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2024 LMR EXAM WITH ANSWERS
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2024 LMR EXAM WITH ANSWERS
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2024 LMR EXAM WITH ANSWERS
Someone reports they are raped. Priority action? - CORRECT-
ANSWERSAssess safety. Safety before assessment and intervention
3 main rights of patients - CORRECT-ANSWERSleast restrictive
environment***, informed consent, confidentiality
Which ethical principle? not giving stimulants to someone with substance use
disorder - CORRECT-ANSWERSnonmalefiscence
Which ethical principle?giving antidepressants to someone who is depressed
- CORRECT-ANSWERSbeneficence
PMHNP gets informed consent from pt to start a medication and then
immediately sends presx to the pharmacy. what ethical principle was
violated? - CORRECT-ANSWERSconfidentiality. pharmacy is third party--pt
needs to verify before you send presx.
you are hired to address medication errors. what should you assess first? -
CORRECT-ANSWERSAssess EDUCATIONAL NEEDS of staff
Example of what?
individuals are continually learning, designing safe systems, and managing
behavioral choices - CORRECT-ANSWERSJUST CULTURE
Key to just culture - CORRECT-ANSWERSdesigning safe systems
Tenets of recovery model - CORRECT-ANSWERSNON LINEAR
LEARNING FROM EXPERIENCE
self directed
not a focus on symptom resolution but on resilience
nurse has made a medication error and you need to employ principle of just
culture. First thing you do? - CORRECT-ANSWERSASSESS patient safety,
making sure they are stable after medication error.
Pt recently diagnosed with schizophrenia. You need to use recovery model.
What do you focus on? What don't you focus on? - CORRECT-ANSWERSDon't
focus on dx, medication, etc. Move BEYOND dx and focus on interests,
abilities, and dreams.
,Self direction: not telling pt what to do
Pt sober for 2 year and relapsed. To use recover model, what might you ask
them? - CORRECT-ANSWERSask them what they LEARNED FROM
EXPERIENCE.
Recovery model: What is at the CENTER of care? - CORRECT-
ANSWERSPATIENT-- tell them this
QI example - CORRECT-ANSWERSretrospective chart review
List a process involved in quality improvement - CORRECT-ANSWERSPDSA
Plan, do, study, act
2 parts of working with policy makers/stake holders - CORRECT-
ANSWERSAssess organizational barriers and facilitators
THEN, brainstorm with stakeholders
How should a PMHNP assess barriers and facilitators to evidence based
practice - CORRECT-ANSWERSSurvey that includes baseline knowledge,
beliefs, and practices
Type of care delivery that considers patient and provider satisfaction as well
as cost considerations to help people manage their overall health -
CORRECT-ANSWERScase management model
Benefits of using the case management model - CORRECT-ANSWERSoptimize
client self care
reduce fragmentation of care
provide quality care across the continuum
improve clients' quality of life
improve client outcomes
reduce length of hospitalization
increase client and staff satisfaction
You work in inpatient hospital and are asked to create multidsiciplinary
healthcare team. what model should you use to guide you? - CORRECT-
ANSWERScase management model
tarasoff principle - CORRECT-ANSWERSduty to warn
rennie vs klein court case - CORRECT-ANSWERSright to refuse psychotropic
medication
Donalson vs O'Connor - CORRECT-ANSWERSunconstitutional to commit a
person involuntarily who is not a danger to self or others.
, Industry vs inferiority age? favorable and unfavorable outcome - CORRECT-
ANSWERS6-12
favorable: sense of competency, peers play big role
unfavorable: sense of inferioirity at understanding and organizing
Erikson stage and age: ability to be a self starter - CORRECT-
ANSWERSinitiative v guilt 3-6
Erikson stage and age: differentiating self from others - CORRECT-
ANSWERSidentify v role confusion 12-20
Trust v mistrust age - CORRECT-ANSWERSbirth to 1
Autonomy vs. Shame and Doubt age - CORRECT-ANSWERS1-3
gerativity v stagnation age - CORRECT-ANSWERS35-65
Piage stage: dreaming about monsters flying - CORRECT-ANSWERSPiaget
Preoperational stage 2-7 yrs old, MAGICAL THINKING normal in this stage.
Piaget stage Able to do a SCIENCE PROJECT, test a HYPOTHESIS. - CORRECT-
ANSWERSFormal operational stage: 12-adulthood. ABSTRACT LOGIC
HAM D score of 22 and you decide to place them on X dose of an
antidepressant. They come to you 4 weeks later and score is 16. Increase,
decrease or leave it? - CORRECT-ANSWERSLeave it.
Pt taking lexapro 20 mg for 2 months for GAD. new patient so you decide to
do an initial eval. Scoring 2 on GAD scale. Adjustments you make? -
CORRECT-ANSWERSLeave it as it.
hallmarks of vascular dementia - CORRECT-ANSWERScarotid bruits
fundoscopic abnormalities
enlarged cardiac chambers
Priority when discharging a patient from inpatient? - CORRECT-
ANSWERSSafety
Child comes into office and reports abuse in presence of parents. Next
action? - CORRECT-ANSWERSInterview child separately from parents and
then call CPS.
Child comes into office without his/her parents and is playing with a toy in a
sexual way. You suspect sexual abuse. Next action? - CORRECT-
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