NR 668 – PSYCHIATRIC-MENTAL HEALTH CAPSTONE
PRACTICUM AT CHAMBERLAIN, INCLUDING 480 REA L EXAM
QUESTIONS WITH CORRECT, DETAILED ANSWERS. TOPICS
COVER PSYCHOPHARMACOLOGY, THERAPEUTIC
COMMUNICATION, DSM-5 DIAGNOSES, CRISIS
INTERVENTION, EVIDENCE-BASED PRACTICE, AND ETHICAL
CONSIDERATIONS IN MENTAL HEALTH CARE. THIS NEW
RESOURCE IS DESIGNED TO REFLECT THE FINAL EXAM
STRUCTURE AND PROVIDES AN ADVANCED LEVEL REVIEW
THAT GUARANTEES A PASS FOR GRADUATE NURSING
STUDENTS
Section 1: Nursing Leadership & Management Principles
Question 1: Leadership Styles
Which leadership style encourages team decision-making and shared governance?
A) Autocratic
B) Democratic
C) Laissez-faire
D) Transactional
Rotation: Which leadership style is most effective during emergencies requiring quick decisions?
A) Democratic
B) Transformational
C) Autocratic
D) Servant
- answer -; : B
Question 2: Change Management
Kotter's 8-Step Change Model begins with:
A) Communicating the vision
,B) Creating a sense of urgency
C) Forming a powerful coalition
D) Creating short-term wins
Rotation: The stage of change where resistance is typically highest is:
A) Unfreezing
B) Changing
C) Refreezing
D) Evaluation
- answer -; : B
Question 3: Conflict Resolution
Which conflict resolution strategy involves both parties giving up something?
A) Competition
B) Collaboration
C) Compromise
D) Accommodation
Rotation: The "win-win" conflict resolution strategy is:
A) Avoidance
B) Accommodation
C) Collaboration
D) Competition
- answer -; : C
Section 2: Quality Improvement & Patient Safety
Question 4: QI Models
The PDSA cycle stands for:
A) Plan, Do, Study, Act
B) Prepare, Develop, Study, Adjust
C) Plan, Develop, Study, Assess
D) Prepare, Do, Study, Adjust
Rotation: Which QI model focuses on eliminating waste in processes?
A) Six Sigma
B) Lean
C) TQM
D) FMEA
- answer -; : B
Question 5: Sentinel Events
,The Joint Commission defines a sentinel event as:
A) Any medication error
B) An unexpected occurrence involving death or serious injury
C) All hospital-acquired infections
D) Patient falls with injury
Rotation: Root cause analysis should be completed within how many days of a sentinel event?
A) 24 hours
B) 45 days
C) 30 days
D) 60 days
- answer -; : B
Question 6: Just Culture
A just culture balances:
A) Punishment and reward
B) Accountability and system improvement
C) Reporting and confidentiality
D) Individual and team responsibility
Rotation: In a just culture, reckless behavior is typically addressed with:
A) System changes
B) Retraining
C) Disciplinary action
D) Counseling
- answer -; : C
Section 3: Healthcare Finance & Budgeting
Question 7: Budget Types
Which budget is based on patient volume or units of service?
A) Capital budget
B) Operating budget
C) Personnel budget
D) Variable budget
Rotation: Equipment purchases over $500 typically come from which budget?
A) Operating budget
B) Capital budget
C) Personnel budget
D) Supply budget
- answer -; : B
, Question 8: Staffing Calculations
FTE stands for:
A) Full-Time Equivalent
B) Full-Time Employee
C) Fixed Time Employment
D) Flexible Time Estimate
Rotation: One FTE typically equals how many hours per year?
A) 1,560 hours
B) 2,080 hours
C) 1,820 hours
D) 2,340 hours
- answer -; : B
Question 9: Reimbursement Models
Value-Based Purchasing ties reimbursement to:
A) Volume of services
B) Quality outcomes
C) Patient satisfaction
D) Both B and C
Rotation: DRGs are used in which reimbursement system?
