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Nursing ANCC Psychiatric–Mental Health Nursing Certification (PMHN-BC) Sample Questions (Q69-Q74):

NEW QUESTION # 69
The type of aphasia that is characterized by impairment in all three areas of fluency, comprehension, and repetition is:

A. Wernicke's aphasia
B. global aphasia
C. Broca's aphasia
D. conduction aphasia

Answer: B

Explanation:
Global aphasia is the most severe form of aphasia and is characterized by significant impairments in all major areas of language function: fluency, comprehension, and repetition. This type of aphasia generally results from extensive damage to the perisylvian region of the left hemisphere, which often involves both the language production region of Broca's area and the language comprehension region of Wernicke's area, along with the connections between them, notably the arcuate fasciculus.
In individuals with global aphasia, fluency is severely impacted. Their speech output is often limited to a few words or even no words at all, resulting in very non-fluent communication. They might rely heavily on facial expressions or gestures to aid in communication. This lack of fluency is similar to that observed in Broca's aphasia, but it is more severe in global aphasia.
Comprehension is also profoundly affected in global aphasia. Individuals may show little understanding of spoken language and also struggle with comprehension of written words. This is akin to the comprehension deficits seen in Wernicke's aphasia but, again, the deficits are more extreme in global aphasia.
Repetition abilities are equally impaired in global aphasia. Patients typically cannot repeat words or phrases, a dysfunction that aligns with the breakdown in both expressive and receptive language areas. This symptom is distinct from conduction aphasia, where repetition is primarily the core deficit but fluency and comprehension might remain relatively intact.
Global aphasia results from widespread damage typically due to a large stroke affecting the left middle cerebral artery, which supplies blood to the areas critical for language processing. This widespread damage is what distinguishes global aphasia from other types of aphasia, which may result from smaller or more localized brain injuries.
In summary, global aphasia is a profound communication disorder that affects all aspects of language processing-speaking, understanding, repeating, and often reading and writing. Rehabilitation involves intensive speech and language therapy, focusing on rebuilding any residual language abilities and teaching alternative communication strategies to improve quality of life.

NEW QUESTION # 70
What leaders do or how they conduct themselves is the basis of what theory of leadership?

A. behavioral theory
B. trait theory
C. contingency theory
D. contemporary theory

Answer: A

Explanation:
The correct answer to the question, "What leaders do or how they conduct themselves is the basis of what theory of leadership?" is behavioral theory. This theory primarily focuses on the actions and behaviors of leaders rather than their mental qualities, traits, or the contextual factors of their environment.
Behavioral theory examines specific behaviors and actions of leaders and categorizes them into styles that are effective in various situations. It moves away from the trait theory, which posits that leaders are born with certain intrinsic qualities that make them effective. Instead, behavioral theory suggests that effective leadership is a result of learned behaviors that can be taught and developed.
One key aspect of behavioral theory is its emphasis on how leaders handle their relationships with team members and how they approach the completion of tasks. For example, behavioral theorists have identified leadership styles such as autocratic, democratic, and laissez-faire, each characterized by specific behaviors and approaches to managing people and tasks.
Moreover, studies in behavioral theory have led to models such as the Managerial Grid Model developed by Blake and Mouton. This model classifies leaders based on their concern for people and their concern for production, resulting in leadership styles such as "impoverished leadership" (low concern for both people and production) and "team leadership" (high concern for both people and production).
Overall, behavioral theory provides a framework for understanding leadership through observable actions, helping organizations and individuals tailor leadership development and training programs that focus on effective behaviors rather than innate traits or adapting to situational variables (as discussed in contingency theory). This pragmatic approach allows for a diverse range of individuals to develop leadership capabilities through the acquisition and refinement of specific behaviors.

NEW QUESTION # 71
Which of the following is not a standard of practice for a psychiatric mental health nurse?

