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PMHNP Purple Book Questions and Answers A+ Graded
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PMHNP Purple Book Questions andAnswers A+ Graded
Purpose of the ANA's PMHNP Scope & Standards of Practice is to - -Define
the role and actions for the NP
-Primary prevention care practices are an essential aspect of the PMHNP
role. Which is the best example of primary prevention for community
behavioral health?
a. Aftercare program for chronically mentally ill clients recently dc from the
hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotline
d. Parenting skills classes for pregnant adolescents - -d. Parenting skills
classes for pregnant adolescents
-The trend in legal rulings on cases involving MI over the past 25 yrs has
been to:
a. Encourage juries to find def 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 MH prof to make good & ethical decisions
d. Decrease the red tape associated with commitments so that they are
faster and easier - -b. Protect the person's freedoms or rights when
committed to a mental hospital
-Ms Jones, an involuntarily hosp pt experiencing psychotic sx's, refuses to
take any of her ordered meds because she 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 tx
b. Psychiatric clients do not always know what is good for them
c. Psychiatric clients can refuse tx
d. Psychiatric clients cannot be trusted to make good decisions, and
therefore the best clinical judgement should guide actions - -c. Clients can
refuse tx unless a legal process resulting in involuntary commitment or
mandatory court order for tx has been obtained
-What is the main difference between a nurse-client relationship and a social
relationship? - -The nurse-client relationship is most concerned with meeting
the needs of the client, and is not a mutual interpersonal relationship
benefiting both.
, -A community has a high incidence of depression and drug use among
teens. The nurse modifies the environment, strengthens the capacities of
families to prevent the development of new cases. This is an example of:
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Protective factorial prevention - -a. Primary prevention- interventions
designed to reduce the incidence of new cases of disease
-A pt is voluntarily admitted to the hospital. After 24 hrs, she states she
wishes to leave because "this place can't help me." The best action that
reflects the legal right of this client is:
a. DC the pt
b. Explain that she cannot leave until she's had further assessment
c. Allow her to leave but have her sign forms stating she is leaving AMA
d. Start the paperwork to commit the client and to allow you to tx her against
her wishes - -b. Most states allow for a brief period of detainment to assess a
client for dangerousness to self or others before allowing her to leave a
hospital setting, even if the admission was voluntary.
-Which of the following is an essential part of building a therapeutic
relationship?
a. Collecting a fam hx
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
a client.
-According to the DSM-5 which of the following is true?
a. A mental dis is equivalent to the need for tx
b. Diagnostic criteria are used to inform clinical judgement
c. Socially deviant behavior is considered a mental dis
d. A culturally expected response to a stressor is not a mental disorder. - -d.
All DSM-5 dis need to be made taking a person's culture into account. A
cultural expression of a response to grief, loss, or stress is not considered a
diagnosis.
-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?
a. Infancy
b. Early childhood
c. Late childhood
d. School age. - -b. Early childhood
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