Exam 3: NURS660 / NURS 660 Comprehensive Q&A (2026–2027 Edition) Psychopharmacology and Advanced Mental Health | | Verified, Accurate Solutions | Grade A – Maryville

Exam 3: NURS660 / NURS 660 Comprehensive Q&A (2026–2027 Edition) Psychopharmacology and Advanced Mental Health | | Verified, Accurate Solutions | Grade A – Maryville Q. What medication puts pt at risk of possible electrocardiogram changes? ANSWERS TCAs Q. What psychotropic med is associated with neural tube defects such as spina bifida if taken during pregnancy? ANSWERS Valproate Q. NP treating 19 yo female, complains of not sleeping well. Understand that disruptions and sleep patterns have etiology in all of the following except. ANSWERS Genetics Q. Pt w/ dementia is being started on cholinesterase inhibitor. The mechanism is... ANSWERS Inhibiting breakdown of acetylcholine Q. Pt is prescribed memantine to treat moderate to severe Alzheimer's disease. Which medication is frequently prescribed with memantine? ANSWERS Used in combination w/ cholinesterase inhibitor Q. Mom brings 6yo son in for concern of ADHD; disorganized and loses homework, always talking out, distracts others, interrupts class activities. Which is indicative of inattention? ANSWERS Constantly loses homework Q. What is the therapeutic range of lithium and associated side effects ANSWERS 0.5-1.2, blurred vision and hand tremors Q. Which of the following medications is an inducer is of the CYP450? ANSWERS carbamezapine Q. which med is a partial agonist that is helpful in treating pt w/ opioid use disorder? ANSWERS buprenorphine Q. which term refers to the loss of the ability to recognize the form of an object by touch? ANSWERS astereognosis Q. pt reports restlessness, lack of concentration, frequent palpitations that last a short duration. Pt has hx of SUD. PMHNP prescribes a... ANSWERS Buspirone Q. what role does dopamine have in symptoms of schizophrenia? ANSWERS Involved In psychotic symptoms Q. what explanation for prescription of arocept would pt provide to the pt in early stages of Alzheimer's? ANSWERS Acetylcholine deficiency managed by inhibiting cholinesterase Q. pharmacologic management of social anxiety, phobia disorder can include all of the following except for ANSWERS anti-convulsant Q. which of the following should the PMHNP assess for if there ais suspected disruption of nigrostriatal dopaminergic pathway? ANSWERS Parkinson's disease Q. which of the following is the goal of the treatment w/ stimulants in ADHD? ANSWERS to improve symptoms of inattention, hyperactivity, impulsivity along with occupational and academic performance Q. medication that works by mimicking norepinephrine effects at the alpha 2 adrenoreceptors in the prefrontal cortex is ANSWERS guanfacine Q. which state regarding medication assisted treatment of opioid use disorder is true? ANSWERS buprenorphine is partial agonist Q. Female pt coming in for f/u visit. Takes 20mg of escitalopram for generalized anxiety disorder; has been on med for 3 years. Having difficulty reaching orgasm. Offer to offset the side effects by doing what? ANSWERS Add Wellbutrin to counteract sexual side effects*** Q. Medication associated with reduction in suicide and suicidal attempts for pts diagnosed with bipolar d/o and major depression? ANSWERS Lithium Q. PMHNP formulating tx plan for bipolar d/o, pts genetic testing does not carry the HLAB 1502 allele. Medication plan.... ANSWERS Can include lamotrigine Q. In order to meet diagnostic criteria for bipolar 2, the patient must have hypomania symptoms and also present with which other symptom... ANSWERS At least one major depressive episode Q. Pt brought to ED, family calls 911, pt unable to provide hx, practitioner notes pupillary dilation, sensitivity to light, sweating, yawning, rhinorrhea, vital sign abnormalities, NP will diagnose with... ANSWERS Opioid withdrawal Q. pt presents with oculomotor disturbances, cerebellar ataxia and mental confusion. What psychiatric emergency? ANSWERS Wernicke's encephalopathy Q. How does body remove serotonin and epinephrine from synaptic cleft? ANSWERS Active reuptake process Q. How often should excessive worry, apprehension, or anxiety occur to meet criteria for generalized anxiety disorder? ANSWERS More days than not, for at least 6 months Q. 23 yo female recently started SSRI for GAD, two weeks later she wants a different option due to medication not working, and having trouble sleeping + cotton ball mouth. What options does PMHNP offer? ANSWERS Instruct patient on medication actions and common side effects Q. Pt reports impulsive behavior, frequent distractions of restlessness lasting 6 months. PMHNP observes fidgeting, absent-minded, the NP prescribes... ANSWERS Atomoxetine (Strattera) ADHD mediation Q. Core features of delirium is... ANSWERS Altered consciousness Q. Most toxic drug used in treatment of acute mania in bipolar disorder? ANSWERS Lithium Q. What is a common side effect of stimulant medication use in children? ANSWERS Appetite suppressionreduce if you can, schedule meal and snack times Q. What is therapeutic range of lithium? 