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What is the purpose of the ANA's scope and standards of PMHNP practice?
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What is the trend in legal rulings on cases involving mental illness over the past 25 years?
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ANCC PMHNP Exam
Questions to prepare for the family PMHNP exam
| Question | Answer |
|---|---|
| What is the purpose of the ANA's scope and standards of PMHNP practice? | Define the role and actions for the NP. |
| What is the trend in legal rulings on cases involving mental illness over the past 25 years? | Protect the individual's freedom or rights when he or she is committed to a psychiatric hospital. |
| A community has an unusually high incidence of depression and drug use among the teen population. The public health nurses decide to address this problem by modifying the environment and strengthening the capacities of families to prevent the development | primary prevention. |
| Mrs. Smith 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 the client is to... | Explain that the client cannot leave until the nurse can complete further assessment. |
| The DSM-IV-TR is the most common classification system used to identify and diagnose mental illness. The one aspect of an illness not discussed in the DSM is... | lab tests useful in diagnosing common disorders. |
| Ms. Brown 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 sudden | A sign of normal resistance to termination seen in the termination phase of the nurse-client relationship. |
| An example of a mature, healthy defense mechanism is... | Suppression |
| A man thinks his wife is ugly as he sees her one morning. He doesn't tell her because he doesn't want to hurt her. Later in the day he subconciously gets the urge to send her flowers. This unconscious action is... | Undoing |
| What is the role of neurotransmitters in the CNS? | To communicate between neurons. |
| Serotonin is produced in which location? | Raphi nuclei |
| A client presents with complaints in changes in appetite, feeling fatigued, problems with rest-sleep cycle, and changes in libido. What is the neuroanatomical area of the brain responsible for the normal regulation of these functions? | Hypothalamus. |
| In considering whether or not to order an MRI for a client with suspected psych disorders, what would be a contraindication to this diagnostic test? | Pacemaker or any metal-containing implant. |
| The concept of target symptom identification is best explained as what? | Identification of specific, precise, and individualized symptoms reasonably expected to improve with medication. |
| When treating elderly people, you should keep in mind that they are more sensitive to issues of drug toxicity because of? | Decreased protein binding |
| Which known teratogenic effects can be caused by the common psychotropic medications depakote and lithium? | Lithium cases Epstein anomaly and depakote causes spina bifida. |
| The study of what the body does to drugs is called? | Pharmacokinetics |
| What are the benefits of group therapy? | Increases social skills, cost effective, enables participants to acquire the curative factors. |
| You are using Beck's cognitive-behavioral therapy and know that this will help the client to? | Recognize and change his or her automatic thoughts. |
| Homeostasis in a family refers to? | Balance or stability that the family returns to despite its dysfunction. |
| Miracle questions are part of which form of therapy? | Solution-focused therapy. |
| A 23-year-old female is brought to the ECU after cutting her wrists. What is the highest initial priority for the PMHNP? | To obtain vital signs. |
| Prescribing TCAs to people who are suicidal is risky because? | TCAs are fatal in overdose. |
| For the PMHNP to provide a client with an adequate trial on an antidepressant medication, what time period of continuous medication use is required? | 6 weeks of continuous use. |
| The psychodynamic theory of anxiety states that the etiology of anxiety is what? | Conflict between the id and the superego |
| The interpersonal theory of anxiety states that the etiology of anxiety is? | Perceived disapproval from significant others. |
| The neurotransmitter deregulation theory of the etiology of psychotic disorders such as schizophrenia supports that psychois is caused in part by? | An excess of dopamine. |
| The positive-negative model of classifying the symptoms of schizophrenia describes positive symptoms as. | Symptoms that positively respond to antipsychotic medication. |
| What is the relationship between typical antipsychotics and seizures? | Typical antipsychotics may lower the seizure threshold and cause seizures. |
| Mrs. A has delusional disorder and is started on Haldol 5mg, tylenol 650mg, cogentin 1mg, and ativan 2mg. She complains of a sudden stiff neck. The symptoms are related to? | Dystonia. |
| If a patient has dystonia with pain and stiffness what medication may be useful? | Cogentin. |
| The most significant finding that should alert you to the possible diagnosis of delirium is? | Rapid onset of symptoms different from baseline functioning. |
| Prevention and screening actions are essential in the identification of dementia because? | Early detection can prevent some of the deterioration of the illness. |
| The concept of substance abuse implies that the individual is? | Having functional problems related to frequent or excessive substance use. |
| To diagnose a person with substance dependence, you must determine the current or past presence of what clinical finding? | Denial and projection. |
| Medical detox from a substance is required only when the substance is known to produce? | Physical withdrawal symptoms. |
| Impulsivity is a common behavioral manifestation of personality disorders. The PMHNP working with a client with high impulsivity should consider which of the following pharmacological interventions? | Use of an SSRI agent |
| The affective instability common in some personality disorders can be clinically managed with which meds? | Anticonvulsants, SSRIs, MAOIs |
| A diagnosis of mental retardation is made when a person has significantly below-average intelligence accompanied by impaired functioning. The IQ range for consideration of mental retardation is an IQ below? | 70 |
| Which medication used to treat ADHD is non-stimulant? | Strattera (atomoxetine) |
| A child presents with a behavioral pattern of negative, defiant, disobedient, and hostile behavior expecially towards adults and authority roles. The most likely diagnosis for this child is? | Oppositional defiant disorder |
| In evaluating a client for insomnia, what factors are most consistent with a presentation of transient insomnia? | Usually caused by stress, jet lag, or physical environmental concerns |
| Insomnia is a common finding in clients with psychiatric disorder and is most commonly found in clients diagnosed with? | Mood disorders |
| Insomnia in children is most often caused by? | Family stress |
| What is the function and location of Broca's area? | Located in frontal lobe and responsible for expressive speech |
| What is the function and location of Wernicke's area? | Located in the temporal lobe and responsible for receptive speech and language comprehension |
| What is produced in the substantia nigra? | Dopamine is produced in the substantia nigra. |
| What is produced in the locus ceruleus? | Norepinepherine is synthesized in the locus cereuleus. |
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Danniepsychnp