NURS 6675 FINAL EXAM 1 Questions and
Revised Correct Ans
SECTION 1: ETHICS, LEGAL ISSUES, & PROFESSIONAL PRACTICE (Questions 1-15)
Question 1
Affirmatively acting to benefit another or others, going beyond what is required by law is
known as which of the following?
A) Fidelity
B) Justice
C) Beneficence
D) Non-maleficence
Correct Answer: C – Beneficence
Rationale: Beneficence refers to actions that promote the well-being of others, going beyond
simply avoiding harm (non-maleficence). Fidelity is faithfulness to commitments; justice is fair
distribution of benefits and burdens.
Question 2
The treatment of others equitably and the fair distribution of benefits/burdens is known as
which of the following?
A) Fidelity
B) Justice
C) Beneficence
D) Non-maleficence
Correct Answer: B – Justice
Rationale: Justice in healthcare ethics refers to treating patients equitably regardless of
socioeconomic status, diagnosis, background, etc., and ensuring fair distribution of healthcare
resources and burdens.
Question 3
Which of the following would constitute negligence? (Select all that apply)
A) Failure to give necessary care
B) Failure to refer when necessary
C) Failure to follow-up with a patient
D) Failure to disclose necessary information to a patient
,Correct Answer: A, B, C, D – All of the above
Rationale: Negligence includes any failure to provide the standard of care that results in harm.
This includes failure to treat, failure to refer appropriately, failure to follow up, and failure to
provide necessary information for informed consent.
Question 4
A claim of malpractice requires that a patient/plaintiff prove which of the following? (Select all
that apply)
A) The existence of a client-professional relationship – duty to care
B) Behavior below the appropriate standard of care
C) A causal link between the practitioner's failure to conform to treatment standards and harm
to the patient
D) Actual injury to the patient
Correct Answer: A, B, C, D – All of the above
Rationale: The four elements of malpractice (negligence) are duty, breach of duty, causation,
and damages. All four must be proven by the plaintiff.
Question 5
A client who is involuntarily admitted to a psychiatric unit refuses all oral medications. Which
statement by the PN is legally correct?
A) "If you don't take your medication, we will restrain you."
B) "I will document your refusal. The provider may consider other routes or a court order."
C) "You cannot leave the unit until you take your medicine."
D) "I will crush the medication and put it in your food."
Correct Answer: B – "I will document your refusal. The provider may consider other routes or
a court order."
Rationale: Involuntary admission does not automatically remove a patient's right to refuse
treatment. The nurse must document refusal and involve the provider, who may explore other
routes or pursue legal options such as a court order for medication.
Question 6
All of the following circumstances would allow the release of medical information without the
patient's consent EXCEPT:
A) To prevent harm to self or others
B) Arranging for payment from a health insurance company
C) In response to court subpoenas or summonses
D) For marketing purposes
Correct Answer: D – For marketing purposes
,Rationale: Medical information may be released without consent to prevent harm, for payment
purposes, and in response to legal proceedings. Marketing purposes require explicit patient
authorization under HIPAA.
Question 7
According to USDHHS and the Federal Bureau of Primary Health Care, which of the following
individuals would be considered homeless?
A) An individual whose primary residence during the night is a supervised public or private
facility
B) An individual who is a resident in transitional housing
C) A person who is living with a friend (doubled up)
D) All of the above
Correct Answer: D – All of the above
Rationale: The federal definition of homelessness includes individuals staying in emergency
shelters, transitional housing, or living doubled up with others due to loss of housing or
economic hardship.
Question 8
The ANCC requires which of the following for recertification of PMHNPs?
A) 25 credit hours yearly, 1000 clinical practice hours in 5 years, and 25 pharmacotherapy hours
B) 50 credit hours yearly, 500 clinical practice hours, no pharmacotherapy requirement
C) No continuing education required
D) 1000 clinical practice hours annually
Correct Answer: A – 25 credit hours yearly, 1000 clinical practice hours in 5 years, and 25
pharmacotherapy hours
*Rationale: ANCC recertification requires 75 continuing education hours (average 25/year) over
5 years, 1000 clinical practice hours, and 25 of those CE hours must be in pharmacotherapeutics
for prescribers.*
Question 9
The NP can impact health policy and healthcare by doing which of the following?
A) Become an active member of local, state, and/or national NP organizations
B) Become familiar with the resources available on NP organization websites
C) Volunteer to serve on legislative committees within professional NP organizations
D) All of the above
Correct Answer: D – All of the above
Rationale: NPs can leverage their expertise to shape healthcare legislation, advocate for patient
needs, and advance the NP role through active membership, committee service, and staying
informed of policy resources.
