NR 668 COMPREHENSIVE EXAMINATION
TEST VERIFIED QUESTIONS AND
ACCURATE ANSWERS
●● Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification
Answer: 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
Answer: 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
Answer: a. Evidence-based practice
●● 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
Answer: 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
,Answer: 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.
Answer: 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
Answer: 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.
●● 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 providers in the past he remains convinced of
this belief. This culture-bound delusion is known as:
a. Zar
b. Taijin kyofusho
c. Koro
d. Kuru
Answer: c. Koro
●● All of the following are attributes of cultural care that may influence
the therapeutic alliance except?
a. Urban setting
b. Beliefs
c. Religion
d. Gender roles
Answer: a. Urban setting
TEST VERIFIED QUESTIONS AND
ACCURATE ANSWERS
●● Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification
Answer: 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
Answer: 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
Answer: a. Evidence-based practice
●● 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
Answer: 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
,Answer: 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.
Answer: 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
Answer: 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.
●● 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 providers in the past he remains convinced of
this belief. This culture-bound delusion is known as:
a. Zar
b. Taijin kyofusho
c. Koro
d. Kuru
Answer: c. Koro
●● All of the following are attributes of cultural care that may influence
the therapeutic alliance except?
a. Urban setting
b. Beliefs
c. Religion
d. Gender roles
Answer: a. Urban setting