0.5-1.2 ANSWERS close monitoring while getting started, getting into therapeutic range Q. What hormone is responsible for patient waking earlier than wanted in a depressed patient? ANSWERS Elevated cortisol Q. 21 yo female presented to ED w/ friends for new onset visual and auditory hallucinations, they were at a party and started yelling at people and seeing spiders. Parents arrive a short time later and Mom says "my mom went crazy, is that's what's happening with her?", what reassurance can you provide? ANSWERS It's likely substance abuse Q. In common psychiatric disorders, neurotransmitters are implicated. Increase in dopamine will cause an exacerbation of which disorder? ANSWERS Schizophrenia Q. How does half life of lorazepam compare to half life of diazepam? ANSWERS Lorazepam has shorter half life than diazepam Q. During a mental status exam for dementia. Pt exhibits delayed recall for over 2 min; which part of the brain is responding? ANSWERS Hippocampus and medio-temporal lobe Q. Assessment of pt with anxiety, which clarifying techniques can the PMHNP use to promote effective communication? ANSWERS Restating Q. All of the following are considered subtypes of circadian rhythm, sleep-wake disorders except for? ANSWERS Jet-lag type What part of brain is composed of the cells that produce neurotransmitters? Brain stem Pt working w/ PMHNP, pt has hx of alcohol use disorder. PMHNP is considering using the alcohol use disorder identification test, the audit test. Which items are most likely to be included on the audit tool? Pt's alcohol consumption over the last year 8yo male, mother is bringing in w/ concern of ADHD, pt fails to pay attention in class, gets distracted, is disorganized w/ assignments, interrupts other students. Which symptom is indicative of hyperactivity? Interrupting when other students are answering a question Pharmacokinetics and distribution, which of the following patients should the PMHNP monitor for possible toxicity and need for lowering the dose? pt with malnourishment What is a consideration that should be made when considering prescribing an antidepressant to an individual w/ known bipolar disorder? Presence of a mood-stabilizing agent (you want to have the mood stabilizing agent on board prior to adding the antidepressant, would not want to do the antidepressant on it's own bc of the likelihood of induction of mania) What's difference between delusion and illusion? Delusions a false belief despite contrary evidence illusion is a false perception of a real stimulus After pt reports feeling anxious and experiencing nausea at a first medication follow-up appointment. PMHNP will say? What herbal or vitamin supplements and OTC medication do you take Pt w/ long standing hx of bipolar disorder with psychosis is currently taking risperidone 4mg daily and lamotrigine 50mg daily, pt reports weight gain, fasting triglycerides level of 203, PMHNP treatment plan is to.... Taper risperidone over 2-3 months Which statement best described statement between mania and hypomania Hypomania present for at least 4 days and less than 7, mania is more than 7 s/s of Steven Johnson's syndrome painful mucous membranes bipolar disorder w/ medical issues, medical provider calls and asks if the lithium you prescribed is effecting the EKG. How do you respond? Lithium inverts the T-wave decrease in serotonin is related to all of the following disorders except? ADHD Which of the following medications is a dopamine antagonist and increases anhedonia, addiction, and possibility of Parkinson's? Anti-psychotics Pt w/ schizophrenia is experiencing auditory hallucinations. What is most likely the pathology? Imbalances of dopamine and serotonin PMHNP treating 21 yo female, she is c/o of not sleeping well. All of the following can be a part of the etiology it except for.. PT'S AGE (this does not associated in disruptions in sleep patterns) Functions of the frontal lobe include all of the following except receptive speech (this is in the temporal lobe) which anxiety disorder is characterized by the fear of a particular object or situation such as heights or animals? specific phobia Nursing student observing in outpatient clinic for mental health services for several weeks. Student reports being shy, always uncomfortable in social situations or during oral presentations in class, few