PMHNP Exam Practice Questions with
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What is the introduction phase of the nurse-client relationship? -
✔✔Creates a trusting environment, establishing professional boundaries,
establishing length of anticipated interaction, providing diagnostic
evaluation, and setting mutually agreed-upon treatment objectives
What is the working phase of the nurse-client relationship? - ✔✔Clarifying
client objectives and mutually set goals, implementing a treatment plan,
monitoring health, undertaking preventative health care, measuring and
evaluating outcomes of care, and reprioritizing plan and objectives as
indicated
What is the termination/resolution phase of the nurse-client relationship? -
✔✔Reviewing the client's progress toward objectives, establishing a long-
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term plan of care, focusing on self-management strategies, disengaging
from the relationship, and referring the client to other services as needed
Erik Erikson's Stage of Trust vs. Mistrust - ✔✔Birth- 1 year. Ability to form
meaningful relationships, hope about the future, trust in others
Erik Erikson's Stage of Autonomy vs. Shame & Doubt - ✔✔1-3 years.
Includes self control, self esteem, and will power.
Erik Erikson's Stage of Initiative vs. Guilt - ✔✔3-6 years. Self-directed
behavior, goal formation, sense of purpose.
Erik Erikson's Stage of Industry vs. Inferiority - ✔✔6-12 years. Ability to
work, sense of competency and achievement.
Erik Erikson's Stage of Identity vs. Role Confusion - ✔✔12-20 years.
Personal sense of identity.
Erik Erikson's Stage of Intimacy vs. Isolation - ✔✔20-35 years. Committed
relationships, capacity to love.
Erik Erikson's Stage of Generativity vs. Stagnation - ✔✔35-65 years. Ability
to give time and talents to others, ability to care for others.
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Erik Erikson's Stage of Integrity vs. Despair - ✔✔>65 years. Fulfillment and
comfort with life, willingness to face death, insight and balanced
perspective on life's events.
Age of onset for Intellectual Disability - ✔✔Infancy- usually evident at birth
Age of onset for ADHD - ✔✔Early childhood, per DSM by age 12
Age of onset for Schizophrenia - ✔✔18 to 25 years for men
25 to 35 years for women
Age of onset for Major Depression - ✔✔Late adolescence to young
adulthood
Age of onset for Dementia - ✔✔Most common after age 85
Interpersonal Theory by Henry Stack Sullivan - ✔✔Behavior occurs
because of interpersonal dynamics, interpersonal relationships and
experiences influence one's personality, two drives for behavior include:
the drive for satisfaction and the drive for security. When these needs are
interfered with by the self-system, mental illness occurs. Sullivan also
described stages of interpersonal development.
Health Belief Model by Marshall Becker - ✔✔Explains that healthy people
do not always take advantage of screenings or preventative programs