Psychiatric Nurse Practitioner Exam Questions

Correct Answer: A

Rationale: The correct answer is A: Interpersonal relations. Harry Stack Sullivan emphasized the importance of interpersonal relationships in shaping an individual's mental health. He focused on how interactions with others influence one's thoughts, feelings, and behaviors. Sullivan's interpersonal theory highlights the significance of social connections in understanding and treating mental health issues. Choice B: Harmony between the individual and society is not a major concept associated with Sullivan's work. While he did consider the impact of societal factors on mental health, his primary focus was on interpersonal dynamics. Choice C: Collective unconscious is a concept from Jungian psychology, not Sullivan. Sullivan's theory was more focused on individual experiences and relationships. Choice D: Unconditional positive regard is a concept from Carl Rogers' person-centered therapy, not Sullivan. While positive regard is important in therapeutic relationships, it is not a central concept in Sullivan's interpersonal theory.

Correct Answer: C

Rationale: The correct answer is C: Brahmans. In Hinduism, the caste system places Brahmans at the top as priests and scholars. They are considered the highest caste due to their role in maintaining spiritual knowledge and performing religious rituals. Brahmans are traditionally respected for their wisdom, knowledge, and purity. Kshatriyas are the warrior caste, Vaisyas are the merchant caste, and Untouchables are considered outside the caste system altogether. Therefore, Brahmans hold the highest status in Hindu society based on their spiritual and intellectual contributions.

Correct Answer: C

Rationale: The correct answer is C (Axis III). Axis III in the DSM-IV-TR is used to list any medical conditions that may be relevant to the individual's psychological presentation. In this case, the woman's diabetes would be listed under Axis III because it is a medical condition that can impact her mental health. Axis I is for clinical disorders, Axis II is for personality disorders, and Axis IV is for psychosocial and environmental stressors. Therefore, the correct placement for diabetes in this scenario is on Axis III to highlight its significance in the overall assessment and treatment plan.

Correct Answer: B

Rationale: The correct answer is B: `I�ll have to get the patient�s signed consent before we can send that information to you. This response is appropriate as it upholds the patient's confidentiality rights as per HIPAA regulations. By obtaining the patient's signed consent, the nurse ensures that Mr. Murray's privacy is protected and that information is not disclosed without authorization. Choice A is incorrect because it is a direct violation of patient confidentiality without obtaining proper consent. Choice C is incorrect as it does not address the request and does not protect patient privacy. Choice D is incorrect as it also discloses patient information without consent, violating confidentiality laws.

Correct Answer: D

Rationale: The correct answer is D: Mental health facilities do not accommodate the cultural needs of Hispanic Americans. This is because Hispanic Americans may feel more comfortable seeking help from resources that align with their cultural beliefs and practices. Mental health facilities that do not cater to their cultural needs may not effectively communicate or provide care in a culturally sensitive manner, leading Hispanic Americans to seek help elsewhere first. A: Requiring periods of hospitalization is not a primary reason why Hispanic Americans may avoid mental health facilities. B: Lack of 24-hour emergency services is not a significant factor influencing Hispanic Americans' preference for other resources. C: Third-party payer reimbursement does not directly impact Hispanic Americans' cultural beliefs and preferences when seeking mental health care.