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,Which of the following is characteristic of the leadership competency for APRNs?
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 - correct ans:a. Participating in a community-focused
program that promotes mental health and reduces the risk of mental health problems
Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification - correct ans: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 - correct ans: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 - correct ans: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 - correct ans: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 - correct ans: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. - correct ans: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 - correct ans: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 - correct ans: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 - correct ans:a. Urban setting
Which statistical test differentiates among three or more groups?
a. T-test
b. Pearson's r correlation
c. Probability
d. Analysis of variance (ANOVA) - correct ans:d. Analysis of variance (ANOVA)
The level of significance describing the probability of a 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 - correct ans:b. p-value