PMHN Practice Questions With Correct
Answers 2023
A+
A rape victim with multiple injuries has been brought to the emergency department for
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evaluation and treatment. The first thing that the psychiatric and mental health nurse
should communicate is:
A. I'm so sorry this happened to you
B. You are safe here. No one can hurt you
C. This was not your fault
D. I'm thankful you survived this attack - Answer: B. You are safe here. No one can hurt
you.
Rationale: Patients who have been raped are often severely traumatized emotionally as
well as physically and are commonly very fearful and panicked, so the first thing that the
mental health nurse should communicate is "You are safe here No one can hurt you."
The psychiatric and mental health nurse may need to repeat this a number of times
because traumatized patients may block out what people are saying. The nurse should
also reassure the patient that the attack was not the patient's fault and the nurse is sorry
for what the patient has gone through.
A patient has signed the consent form for electroconvulsive therapy under pressure
from her spouse but confides in the psychiatric and mental health nurse that she does
not want the treatment and is terrified but afraid to stand up to her spouse. The
psychiatric and mental health nurse should:
A. ask the patient if she wants to rescind the consent form.
B. tell the patient that she must tell her spouse she does not want the treatment.
C. Tell the patient she must go through the treatment since she singed the consent.
D. notify the physician of the patient's feelings about the treatment. - Answer: D. notify
the physician of the patient's feelings about the treatment.
Rationale: Because the patient is intimidated by her spouse and has stated she is afraid
to stand up to him, as an advocate for the patient, the nurse should notify the physician
of the patient's feelings about the treatment. Being coerced into signing a consent form
is not the same as giving informed consent, which is required by law. Because patients
are vulnerable to manipulation, the nurse must ensure that the actual wishes of the
patient are respected.
A patient was able to slowly read aloud an information sheet but when asked to state
what she had read in her own words was unable to do so. The most likely reason is:
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