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TEST BANK FOR ANCC PMHNP PSYCH-MENTAL HEALTH LATEST 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!|| Typically, which type of mental health care involves a minimum of about 3 months and is reserved for patients that have been transferred from acute care setting that are at a chronic risk for harming themselves or others because of mental illness? Community-based care Primary care Long-term care Residential services - Correct Answer: Long-term care This type care can be referred to as intermediate or long-term care. They can admit a patient directly, but typically the patients are transferred there from an acute care setting.
Which of the following would be an example of a secondary prevention measure for psychiatric practice? disaster response day treatment programs social skills training case management for vocational needs - Correct answer: disaster response Disaster response would be a secondary prevention measure that is aimed at decreasing the prevalence of mental disorders. The other three choices are tertiary prevention measures that are aimed at decreasing the disability and severity of a mental disorder. What is used to delineate the responsibilities and authority at all levels for the various activities in the organization? Mission statement Policy Philosophy statement
and ambiguity include increased need fulfillment, structure and standards, and facilitation of teamwork. Of the following statements about involuntary admission to a psychiatric facility, which is the least accurate? Involuntary admission requires that the patient retain freedom from unreasonable bodily restraints. Those patients who have been involuntarily admitted no longer have the right to refuse medications. Patients have the right to legal counsel and to take their cases before a judge who may order release. Forced treatment raises ethical dilemmas regarding autonomy versus paternalism. - Correct answer: Those patients who have been involuntarily admitted no longer have the right to refuse medications. This statement is least accurate. Involuntary admission requires that the patient retain the right to refuse medications. This refusal can include psychotropic or antipsychotic medications.
Managed care is used by whom? Stake holders. High Management. Purchasers of health services. Insurance companies. - Correct Answer: Purchasers of health services. Managed care is used or employed by purchasers of health services. These people will make decisions about different services so that quality and costs can be monitored. In this type of program, people will get health care based on their needs. 75 year old male is suffering from an altered mental status. What is happening to him? The memory is overloaded. There are changes to the brain's normal functions. The patient is dying.
What term best describes a nurse's ability to best determine the end result? Expected outcome. Evaluation. Competency. Autonomy. - Correct Answer: Expected outcome. An expected outcome occurs when you can determine the end results of a patient's care. Mental health nurses can make an educated assumption on what the outcome of their patient's health will be based on patient cooperation, assessments, tests, observations, and the diagnosis. All details related to the patient's health are considered, and used to determine the expect outcome. What might be a cause for a member of the collaborative team to receive complaints concerning his communication skills? Poor eye contact
Sitting too close Professional dress Gestures that accompany words - Correct Answer: Sitting too close Body language is an important communicator. Sitting too close to people invades their personal space. This results in negative communication. When a nurse structures the relationship with a client to focus on the client and facilitates expression of problems and feelings, this is part of which phase of the nurse-client relationship? identification orientation exploitation resolution - Correct Answer: identification
Conflict among members of a particular group is classified as which of the following? intrapersonal interpersonal intergroup intragroup - Correct Answer: intragroup Conflict among members of a particular group is intragroup conflict. Conflict among members of two or more groups is known as intergroup conflict. Human development is what? The ability of disease to live inside of the body. The process of dying. The process of growing to maturity. The growth rate of humans. - Correct Answer: The process of growing to maturity
The process of growing to maturity is referred to as human development. It is based upon the theory that humans are born, grow, age, and then die. The NP sees a 12-year-old male who was referred to her because of disruptive behavior and physical aggression against his peers. He is generally hostile in temperament and easily irritated. The child is also failing academically. This child most likely suffers from which of the following disorders? attention deficit hyperactivity disorder oppositional defiant disorder posttraumatic stress disorder autistic disorder - Correct answer: oppositional defiant disorder This child would most likely be diagnosed with oppositional defiant disorder (ODD). Children with ODD are disruptive, argumentative, hostile and irritable. They have social problems with peers and adults and impaired academic functioning.
hippocampus The hippocampus is not a part of the neuroendocrine system. It is a part of the brain located in the medial temporal lobe. It is an important site for the formation and storage of immediate and recent memories. The neuroendocrine system contains the hypothalamus, pituitary gland, thyroid gland, adrenal glands, gonads, and pancreas. In which stage of the standards of practice for psychiatric nursing would the nurse document measurable goals? assessment implementation planning outcomes identification - Correct Answer: outcomes identification Outcomes identification includes documenting expected outcomes as measurable goals. It also includes identifying
attainable and culturally expected outcomes and including time estimate for expected outcomes. The type of hospital admission to a psychiatric inpatient setting that does not require a written application is which of the following? voluntary admission involuntary admission temporary admission informal admission - Correct Answer: informal admission Informal admission is one type of voluntary admission that is similar to any general hospital admission in which there is no formal or written application. An informal admission is sought by the patient. The normal doctor-patient relationship exists, and the patient is free to stay or leave, even against medical advice. Which of the following is NOT a drug associated with date rape? Risperidone
Nursing ethics is part of a broader system known as bioethics. New questions surface as science and technology produce new ways of knowing. Bioethics is the term used for the study of ethical problems resulting from scientific advances. The responsibilities of the nurse leader in using change management include all but which of the following? using change theory serving as a change agent supporting staff during times of difficult transitions having a rigid leadership style - Correct Answer: having a rigid leadership style Having a rigid leadership style is not part of good change management. Adapting leadership style to situational needs is more effective. The responsibilities of the nurse leader in using change management include all of the first three choices. They also include: recognizing one's own reaction to change and striving to remain open to new ideas and approaches.
The NP asks a patient with schizophrenia what the saying, "people in glass houses shouldn't throw stones" means to him. The patient replies that "the glass might break." This is an example of the patients inability to process which of the following? concrete thinking abstract thinking delusion echolalia - Correct Answer: abstract thinking This patient is not able to process abstraction. Concreteness is often assessed through the patient's interpretation of proverbs. Concreteness reduces one's ability to understand and address abstract concepts such as love or the passage of time. If you teach a client how to navigate through the complexities of the health care delivery system to receive prompt treatment this is a form of: primary prevention secondary prevention
Employees and peers have the right to expect personal privacy. This right however, does not protect unethical conduct. The individual placed others in danger and should be reported. What step of the nursing process, is the diagnoses, outcome and care revised if needed? Evaluation. Diagnosis. Planning. Implementation. - Correct Answer: Evaluation The nursing process is a problem solving approach. There are 6 steps in the nursing process. They include: diagnosis, outcome identification, planning, implementation, evaluation, and reassessment. During evaluation, the diagnoses, outcome and care revised if needed. Which of the following drugs is NOT one of the "Z-hypnotics" that have sedative effects without the antianxiety, anticonvulsant, or muscle relaxant effects of benzodiazepines?
Ambien BuSpar Lunesta Sonata - Correct answer: BuSpar Buspirone (BuSpar) is a drug that reduces anxiety without having strong sedative-hypnotic properties. Because this drug does not leave the patient sleepy or sluggish, it is often much better tolerated than benzodiazepines. It is not a CNS depressant. All of the other choices are one of the "Z-hypnotics." A 58 year old woman is dealing with symptoms of vasomotor instability, sleep disturbances, hot flashes, urinary frequency, and dyspareunia. What is the likely cause of her symptoms? High cholesterol. Estrogen deficiency. Estrogen surplus. Testosterone surplus. - Correct Answer: Estrogen deficiency
