Which of the following is characteristic of the leadership a. Participating in a community-focused program that promotes mental health and
competency for APRNs? reduces the risk of mental health problems
a. Participating in a community-focused program that
promotes mental health and reduces the risk of mental
health problems
b. Modifying the treatment plan based on the patient's
needs
c. Developing an age-appropriate treatment plan
d. Evaluating the appropriate use of seclusion
Which of the following allows the PMHNP to practice in a b. Licensure
state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification
A new graduate PMHNP is considering a job at a d. The state Nurse Practice Act
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
The process of integrating the best research evidence with a. Evidence-based practice
clinical expertise and client needs and values is known as:
a. Evidence-based practice
b. Quality improvement
c. Research
d. Research utilization
Morgan is an RN on a busy cerebrovascular accident unit c. Negligence
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
All of the following are governed by the institutional review b. Regulating funding for the study
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
Atith is a 21 year old male from Cambodia. His chest d. All of these diagnoses are possible.
reveals long raised red marks from dragging a coin across - Khyal cap or Khyal attacks is a syndrome found amongst Cambodians. Symptoms
his skin. Recognizing this cultural concept would prompt include panic attacks, agoraphobias, anxiety, PTSD and somatic symptoms which
the PMHNP to consider what potential diagnosis within the come out of the blue or are triggered by worrisome thoughts. Recognizing cultural
DSM-5? concepts of distress is neceassry during case formulation.
a. Agoraphobia
b. Panic disorder
c. PTSD
d. All of these diagnoses are possible.
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,NR 668 Final Exam - Psychiatric-Mental Health Capstone Practicum & Intensive Practice Questions & Verified Answers
A cultural explanation of distress including fatigue, c. India and Pakistan
weakness, weight loss, somatic complaints, depressed - Dhat syndrome is a syndrome of distress thought related to a loss of semen.
mood and impotence thought to be related to semen loss Related symptoms thought caused from dhat include depressed mood, fatigue,
is otherwise known as dhat in this region of the world. weight loss, anxiety, somatic complaints and impotence.
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
A 34-year-old Korean male pediatric dentist is referred to c. Koro
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
All of the following are attributes of cultural care that may a. Urban setting
influence the therapeutic alliance except?
a. Urban setting
b. Beliefs
c. Religion
d. Gender roles
Which statistical test differentiates among three or more d. Analysis of variance (ANOVA)
groups?
a. T-test
b. Pearson's r correlation
c. Probability
d. Analysis of variance (ANOVA)
The level of significance describing the probability of a b. p-value
particular result occurring by chance alone is represented
by which of the following?
a. Odds ratio
b. p-value
c. Confidence interval
d. z-score
The PMHNP is working with an insurance organization to c. Case management
provide oversight and authorization of series and benefits
to patients. Which role of the PMHNP best describes this
activity?
a. Advocacy
b. Mentoring
c. Case management
d. Policy making
What method of analysis describes the basic features of b. Descriptive statistics
the data and summarizes and organizes observations?
a. Inferential statistics
b. Descriptive statistics
c. Regression analysis
d. Analysis of variance (ANOVA)
Which statistical test identifies a relationship between two a. Pearson's r correlation
variables?
a. Pearson's r correlation
b. Probability
c. Analysis of variance (ANOVA)
d. t-test
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,NR 668 Final Exam - Psychiatric-Mental Health Capstone Practicum & Intensive Practice Questions & Verified Answers
The process of synthesizing, disseminating, and using a. Research utilization
research-generated knowledge to make a change in
practice is known as:
a. Research utilization
b. Research
c. Evidence-based practice
d. Quality improvement
The learned beliefs and behaviors common among all c. Culture
members of a group defines:
a. Folie a familie
b. Complex delusions
c. Culture
d. Folie a deux
During a psychiatric evaluation, the client reveals to the a. Female
PMHNP a transgender identity. The client indicates a
preference for personal pronouns like he and him. What is
the biological sex of the client?
a. Female
b. Asexual
c. Male
d. Lesbian
Andika, a 26 year old male from Indonesia swung a sword b. Amok
at a doctor shortly after the sudden death of his father. He Amok is mostly found amongst males in Malaysia and Indonesia. Sudden violent
lost consciousness, collapsing to the floor after the violent behavior that is often followed by amnesia best describes this dissociative episode.
