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PMHCNS-BC
ANCC Adult Psychiatric-Mental Health Clinical Nurse Specialist
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Question: 1
Which treatment modality focuses on empowering individuals to recover and regain control over their lives through self-determination and personal responsibility?
1. Recovery model
ognitive-behavioral therapy sychodynamic therapy
wer: A
anation: The recovery model is a treatment modality that emphasizes owering individuals with mental health conditions to recover and regai ol over their lives. It recognizes that individuals have the right to self- mination and personal responsibility in their own recovery journey. T very model focuses on promoting hope, building resilience, fostering a
of empowerment, and supporting individuals in achieving their goals ations. It involves collaborative decision-making, person-centered ning, and a holistic approach to care that addresses not only symptoms ocial, psychological, and environmental factors.
stion: 2
ch disorder is characterized by persistent feelings of sadness, hopeless
Trauma-informed care
2. C
3. P
Ans Expl
emp n
contr
deter he
reco
sense and
aspir
plan but
also s
Que
Whi ness,
and a loss of interest or pleasure in activities?
1. Generalized anxiety disorder
2. Major depressive disorder
3. Obsessive-compulsive disorder
4. Bipolar disorder
Answer: B
ty of life. It is important to differentiate it from other psychiatric diso ovide appropriate treatment and support.
stion: 3
ch coping mechanism involves attributing one's own unacceptable tho elings to another person?
enial ationalization rojection isplacement
wer: C
anation: Projection is a coping mechanism that involves attributing on nacceptable thoughts, feelings, or motives onto another person. It all
ndividual to avoid acknowledging or dealing with their own internal
Explanation: Major depressive disorder is a psychiatric disorder characterized by persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in activities. Other symptoms may include changes in appetite or weight, sleep disturbances, fatigue or loss of energy, feelings of worthlessness or guilt, difficulty concentrating, and recurrent thoughts of death or suicide. Major depressive disorder significantly impacts a person's daily functioning and
quali rders
to pr
Que
Whi ughts
or fe
1. D
2. R
3. P
4. D
Ans
Expl e's
own u ows
the i
conflicts or negative emotions by projecting them onto someone else. For example, an individual who feels angry but is unable to accept or express their anger may project their feelings onto others by accusing them of being angry. By attributing their own emotions to someone else, the individual can temporarily alleviate their own discomfort or anxiety.
Question: 4
Which treatment planning approach emphasizes setting specific, measurable, achievable, relevant, and time-bound goals?
1. SMART goals
2. Interdisciplinary interventions
3. Available support systems
wer: A
anation: SMART is an acronym that stands for Specific, Measurable, evable, Relevant, and Time-bound. This approach is commonly used ment planning to set goals that are clear, specific, and attainable withi fic timeframe. SMART goals help guide the treatment process, provi ework for monitoring progress, and enhance collaboration between hcare providers and clients. By setting SMART goals, individuals and hcare team can work together to identify specific targets, track outco valuate the effectiveness of interventions.
stion: 5
ch coping mechanism involves attributing one's own unacceptable tho elings onto another person?
Recovery-oriented care Ans
Expl
Achi in
treat n a
speci de a
fram
healt their
healt mes,
and e
Que
Whi ughts
or fe
1. Denial
2. Rationalization
3. Projection
4. Displacement
stion: 6
ch neurostimulation technique involves the use of a magnetic field to ulate specific areas of the brain and is commonly used in the treatment ession?
ranscranial magnetic stimulation lectroconvulsive therapy
eep brain stimulation agus nerve stimulation
wer: A
anation: TMS is a neurostimulation technique that involves the use of netic field to stimulate specific areas of the brain. It is commonly used invasive treatment for depression when other interventions, such as cation and psychotherapy, have been ineffective. TMS works by
Explanation: Projection is a coping mechanism that involves attributing one's own unacceptable thoughts, feelings, or motives onto another person. It allows the individual to avoid acknowledging or dealing with their own internal conflicts or negative emotions by projecting them onto someone else. For example, an individual who feels angry but is unable to accept or express their anger may project their feelings onto others by accusing them of being angry. By attributing their own emotions to someone else, the individual can temporarily alleviate their own discomfort or anxiety.
Que
Whi
stim of
depr
1. T
2. E
3. D
4. V
Ans
Expl a
mag as a
non- medi
generating electrical currents in targeted brain regions, which can help regulate neural activity and alleviate depressive symptoms. It is a well-tolerated procedure that does not require anesthesia and is typically administered in an outpatient setting.
Which assessment tool is commonly used to evaluate an individual's mental status and cognitive functioning?
1. Safety risk assessment
2. Trauma history assessment
3. Diagnostic studies
wer: D
anation: The mental status exam is a structured assessment tool comm by psychiatric-mental health clinical nurse specialists to evaluate an idual's mental status and cognitive functioning. It involves assessing us domains such as appearance, behavior, speech, mood, affect, thoug esses, perception, cognition, and insight. The purpose of the mental st is to gather information about the individual's current mental state,
ify any abnormalities or impairments, and aid in formulating an accur nosis and treatment plan.
stion: 8
ch therapeutic communication technique involves restating the client's s to demonstrate understanding and encourage further exploration of t ghts and feelings?
