1
NR 668 FINAL EXAM | PSYCHIATRIC-MENTAL
HEALTH CAPSTONE PRACTICUM & INTENSIVE
FINAL EXAM QUESTIONS WITH 100%
CORRECT SOLUTIONS
What is the purpose of the "Just Culture" concept in nursing?
a. Reduce discrimination in nursing
b. Implement system wide practices to improve awareness of diverse cultures and
backgrounds
c. Improve empathy for persons with a mental health disorder
d. Improve patient safety - correct-answer -d. Improve patient safety
Your client Jamie asks you about a mole of her forearm. You refer her to
dermatology. As an APRN, you recognize that cancerous moles can be detected on
exam. Which of the following would not be of concern?
a. A mole that is not elevated
b. A dark mole
c. A mole that is 5 mm in size
d. All of the above - correct-answer -d. All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular
borders, have color variation, a diameter > 6mm and elevated moles.
, 2
A mother of a teenage boy is unable to acknowledge that her son's mental illness
is perpetuated by his poly substance use disorder and is insisting that his father's
genes are to blame. Which defense mechanism is employed?
a. Reaction formation
b. Regression
c. Denial
d. Dissociation - correct-answer -c. Denial
A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the
consulting PMHNP order given these symptoms?
a. Urinary porphobilinogen
b. Acetaminophen level
c. Urinalysis
d. Blood alcohol level - correct-answer -a. Urinary porphobilinogen
In patients with active Lupus, the erythrocyte sedimentation rate is likely?
a. 0.5 - 1.1
, 3
b. Between 11 and 20
c. Elevated
d. Markedly low - correct-answer -c. Elevated
The ESR or red blood cell sedimentation rate is elevated in conditions with
inflammation. This is because of higher amounts of fibrinogen and antibodies
found in conditions like Lupus, Temporal arteritis, etc.
A patient presents with atypical symptoms of psychosis that include inconsistent
auditory hallucinations without disorganization. What is the best definition of an
EEG and its utility?
a. Radiologic test utilizing magnets and radio waves to provide a detailed image of
the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the surface of the brain
c. A neuropsychological test to distinguish psychosis from a psychosomatic illness
d. A serum test to indicate nutritional deficiencies that inhibit the formation of
neurotransmitters - correct-answer -b. Electrophysiologic test that depicts
electrical activity on the surface of the brain
A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue,
anhedonia, and apathy. Her husband reports that she snores loudly when
sleeping, and often will wake up drenched in sweat. The patient has no prior
psychiatric history and denies substance abuse. Which of the following is the most
likely cause of her symptoms?
a. Airway obstruction
, 4
b. Narcolepsy
c. Perimenopause
d. Major depression - correct-answer -a. Airway obstruction
A middle-school girl who is timid to take any risks, prefers solitary activities, and
does not ask questions of her teachers for fear that she is bothering them likely
did not master which developmental stage?
a. Initiative versus Guilt
b. Trust versus mistrust
c. Industry versus inferiority
d. Autonomy versus shame and doubt - correct-answer -a. Initiative versus Guilt
A woman who discovers her husband has committed suicide in the middle of the
night decides to tell her 4- and 6-year-old children the next morning that the
reason daddy is not here today is that he went to work. Based on their
developmental stage, what might they assume when mommy says she is going to
work?
a. Mommy will come home, as has been the case in the past
b. When someone cannot be seen, then they cease to exist
c. Going to work means you are not coming home
d. Daddy will come home when mommy goes to work - correct-answer -c. Going
to work means you are not coming home
NR 668 FINAL EXAM | PSYCHIATRIC-MENTAL
HEALTH CAPSTONE PRACTICUM & INTENSIVE
FINAL EXAM QUESTIONS WITH 100%
CORRECT SOLUTIONS
What is the purpose of the "Just Culture" concept in nursing?
a. Reduce discrimination in nursing
b. Implement system wide practices to improve awareness of diverse cultures and
backgrounds
c. Improve empathy for persons with a mental health disorder
d. Improve patient safety - correct-answer -d. Improve patient safety
Your client Jamie asks you about a mole of her forearm. You refer her to
dermatology. As an APRN, you recognize that cancerous moles can be detected on
exam. Which of the following would not be of concern?
a. A mole that is not elevated
b. A dark mole
c. A mole that is 5 mm in size
d. All of the above - correct-answer -d. All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular
borders, have color variation, a diameter > 6mm and elevated moles.
, 2
A mother of a teenage boy is unable to acknowledge that her son's mental illness
is perpetuated by his poly substance use disorder and is insisting that his father's
genes are to blame. Which defense mechanism is employed?
a. Reaction formation
b. Regression
c. Denial
d. Dissociation - correct-answer -c. Denial
A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the
consulting PMHNP order given these symptoms?
a. Urinary porphobilinogen
b. Acetaminophen level
c. Urinalysis
d. Blood alcohol level - correct-answer -a. Urinary porphobilinogen
In patients with active Lupus, the erythrocyte sedimentation rate is likely?
a. 0.5 - 1.1
, 3
b. Between 11 and 20
c. Elevated
d. Markedly low - correct-answer -c. Elevated
The ESR or red blood cell sedimentation rate is elevated in conditions with
inflammation. This is because of higher amounts of fibrinogen and antibodies
found in conditions like Lupus, Temporal arteritis, etc.
A patient presents with atypical symptoms of psychosis that include inconsistent
auditory hallucinations without disorganization. What is the best definition of an
EEG and its utility?
a. Radiologic test utilizing magnets and radio waves to provide a detailed image of
the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the surface of the brain
c. A neuropsychological test to distinguish psychosis from a psychosomatic illness
d. A serum test to indicate nutritional deficiencies that inhibit the formation of
neurotransmitters - correct-answer -b. Electrophysiologic test that depicts
electrical activity on the surface of the brain
A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue,
anhedonia, and apathy. Her husband reports that she snores loudly when
sleeping, and often will wake up drenched in sweat. The patient has no prior
psychiatric history and denies substance abuse. Which of the following is the most
likely cause of her symptoms?
a. Airway obstruction
, 4
b. Narcolepsy
c. Perimenopause
d. Major depression - correct-answer -a. Airway obstruction
A middle-school girl who is timid to take any risks, prefers solitary activities, and
does not ask questions of her teachers for fear that she is bothering them likely
did not master which developmental stage?
a. Initiative versus Guilt
b. Trust versus mistrust
c. Industry versus inferiority
d. Autonomy versus shame and doubt - correct-answer -a. Initiative versus Guilt
A woman who discovers her husband has committed suicide in the middle of the
night decides to tell her 4- and 6-year-old children the next morning that the
reason daddy is not here today is that he went to work. Based on their
developmental stage, what might they assume when mommy says she is going to
work?
a. Mommy will come home, as has been the case in the past
b. When someone cannot be seen, then they cease to exist
c. Going to work means you are not coming home
d. Daddy will come home when mommy goes to work - correct-answer -c. Going
to work means you are not coming home
