MENTAL HEALTH CAPSTONE
PRACTICUM & INTENSIVE FINAL EXAM
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Which of the following factors are facilitating the growth of the PMHNP?
a. Overlapping scope of practice with other types of nurse practitioners
b. Collaborative practice relationships with physicians
c. Increased competition in the job market
d. Decreasing stigmatization - ANSWERS-d. Decreasing stigmatization
All of the following circumstances would allow the release of medical information without
the patient's consent except:
a. Next of kin wanting to help the patient make decisions
b. If the client reveals intent to harm self or others
c. Responding to court orders, subpoenas, or summons
,d. Records to the insurance company - ANSWERS-a. Next of kin wanting to help the
patient make decisions
A new client born and raised in Zimbabwe presents to your office. He mentions
ruminating on worries or upsetting thoughts in his mental health history. Which of the
following diagnoses is consistent with this?
a. Kufungisia
b. Catatonia following trauma
c. Executive dysfunction
d. Keratocanthoma - ANSWERS-a. Kufungisia
Kufungisia is an idiom of distress and a cultural explanation among the Shona people of
Zimbabwe. The definition surrounds thinking too much, ruminating on upsetting
thoughts, and worry. It is considered to be the root cause of somatic complaints,
depression and anxiety.
Which of the following ethical principles would conflict if the treatment team wanted to
implement a therapeutic deception for the good of the patient?
a. Veracity
b. Nonmaleficence
c. Justice
d. Beneficence - ANSWERS-a. Veracity
Morgan is an RN on a busy cerebrovascular accident unit at the local hospital. She
forgot to turn her patient every 2 hours in bed and now he has a stage I decubitus ulcer.
What could this be best described as?
a. Lack of consent
b. Violations order
c. Negligence
d. Battery - ANSWERS-c. Negligence
All of the following are governed by the institutional review board except:
a. Ensuring equitable selection
,b. Regulating funding for the study
c. Evaluating risks and benefits, ensuring reporting of adverse events
d. Ensuring risks to participants are minimized - ANSWERS-b. Regulating funding for
the study
Atith is a 21 year old male from Cambodia. His chest reveals long raised red marks from
dragging a coin across his skin. Recognizing this cultural concept would prompt the
PMHNP to consider what potential diagnosis within the DSM-5?
a. Agoraphobia
b. Panic disorder
c. PTSD
d. All of these diagnoses are possible. - ANSWERS-d. All of these diagnoses are
possible.
- Khyal cap or Khyal attacks is a syndrome found amongst Cambodians. Symptoms
include panic attacks, agoraphobias, anxiety, PTSD and somatic symptoms which come
out of the blue or are triggered by worrisome thoughts. Recognizing cultural concepts of
distress is neceassry during case formulation.
A cultural explanation of distress including fatigue, weakness, weight loss, somatic
complaints, depressed mood and impotence thought to be related to semen loss is
otherwise known as dhat in this region of the world. Where is a client most likely from
given the specific complaint of dhat?
a. Australia and Fiji
b. China and Southeast Asia
c. India and Pakistan
d. Russia and Ukraine - ANSWERS-c. India and Pakistan
- Dhat syndrome is a syndrome of distress thought related to a loss of semen. Related
symptoms thought caused from dhat include depressed mood, fatigue, weight loss,
anxiety, somatic complaints and impotence.
Which of the following is characteristic of the leadership competency for APRNs?
a. Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems
b. Modifying the treatment plan based on the patient's needs
, c. Developing an age-appropriate treatment plan
d. Evaluating the appropriate use of seclusion - ANSWERS-a. Participating in a
community-focused program that promotes mental health and reduces the risk of
mental health problems
Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification - ANSWERS-b. Licensure
A new graduate PMHNP is considering a job at a psychiatric ED. The medical director
informs the prospective hire that they are expected to evaluate and treat children,
adolescents, adults, and geriatric patients. What document should be consulted to
determine if the PMHNP can legally treat psychiatric patients across the life span?
a, The hospital bylaws
b. The PMHNP can treat any patient because there is a collaborating physician
c. The PMHNP scope of practice
d. The state Nurse Practice Act - ANSWERS-d. The state Nurse Practice Act
The process of integrating the best research evidence with clinical expertise and client
needs and values is known as:
a. Evidence-based practice
b. Quality improvement
c. Research
d. Research utilization - ANSWERS-a. Evidence-based practice
A 34-year-old Korean male pediatric dentist is referred to psychiatry for persistent
anxiety. Upon further assessment, he reveals that his penis is shrinking into his
abdomen. Despite the reassurance he has received from numerous health care