Page 1 of 242
NR 668 CEA Final Exam (2026) | Chamberlain
Practicum |Expert Questions and Correct
Answers (100% Verified Answers) Plus
Detailed Rationales |PMHNP Actual Exam
(PDF) | 100% Guaranteed A+ (MOST
RECENT!!!)
MULTIPLE CHOICES
1. A client with generalized anxiety disorder is asked to create coping cards as part of her CBT
homework. What is the primary purpose of using coping cards in CBT?
A. To record daily fluctuations in thoughts and corresponding moods
B. To identify anxiety-provoking situations
C. To provide immediate cognitive restructuring strategies
D. To document automatic thoughts
Answer: C. Coping cards are used to write down helpful thoughts and strategies that clients can refer to
when experiencing distress, providing immediate cognitive restructuring support during moments of
anxiety.
2. In a Gestalt therapy session, a therapist asks a patient to engage in a dialogue with an empty chair,
imagining that a significant person from their life is sitting in it. What is the primary purpose of this
technique?
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, Page 2 of 242
A. To explore and resolve unfinished business
B. To develop a behavioral plan
C. To identify cognitive distortions
D. To analyze unconscious thoughts
Answer: A. The empty chair technique is used to help patients address unresolved emotions and
conflicts with significant people in their lives, allowing them to express feelings they may not have been
able to express directly.
3. A 68-year-old man presents with his wife for evaluation of a sleep disorder. The wife reports he does
not sleep well at night and wanders around the house. He then sleeps much of the day. Which
medication is preferred to control this behavior?
A. Chlorpromazine
B. Haloperidol
C. Trazodone
D. Lorazepam
Answer: C. Trazodone is preferred for sleep disturbances in elderly patients due to its sedative
properties and lower risk of adverse effects compared to antipsychotics or benzodiazepines, which can
cause significant side effects in older adults.
4. Which of the following symptoms supports the diagnosis of Conversion Disorder?
A. The presence of dissociative symptoms
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, Page 3 of 242
B. Localized anesthesia
C. Tunnel vision
D. All of the above
Answer: D. The diagnostic criteria for conversion disorder includes one or more symptoms of altered
voluntary motor or sensory function. Clinical findings are incompatible with neurological or medical
conditions, and symptoms cause significant distress or impairment.
5. A 36-year-old victim of domestic violence has three young children at home. She presents to the
PMHNP for depression and requests something to calm her nerves because she is not sure how much
more she can tolerate. What should the PMHNP do next?
A. Admit the patient for homicidal ideation
B. Prescribe a sedative to calm her nerves
C. Admit the patient for suicidal ideation
D. Provide information about support resources
Answer: D. Providing information about support resources is the appropriate first step, including
domestic violence shelters, hotlines, and counseling services. Safety planning is essential before
considering medication interventions.
6. Theodore is a 44-year-old male with a history of traumatic brain injury. He has difficulty determining
whether you are happy or angry. Which area of the brain is most likely impacted secondary to his TBI?
A. Right hemisphere
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, Page 4 of 242
B. Left hemisphere
C. Medulla
D. Subthalamic hemisphere
Answer: A. Damage to the right hemisphere may impair the ability to interpret emotional facial
expressions and prosody, as the right hemisphere is dominant for processing emotional information and
nonverbal communication.
7. The PMHNP has prescribed a patient naltrexone and bupropion for binge eating disorder. The patient
has lost 4 lbs since her last visit 1 month ago. The patient states that sometimes she finds it very difficult
to not binge eat when her emotions are intense and expresses doubt in her ability to make a lasting
change. Which is the best response?
A. "I can increase your dose of medication or augment you with another medication"
B. "On a scale of 1 to 10, how important is this change for you to make?"
C. "You need to try harder to control your eating"
D. "Let's increase your therapy sessions to twice weekly"
Answer: B. Using motivational interviewing techniques, asking about the importance of change on a
scale of 1 to 10 helps assess the patient's readiness for change and opens a discussion about
ambivalence, which is more therapeutic than simply adjusting medication.
