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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q671-Q676):
NEW QUESTION # 671
A PMHNP is treating a patient who has expressed suicidal thoughts but has not made any specific plans. The patient has requested that this information remain confidential. Which ethical principle is most important for the PMHNP to consider in deciding whether to keep the information confidential?
Answer: C
Explanation:
Beneficence, the duty to help others by doing what is best for the patient, may require breaching confidentiality to prevent potential harm to the patient.
While autonomy supports respecting the patient's wishes for confidentiality, it must be balanced with the need to prevent harm. Fidelity involves remaining true to one's word, and while considering how the PMHNP answers the patient, it is not a consideration regarding deciding whether to keep the information confidential. Justice, the principle of treating individuals equitably, is not particularly relevant to the immediate need to ensure the patient's safety.
NEW QUESTION # 672
Which of the following is not a standardized assessment for ADHD symptoms?
Answer: B
Explanation:
The Child Behavior Rating Scale or CBRF is a teacher-completed assessment that assesses self-regulation and social skills. The Conners Parent-Teaching Rating Scale, the Barkley Home Situations Questionnaire, and the Wender Utah Rating Scale are all standardized assessments of multiple domains for ADHD.
NEW QUESTION # 673
Which statement accurately defines internal validity?
Answer: D
Explanation:
Internal validity occurs when the independent variable causes a change in the dependent variable. External validity occurs when the sample is representative of the population and the results can be generalized.
Probability is the likelihood of an event occurring. Variance describes how the values are dispersed around the mean.
NEW QUESTION # 674
A client presents to the ER after a suicide attempt by cutting his wrists. You show that you understand the importance of client safety by first doing which of the following?
Answer: C
Explanation:
The most important first assessment in this scenario is ensuring that the client's homeostasis is not compromised. He is at risk for blood loss and rapid decompensation, given that he cut his wrists.
Assessing the client for ideation and contraband is important, but not the most immediate concern.
Restraining the client against his will could potentially be considered assault and battery depending on the client's status. There is no indication that he is requiring restraints in this scenario.
NEW QUESTION # 675
Which practice should the PMHMP avoid when using email to communicate therapeutic information and observations to other healthcare providers?
Answer: C
Explanation:
Emails should not contain passwords or information that could be intercepted and compromise patient information.
Any email that contains any patient identifier, clinical observations, or opinions should be sent securely. The document should be treated as if it is a public document. All emails sent regarding patient care should be printed and attached to the medical record.
NEW QUESTION # 676
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