,NR 668 CEA Final Exam | Chamberlain University Practicum |
Actual Questions & Answers | 2026 Edition (PDF)
1. Which of the following is characteristic of the leadership competency for APRNs?
A) Modifying the treatment plan based on the patient's needs
B) Developing an age-appropriate treatment plan
C) Participating in a community-focused program that promotes mental health and reduces the risk of
mental health problems
D) Evaluating the appropriate use of seclusion
Correct Answer: Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems.
Rationale: Leadership competency involves influencing health policy, advocating for patients, and
participating in community-level interventions. Direct patient care activities such as modifying treatment
plans or evaluating seclusion fall under clinical or direct care competencies.
2. Which of the following allows the PMHNP to legally practice in a state?
A) Graduation from an accredited program
B) Licensure
C) Credentialing
D) Certification
Correct Answer: Licensure.
Rationale: Licensure is the legal authority granted by a state board that allows a nurse practitioner to
practice within that state. Certification is a national credential, and credentialing is a facility-specific
process.
3. 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 patients across the lifespan. Which
document should be consulted to determine if the PMHNP can legally treat these populations?
,A) The hospital bylaws
B) The PMHNP's national certification scope
C) The PMHNP's individual scope of practice
D) The state Nurse Practice Act
Correct Answer: The state Nurse Practice Act.
Rationale: The state Nurse Practice Act defines the legal scope of practice for nurse practitioners in that
state, including age populations and specific practice parameters. Hospital bylaws and certification do
not override state law.
4. The process of integrating the best research evidence with clinical expertise and patient needs and
values is known as:
A) Quality improvement
B) Research
C) Research utilization
D) Evidence-based practice
Correct Answer: Evidence-based practice.
Rationale: Evidence-based practice (EBP) is the integration of best research evidence, clinical expertise,
and patient preferences. Research utilization is a component of EBP, but EBP is the broader, more
comprehensive process.
5. An RN on a busy unit forgets to turn a patient every 2 hours, and the patient develops a stage I
pressure ulcer. What does this best describe?
A) Lack of consent
B) Violation of order
C) Negligence
D) Battery
, Correct Answer: Negligence.
Rationale: Negligence is the failure to act as a reasonably prudent person would under similar
circumstances, resulting in harm. This scenario describes a failure to perform a standard nursing
intervention, leading to patient harm.
6. Which of the following is governed by the Institutional Review Board (IRB)?
A) Ensuring equitable selection of research participants
B) Regulating funding for the study
C) Conducting the statistical analysis
D) Publishing the study results
Correct Answer: Ensuring equitable selection of research participants.
Rationale: The IRB is responsible for protecting human subjects, which includes ensuring equitable
selection, evaluating risks and benefits, and ensuring informed consent. Regulating funding is not an IRB
function.
7. Which ethical principle would conflict if a treatment team wanted to implement therapeutic
deception for the good of the patient?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Veracity
Correct Answer: Veracity.
Rationale: Veracity is the principle of truthfulness. Therapeutic deception involves withholding the truth
or misleading a patient, which directly conflicts with veracity, even if done with good intentions.
8. Why is it necessary for insurance companies to credential PMHNPs?
Actual Questions & Answers | 2026 Edition (PDF)
1. Which of the following is characteristic of the leadership competency for APRNs?
A) Modifying the treatment plan based on the patient's needs
B) Developing an age-appropriate treatment plan
C) Participating in a community-focused program that promotes mental health and reduces the risk of
mental health problems
D) Evaluating the appropriate use of seclusion
Correct Answer: Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems.
Rationale: Leadership competency involves influencing health policy, advocating for patients, and
participating in community-level interventions. Direct patient care activities such as modifying treatment
plans or evaluating seclusion fall under clinical or direct care competencies.
2. Which of the following allows the PMHNP to legally practice in a state?
A) Graduation from an accredited program
B) Licensure
C) Credentialing
D) Certification
Correct Answer: Licensure.
Rationale: Licensure is the legal authority granted by a state board that allows a nurse practitioner to
practice within that state. Certification is a national credential, and credentialing is a facility-specific
process.
3. 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 patients across the lifespan. Which
document should be consulted to determine if the PMHNP can legally treat these populations?
,A) The hospital bylaws
B) The PMHNP's national certification scope
C) The PMHNP's individual scope of practice
D) The state Nurse Practice Act
Correct Answer: The state Nurse Practice Act.
Rationale: The state Nurse Practice Act defines the legal scope of practice for nurse practitioners in that
state, including age populations and specific practice parameters. Hospital bylaws and certification do
not override state law.
4. The process of integrating the best research evidence with clinical expertise and patient needs and
values is known as:
A) Quality improvement
B) Research
C) Research utilization
D) Evidence-based practice
Correct Answer: Evidence-based practice.
Rationale: Evidence-based practice (EBP) is the integration of best research evidence, clinical expertise,
and patient preferences. Research utilization is a component of EBP, but EBP is the broader, more
comprehensive process.
5. An RN on a busy unit forgets to turn a patient every 2 hours, and the patient develops a stage I
pressure ulcer. What does this best describe?
A) Lack of consent
B) Violation of order
C) Negligence
D) Battery
, Correct Answer: Negligence.
Rationale: Negligence is the failure to act as a reasonably prudent person would under similar
circumstances, resulting in harm. This scenario describes a failure to perform a standard nursing
intervention, leading to patient harm.
6. Which of the following is governed by the Institutional Review Board (IRB)?
A) Ensuring equitable selection of research participants
B) Regulating funding for the study
C) Conducting the statistical analysis
D) Publishing the study results
Correct Answer: Ensuring equitable selection of research participants.
Rationale: The IRB is responsible for protecting human subjects, which includes ensuring equitable
selection, evaluating risks and benefits, and ensuring informed consent. Regulating funding is not an IRB
function.
7. Which ethical principle would conflict if a treatment team wanted to implement therapeutic
deception for the good of the patient?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Veracity
Correct Answer: Veracity.
Rationale: Veracity is the principle of truthfulness. Therapeutic deception involves withholding the truth
or misleading a patient, which directly conflicts with veracity, even if done with good intentions.
8. Why is it necessary for insurance companies to credential PMHNPs?
