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PMHNP Test Preparation Exam Secrets |Updated 2024

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PMHNP Test Preparation Exam Secrets |Updated 2024 Patients who have been raped are often severely traumatized emotionally and physically and are commonly very fearful and panicked, so the first thing that the mental health nurse should communicate is "You are here s________ here. No one can h__...

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  • October 15, 2024
  • 112
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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.




PMHNP Test Preparation Exam Secrets
|Updated 2024

Patients who have been raped are often severely traumatized emotionally and physically and are

commonly very fearful and panicked, so the first thing that the mental health nurse should communicate

is "You are here s________ here. No one can h___________ you." - Answer✔✔-safe;hurt


The psychiatric and mental health nurse may need to repeat this a number of times because traumatized

patients may b___________ out what people are saying. The nurse should also reassure the patient that

the attack was not the patient's f_________ and that the nurse is s________ for what the patient has

gone through. - Answer✔✔-block;fault;sorry


Because the patient is intimidated by her spouse and has stated she is afraid to stand up to him, as an

advocate for the patient, the nurse should notify the p_______________ of the patient's feelings about

the treatment. Being coerced into signing a consent form is not the same as giving informed consent,

which is required by law. Because patients are vulnerable to manipulation, the nurse must ensure that

the actual wishes of the patient are respected. - Answer✔✔-physician


The most likely reason the patient was able to read slowly but not state what she had read is low

h__________ l____________. The ability to read is different from the ability to comprehend, and

comprehension usually lags behind reading skills by about three grade levels. Thus, a person who is able

to read at the fourth-grade level may have only a first-grade comprehension, making it difficult for the

person to understand health materials, especially since the vocabulary is often more difficult to

understand than that found in other readings. - Answer✔✔-health literary



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The patient is using the defense mechanism of d__________ when the patient, who has had repeated

arrests for driving under the influence of alcohol, refuses to admit that he has a drinking problem and

states that the police have targeted him unfairly. - Answer✔✔-denial


Refuse to acknowledge undesirable feelings, thoughts, or behavior by exaggerating the opposite. -

Answer✔✔-Reaction formation


Retreating to an earlier level of development. - Answer✔✔-Regression


Carrying out an action to negate a previous unacceptable one. - Answer✔✔-Undoing


Question-A patient with schizophrenia has delusions and believes that his family members cannot be

trusted. According to Maslow's hierarchy of needs, the patient's delusions are interfering with

development at the level of:




a. physiological needs


b. Love/belonging needs


c. Safety needs


d. Self-esteem needs




Rationale: The patient's delusions are interfering with development at the level of

____________/________________ needs. Maslow's hierarchy of needs is based on the premise that one

must satisfy one type of need before one can attain the next. The hierarchy of needs includes:




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Physiological: Basic needs such as air, food, water, shelter


Safety and security: Freedom from fear; physical comfort, safety


Love and belonging: Companionship, giving and receiving love, group identification, satisfying

interpersonal relationships - Answer✔✔-love/belonging


Kava is contraindicated because of safety issues and can result in liver damage, so the patient should

have ________function tests completed. Early signs of ________ damage include fatigue and dark urine.

Some people may exhibit jaundice as well. - Answer✔✔-liver;liver;liver


Amitriptyline is broken down by the liver, so kava may increase the rate at which that occurs, also

increasing the adverse effects of the drug. Kava, which has been used in the past for a_____________,

may increase d______________. - Answer✔✔-anxiety;depression


Question-According to Erikson's stages of psychosocial development, which of the following best

characterizes the developmental task of adulthood and the generativity vs. stagnation stage?




a. Achieving self-confidence by performing successfully and gaining recognition from peers


b. Developing a sense of positive self-worth from reviewing the event of life


c. Achieving the personal life goals that the person has formulated


d. Making a commitment to another person as part of a long-term relationship - Answer✔✔-Rationale:

Achieving the personal life goals that the person has formulated


____________ different mental health associations came together to create the international society of

psychiatric-mental health nurses in 1999. - Answer✔✔-b. 4



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When utilizing AHRQ's You Can Quit Smoking guide to help a patient quit smoking, the first step of

"Getting Ready" includes:




a. Talking with the physician about nicotine medication


b. Telling friends and family members about quitting


c. Getting group counseling


d. Setting a date to quit, cold turkey - Answer✔✔-D: Setting a date to quit, cold turkey


Rationale: AHRQ's You Can Quit Smoking guide includes five steps:


1. Getting ready: Considering past attempts (successes/failures) and setting a d__________ for quitting

c___________ t_____________


2. Getting support/encouragement: Telling others and contacting support groups/helplines


3. Learning new skills/behaviors: Drinking plenty of water, establishing new habits, practicing

distractions, and reducing s__________.


4. Getting and using medication correctly: Obtaining nicotine replacement or other medications as

needed.


5. Preparing for relapse/difficult situations: Avoiding other smokers and alcohol or situations that trigger

the desire for cigarettes. Eating well and living a healthy lifestyle - Answer✔✔-date; cold turkey


stress


Question: An elderly patient scored 18 out of a possible maximum score of 30 on the mini mental state

examination (MMSE). This score usually indicates:


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