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ANCC From The Book Test Questions And Answers A+ Verified
1. What is the ANA Scope and Standards of Practice Mental Health Clinical
Nursing Practice do?: Define the role and actions for the NP
2. Parenting skills skills classes for pregnant adolescence is what type of
prevention?: Primary
3. The legal ruling on cases involving mental health cases is done to ------: pro-
tect the individuals freedom when he or she is comited to a mental health hospital
4. Modifying the environment and strengthening the capacities of families to
prevent the development of new cases of depression is what type of prevention?: Primary
5. If a voluntary patient wants to leave after a 24 hour stay in the hospital, what
do you do?: client can't leave until complete assessment to determine if the patient is danger to self or others
6. A client is displaying low self esteem, poor self control, self doubt, and high
level of dependency. This beh indicates failure in which stage of life?: early childhood
7. Which Froidian psycodianamic principle assumes that all behaviors and
actions are purposeful?: Psychic Determinism principle
8. In Freudian psychoanalysis, what is the the Pleasure principle?: -The
instinctual seeking of pleasure and avoiding of pain in order to satisfy biological and psychological needs. -The driving force guiding the Id.
9. In Freudian psychoanalysis, what is the Reality principle: -The ability of the
mind to assess the reality of the external world, and to act upon it accordingly
2 / -Allowing the individual to defer instant gratification, -The driving force guiding the ego
10. An example of mature, healthy, defense mechanism is:: suppression
11. Defence Mechanisms: Suppression: deliberately pushing away thoughts and
memories
12. Defense Mechanisms are best viewed as what:: Function of the EGO used to
resolve conflict
13. Defense Mechanisms: Repression: Unconsciously keeping disturbing or
threatening thoughts from becoming concious
14. Defence Mechanisms: Denial: Uncouncious refusal to accept reality to avoid
dealing with conflict
15. Where is Serotonin produce?: Rafe nuclei
16. Where is Dopamine produce?: Substantia Nigra
17. Appetite, sleep and libido are controlled by what part of the brain?: hypo-
thalamus
18. Glutamate is:: the primary excitatory neurotransm
4 / -has failed to master object constancy. -is employing primitive idealization. -is employing projective identification.: has failed to master object constancy.
33. 2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four
weeks. Initially, the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient? -The medication should be discontinued. -The medication should be increased. -The patient's risk for suicide is not a concern. -The patient's suicide potential is increased.: The patient's suicide potential is increased.
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34. 3. Which behavior reflects existentially oriented therapy?
-Attempting to understand a patient's subjective world -Challenging a patient's irrational beliefs -Developing specific plans for change -Establishing general group goals: Attempting to understand a patient's subjec- tive world
35. 4. Serving as a member on a crisis team, an adult psychiatric and mental
health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practi- tioner responds by: -advising the survivors to consider using a hypnotic medication for a brief period. -educating the survivors about prodromal symptoms of posttraumatic stress disorder. -encouraging the survivors to rest during the day. -suggesting that the survivors join a posttrauma support group.: educating the survivors about prodromal symptoms of posttraumatic stress disorder.
36. 5. An adult psychiatric and mental health nurse practitioner uses the
interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust.The nurse practitioner recognizes the patient's readiness to terminate therapy when the patient demonstrates: -an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.
7 / -actively discourage the patient from continuing this treatment. -offer a medication to treat the nervous condition. -suggest an alternative food to relieve the nervous condition. -view this as a self-care ritual that needs to be preserved.: view this as a self-care ritual that needs to be preserved.
38. 7. Before an older adult patient initiates pharmacotherapy with a medica-
tion that is cleared by the kidneys, an adult psychiatric and mental health nurse practitioner assesses the patient's: -blood urea nitrogen level. -creatinine clearance. -specific gravity. -urinary sediment.: creatinine clearance
39. 8. An adult psychiatric and mental health nurse practitioner uses a cogni-
tive-behavioral approach to help an adolescent patient change self-defeating behaviors. After identifying the initial stressor that is causing the inappropri- ate behavior, the therapeutic intervention is to identify: -alternative positive responses to the stressor. -negative consequences of the behavioral response to the stressor. -possible outcomes of alternative responses. -rational and irrational beliefs about the stressor.: rational and irrational beliefs about the stressor.
