NR 668 FINAL EXAM | PSYCHIATRIC-MENTAL HEALTH CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM QUESTIONS WITH 100% CORRECT SOLUTIONS | LATEST UPDATE 2026/2027 | GRADED A+ | GUARANTEED PASS.

NR 668 FINAL EXAM | PSYCHIATRIC-MENTAL HEALTH CAPSTONE PRACTICUM & INTENSIVE FINAL EXAM QUESTIONS WITH 100% CORRECT SOLUTIONS | LATEST UPDATE 2026/2027 | GRADED A+ | GUARANTEED PASS. When evaluating a 78-year-old man, the PMHNP notices the patient frequently leans in with the right side of his head and frequently asks for things to be repeated. His daughter is very worried that he has dementia or depression because he has also become increasingly isolated, as well as increasingly irritable as he believes people are yelling at him out of frustration of not being heard. The daughter is tearful, anxious, and frustrated. What should the PMHNP do first? a. Separate the patient from the daughter and interview him alone b. Provide anticipatory guidance regarding aging parents to the daughter c. Examine the patient's ear canals d. Order a CT scan of the head - correct-answer -c. Examine the patient's ear canals In patients with active Lupus, the erythrocyte sedimentation rate is likely? a. 0.5 - 1.1 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 52-year-old obese man with type 2 diabetes reports dozing off while driving, watching TV, or reading, with increased apathy and fatigue. The PMHNP ordered a sleep study, which revealed 10 episodes of apnea lasting 15 to 20 seconds each 6 per hour of sleep. Based on these findings, what should the PMHNP prescribe for his condition? a. Continuous positive airway pressure b. Referral to otolaryngology for rhinoplasty c. Referral to otolaryngology for uvuloplasty d. Antidepressant medications - correct-answer -a. Continuous positive airway pressure When providing psychoeducation to a patient with treatment-resistant depression about electroconvulsive therapy (ECT), you tell the patient that the most common adverse effect of treatment is which of the following? a. Arrhythmia b. Respiratory depression c. Amnesia d. Psychosis - correct-answer -c. Amnesia A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall injury during her new taekwondo martial arts class. This pain subsided during "the cool down period" of her class. Which of the following is most likely given her presentation? a. Pericarditis b. Angina pectoris c. Acute myocardial infarction 7 d. Hiatal hernia - correct-answer -b. Angina pectoris Chest pain with activity and relieved at rest in a middle-aged adult should prompt concern for myocardial ischemia. Although acute myocardial infarction is a possibility, it is less likely given the scenario mentioned above. An 81-year-old female is found in acute respiratory distress after choking on a hotdog during lunch. On exam, which of the following lungs sounds are you most likely to hear? a. Crackles b. Egophony c. Bronchophony d. Stridor - correct-answer -d. Stridor Stridor is the result of an upper airway obstruction, such as when there is a sudden acute aspiration of an object. A 43-year-old man was involved in a motor vehicle collision in which he was found to have a blood alcohol concentration of 0.200. He was observed wandering around the crash site, slurring his words, and unable to provide a clear history. Emergency Medical Services brought him to the emergency department. The nurse triaged him to psychiatry for acute alcohol intoxication. What is the first priority for the PMHNP? a. Ask the patient when he had his last drink b. C-spine stabilization and head imaging 8 c. Explore the client's willingness to enter rehab d. IV hydration - correct-answer -b. C-spine stabilization and head imaging A patient who is considering electroconvulsive therapy (ECT) for resistant depression inquires as to the number of sessions she would likely require. Based on the best evidence currently available what is the best response? a. 4 b. 40 c. 20 d. 10 - correct-answer -d. 10 The S2 heart sound is a result of what? a. Opening of the atrioventricular valves b. Opening of the semilunar valves c. Closure of the semilunar valves d. Closure of the atrioventricular valves - correct-answer -c. Closure of the semilunar valves The closure of the semilunar valves results in the second heart sound. The semilunar valves are the aortic and pulmonary valves. In observing the appearance of the patient with depression and a history of systemic lupus erythematosus, the PMHNP notices a lesion on the neck of the 9 patient about the size of a pencil eraser, flush with the skin, uniformly colored, with discrete borders, and consistent texture. The PMHNP should: a. Refer the patient to rheumatology b. Refer the patient to dermatology c. Refer the patient to oncology d. Watch and wait - correct-answer -d. Watch and wait Which of the following is true regarding the influenza vaccination? a. Anyone 6 months of age or older should obtain the influenza vaccine b. Those who currently have cold-like symptoms with a temperature of 101.6 should not receive the vaccine c. A history of Guillain Barre 4 weeks after a previous influenza injection would be a contraindication for future influenza vaccination d. All of the statements are true - correct-answer -d. All of the statements are true Which of the following would be considered a risk factor for melanoma? a. A mole with symmetrical borders b. A dark covered mole approximately 5mm in size c. Female gender d. A history of melanoma - correct-answer -d. A history of melanoma 10 The PMHNP is consulted to see a 70-year-old female who was admitted to the skilled nursing facility 3 days ago from the hospital, where she was treated for urinary tract infection, pneumonia, and dehydration. The staff reports that the patient is restless and agitated, awake most of the night, intermittently sleeping during the day, and has poor PO intake. What should the PPMHNP do first? a. Call family members for collateral information on her baseline functioning b. Transfer the patient to the ED c. Prescribe quetiapine 12.5mg PO at bedtime and every 6 hours as needed for agitation d. Physical exam and diagnostic tests (complete blood count, basic metabolic profile, and urinalysis) - correct-answer -d. Physical exam and diagnostic tests (complete blood count, basic metabolic profile, and urinalysis)