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PMHNP Exam Reported Questions – well answered 2023/2024
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PMHNP Exam Reported Questions – well answered 2023/2024
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PMHNP Exam Reported Questions – wellanswered 2023/2024
ANA Position Statement (2010) on just culture of safety - ✔✔ANSW✔✔..-Supports
collaboration efforts among state boards of nursing, professional organizations, patient
safety centers, and health systems to develop Just Culture initiatives
-Holds people accountable for their behaviors and investigates errors
-Goal of creating open and fair learning environment to design safe systems and
manage choices
-Mindset that affects work environment to proactively look for system breakdowns and
identify ways to improve systems
Analysis of variance (ANOVA) - ✔✔ANSW✔✔..Inferential statistics:
Tests the differences among three or more groups
Arbitration - ✔✔ANSW✔✔..Process in which a third party reviews evidence from both
sides and makes a decision to settle the case
Autonomic nervous system - ✔✔ANSW✔✔..-Part of CNS
-Regulates internal body functions to maintain homeostasis; conveys information from
the CNS to smooth muscle, cardiac muscle, and glands;
-Responsible for involuntary movement; divided into the sympathetic nervous system
and the parasympathetic nervous system
Caring Theory - ✔✔ANSW✔✔..-Jean Watson
-Caring is an essential component of nursing.
-"Carative factors" guide the core of nursing and should be implemented in health care.
-Carative factors are those aspects of care that potentiate therapeutic healing and
relationships.
Case Management - ✔✔ANSW✔✔..-System of controlled oversight and authorization of
services and benefits provided to clients:
-Consists of coordinating care, ensuring quality outcomes, monitoring plan of care,
and doing advocacy
-Overall goal is to promote quality, cost-effective outcomes
Central Nervous System (CNS) - ✔✔ANSW✔✔..consists of the brain and spinal cord
Client Advocacy - ✔✔ANSW✔✔..-Stand up for clients' rights and empower them to
become their own advocates
,-Reduce the stigma of mental illness
-Help clients receive available services
-Promote mental health by participating in one or more of these professional
organizations:
American Nurses Association (ANA), American Psychiatric Nurses Association (APNA),
International Society of Psychiatric Nurses (ISPN)
Cognitive Theory - ✔✔ANSW✔✔..-Jean Piaget
-Human development evolves through cognition, learning,
and comprehending.
-Four stages of cognitive development:
Sensorimotor, Preoperational, Concrete Operations, Formal Operations
Commitment process of forcing a person to receive involuntarily evaluation or treatment
- ✔✔ANSW✔✔..Process may differ from state to state but basic criteria include:
-Person has a diagnosed psychiatric disorder,
-Person is harmful to self or others as a consequence of the disorder,
-Person is unaware or unwilling to accept the nature and severity of the disorder,
-Tx likely to improve functioning.
Commitment process of forcing a person to receive involuntarily evaluation or treatment
- ✔✔ANSW✔✔..Process may differ from state to state but basic criteria include:
-Person has a diagnosed psychiatric disorder,
-Person is harmful to self or others as a consequence of the disorder,
-Person is unaware or unwilling to accept the nature and severity of the disorder,
-Tx likely to improve functioning.
Corpus callosum - ✔✔ANSW✔✔..-Cerebrum
-Both hemispheres connected by a large bundle of white matter
-Area of sensorimotor information exchange between the two hemispheres
Countertransference - ✔✔ANSW✔✔..The nurse's emotional reaction to the client based
on her/his past experiences
Critique the research evidence:
Qualitative hierarchy - ✔✔ANSW✔✔..1. Evidence from systematic reviews of
descriptive and qualitative studies
2. Evidence from a single descriptive or qualitative study
3. Evidence from expert opinion or committee
4. Evidence-based guideline based on systematic review of RCTs
5. Evidence from well-designed controlled trials without randomization
6. Systematic reviews or meta-analysis
7. Evidence from at least one well-designed RCT
Critique the research evidence:
, Quantitative hierarchy - ✔✔ANSW✔✔..1. Randomized controlled trials (RCT), meta-
analysis, or systematic review
2. Evidence-based guidelines based on systematic review
3. Evidence from RCT without randomization
4. Evidence from systemic review of descriptive and qualitative studies
5. Evidence from expert opinion or committee reports
DEFENSE MECHANISMS:
Altruism - ✔✔ANSW✔✔..Meeting the needs of others in order to discharge drives,
conflicts, or stressors
DEFENSE MECHANISMS:
Denial - ✔✔ANSW✔✔..Avoidance of unpleasant realities by unconsciously ignoring
their
existence
DEFENSE MECHANISMS:
Intellectualization - ✔✔ANSW✔✔..Attempts to master current stressor or conflict by
expansion of knowledge, explanation, or understanding
DEFENSE MECHANISMS:
Projection - ✔✔ANSW✔✔..Unconscious rejection of emotionally unacceptable personal
attributes, beliefs, or actions by attributing them to other people,
situations, or events
DEFENSE MECHANISMS:
Rationalization - ✔✔ANSW✔✔..Justification of illogical, unreasonable ideas, feelings, or
actions by developing an acceptable explanation that satisfies the person
DEFENSE MECHANISMS:
Reaction formation - ✔✔ANSW✔✔..Often called overcompensation; unacceptable
feelings, thoughts,
or behaviors are pushed from conscious awareness by displaying
and acting on the opposite feeling, thought, or behavior
DEFENSE MECHANISMS:
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