8. Which of the following is characteristic of the leadership competency for APRNs?
A. Participating in a community-focused program that promotes mental health
4
NR 668 CEA Final Exam (2026) | Chamberlain
Practicum |Expert Questions and Correct
Answers (100% Verified Answers) Plus
Detailed Rationales |PMHNP Actual Exam
(PDF) | 100% Guaranteed A+ (MOST
RECENT!!!)
MULTIPLE CHOICES
1. A client with generalized anxiety disorder is asked to create coping cards as part of her CBT
homework. What is the primary purpose of using coping cards in CBT?
A. To record daily fluctuations in thoughts and corresponding moods
B. To identify anxiety-provoking situations
C. To provide immediate cognitive restructuring strategies
D. To document automatic thoughts
Answer: C. Coping cards are used to write down helpful thoughts and strategies that clients can refer to
when experiencing distress, providing immediate cognitive restructuring support during moments of
anxiety.
2. In a Gestalt therapy session, a therapist asks a patient to engage in a dialogue with an empty chair,
imagining that a significant person from their life is sitting in it. What is the primary purpose of this
technique?
1
, Page 2 of 242
A. To explore and resolve unfinished business
B. To develop a behavioral plan
C. To identify cognitive distortions
D. To analyze unconscious thoughts
Answer: A. The empty chair technique is used to help patients address unresolved emotions and
conflicts with significant people in their lives, allowing them to express feelings they may not have been
able to express directly.
3. A 68-year-old man presents with his wife for evaluation of a sleep disorder. The wife reports he does
not sleep well at night and wanders around the house. He then sleeps much of the day. Which
medication is preferred to control this behavior?
A. Chlorpromazine
B. Haloperidol
C. Trazodone
D. Lorazepam
Answer: C. Trazodone is preferred for sleep disturbances in elderly patients due to its sedative
properties and lower risk of adverse effects compared to antipsychotics or benzodiazepines, which can
cause significant side effects in older adults.
4. Which of the following symptoms supports the diagnosis of Conversion Disorder?
A. The presence of dissociative symptoms
2
, Page 3 of 242
B. Localized anesthesia
C. Tunnel vision
D. All of the above
Answer: D. The diagnostic criteria for conversion disorder includes one or more symptoms of altered
voluntary motor or sensory function. Clinical findings are incompatible with neurological or medical
conditions, and symptoms cause significant distress or impairment.
5. A 36-year-old victim of domestic violence has three young children at home. She presents to the
PMHNP for depression and requests something to calm her nerves because she is not sure how much
more she can tolerate. What should the PMHNP do next?
A. Admit the patient for homicidal ideation
B. Prescribe a sedative to calm her nerves
C. Admit the patient for suicidal ideation
D. Provide information about support resources
Answer: D. Providing information about support resources is the appropriate first step, including
domestic violence shelters, hotlines, and counseling services. Safety planning is essential before
considering medication interventions.
6. Theodore is a 44-year-old male with a history of traumatic brain injury. He has difficulty determining
whether you are happy or angry. Which area of the brain is most likely impacted secondary to his TBI?
A. Right hemisphere
3
, Page 4 of 242
B. Left hemisphere
C. Medulla
D. Subthalamic hemisphere
Answer: A. Damage to the right hemisphere may impair the ability to interpret emotional facial
expressions and prosody, as the right hemisphere is dominant for processing emotional information and
nonverbal communication.
7. The PMHNP has prescribed a patient naltrexone and bupropion for binge eating disorder. The patient
has lost 4 lbs since her last visit 1 month ago. The patient states that sometimes she finds it very difficult
to not binge eat when her emotions are intense and expresses doubt in her ability to make a lasting
change. Which is the best response?
A. "I can increase your dose of medication or augment you with another medication"
B. "On a scale of 1 to 10, how important is this change for you to make?"
C. "You need to try harder to control your eating"
D. "Let's increase your therapy sessions to twice weekly"
Answer: B. Using motivational interviewing techniques, asking about the importance of change on a
scale of 1 to 10 helps assess the patient's readiness for change and opens a discussion about
ambivalence, which is more therapeutic than simply adjusting medication.
8. Which of the following is characteristic of the leadership competency for APRNs?
A. Participating in a community-focused program that promotes mental health
4