40. 9. Which characteristic of fluoxetine (Prozac) provides the greatest degree
of safety for patients who have severe depression? -Greater efficacy than tricyclic antidepressants
8 / -Less potential for drug interaction -Less potential for injury with intentional overdose -Less potential for suicidal thinking: Less potential for injury with intentional overdose
41. 10. When lobbying a local congressional representative to include nurse
practitioners in reimbursement for services in all areas of the country, an adult psychiatric and mental health nurse practitioner emphasizes the: -ability of nurse practitioners to provide health care that patients need. -fact that nurse practitioners are caring in their patient care delivery. -importance of broadening the scope of nursing practice.
10 / -bipolar disorder. -panic disorder. -primary insomnia.: bipolar disorder.
45. 14. During patient education about sertraline (Zoloft), an adult psychiatric
and mental health nurse practitioner focuses upon the potential side effect of: -agranulocytosis. -hypernatremia. -sexual dysfunction. -weight loss.: sexual dysfunction.
46. 15. The neurochemical pathophysiology of Tourette disorder involves:
11 / -decreased levels of gamma-aminobutyric acid and increased levels of gluta- mate in the brain. -deficits in the prefrontal cortex-mediated executive functions of the brain. -imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain. -overstimulation of noradrenergic activity located in the locus coeruleus of the brain.: imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain.
47. 16. Before implementing evidence-based practice changes, an adult psy-
chiatric and mental health nurse practitioner's initial action is to: -brainstorm with stakeholders and draft a detailed problem list. -compare data with internal and external benchmarks, and coordinate ongoing education. -facilitate a collaborative multidisciplinary group to synthesize evidence and compare key themes. -identify potential barriers and facilitators that reflect patients' values and expectations.: identify potential barriers and facilitators that reflect patients' values and expectations.
48. 17. Symptoms of anxiety and panic are associated with a low level of which
neurotransmitter? -Cortisol -Dopamine -Gamma-aminobutyric acid -Glutamate: Gamma-aminobutyric acid
49. 18. An outpatient mental health clinic-based adult psychiatric and mental
13 / mental health nurse practitioner prescribes: -alprazolam (Xanax). -citalopram (Celexa). -lamotrigine (Lamictal). -quetiapine (Seroquel).: quetiapine (Seroquel).
51. 20. A hospital-based adult psychiatric and mental health nurse practitioner
collaborates with a multidisciplinary team that is charged with establishing a psychiatric outpatient clinic. Advocating for the role of advanced practice nurses, the nurse practitioner initially educates the team that advanced prac- tice nurses: -are readily available to meet patient needs. -can autonomously provide a full range of comprehensive services. -can perform case management functions. -provide cost-effective care delivery.: can autonomously provide a full range of comprehensive services.
52. 21. Which nonpharmacologic treatment modality is recommended for de-
pression? -Biofeedback -Dialectical behavioral therapy -Eye movement desensitization and reprocessing therapy -Supportive group therapy: Supportive group therapy
53. 22. An adult psychiatric and mental health nurse practitioner is using
rational emotive therapy to treat a patient with depression and anxiety. An effective strategy for helping the patient recognize the connections between
14 / affect, cognition, and behavior is to: -focus on mindfulness techniques. -provide an injunction to address assumptions. -reinforce behaviors that have a sense of self-efficacy. -substitute reality-oriented interpretations for the distorted thoughts.: substi- tute reality-oriented interpretations for the distorted thoughts.