friends up until freshman year of college when she discovered she could enjoy herself more if I had a few drinks before going out. Occasional 2-3 beers on weekends as well According to DSM 5 does student have substance use disorder? does not meet criteria 47 yo man w/ history of alcohol use disorder, presents to ED. Family says he's been living off whiskey and nothing else for weeks. Nurse about to draw blood. What is your next immediate action? administer thiamine (explanation: thiamine is likely very depleted, can reduce chance of wernicke's and Korsakoff syndrome) teaching related to buproprion for smoking cessation. Which indicates need for further teaching? if I have the urge to smoke, I'll just take more medication Pt taking MAOI to treat depression, admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication? Neck stiffness pathway involved in reward motivation? Meso-limbic pt w/ MDD starting new med. PMHNP considers genotype. Which drug-genetic interaction should PMHNP be most concerned about? CYP450 gene effecting medication metabolism site of administration to site of action is called absorption drug property that describes its unique ability to bind to the target receptors is referred to as Affinity which of the following is true regarding partial agonist? blocks effect within a cell that is not maximal, and then block the receptor to the full agonist blocks effect within a cell that is not maximal, and then block the receptor to the full agonist the role of NT in the central nervous system is to function as.. a form of communication Nurse is taking care of pt w/ damage to parietal lobe, the patient will have difficulty w/ calculating a math problem which of the following is a standardized scale for GAD? GAD-7 which of the following best describes the mechanism of action for an SNRI? inhibits reuptake of both serotonin and norepinephrine Which medication for MDD are used in treatment? Sertraline, duloxetine, buproprion, all of the above? all of the above what symptoms would pt exhibit if they were experiencing an excess of serotonin? restlessness, agitation, myoclonus, VS abnormalities when prescribing atypical antipsychotic for pt w/ schizophrenia. PMHNP describes 2nd generation antipsychotic why? only works within dopamine system medication to be given to reverse hypotension and respiratory depression when pt has overdosed on opioid is methadone pt admitted for detoxification w/ last alcoholic drink approximately 13 hours ago. Pt reports blurry vision, diagnosis is Wernicke's encephalopathy pt w/ SUD has to ingest more than previous in order to maintain high, this describes? Tolerance pt w/ alcohol use disorder and GAD. Pt presents to ED w/ palpitation, vomiting, headache, flushing. On sertraline, thymine, naltrexone, disulfiram. Pt admits to drinking a couple of glasses of champagne. Which med is responsible? Disulfiram PMHNP to diagnose GAD, pt must experience symptoms for at least 6 months benzodiazepines produce their effect by increasing levels of the brain of... gamma amino butyric acid (GABA) What's the black box warning associated w/ antidepressant medication increased risk of suicidal thoughts in adolescents and young adults pt admitted to long term psychiatric setting and is taking an MAOI. PMHNP decides to change antidepressant to imipramine. How long can imipramine be started after discontinuing the MAOI/washout period? In 14 days after the last dose of the MAOI PMHNP expects the pt to present w/ s/s of dopamine to have? Low serotonin risk factor of OCD is? first degree relative of OCD Richard 68 yo old presents w/ concerns of memory. Is treated for HTN which is well controlled. "I understand I'm losing brain cells at my age but I would like to keep my brain and body active" although most development occurs early in life we still form some new brain cells in a couple of areas of the brain during adulthood, continue with activities b/c they are neuroprotective 74 referred by PCP for psychiatric eval. Mini mental status exam and score is 18 w/ results in which level of cognitive impairment Moderate cognitive impairment NP treating 7 yo male. Acting out in class, disorganized. Dx w/ ADHD. Low dose non-stimulant is...? clonidine Which is accurate regarding dementia of the Alzheimer's type? Most prevalent type of dementia 70 year old female pt, w/ hx of HTD, CVD, cognitive decline that daughter described as happening in stages. vascular dementia initiation of signal transduction to its full effect is caused by? agonist part of the brain that's involve in long-term memory formation and emotional responses is the hippocampus PMHNP sees pt w/ MDD for f/u. pt has epilepsy and limited efficacy w/ sertraline. Which medication would