A) Fee-for-service
B) Capitation
C) Prospective payment
D) Managed care
- answer -; : C
Section 4: Legal & Ethical Issues
Question 10: Nurse Practice Act
The Nurse Practice Act is established by:
A) Federal government
B) State boards of nursing
C) The Joint Commission
D) Individual hospitals
Rotation: Violating the Nurse Practice Act can result in:
A) Lawsuit only
B) License suspension only
C) Both criminal charges and license action
D) Verbal warning only
PRACTICUM AT CHAMBERLAIN, INCLUDING 480 REA L EXAM
QUESTIONS WITH CORRECT, DETAILED ANSWERS. TOPICS
COVER PSYCHOPHARMACOLOGY, THERAPEUTIC
COMMUNICATION, DSM-5 DIAGNOSES, CRISIS
INTERVENTION, EVIDENCE-BASED PRACTICE, AND ETHICAL
CONSIDERATIONS IN MENTAL HEALTH CARE. THIS NEW
RESOURCE IS DESIGNED TO REFLECT THE FINAL EXAM
STRUCTURE AND PROVIDES AN ADVANCED LEVEL REVIEW
THAT GUARANTEES A PASS FOR GRADUATE NURSING
STUDENTS
Section 1: Nursing Leadership & Management Principles
Question 1: Leadership Styles
Which leadership style encourages team decision-making and shared governance?
A) Autocratic
B) Democratic
C) Laissez-faire
D) Transactional
Rotation: Which leadership style is most effective during emergencies requiring quick decisions?
A) Democratic
B) Transformational
C) Autocratic
D) Servant
- answer -; : B
Question 2: Change Management
Kotter's 8-Step Change Model begins with:
A) Communicating the vision
,B) Creating a sense of urgency
C) Forming a powerful coalition
D) Creating short-term wins
Rotation: The stage of change where resistance is typically highest is:
A) Unfreezing
B) Changing
C) Refreezing
D) Evaluation
- answer -; : B
Question 3: Conflict Resolution
Which conflict resolution strategy involves both parties giving up something?
A) Competition
B) Collaboration
C) Compromise
D) Accommodation
Rotation: The "win-win" conflict resolution strategy is:
A) Avoidance
B) Accommodation
C) Collaboration
D) Competition
- answer -; : C
Section 2: Quality Improvement & Patient Safety
Question 4: QI Models
The PDSA cycle stands for:
A) Plan, Do, Study, Act
B) Prepare, Develop, Study, Adjust
C) Plan, Develop, Study, Assess
D) Prepare, Do, Study, Adjust
Rotation: Which QI model focuses on eliminating waste in processes?
A) Six Sigma
B) Lean
C) TQM
D) FMEA
- answer -; : B
Question 5: Sentinel Events
,The Joint Commission defines a sentinel event as:
A) Any medication error
B) An unexpected occurrence involving death or serious injury
C) All hospital-acquired infections
D) Patient falls with injury
Rotation: Root cause analysis should be completed within how many days of a sentinel event?
A) 24 hours
B) 45 days
C) 30 days
D) 60 days
- answer -; : B
Question 6: Just Culture
A just culture balances:
A) Punishment and reward
B) Accountability and system improvement
C) Reporting and confidentiality
D) Individual and team responsibility
Rotation: In a just culture, reckless behavior is typically addressed with:
A) System changes
B) Retraining
C) Disciplinary action
D) Counseling
- answer -; : C
Section 3: Healthcare Finance & Budgeting
Question 7: Budget Types
Which budget is based on patient volume or units of service?
A) Capital budget
B) Operating budget
C) Personnel budget
D) Variable budget
Rotation: Equipment purchases over $500 typically come from which budget?
A) Operating budget
B) Capital budget
C) Personnel budget
D) Supply budget
- answer -; : B
, Question 8: Staffing Calculations
FTE stands for:
A) Full-Time Equivalent
B) Full-Time Employee
C) Fixed Time Employment
D) Flexible Time Estimate
Rotation: One FTE typically equals how many hours per year?
A) 1,560 hours
B) 2,080 hours
C) 1,820 hours
D) 2,340 hours
- answer -; : B
Question 9: Reimbursement Models
Value-Based Purchasing ties reimbursement to:
A) Volume of services
B) Quality outcomes
C) Patient satisfaction
D) Both B and C
Rotation: DRGs are used in which reimbursement system?
A) Fee-for-service
B) Capitation
C) Prospective payment
D) Managed care
- answer -; : C
Section 4: Legal & Ethical Issues
Question 10: Nurse Practice Act
The Nurse Practice Act is established by:
A) Federal government
B) State boards of nursing
C) The Joint Commission
D) Individual hospitals
Rotation: Violating the Nurse Practice Act can result in:
A) Lawsuit only
B) License suspension only
C) Both criminal charges and license action
D) Verbal warning only
