 | Diagnosis & Management in Psychiatric Mental Health III Practice Exam | Questions and Answers Graded A+ |2024/2025 Guide
NR607 Week 1 | Diagno...
NR607 Week 1 | Diagnosis &
Management in Psychiatric Mental
Health III Practice Exam | Questions
and Answers Graded A+ |2024/2025
Guide
Yolanda is a 20-year-old client who was referred to the PMHNP by her
college health clinic for symptoms consistent with bipolar II disorder. She
initiates the interview by stating that she is not willing to take any
medications but is willing to engage in counselling or other therapies.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
Correct Answer - provide additional education
Rationale: The client should receive education about the risks, benefits,
and appropriateness of pharmacological treatment. If, after receiving
education, the client still refuses medication therapy, it is important to
document the education provided and the client's refusal of treatment.
Kevin is a 48-year-old with a 20-year history of schizophrenia. He has
decided to stop pharmacological treatment due to the intolerable
,adverse effects of his medications. Kevin and the provider have
discussed the benefits and drawbacks of ceasing treatment, and he has
agreed to weekly telephone check-ins to ensure his well-being.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - document refusal of treatment
Rationale: The client has the capacity to consent, and the situation is not
emergent. The ethic of autonomy provides for the client to refuse
treatment.
Ashlei is a 19-year-old who presents to the clinic with severe anxiety
symptoms. As the PMHNP begins reviewing treatment options, Ashlei
interrupts and states, "Hearing about these medications increases my
anxiety. Please prescribe what you think is best for me, and I will take it."
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - initiate treatment without informed consent
Rationale: Clients may choose to waive their right to informed consent.
The PMHNP should clearly document the client's waiver.
, Geoff is a 32-year-old who presents to the clinic with anhedonia, fatigue,
feelings of worthlessness, and a lack of focus. He admits to thinking
about death but denies suicidal ideations or a plan. He has been taking
sertraline 50 mg daily and wishes to stop taking the medication as it
does not seem to be helping.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent
- Correct Answer - provide additional education
Rationale: The client has the capacity to provide consent and the
situation is not emergent; however, the client should receive education
about the risks, benefits, and appropriateness of pharmacological
treatment. At this time, the dose should be increased to achieve efficacy.
If, after receiving education, the client still refuses medication therapy,
the PMHNP should document the education provided and the client's
refusal of treatment.
Fritz is a 25-year-old who has been brought to the emergency
department by the police after threatening a server at a restaurant. The
PMHNP on call has treated Fritz for schizophrenia in the past. He has a
history of poor treatment adherence. While in the emergency
department, he admits to auditory hallucinations. He becomes agitated
and begins throwing items around the examination room.
Which of the following is the most appropriate action?
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