ANCC Psychiatric Nurse Practitioner Practice Questions

Correct Answer: A

Rationale: The correct answer is A because involuntary commitment to an outpatient community mental health center provides treatment while allowing the patient to remain in the community and maintain some level of freedom. This option aligns with the principle of the least restrictive environment by balancing the patient's need for treatment with their rights and autonomy. Option B is incorrect as sedating a patient to prevent them from getting out of bed is overly restrictive and limits their freedom unnecessarily. Option C is also incorrect as placing a patient in a locked padded room is highly restrictive and does not promote autonomy or community integration. Option D is incorrect because allowing the patient to decide on treatment, while important, may not always align with their best interests in cases of severe mental illness requiring involuntary commitment for safety and treatment.

Correct Answer: D

Rationale: Step 1: Developing cultural competence involves understanding and respecting the cultural beliefs of individuals. Step 2: Choice D aligns with this by emphasizing appreciation and genuine interest in the individual's cultural beliefs. Step 3: By demonstrating appreciation and interest, the nurse can build trust and rapport with the patient. Step 4: This approach promotes culturally sensitive care and patient-centered practice. Step 5: Choices A, B, and C are incorrect as they do not prioritize understanding individual cultural beliefs and may lead to stereotyping, ethnocentrism, or lack of respect for diversity. Summary: Choice D is the most appropriate as it promotes respect for individual cultural beliefs and fosters effective communication and relationship building. Choices A, B, and C lack the key components necessary for developing cultural competence.

Correct Answer: A

Rationale: The correct answer is A because continuing education programs help nurses stay updated with the latest evidence-based practices and advancements in healthcare. This enables them to enhance their knowledge and skills, ultimately improving patient care outcomes. Choice B is incorrect as it focuses on access to care rather than knowledge development. Choice C is incorrect because fighting stigma, while important, does not directly relate to knowledge development. Choice D is incorrect as it pertains to providing care rather than developing knowledge. Therefore, the most appropriate way for the nurse to meet the challenge of knowledge development is through accessing new information via continuing education programs.

Correct Answer: A

Rationale: The correct answer is A: Provide a commonly understood diagnostic category for clinical practice. The primary purpose of the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is to establish a standardized system for classifying mental disorders to aid clinicians in diagnosis and treatment. It provides a common language and criteria for mental health professionals to communicate effectively and ensure consistency in diagnosis. Choice B is incorrect because the DSM-IV-TR focuses on diagnostic criteria rather than treatment modalities. Choice C is incorrect as the DSM-IV-TR does not primarily focus on identifying etiologies but rather on classification. Choice D is incorrect as the manual does not provide specific outcomes for treatment but rather aids in diagnosing mental disorders.

Correct Answer: D

Rationale: The correct answer is D because it indicates potential symptoms of posttraumatic stress syndrome (PTSD), such as avoidance of discussing traumatic events and social withdrawal. This response suggests the husband may be experiencing emotional distress and difficulty communicating about his problems. Choices A, B, and C do not specifically address the key features of PTSD and may indicate misunderstandings or oversimplifications of mental health issues. Choice A attributes symptoms to a vitamin deficiency, which is not typically associated with PTSD. Choice B implies a permanent and hopeless outlook on the husband's mental health, which may not be accurate. Choice C mentions hallucinations, which are not a common symptom of PTSD but rather may be associated with other psychiatric conditions.