EXAM
NUR 670 - APEA PRETEST 3 TEST BANK
NEWEST 2026/2027 ACTUAL EXAM COMPLETE
680 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
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1. An executive visit his PCP frequently with complaints of chest pain. After examination the NP advises the
executive that he is experiencing anxiety. According to the clinical guidelines which medication should be
ordered for this patient first for long term treatment?
a. Benzodiazepines
b. SSRIs
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c. Tricyclic antidepressants
d. Opiates - Correct Answer :b. SSRIs
2. Which medication is not FDA approved for treatment of OCD?
a. Paroxetine (Paxil)
b. Citalopram (Celexa)
c. Fluoxetine (Prozac)
d. Sertraline (Zoloft) - Correct Answer :b. Citalopram (Celexa)
3. A 25-year-old man has thoughts about hating his younger brother and wishing he would die. He becomes very
anxious about these thoughts because he has developed the idea that if anything really happened to his
brother, it would be his fault. For no explainable reason, Tony starts mentally counting by odd numbers each
time he walks past his brother's room and discovers that this activity makes him less anxious. Tony's behavior
can be described as
a. A phobia of going into his brother's room because he is afraid his hatred will actually hurt him
b.A compulsive ritual designed to make him like his brother
c. c. A mental compulsion developed to neutralize his bad thoughts - correct one
d. An attempt to be better in math than his brother to gain parental acceptance - Correct Answer :b.A
compulsive ritual designed to make him like his brother
4. A teenage girl had recently been having panic attacks while shopping at the mall. She was sitting in her room
feeling very depressed. To cheer her up, a friend suggested that they both go to an exercise class. Shortly after
the warm-up started, however, she had another panic attack. What is the best explanation for this occurrence?
a. The exercise class was an unconditioned stimulus that resulted in a panic attack
b. She was angry with the friend for insisting that she go out
c. The medication that had been prescribed for her was only treating the depression, not the anxiety
d. The physical sensations experienced during exercise had become an internal cue for panic to occur - Correct
Answer :d. The physical sensations experienced during exercise had become an internal cue for panic to occur
5. According to the DSM 5 which of the following terms is associated with generalized anxiety disorder
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a. Fear
b. Worry
c. Panic
d. Emotion - Correct Answer :b. Worry
6. A 25-year-old patient with a five-year history of generalized anxiety disorder arrives at the ED. She complains of
severe shortness of breath, chest pain, sweating profusely and is crying uncontrollably. She just got fired from
her job and she has what would you do first.
a. Treat her for acute psychosis
b. Assess her for medical condition
c. Prescribe IV benzodiazepines stat
d. Treat her for generalized anxiety - Correct Answer :b. Assess her for medical condition
7. Which herbal preparation is not associated with inducing symptoms of anxiety
a. St. John's Wort
b. Ma Huang
c. Yohimbine
d. Kava - Correct Answer :d. Kava
8. A patient has been taking a benzodiazepine for 5 weeks. The psychiatric NP wants to replace this medication
with Buspar. How long will it take the new medication to be felt at its full potential?
a. 10-12 weeks
b. 7-10 days
c. 30-45 days
d. 72 hours - Correct Answer :c. 30-45 days
9. A patient has been taking a benzodiazepine for 5 weeks. The psychiatric NP wants to replace this medication
with Buspar. How long will it take the new medication to be felt at its full potential?
a. 6-8 weeks
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b. 7-14 days
c. 3-4 weeks
d. 72 hours - Correct Answer :c. 3-4 weeks
10. Which of the following is not a characteristic common to specific phobias
a. significant attempts by the anxious individual to avoid the phobic situation
b. strong and persistent anxiety related to a specific object or situation
c. recognition by the person with the phobia that the anxiety is excessive or unreasonable
d. decreased arousal of the autonomic nervous system - Correct Answer :d. decreased arousal of the
autonomic nervous system
11. A relative of yours who suffers from panic disorder ask you which treatment would have the longest lasting
benefits. Since you have just read about the double-blind NIMH research study evaluating psychological
treatments with and without medication, you tell your relative to first try
a. Rest, improved nutrition, and medication
b. The drug clonazepam (klonopin)
c. Psychological treatment that includes CBT
d. Any available treatment since patients in all treatment conditions achieve the same long-lasting gains - Correct
Answer :c. Psychological treatment that includes CBT
12. A college freshman was diagnosed with agoraphobia. Which behavior would be most characteristic of this
disorder
a. She refuses to eat in public places
b. She experiences panic anxiety when she encounters spiders
c. She refuses to fly in an airplane
d. She stays at home for fear of being in a place where she cannot escape - Correct Answer :d. She stays at
home for fear of being in a place where she cannot escape
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