be contraindicated? Wellbutrin (this will lower seizure threshold) study of what drugs do to the body is? pharmacodynamics which NT is produced in substania nigra? dopamine which is only FDA approved medication for anxiety in childhood? duloxetine medication choice for panic disorders for pts w/ substance use history is Hydroxyzine as its doesn't have tendency for tolerance and dependency mechanism of action of propranolol for performance anxiety? suppresses pt HR and BP so they don't feel autonomic effects of anxiety all of the following are true about NT except for... NTs convert action potential into a neurochemical signal NTs convert action potential into a neurochemical signal typical antipsychotics help in alleviating? delusions and hallucination in schizophrenia mesocortical pathway of dopamine shows second generation antipsychotic response by blocking serotonin receptors potential long term effects of lithium include? hypothyroidism PMHNP is treating women of Asian decent for rapid cycling bipolar. PMHNP understands this condition rarely responds to lithium mono therapy and is considering adding Tegretol. Which screening test needs to be done? HLAB1502 allele 29 yo intellectually disabled presents w/ ED room. Her med was recently switched from thoradizine to haloperidol. She's disoriented to time and place, diaphoretic and temperature of 105.3, HR 126, RR22, WBC of 1,400, and creatine phosphokinase 2,600. Which condition? rhabdomyolysis lobe associated w/ sensation of touch? parietal part of the neuron that forms the command center of the nerve is the cell body examples of monoamine neurotransmitters include which of the following dopamine, norepinephrine, serotonin GABA plays an important role in cognition and behavior involving actions such as which one of the following? Impulsivity and risk decision making which of the following receptors on acetylcholine is located in brain's reward pathway and underlines nicotines addictive properties nicotinic majory inhibitory NT in central nervous system is GABA best initial single treatment modality approach for client w/ GAD Therapy Things that should be ruled out as causes of delirium etiologies include all but the following.. parkinson's* important education regarding pts taking disulfiram can take 2 weeks for effects of disulfiram to be out of the system pt presents w/ 54 yo w/ alcohol use disorder, chronic-recurrent. Which labs would you want to pay attention to? Abnormal liver function and increased MCV in order for pt to be diagnosed w/ MDD, pt must be present w/ depressed mood and.. anhedonia drug that acts as norepinephrine and serotonin reuptake inhibitor is duloxetine (an SNRI) stabilizing medication that has the risk of causing Epstein anomaly of a fetus if taken during pregnancy? lithium baseline laps that need to be ordered prior to starting lithium. Which one is not needed? CBC w/ diff What is the class of antidepressants that reduces the breakdown of free synaptic amines? MAOIs Which statement is true regarding the risk associated with benzodiazepine There is potential for tolerance, dependence, and withdrawal Norepinephrine transmitter is linked to which disease process Anxiety & depression A medical emergency associated with use of SSRIs and other serotoninergic agents Serotonin syndrome A patient family member reports a patient having sudden onsent of auditory hallucinations, tremors and goal disorientation has been on and off for the past 24 hours the NP will evaluate for Delirium A mental status exam for a patient diagnosed with early onset dementia will include orientation Which medication has the SE of losing hair Lithium The pt is bipolar, and had a partial response to depakote and now is going to be augmented with an atypical antipsychotic, the effects of atypical antipsychotics in non-psychotic mania may be due to what indirect effect on glutamate release via 5H2A antagonism A pt has had some success with his current antidepression medication, has tried many different antidepressants, so you decide to augment with L-methyl-folate. What is the hypothesis behind L methyl Folate boosting the therapeutic efficacy of antidepressants...what is the MOA? boosts monamine neurotransmitter function in bipolar disorder You have a pt that has been very depressed and has insomnia problems with concentrations, weight loss and SI. You start them on an AD and his symptoms have abated, however which of the following symptoms is the most likely to be residual following the successful tx of other symptoms? insomnia Which class of antidepressant have a lower incidence of sexual SE? What medication is used in the tx of BP/mania and is used in prophylaxis as well as antidepressant augmentation? Which