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PMHNP ANCC Review Questions 2024/2025 already graded A+
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PMHNP ANCC Review Questions 2024/2025 already graded A+
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PMHNPANCC
Review
Questions
The
purpose
of
the
American
Nurses
Association's
Psychiatric-Mental
Health
Nursing:
Scope
and
Standards
of
Practice
is
to
a.
Define
the
role
and
actions
for
the
NP
b.
Establish
the
legal
authority
for
the
prescription
of
psychotropic
medications
c.
Define
the
legal
statutes
of
the
role
of
the
PMHNP
d.
Define
the
differences
between
the
physician
role
and
the
NP
role
-
ANSA.
The
ANAs
Psych-Mental
Health
Nursing
Scope
and
Standards
of
Practice
defines
the
role
and
actions
of
the
nurse
practitioner.
D.
Information
reduces
incidence
of
disease.
-
ANSPrimary
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?
a.
Aftercare
program
for
chronically
mentally
ill
clients
recently
discharged
from
the
hospital
b.
Court-ordered
counseling
for
abusive
parents
c.
24-hour
crisis
hotlines
d.
Parenting
skills
classes
for
pregnant
adolescents
The
trend
in
legal
rulings
on
cases
involving
mental
illness
over
the
past
25
years
has
been
to
a.
Encourage
juries
to
find
defendants
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
mental
health
professionals
to
make
good
and
ethical
decisions
d.
Decrease
the
"red
tape"
associated
with
commitments
so
that
commitments
are
faster
and
easier
-
ANSB.
Identifies
the
trend
of
ensuring
the
protection
of
individual
civil
liberties
for
psychiatric
clients.
Mr.
Smithers,
an
involuntarily
hospitalized
patient
experiencing
psychotic
symptoms,
refuses
to
take
any
of
his
ordered
medication
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?
a.
Psychiatric
clients
cannot
refuse
treatment
b.
Psychiatric
clients
do
not
always
know
what
is
good
for
them
c.
Psychiatric
clients
can
refuse
treatment
d.
Psychiatric
clients
cannot
be
trusted
to
make
good
healthcare
decisions
and,
therefore,
the
nurse's
best
clinical
judgment
should
guide
actions
-
ANSC.
As
with
any
client,
psychiatric
clients
can
refuse
treatment
unless
a
legal
process
resulting
in
involuntary
commitment
or
mandatory
court
order
for
treatment
has
been
obtained.
Which
of
the
following
statements
best
reflects
the
difference
between
the
nurse-client
(N-C)
relationship
and
a
social
relationship?
a.
In
the
N-C
relationship,
the
primary
focus
is
on
the
client
and
the
client's
needs. b.
Goals
in
the
N-C
relationship
are
deliberately
left
vague
and
unspoken
so
that
the
client
can
work
on
any
issue.
c.
In
the
N-C
relationship,
the
nurse
is
solely
responsible
for
making
the
relationship
work.
d.
In
the
N-C
relationship,
there
is
no
place
for
social
interaction.
-
ANSA.
Social
relationships
are
mutual
interpersonal
relationships
in
which
the
needs
of
both
parties
are
addressed.
The
N-C
relationship
is
most
concerned
with
meeting
the
needs
of
the
client.
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
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?
a.
Primary
prevention
b.
Secondary
prevention
c.
Tertiary
prevention
d.
Protective
factorial
prevention
-
ANSA.
This
action
focuses
on
interventions
designed
to
reduce
the
incidence
of
new
cases
of
disease.
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
a.
Discharge
the
client
b.
Explain
that
the
client
cannot
leave
until
you
can
complete
further
assessment
c.
Allow
the
client
to
leave
but
have
her
sign
forms
stating
she
is
leaving
against
medical
advice
d.
Immediately
start
the
paperwork
to
commit
the
client
and
to
allow
you
to
treat
her
against
her
wishes
-
ANSB.
Almost
every
state
allows
for
a
brief
for
a
period
detainment
to
assess
a
client
for
dangerousness
to
self
or
others
before
allowing
the
client
to
leave
a
hospital
setting,
even
if
the
admission
was
voluntary.
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?
a.
Collecting
a
family
history
b.
Like-mindedness
c.
Authenticity
d.
Accuracy
in
assessment
-
ANSC.
Authenticity.
Being
genuine,
honest,
and
respectful
are
essential
elements
in
establishing
a
working
relationship
with
any
client.
Like-mindedness
is
not
a
part
of
the
therapeutic
relationship.
Although
an
important
aspect
of
the
PMHNP
role,
collecting
a
family
history
and
accuracy
in
assessment
does
not
in
and
of
itself
facilitate
relationship
building.
According
to
the
DSM-5,
which
of
the
following
is
true?
(Ch.
3)
a.
A
mental
disorder
is
equivalent
to
the
need
for
treatment.
b.
Diagnostic
criteria
are
used
to
inform
clinical
judgment.
c.
Socially
deviant
behavior
is
considered
a
mental
disorder. d.
A
culturally
expected
response
to
a
stressor
is
not
a
mental
disorder.
-
ANSD.
All
DSM-5
disorders
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
DSM-5
diagnosis.
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?
a.
An
exacerbation
of
her
symptoms
related
to
stress
b.
The
normal
cyclic
nature
of
chronic
mental
health
symptoms
c.
A
sign
of
normal
resistance
to
termination
seen
in
the
termination
phase
of
therapy
d.
A
sign
of
pathological
attachment
to
the
therapist
that
must
be
addressed
-
ANSC.
Clients
frequently
display
resistance
and
regression
at
the
termination
of
a
meaningful
therapeutic
process.
The
PMHNP
is
responsible
for
planning
an
effective
termination
and
monitoring
clients
during
the
termination
period.
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
-
ANSB.
These
signs
indicate
developmental
failure
of
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
have
no
particular
meaning.
Which
Freudian-based
psychodynamic
principle
assumes
that
all
behavior
and
actions
are
purposeful?
a.
Pleasure
principle
b.
Psychic
determinism
principle
c.
Reality
principle
d.
Unconsciousness
principle
-
ANSB.
The
psychic
determinism
principle
states
that
all
behavior
has
purpose
and
meaning,
often
unconscious
in
nature,
and
that
no
behaviors
occur
randomly
or
by
coincidence.
An
example
of
a
mature,
healthy
defense
mechanism
is
a.
Denial
b.
Rationalization
c.
Repression
d.
Suppression
-
ANSD.
Suppression
is
the
only
defense
mechanism
listed
in
which
the
client
channels
conflicting
energies
into
growth-promoting
activities.
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