Download NSG 526 Exam 1 Questions With 100% Correct And Verified Answers 2024 and more Exams Advanced Education in PDF only on Docsity! NSG 526 Exam 1 Questions With 100% Correct And Verified Answers 2024 In using the communication technique of reflection, the psychiatric advanced practice nurse: - Correct Answer-Repeats something that the patient has said to encourage the patient to give more information. The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. The psychiatric advanced practice nurse supports the use of praise related to these behaviors. According to Freud's personality theory, these qualities will likely be internalized and become part of the child's: - Correct Answer-superego. Why should a psychiatric advanced practice nurse introduce the matter of a contract during the first session with a new patient? Contracts: - Correct Answer-spell out participation and responsibilities of both parties. During the initial assessment of a patient with schizophrenia, in response to the question "What brought you to the clinic today?" A patient's response of "the van" is an example of: - Correct Answer-Concrete thinking. Open-ended questions: - Correct Answer-Are useful in the beginning of an interview. Patients' perceptual difficulties (hallucinations/delusions) may have an adverse effect on the therapeutic alliance. Which of the following is likely to have the greatest negative effect? - Correct Answer-The patient perceives the psychiatric advanced practice nurse as being part of her delusional system. During the first interview with a parent whose child died in a car accident, the psychiatric advanced practice nurse feels sorry for the patient and reaches out to take the parent's hand. Select the correct analysis of the psychiatric advanced practice nurse's behavior: - Correct Answer-The gesture is premature. The patient's cultural and individual interpretation of touch is unknown. A psychiatric advanced practice nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the psychiatric advanced practice nurse assessing? - Correct Answer-Cognition To encourage the patient to talk freely during the interview, the psychiatric advanced practice nurse: - Correct Answer-Provides empathetic responses. Which comment(s) by an elderly person best indicate successful completion of developmental tasks? Select all that apply - Correct Answer-"I am proud of my children's successes in life." On mental status examination, the patient's thoughts reveal lack of directedness, excessive details, and difficulty with closure. This pattern is called: - Correct Answer- Circumstantiality A PMHNP is contracted to a student health clinic to work with incoming freshman and transfer students for several weeks. The PMHNP encounters a student who describes himself as shy and uncomfortable in social situations. He reports having few friends in high school and has realized that he needs a few drinks to loosen up before going out to party. Upon further questioning, it is revealed he consistently drinks two to three beers on the weekend to enhance his socialization. According to the DSM-5, does this student have a mental illness? - Correct Answer-No, the student does not meet criteria for a mental illness Which behavior shows that a psychiatric advanced practice nurse values autonomy? The psychiatric advanced practice nurse: - Correct Answer-discusses alternatives and helps the patient weigh the consequences. On evaluation, the patient appears to be having difficulty with working memory, planning, and insight into his problems. The psychiatric advanced practice nurse recognizes that these symptoms are associated with problems with the: - Correct Answer-Frontal lobe. On the basis of recent scores taken from The Holmes and Rahe Stress Scale, which patient could the psychiatric advanced practice nurse expect to have greater difficulty adjusting to life changes that have occurred over the past year? - Correct Answer- Angela, a 32-year-old woman who is pregnant, divorcing her husband, and changing residence. Which documentation of DSM-IV-TR diagnoses is correct? - Correct Answer-Axis I: Major Depression Axis II: Avoidant Personality Disorder Axis III: Hypertension Axis IV: Home destroyed by hurricane last year Axis V: 65 The PMHNP is aware that the essentials of the therapeutic alliance include all of the following except: - Correct Answer-Formulating differential diagnosis A patient tells the psychiatric advanced practice nurse she had outpatient therapy weekly for 3 years. The patient states the therapist used the techniques of free association, dream analysis, and facilitation of awareness of transference feelings to help her understand unconscious processes and foster personality change. The psychiatric advanced practice nurse can determine that the patient was treated with: - Correct Answer-psychoanalysis.