medication is this? Wellbutrin What medication is a very potent CYP450 inhibitor and can dangerously elevate lamotrigine? Valproate Which class of antidepressant has the worst discontinuation syndrome? Cymbalta You have a female pt complaining of lactating and is not pregnant w/ no children. She has been taking risperidone. Which medication would you avoid if you were to switch her to another med?" Paliperidone A pt is on Prozac and it has stopped working. Patient has been on many other antidepressants and wants to try an MAOI now. How long do you need to stop Prozac before starting MAOI? 5-6 weeks What neurotransmitter are affected by TCAs? Serotonin, dopamine, norepinorphrenie, 5HT What TCA medication should absolutely not be used in combination with any other MAOI? chlomipramine Please know what is the most potent property of trazodone by what neurotransmitter? SEDATION; 5H2A Patient prescribed Clomipramine suddenly stops taking medication. What side effects could be shown? Cardiovascular, coma, seizure, death What neurotransmitters are effected by tricyclic antidepressants increase levels of norepinephrine and serotonin, and block the action of acetylcholine You have a patient that has rapid cycling bipolar disorder. Which combination that should be given together? lithium and lurasideon, lamotrigine and quetiapine You have a patient that has rapid cycling bipolar disorder. Which combination that should not be given together? carbamazepine lurasidone, valproate and quetiapine What medication is safe to take with MAOI Lithium What are the two factors that are most useful for determining if a presenting depressive episode is unipolar or bipolar? family history, input from someone close The only atypical approved for bipolar depression quetiapine A 28 yr old woman presents with depression. She has been treated with manic episode before however is not taking medication. Whhat meds work the best to tx bipolar depression? Lamictal Does clozapine increase TCA A levels? true Cigarette smoking decrease TCA levels false How many half-lives do you have to wait before you can initiate MAOI inhibitor medication 5 half lives Which antidepressant and drug class has a higher incident of gaining weight out of all the Antidepressants paxil: SSRI Which medication can cause hypothyroidism? Lithium Patient comes into the office for smoking cessation education also has a seizure disorder. Which of the following medications WOULD NOT be appropriate Wellbutrin Wellbutrin is contraindicated in clients with what disorders? eating disorders What is the proposed theory when pt starts taking Prozac and w/in a day or two is feeling more energized and feels their cognition and attention have significantly increased. antagonism of 5HT2C increasing neurotransmission of norepinephrine and dopamine You have a pt that is bipolar and has been stabilized on lithium and is now a long-distance runner and works construction. Informs you he is running 30 mins 5x a week. Which lab would be indicated? renal, sodium, lithium, electrolyte labs MOA of carbamazepine? What does it do to sodium channels, GABA and AMPA. What does it do to neurotransmitters) blockage of sodium dependent voltage channels SSRI or SNRI which medication is more prone to hypertension SNRI 26 year old patient has been diagnosed with BPD valproate has been selected for her treatment what tests do you expect to order? What are you monitoring for? urine pregnancy test, neural tube defects What portion of the brain is involved with feelings of worthlessness and suicidal ideation? amygdala When a pt is taking lithium but has an adverse SE, what do you do to the medication? If you are on lithium and it bothers your stomach and you are on immediate release, what preparation of lithium would be easier for the patient to take? Lithium extended release A 26 yo female pts with BPAD presents, she was on lithium and ODed, and she now presents with tremor, ataxia, confusion and attempted to commit Suicide 30 mins before. Lithium lvl is 2.1. Over next 30 mins becomes more confused and unresponsive. What is the next step in management emergency hemodialysis Which antidepressant can cause the most weight gain, would it be: mirtazapine A pt comes to see you and is taking 2 SSRIs (one recently increased) and is c/o tremors, diarrhea and agitation. What condition do you expect serotonin syndrome what symptoms that characterize the toxicity of clomipramine... seizures, coma What is lamotrigine's unique therapeutic profile in BP disorder and depression? linked to inhibition glutamate release Which medication would you warn clients not to stop abruptly? effexor You are going to be prescribing a CYP34A inducer...what medication should