ANCC PMHNP Certification Exam 2 Review

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ANCC PMHNP Certification Exam 2 Review Questions (Latest ) Latest Questions With Complete Grade A Answers Question 1: The purpose of the ANA's PMH Nsg: Scope and

Standards of Practice is to:

• Define the role and actions for the NP
• Establish the legal authority for the prescription of

psychotropic medications

• Define the legal statutes of the role of the PMHNP
• Define the differences between the physician role and the NP

role

CORRECT ANSWER : a. Define the role and actions for the NP

Question 2: The trend in legal rulings on cases involving mental

illness over the past 25 years has been to:

A - Encourage juries to find defendants not guilty by reason of insanity B - Protect the individual's freedoms or rights when he or she is committed to a mental hospital C - Place increasing trust in mental health professionals to make good and ethical decisions

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D - Decrease the "red tape" associated with commitments so that commitments are faster and easier

CORRECT ANSWER : B. Identifies the trend of ensuring the

protection of individual civil liberties for psychiatric clients.

Question 3: Mr Smithers, an involuntarily hospitalized patient

experiencing psychotic symptoms, refuses to take any of his ordered medication because he believes "Jesus Christ told me I am the prophet and must fast for a year." Your actions should be

based on your knowledge that:

A - Psych clients cannot refuse treatment B - Psych clients don't always know what's good for them C - Psych clients can refuse treatment D - Psych clients cannot be trusted to make good healthcare decisions and, therefore, the nurse's best clinical judgment should guide actions

CORRECT ANSWER : C. As with any client, psych clients can

refuse treatment unless a legal process resulting in a mandatory court order for treatment has been obtained.

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Question 4: Which of the following statements best reflects the

difference between the nurse-client (N-C) relationship and a social relationship? In the N-C relationship...A - the primary focus is on the client and his needs.B - goals are deliberately left vague and unspoken so that the client can work on any issue.C - the nurse is solely responsible for making the relationship work.D - there is no place for social interaction.

CORRECT ANSWER : A - the primary focus is on the client

and his needs.

Question 5: In forming a therapeutic relationship with clients,

the PMHNP must consider developing many characteristics that are known to be helpful in relationship-building. These

characteristics include all of the following EXCEPT:

A - genuineness B - acceptance C - authenticity D - accuracy in assessment

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CORRECT ANSWER : D - accuracy in assessment

Question 6: In forming a therapeutic relationship with clients,

the PMHNP must consider developing many characteristics that are known to be helpful in relationship building. Which of the following is an essential part of building a therapeutic relationship?

• Collecting a family history
• Like-mindedness
• Authenticity
• Accuracy in Assessment

CORRECT ANSWER : C. Authenticity - Being genuine, honest,

and respectful are essential elements in establishing a working relationship with any client.

Question 7: The DSM-IV provides for holistic client assessment

by using a multiaxial assessment format. The general medical conditions experienced by a client that may influence treatment of his or her psychiatric disorders are coded on which of the five axes of the DSM?