ANCC PMHNP Psych-Mental Health NP_Test 1

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1. Your patient, whose wife died a few months ago, appears to be very unkempt and apathetic. Although several months have passed since his wife's death he has not progressed at all through his grievin... g. You assess this condition as which of the following? disenfranchised grief panic disorder complicated grief physiologic grief: Correct Answer: complicated grief A person has uncomplicated grief when he or she has normal physical, psycholog- ical, cognitive and spiritual responses to the death of a significant other. But when the person shows persistent maladaptive behaviors such as not taking care of personal hygiene and/or appearance and does not progress through the mourning process, this is complicated grief. 2. If a patient has had a myocardial infarction, which of the following atypical antidepressants should not be prescribed within the recovery phase? Trazodone Duloxetine Bupropion Desvenlafaxine: Correct Answer: Trazodone If a patient has had a myocardial infarction, during the recovery phase, the patient should not be prescribed this medication. Trazodone (Desyrel) can cause the patient to develop orthostatic hypotension and priapism. 3. To get your teaching ideas and concepts across to a poor reader which of the following would be most appropriate? Use longer sentences. Use abstract concepts. Discourage questioning. Use examples and review.: Correct Answer: Use examples and review. To get the idea across to a poor reader use examples and review. The other choices are not helpful. You should use short sentences and easy to read layouts; be concrete rather than abstract; and teach them how to ask questions about their health. Also, tell context first and use visual, use common words and examples, and explain meaning. 4. A 21-year old woman presents with complaints of milky discharge from her breasts. She doesn't have any other symptoms and is not pregnant, nor has been before. She tells the nurse about each medication that she takes. Which of these drugs may be implicated as the cause of the symptom? aspirin Lamotrigine Risperidone sertraline: Correct Answer: Risperidone Risperidone can cause the greatest prolactin elevation among atypical psychotics. A milky white discharge known as galactorrhea could be a sign of an underlying condition. The fact that the woman takes Risperidone, an atypical antipsychotic, would likely point to the cause and should be switched with one less likely to have that same side effect. 5. Which of the following would be considered one of the main things that is responsible for about 2/3 of psychiatric hospital readmissions? Not sufficient care. Medication noncompliance Biophysical assessments None of the above: Correct Answer: Medication noncompliance Medication noncompliance is a major problem with the psychiatric mental health patients. The home health nurses assists by helping the patients to see the relationship between their compliance with their medication regimen and control of their symptoms. 6. Which of the following would be considered an important form of commu- nication that can help to promote consistency in the care of the patient at the same time that it justifies their stay in the hospital? Review of care. Documentation Verbal reporting None of the above: Correct Answer: Documentation The other 3 options above are incorrect. One of the most important aspects of nursing is documentation. Documentation can promote consistency in the care of the patient and is also used to help justify the patient remaining in the hospital. 7. Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the following except? Vomiting Respiratory failure Hypertensive crisis Seizures: Correct Answer: Hypertensive crisis Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting, respiratory failure and seizures would be considered an effect of LSD overdose. 8. Symptoms of serotonin syndrome include all of the following EXCEPT: insomnia nausea loss of coordination sweating or shivering with goose bumps: Correct Answer: nausea Symptoms of serotonin syndrome can present in patients that have drug combi- nations that are contraindicated. They can vary from restlessness and agitation to tremors, chills, headaches, and insomnia as well as loss of coordination. Nausea has not been implicated in serotonin syndrome. 9. What is the rate of suicide attempts for patients having dissociative iden- tity disorder? 30% 45% 70% 60%: Correct Answer: 70% People with dissociative identity disorder have one of the highest risks for sui- cide. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5),more than 70% of outpatients with DID have attempted suicide, and multiple suicide attempts are common. 10. Of the following, which would not be considered a phase of schizophrenia treatment? Maintenance Acute Cognitiv [Show More]

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