you avoid adding into the pt's med profile? CYP3A4 substrate Medications with the MOA of reuptake of 5HT Paxil, celexa, Zoloft, prozac, fluvoxamine, and lexapro Medications with the MOA of the reuptake of 5HT and norepinephrine duloxetine, Effexor What is the MOA of agomelatine? Binds to melatonin receptors in the suprachiamatic nucleus and to 5HT2C receptors Agents that block the reuptake of norepinephrine, has what effect on the dopamine in the prefrontal cortex increased dopamine in PFC A patient with dementia is being started on Cholinesterase inhibitors. The PMHNP knows that these drugs work by which of the following? A) inhibiting the breakdown of acetylcholine 3 multiple choice options NT involved in memory and cognitive function? C) acetylcholine 3 multiple choice options by inhibiting the break down of acetylcholine, this class of drugs work by decreasing their availability and improve cognitive function in individuals with dementia B) cholinesterase inhibitors 3 multiple choice options A patient with a diagnosis of Prader-Willi syndrome has been admitted to the children's inpatient psychiatric unit. For this neurodevelopmental disorder, which of the following dietary considerations are an important part of treatment? D) a restricted calorie diet 3 multiple choice options Prader-Willi Syndrome is a neurodevelopmental AND genetic disease that is characterized by what s/s? compulsive eating, intellectual disability, hypogonadism, sm all stature, low muscle, low muscle tone Prader-Willi Syndrome patients suffer from compulsive eating making them prone to obesity and must maintain a low calorie diet The PMHMP is working with a client with depression. According to Beck's cognitive theory of depression, which of the following is a core component of depressive thinking? B) catastrophizing 3 multiple choice options Systemic effects of hyponatremia include which of the following? confusion Mneumonic for assessing delirium: DELIRIUM D of DELIRIUM Dementia Assessment Scale stands for? A) Drugs 3 multiple choice options E of DELIRIUM Dementia Assessment Scale stands for? B) electrolyte abnormality 3 multiple choice options L of DELIRIUM Dementia Assessment Scale stands for? D) Low oxygen saturation 3 multiple choice options I of DELIRIUM Dementia Assessment Scale stands for? DEL(I)RIUM C) infection 2 multiple choice options R of DELIRIUM Dementia Assessment Scale stands for? A) reduced sensory input 3 multiple choice options I of DELIRIUM Dementia Assessment Scale stands for? DELIR(I)UM B) Intracranial 3 multiple choice options U of DELIRIUM Dementia Assessment Scale stands for? C) urinary or renal retention 3 multiple choice options M of DELIRIUM Dementia Assessment Scale stands for? A) Myocardial 3 multiple choice options All of the following medications can induce depression except: B) disulfiram 3 multiple choice options Steriods, disulfiram, isoniazid, antidepressants can induce what? A) mania 3 multiple choice options Beta-blockers, steroids, interferon, neoplastic drugs, benzos, progesterone, some retroviral can induce? B) Depression 3 multiple choice options A patient presents with symptoms of depression and has been diagnosed with Major Depressive Disorder (MDD). What is the most likely pathophysiological explanation for the patient's symptoms? imbalance of neurotransmitters Decreased levels of sodium (Na) can cause which of the following? B) diuresis 3 multiple choice options During a mental status exam for dementia, a patient exhibits delayed recall for over 2 minutes. Which corresponding part of the brain is impacted according to this assessment finding? hippocampus, medial temporal lobe language, reading and writing difficulties are associated with damage to what area of the brain? B) left temporal and parietal lobes--areas which contain the Wernickle and Broca areas 3 multiple choice options Abstract thinking is impacted by damage what areas of the brain? frontal and pre-frontal lobes Disturbances of orientation indicate damage to what area(s) of the brain? temporal, frontal and cingulate cortex Which of the following is an example of combined structural and functional imaging currently mainly used in research? A) Fluorine magnetic spectroscopy 3 multiple choice options What is the term for milky nipple discharge that is unrelated to breastfeeding and is a possible side effect of certain psychotropic medications? B) galactorrhea 3 multiple choice options _____ is an indication of elevated prolactin levels, which can cause galactorrhea and are a serious risk factor for those taking antipsychotics (esp SGA) A) Hyperprolactinemia 3 multiple choice options Galactorrhea, not hyperprolactinemia, is what? a milky nipple discharge unrelated to