A. Pharmacological, biological and complementary interventions
B. Outcomes identification
C. Legal Assessment
D. Psychotherapy

Answer: C

Explanation:
A standard of practice in nursing is a guideline that defines the responsibilities and actions that are acceptable and expected of a nurse in a specific role or field. These standards are designed to ensure the provision of the highest quality of care to patients. For psychiatric mental health nurses, these standards include psychotherapy, pharmacological, biological and complementary interventions, and outcomes identification.
Psychotherapy in psychiatric nursing refers to the use of psychological methods, particularly when based on regular personal interaction, to help a patient overcome problems or change behavior patterns. It involves a variety of treatment techniques that aim to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions.
Pharmacological, biological, and complementary interventions in psychiatric nursing involve the use of medications, biological treatments such as electroconvulsive therapy, and complementary therapies like mindfulness and meditation to treat and manage mental health conditions.
Outcomes identification in psychiatric nursing involves determining the success of the intervention strategies used. It involves the ongoing assessment and reassessment of the patient's response to interventions, and the adjustment of the care plan as necessary.
However, legal assessment is not typically part of the scope of practice for psychiatric mental health nurses. While nurses must operate within the confines of the law and various legal issues can arise in psychiatric nursing, the role of making legal assessments usually falls to legal professionals rather than healthcare providers. Some aspects of legal consideration in nursing practice include understanding the rights of the patients, maintaining confidentiality, and practicing within the legal scope of practice.
Therefore, legal assessment is not a standard of practice for psychiatric mental health nurses, while all the others listed (psychotherapy, pharmacological, biological and complementary interventions, and outcomes identification) are.

NEW QUESTION # 72
Generally, psychiatric symptoms are:

A. discrete
B. evident
C. specific
D. nonspecific

Answer: D

Explanation:
Psychiatric symptoms are generally nonspecific, meaning they are not unique to one specific disorder and can be seen across a range of different psychiatric conditions. This lack of specificity can make diagnosis and treatment more challenging. For example, symptoms such as anxiety, depression, or mood swings can be present in multiple disorders including major depressive disorder, bipolar disorder, and anxiety disorders. As a result, clinicians need to conduct a comprehensive and holistic assessment to accurately identify the underlying condition.
The assessment process in psychiatry is designed to be broad to capture all possible influences and contributing factors to a patient's mental health. This includes exploring psychological, biological, and social aspects of an individual's life. By taking into account the entirety of a person's situation and experiences, clinicians can better understand the complex interplay of elements affecting their mental health.
Furthermore, it is crucial for mental health professionals to look for patterns or clusters of symptoms rather than isolated signs. Isolated symptoms can be misleading and may result in a misdiagnosis if considered outside of the broader context of the individual's mental and emotional state. Recognizing patterns helps in identifying the root causes and the most effective treatment approaches. This method enhances the accuracy of diagnoses and can lead to more tailored and effective treatment plans.
In summary, because psychiatric symptoms are often nonspecific, mental health assessments must be thorough and consider a wide range of potential factors. Understanding that these symptoms can appear in various combinations and are influenced by multiple aspects of an individual's life is key to providing effective psychiatric care.

NEW QUESTION # 73
What type of therapy uses interaction that is focused on the present to create empathy?

A. Psychodynamic therapy
B. Supportive psychotherapy
C. Psychoanalytical therapy
D. Psychotherapy

Answer: B

Explanation:
The correct answer to the question of what type of therapy uses interaction that is focused on the present to create empathy is Supportive Psychotherapy.
Supportive psychotherapy is a therapeutic approach designed to improve, reinforce, or sustain a patient's psychological defenses, primarily in the face of stress, psychological distress, or dysfunction. This therapy is heavily influenced by psychodynamic and psychoanalytical traditions but differs significantly in its application and goals.
Unlike traditional psychoanalysis, which often delves into past experiences and the subconscious to uncover root causes of psychological issues, supportive psychotherapy concentrates on the present. The primary focus is on creating a supportive environment where the therapist actively helps the patient deal with their current feelings and problems. This approach is deemed particularly effective in helping individuals cope with immediate life challenges and mental health issues by fostering a sense of safety and understanding.
One of the critical elements of supportive psychotherapy is the development of empathy within the therapeutic relationship. Empathy in this context refers to the therapist's ability to understand and share the feelings of the patient, which is vital for providing emotional support and validation. By focusing on the present, the therapist can more directly address the immediate emotions and situations the patient is experiencing, which facilitates a more empathetic connection.
This therapy is often utilized in clinical settings where patients might not have the capacity or stability to engage in more intensive psychoanalytic treatment, such as those with severe mental health disorders, acute crises, or those in need of stabilization. The supportive nature of this therapy helps to strengthen the patient's existing coping mechanisms while preventing further psychological deterioration.
In summary, supportive psychotherapy is distinguished by its present-focused interaction aimed at bolstering the patient's current psychological defenses. It is characterized by the active role of the therapist in providing support, the emphasis on empathy within the therapeutic relationship, and its application in managing present symptoms and stressors rather than exploring historical causative factors.

NEW QUESTION # 74
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Gus Shaw Gus Shaw

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