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PMHNP 4th Edition Review Questions with Correct Answers

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PMHNP 4th Edition Review Questions with Correct Answers The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and Standard of Practices to - ANSWER-Define the role and actions for the NP Primary prevention care practices are an essential aspect of the PMHNP r...

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

PMHNP 4th Edition Review Questions with

Correct Answers

The purpose of the American Nurses Associations Psychatric - Mental Health Nursing: Scope and

Standard of Practices to - ANSWER✔✔-Define the role and actions for the NP

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? - ANSWER✔✔-

Parenting skills classes for pregnant adolescents

The trend in legal ruling on cases involving mental illness over the past 25 years has been to -

ANSWER✔✔-Protect the person's freedoms or rights when he or she is committed to a mental hospital

Mr. Smithers, an involuntarily hospoitalized patient experiencing psychotic symptoms, refuses to take

any of his ordered meication 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? - ANSWER✔✔-

Psychiatric clients can refuse treatments

Which of the following statements best reflects the difference between the nurse-client (N-C)

relationship and a social relationship - ANSWER✔✔-In the N-C relationship, the primary focus is on the

client and the client's needs.

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

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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

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? - ANSWER✔✔-Primary Prevention

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 -

ANSWER✔✔-Explain that the client cannot leave until you can complete further assessment

In forming a therapeutic relationship with clients, the PMHNP must consider developing many

characteristics that are known to be helpful in relationship-building. Which of the following is an

essential part of building a therapeutic relationship? - ANSWER✔✔-Authenticity

According to the DSM-5, which of the following is true? (Ch. 3) - ANSWER✔✔-A culturally expected

response to a stressor is not a mental disorder

Mrs. French has been in individual therapy for 3 months. She has shown much growth and improvement

in her functioning and insight and is to discontinue services within the next few weeks. In the next

session, after you discuss service termination, she suddenly begins to demonstrate the original

symptoms that had brought her to treatment initially. She is now hesitant to discharge, wants to

continue services, and is displaying an increase in regressive defense mechanisms. What is the best

explanation for Ms. French's behavior? - ANSWER✔✔-A sign of normal resistance to termination seen in

the termination phase of therapy

A client is displaying low self-esteem, poor self-control, self-doubt, and a high level of dependency. These

behaviors indicate developmental failure of which of the following stages of development: -

ANSWER✔✔-Early childhood

Mr. Thompson has been forgetful lately, for example, forgetting where he has placed his keys or what

time appointments are scheduled, and he has stated that he thinks these are just random behaviors that

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have no particular meaning. Which Freudian-based psychodynamic principle assumes that all behavior

and actions are purposeful? - ANSWER✔✔-Psychic determinism principle

An example of a mature, healthy defense mechanism is - ANSWER✔✔-Suppression

Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy. While discussing

his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most

likely an example of - ANSWER✔✔-Immature regressive defense mechanism

Defense mechanisms are best viewed as a function of the ego - ANSWER✔✔-Used to resolve a conflict

One of the health care changes that has occurred as a result of the affordable care act (ACA) is that

doctors/hospitals/clinic groups or health systems are coming together and assuming the responsibility

for quality care to large groups of individuals insured by Medicare. The health care clinics/systems

doctors or hospitals that join together are called which of the following? - ANSWER✔✔-Accountable

Care Organization (ACO)

Health care economics is concerned with making decisions so the benefits outweigh the cost of resource

utilization. What are two concepts that healthcare economics is concerned with in regard to fair

distribution of resources and allocation? - ANSWER✔✔-Equity and efficiency

What four elements need to be present for a malpractice lawsuit to be filed? - ANSWER✔✔-Duty of care,

Breach of standard of care, Injury, and Injury must be related to breach of the standard of care

Mary is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who is working in a hospitalist role.

Mary has encountered over five incidences in which attending psychiatrists and medical residents have

been demeaning to nursing staff and not answering calls in the middle of the night or telling the nursing

staff to write orders and the MD would sign off in the a.m. Mary is concerned about errors and wants to

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