the normal milk production of breastbeeding the ANCC is the only certifying board for APRN action is judged as good or bad based on the act itself regardless of the consquences? A) deontological theory 3 multiple choice options action is judged as good or bad based on the consequences or outcome? C) teleological theory 3 multiple choice options providers have an ethical responsibility to disclose medical errors, accidents, injuries, and negative results to clients four elements of negligence must be established to prove malpractice? E) all of the above 3 multiple choice options process in which a more experienced NP agrees to guide and support a junior colleague in role, competencies and skills B)mentoring 3 multiple choice options _____ are legally binding in all 50 states durable power of attorney for health care--also known as a healthcare proxy _____ will is not legally binding in all 50 states? B) A living will-document prepared when the client is mentally competent to designate preferences for care if the client becomes incompetent or terminally il specific behavior related to a pt's culture and not linked to a psych disorder? C) culture-bound syndrome the learned beliefs and behaviors or the socially inherited characteristics that is common among all members of the group; may be racial, social, eth5nic or religious grouping B) culture 3 multiple choice options stands up for client's rights and empowers them to become their own advocates? client advocacy Participant in local, state, national and international health policy activities; APRNs have a legal and ethical responsibility to be a client advocate: health policy system of controlled oversight and authorization of services/benefits provided to clients; consists of coordinating care, ensuring quality outcomes, monitoring plan of care, and doing advocacy: A) case management 3 multiple choice options strategies for reducing homelessness: E) all of the above 3 multiple choice options reasons for homelessness? H) all of the above 3 multiple choice options 50% of homeless individuals have a: co-occuring MH dx schizophrenia affects approximately what percentage of homeless people? A) 15-45% 3 multiple choice options homeless people with co-occurring disorders have a greater risk for? D) All of the above 3 multiple choice options not attracted to either sex: A) asexual 3 multiple choice options umbrella term to describe pts who gender identity does not conform to gender norms associated with the gender they were assigned at birth; does not imply a particular sexual orientation C) transgender 3 multiple choice options persons who identify as the opposite gender from the one they were assigned at birth; some change their bodies hormonally and surgically to conform to their gender identity B) transsexual 3 multiple choice options a person's identity along a continuum between normative constructs of masculinity and feminitiy gender identity a lack of synchronized care among criminal justice, mental and public health systems result in? repeat incarcerations Forensic risk assessment: protect the public from persons with known MH issues having dangerous, violent and criminal histories risk assessment: psych eval performed in ED settings after arrest and before person is confined to a correctional facility patient's feelings on a provider/healthcare provider? A) transference 3 multiple choice options nurse's/provider's feelings onto a patient: B) countertransference 3 multiple choice options phases of a therapeutic nurse-client relationship: D) all of the above 1 multiple choice option Phase 1 of a therapeutic nurse-client relationship: C) A&B 3 multiple choice options Phase 2 of a therapeutic nurse-client relationship: D) A&C 3 multiple choice options Phase 3 of a therapeutic nurse-client relationship: D) Termination (RESOLUTION) 3 multiple choice options reviewing client's progress towards objectives, establishing long term plan of care, focusing on management strategies, disengaging from relationship, referring client to other services is WHAT stage of the therapeutic nurse-client relationship: D) termination (resolution) three primary psychic structures make up the mind and personality: D) all of the above 3 multiple choice options says "I want", primary drives or insticts, (hunger, sex, aggression) A) the ID 3 multiple choice options the ego-ideal, says "I should or I ought"; regulated by guilt and shame: B) the super-ego 3 multiple choice options contains the concept of external reality, rational mind, operates on the reality principle, says "i think, I evalaute" C) the ego 3 multiple choice options conflict is dealt with through defense mechanisms: freud interpersonal theory: henry stack sullivan