attempt to hurt the doctor. Which culture bound syndrome
best describes Andika's behavior?
a. Latah
b. Amok
c. Ataque de nervios
d. Koro
Use the following scenario to answer question regarding b. Cues to action and perceived severity
the Health Belief Model (HBM): A PMHNP is leading a
recovery group for at-risk teens who have been mandated
to attend meetings as part of their addiction treatment. A
member of the group expresses how difficult it has been to
maintain her sobriety and as a result does not feel she will
be successful this time. Which concept of the Health Belief
Model would be the most significant risk factor for relapse?
a. Perceived severity and perceived barriers
b. Cues to action and perceived severity
c. Self-efficacy and perceived susceptibility
d. Self-efficacy and perceived benefits
The Office Inspector General or OIG has initiated an b. Medicare fraud
investigation regarding your assigned collaborating The OIG is responsible for investigating situations which involve fraud, waste and
psychiatrist. Which of the following is the OIG most likely abuse of federal and other HHS programs.
concerned with?
a. Moral character of the physician
b. Medicare fraud
c. FidelityPharmaceutical sponsored dinners for CME
d. Physical assault charges against a patient
All of the following statements are true regarding scope of b. The scope of practice provides a way to judge the nature of the care provided
practice except:
a. The scope of practice varies broadly from state to state
b. The scope of practice provides a way to judge the
nature of the care provided
c. The scope of practice defines the nurse practitioner role
and actions
d. The scope of practice identifies competencies assumed
to be held by all nurse practitioners in a specific role
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The Nurse Practice Act and scope of practice are a. Board of Nursing
regulated by whom? The state Board of Nursing protects the public's health by overseeing the practice of
a. Board of Nursing nursing in regard to the state regulations, scope of practice, prescriptive authority
b. American Nurses Association and the Nurse Practice Act.
c. Commission on Nursing education
d. Joint Commission
Use the following scenario to answer question regarding b. Perceived severity and perceived barriers
the Health Belief Model (HBM): A PMHNP is leading a
recovery group for at-risk teens who have been mandated
to attend meetings as part of their addiction treatment. A
member of the group states that his problem is not that
bad and he can stop anytime he chooses. Using on
occasion is just a way to have fun with friends. Which
concepts of the Health Belief Model best describes the
group member's readiness to change?
a. Self-efficacy and perceived benefits
b. Perceived severity and perceived barriers
c. Self-efficacy and perceived susceptibility
d. Cues to action and perceived susceptibility
A 16-year-old boy is being evaluated for emotional lability, d. Report the incident to child protective services
hypervigilance, difficulty sleeping, and irritability. During the
interview he reports that his first sexual encounter was with
his teacher 1 year ago and he continues to have sex with
her on occasion. He states that his relationship is
consensual. What should the PMHNP do with this
information?
a. Screen for neurosyphilis
b. Instruct the boy in the proper use of condoms
c. Prescribe a selective serotonin reuptake inhibitor (SSRI)
for posttraumatic stress disorder (PTSD)
d. Report the incident to child protective services
All of the following are true regarding living wills except: b. Legally binding in all 50 states
a. Prepared while the client is mentally competent to
designate preferences for care if the client becomes
incompetent
b. Legally binding in all 50 states
c. Designates in writing an agent to act on behalf of the
person should they become unable to make decisions
d. Should be considered as an aspect of relapse planning
for compliance with chronic psychiatric disorders
All of the following are necessary criteria for commitment b. The patient is unable to afford the cost of treatment
for involuntary evaluation and treatment except:
a. The person has potential to harm self or others because
of the disorder and is unaware or unwilling to accept the
nature and severity of the disorder
b. The patient is unable to afford the cost of treatment
c. Treatment is likely to improve function
d. The person has a diagnosed psychiatric disorder
All of the following are characteristic of the independent a. Taking opportunities to influence health policy to reduce the stigma of mental
practice competency except: health services
a. Taking opportunities to influence health policy to reduce
the stigma of mental health services
b. Implementing plans to minimize complications and to
promote function
c. Considering differential diagnosis
d. Conducting individual and group psychotherapy
Which of the following is not a core competency of b. Delegated practice
APRNs?
a. Ethics
b. Delegated practice
c. Health delivery system
d. Technology and information literacy
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