54. 23. An adult psychiatric and mental health nurse practitioner is a member
of a mental health advisory board in an area where many patients with mental illness are indigent. The nurse practitioner also owns stock in a corporation that provides psychiatric care in the area. When the advisory board votes to recommend a site for a mental health clinic in which nursing services will be
16 / been diagnosed with a major depressive disorder and has been taking fluoxetine (Prozac) for six weeks. The nurse practitioner is most concerned about the possibility that: -a therapeutic level of the drug has not been reached. -an addition of hypnotic medication is warranted. -the adolescent has been misdiagnosed. -the adolescent is experiencing side effects.: the adolescent has been misdiag- nosed.
57. Grandfathering:: to exempt from a new law or regulation based on pre--existing
requirements.
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58. Can an APRN for 20 years be grandfathered into DNP degree?: No, she has
to earn it
59. Can an PMHNP treat HTN if the patient does not have PCP?: No, it is not
withing the scope of practice. The NP should coordinate care with PCP
60. The liason NP is asked by the ICU MD to evaluate a patient and his capacity
to make independent medical decisions and consent for surgical procedure. What is the most appropriate responce by the NP?: -Call the MD and provide an education that competency is a legal process and have to be done by the legal system. -The NP can assess and make determination about a person's capacity to make medical decisions.
61. Developing a flu vaccination program is what type of prevention?: Primary
62. A bipolar disorder patient stopped taking his meds about 2 months ago. He
comes to you saying that he no longer needs meds and that he is grateful for the care he received from you. An ethical principle most appropriate is what?: Autonomy. Patient who is legally competent and have the ability to make health care decisions should maintain individual autonomy
63. MSSE Exam score of 26 is considered: WNL
64. MSSE Exam score of 20 to 25 is considered: mild imparement
65. MSSE Exam score of 10-20 is considered: moderate imparement
66. MSSE Exam score of 10 or less is considered: severe imparement
67. The initial focus of a crisis assessment is?: safety of the client and others
68. Which cranial nerve is assessed when asking the patient to hold out his
arms and stick out his tongue while watching for tremors in the tongue?: hy- poglosal
69. When a patient said that the TV is sending him massages trough news
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76. Transactional analysis: - examines a person's relationships and interactions
-can be used to address one's interactions and communications with the purpose of establishing and reinforcing the idea that each individual is valuable and has the capacity for positive change and personal growth.
77. According to Transactional analysis what happens when a person is trau-
matized?: Thoughts and feelings get tied together and the process of therapy is to unlock the two
78. Hallucinations that are rare and more likely to be due to organic illness are
:: gustatory and tactile
79. What differentiate FGA's from SGA's?: -FGA's block D2 receptors
-SGA's block D2 and 5HT2a
80. When do you know when it is time to d/c clozapne?: -absolute neutrophils
count drops <1,
81. Can you prescribe Benzodiazepins for a person with TBI?: No, they are
contraindicated due to increase rates of confusion and memory problems
82. Is the brain has the ability to regenerate later in life?: Yes. Most brain
development occure early in life but we continue to form some new brain cells throughout life. As we age we need to engage in activities that keep our brain healthy. Examples are: diet, exercise, socialization and cognitive stimulation
83. What is the best treatment for AIDS Dementia complex?: Antiretroviral ther-
apy
84. Why is it important to prevent delirium?: Mortality rate is high within 1 year
85. When patient is in contemplation stage of the MI therapy, the interventions
are:: -affirming (emotional support and encouregment) and -reflecting
86. CIWA Alcohol withdrawal scale scores 0-9: minimal or no witdrwal
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87. CIWA Alcohol withdrawal scale scores 10-15: mild withdrwal
88. CIWA Alcohol withdrawal scale scores 16-20: moderate withdrwals
89. CIWA Alcohol withdrawal scale scores >20: severe withdrwals
90. Opioid withdrawal symptoms can be treated with?: Catapress (clonidine)
which is a central alfa agonist
91. Cannabis intoxication include the following Sxs:: -distorder perceptions
-increase relaxation and sensitivity -loss of coordination
92. Which Deffense mechanisms are commonly used by people with OCD?: -
-rationalization -Isolation of affect -intelectualization to make sense of their bhs