ctive listening
Mental status exam Ans
Expl only
used indiv
vario ht
proc atus
exam
ident ate
diag
Que
Whi
word heir
thou
1. A
2. Reflection
3. Motivational interviewing
4. Clarification Answer: B
Explanation: Reflection is a therapeutic communication technique that involves
restating the client's words or feelings to demonstrate understanding and encourage further exploration. By reflecting, the nurse acknowledges and validates the client's experiences, showing empathy and fostering a deeper level of communication. Reflection can help the client gain insight, clarify their thoughts and feelings, and build a therapeutic relationship based on mutual understanding and trust.
ch communication barrier may arise when an individual has difficulty rstanding written information due to limited reading skills?
ognition iteracy anguage ision
wer: B
anation: Literacy refers to an individual's ability to read, write, and prehend written information. When an individual has limited reading s
create a communication barrier, particularly in healthcare settings w en information is commonly used. Limited literacy skills can hinder a on's ability to understand healthcare instructions, follow treatment pla ake informed decisions about their care. It is important for healthcar
iders to assess and address literacy barriers by using appropriate
Question: 9
Whi unde
1. C
2. L
3. L
4. V
Ans Expl
com kills,
it can here
writt
pers ns,
and m e
prov
communication strategies, such as providing verbal explanations, using visual aids, or utilizing plain language materials.
Question: 10
Which physiological cause should be considered when assessing an individual with sudden-onset delirium, agitation, and confusion?
1. Urinary tract infection
2. Thyroid dysfunction
3. Substance intoxication
anation: Sudden-onset delirium accompanied by agitation and confusi e indicative of a physiological cause such as a urinary tract infection
), particularly in older adults. UTIs can affect the central nervous syst ead to cognitive impairment and behavioral changes. It is important t ider physiological causes, such as UTIs, when assessing individuals w hiatric symptoms, as addressing the underlying medical condition can iate or Strengthen the psychiatric symptoms.
stion: 11
ch factor is essential to consider when providing culturally competent ender-sensitive care
eligious beliefs thnicity ocioeconomic status
wer: B
Neurological trauma Answer: A
Expl on
can b
(UTI em
and l o
cons ith
psyc help
allev
Que
Whi care?
1. G
2. R
3. E
4. S
Ans
Explanation: When providing culturally competent care, it is essential to consider an individual's religious beliefs. Religion plays a significant role in shaping a person's values, beliefs, and healthcare practices. Understanding and respecting an individual's religious beliefs can help foster a therapeutic relationship, enhance communication, and ensure that care is delivered in a manner that aligns with the individual's cultural and spiritual needs. By
acknowledging and accommodating religious beliefs, healthcare providers can promote a more holistic and patient-centered approach to care.
Question: 12
ranscranial magnetic stimulation lectroconvulsive therapy
eep brain stimulation agus nerve stimulation
wer: A
anation: TMS is a neurostimulation technique that involves the use of netic fields to stimulate specific areas of the brain. It is a non-invasive edure that uses electromagnetic coils placed on the scalp to deliver foc netic pulses to targeted brain regions. TMS has been approved for the ment of certain psychiatric disorders, such as major depressive disorde lieved to modulate neuronal activity and promote changes in brain cir ciated with mood regulation.
stion: 13
When using Erikson's theory of psychosocial development, which stage is
Which neurostimulation technique involves the use of magnetic fields to stimulate specific areas of the brain?
T
E
D
V
Ans Expl
mag
proc used
mag
treat r. It
is be cuits
asso
Que
typically associated with the primary task of establishing a sense of identity versus role confusion?
1. Trust versus mistrust
2. Autonomy versus shame and doubt
3. Initiative versus guilt
4. Identity versus role confusion
Answer: D
leads to a clear and cohesive sense of self, while failure to do so can in confusion and uncertainty about one's identity and future directio
stion: 14
ch physiological cause of psychiatric symptoms should be considered sing an individual with sudden-onset delirium, agitation, and confusi
rinary tract infection hyroid dysfunction ubstance intoxication eurological trauma
wer: A
anation: UTIs can cause psychiatric symptoms, especially in older ad en-onset deliriumaccompanied by agitation and confusion can be ative of a UTI in this population. UTIs can affect the central nervous
Explanation: According to Erikson's theory, the stage of identity versus role confusion occurs during adolescence, typically between the ages of 12 and 18 years. During this stage, individuals explore different roles and possibilities, seeking to establish a sense of identity and find their place in society. They may experiment with various roles, values, and beliefs. Successful resolution of this stage
result n.
Que
Whi when
asses on?
1. U
2. T
3. S
4. N
Ans
Expl ults.
Sudd indic
system and lead to cognitive impairment and behavioral changes. It is important to consider physiological causes, such as UTIs, when assessing individuals with psychiatric symptoms, as addressing the underlying medical condition can help alleviate or Strengthen the psychiatric symptoms.
Question: 15
Which treatment modality emphasizes the importance of the therapeutic relationship, empowerment, and collaboration between the client and the clinician?
1. Recovery model
2. Trauma-informed care
3. Cognitive behavioral therapy
wer: A
anation: The recovery model is a treatment modality that focuses on t idual's personal journey of recovery from mental illness. It emphasize rtance of the therapeutic relationship, empowerment, and collaboratio een the client and the clinician. The recovery model recognizes the cli active participant in their own care, promoting self-determination, ho ersonal growth. It aims to support the client in achieving their goals, oving their quality of life, and creating a meaningful and fulfilling ence beyond the limitations of their mental health condition.
Psychoanalytic therapy Ans
Expl he
indiv s the
impo n
betw ent
as an pe,
and p impr exist

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