Exam (elaborations)

ANCC Practice Questions Domain 5 with 100% correct answers

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Module
ANCC PMHNP

Institution
Oxford University (OX)

You have students from local psychiatric nurse practitioner programs follow you in your clinical practice to show them what you do as a Psychiatric Nurse Practitioner. This is called being a: a. Preceptor b. Mentor c. Professor d. Teacher A A Psychiatric Mental Health Nurse Practitioner...

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ancc practice questions
ancc practice questions domain 5 with 100 correct

Institution Oxford University (OX)
Education Unknown
Module ANCC PMHNP

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ANCC Practice Questions Domain 5 with
100% correct answers
You have students from local psychiatric nurse practitioner programs follow you in your clinical
practice to show them what you do as a Psychiatric Nurse Practitioner. This is called being a:
a. Preceptor
b. Mentor
c. Professor
d. Teacher - answer A

A Psychiatric Mental Health Nurse Practitioner providing psychiatric consultation makes a home
visit after the police found an 86-year-old widow wandering the streets at 4AM after emergency
call from her daughter. The woman has been living with her daughter for the past ten years,
after her husband died. Her daughter is a 66-year-old, single, retired schoolteacher, appears
thin, exhausted, and reports little sleep for past two years trying to care for her mother. The
daughter reports that her mother becomes increasingly confused every evening and wanders
the house unable to sleep at night. The daughter is unable to leave her mother alone for even a
short period of time because unsupervised her mother will turn on the gas stove burner, leave it
unattended, and she escapes the house at every chance to wander the neighborhood. Her
mother is socially pleasant, disoriented to time and place, and does not recognize her daughter.
Her mother thinks that the daughter is a housekeeper intent on stealing her money and
possessions, which is upsetting to the daughter. What is the most important in determining the
level of care needed for this elderly client?

A. Appraisal of daughter's health and her ability and willingness to continue caring for mother in
home.
B. Modification of environment such as bright lights in evening, identification bracelet, and
safety lock on stove.
C. Trial of low-dose atypical antipsychotic to reduce paranoid ideation, help sleep, and decrease
wandering.
D. Linkage with home health aide 4 to 6 hours, three times per week, and community resources
for respite care. - answer A

,As a psychiatric nurse practitioner, you evaluate your patients for health concerns and beyond,
in a holistic manner. your current patient has a blood sugar of 186 and a hemoglobin A1C of 6.7.
You refer this patient to an internal medicine practitioner with whom you frequently share
patients. You have just violated:
A. The DATA Act
B. The Adams Act
C. No statute
D. The Stark law - answer C

Which of the following is not insured by the Universal Bill of Rights for Mental Health Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary, written
consent, or situation.
B. The right to freedom from restraint or seclusion, other than as a mode of treatment during
an emergency situation.
C. The right to be given a reasonable explanation of one's general mental and physical
condition, the objectives of treatment, and the possible adverse effects of recommended
treatment.
D. The right to ongoing participation in the planning of mental health services provided in a
manner appropriate to a person's capabilities. - answer A

During an outpatient medication evaluation a depressed client reports persistent anger toward
his former boss after losing his job due to arguments and assaultive behavior toward co-
workers. The client has been waiting outside the plant in the afternoon, watching for the boss to
leave to confront him regarding his terminated employment. What responsibility does the
PMHNP have in this situation?
A. Contact the client's boss to notify him of potential harm.
B. Ask the client to sign a "no harm to others" agreement and document in chart.
C. Consult state board of nursing regarding state law requirements on reporting potential harm.
D. Advise the client to stop going to the plan and avoid any contact with his former boss. -
answer C

, Your patient is a 32-year-old who is diagnosed with major depression-recurrent, insomnia, and
chronic lower back pain. The patient has seen you for three medication management sessions
over the last two months. During the fourth medication management session, the patient states
that money is tight and an appointment is required with the general practice (GP) physician
every time a refill of the Hydrocodone (pain medication) is needed. The patient asks you to refill
the Hydrocodone to save the cost of another medical visit. you:

A. State that you certification is for psychiatric care only and refer him back to his GP.
B. State that you are willing to discuss alternative medications to manage his pain.
C. State that you can refill this prescription just once.
D. State that you would be willing to call his GP to discuss the issues and help him out. - answer
A

You are a nurse practitioner (NP) who performs psychotherapy. your patient is distraught, and
you call in the NP who is performing the medication management to sit in and discuss and
determine if an emergency medication evaluation is needed. After the discussion of medication
changes that will take place, the medication manager NP asks the crying patient if she needs a
hug. The patient stands and extends her arms outward. The medication NP gives her a chaste
hug and leaves the room. Is this a case of inappropriate touch or battery?
A. Yes. This is inappropriate, as you never touch a patient under any circumstances.
B. No but, nonverbal communication methods are not sufficient for ensuring agreement to hug
a patient.
C. Yes. This is a case of battery. The patient did not verbally say that it was okay to touch.
D. No. This is a case where there was a question asked, nonverbal consent was given, and the
NP gave the patient a hug to help the patient cope. - answer D

A social worker concerned about a Nigerian refugee who seems to be suffering from severe
post-traumatic stress disorder since arriving in U.S. three months ago referred this man to an
African American female Psychiatric-Mental Health Nurse Practitioner in the community mental
health center. The PMHNP builds rapport by exploring the values, beliefs, life experiences, and
accepted behaviors of this young Nigerian man as she seeks to understand the context of his
transition to the U.S. before making any diagnosis or proposed intervention. The PMHNP is
striving to provide what type of mental health care?

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