, Question 10
Which of the following professionals would be able to precept a nurse practitioner student?
A) An advanced registered nurse practitioner
B) A physician
C) A licensed clinical social worker
D) Both A and B
Correct Answer: D – Both A and B (ARNP and physician)
Rationale: NP students require clinical preceptorship under qualified providers. This includes
both ARNPs and physicians with appropriate expertise in the clinical area. Social workers are not
qualified to precept NP students in clinical diagnosis and medication management.
Question 11
Self-care strategies for the ARNP in preparing for the certification exam include all of the
following EXCEPT:
A) Study in a distraction-free environment
B) Six to eight hours of sleep is recommended
C) Cramming the night before the exam
D) Staying hydrated
Correct Answer: C – Cramming the night before the exam
Rationale: Cramming is counterproductive and increases anxiety. Effective study strategies
include consistent preparation over time, adequate sleep, hydration, and a distraction-free
environment.
Question 12
The APRN Consensus Model merged foci to allow NPs to work across specialties. This means:
A) NPs must practice only in their originally certified specialty
B) NPs can practice across specialties if they have the education and competency
C) NPs cannot work in primary care if certified in psychiatry
D) State laws override the Consensus Model completely
Correct Answer: B – NPs can practice across specialties if they have the education and
competency
Rationale: The APRN Consensus Model merged the previous "foci" (family, adult, geriatric, etc.)
to allow APRNs to practice across the lifespan if they have the appropriate education and
demonstrated competency. However, state laws may still impose restrictions.
Question 13
A term used to describe individuals and families who are found to live in overcrowded homes,
relocate frequently, and struggle to pay rent and monthly expenses is which of the following?
A) Homelessness
Revised Correct Ans
SECTION 1: ETHICS, LEGAL ISSUES, & PROFESSIONAL PRACTICE (Questions 1-15)
Question 1
Affirmatively acting to benefit another or others, going beyond what is required by law is
known as which of the following?
A) Fidelity
B) Justice
C) Beneficence
D) Non-maleficence
Correct Answer: C – Beneficence
Rationale: Beneficence refers to actions that promote the well-being of others, going beyond
simply avoiding harm (non-maleficence). Fidelity is faithfulness to commitments; justice is fair
distribution of benefits and burdens.
Question 2
The treatment of others equitably and the fair distribution of benefits/burdens is known as
which of the following?
A) Fidelity
B) Justice
C) Beneficence
D) Non-maleficence
Correct Answer: B – Justice
Rationale: Justice in healthcare ethics refers to treating patients equitably regardless of
socioeconomic status, diagnosis, background, etc., and ensuring fair distribution of healthcare
resources and burdens.
Question 3
Which of the following would constitute negligence? (Select all that apply)
A) Failure to give necessary care
B) Failure to refer when necessary
C) Failure to follow-up with a patient
D) Failure to disclose necessary information to a patient
,Correct Answer: A, B, C, D – All of the above
Rationale: Negligence includes any failure to provide the standard of care that results in harm.
This includes failure to treat, failure to refer appropriately, failure to follow up, and failure to
provide necessary information for informed consent.
Question 4
A claim of malpractice requires that a patient/plaintiff prove which of the following? (Select all
that apply)
A) The existence of a client-professional relationship – duty to care
B) Behavior below the appropriate standard of care
C) A causal link between the practitioner's failure to conform to treatment standards and harm
to the patient
D) Actual injury to the patient
Correct Answer: A, B, C, D – All of the above
Rationale: The four elements of malpractice (negligence) are duty, breach of duty, causation,
and damages. All four must be proven by the plaintiff.
Question 5
A client who is involuntarily admitted to a psychiatric unit refuses all oral medications. Which
statement by the PN is legally correct?
A) "If you don't take your medication, we will restrain you."
B) "I will document your refusal. The provider may consider other routes or a court order."
C) "You cannot leave the unit until you take your medicine."
D) "I will crush the medication and put it in your food."
Correct Answer: B – "I will document your refusal. The provider may consider other routes or
a court order."
Rationale: Involuntary admission does not automatically remove a patient's right to refuse
treatment. The nurse must document refusal and involve the provider, who may explore other
routes or pursue legal options such as a court order for medication.
Question 6
All of the following circumstances would allow the release of medical information without the
patient's consent EXCEPT:
A) To prevent harm to self or others
B) Arranging for payment from a health insurance company
C) In response to court subpoenas or summonses
D) For marketing purposes
Correct Answer: D – For marketing purposes
,Rationale: Medical information may be released without consent to prevent harm, for payment
purposes, and in response to legal proceedings. Marketing purposes require explicit patient
authorization under HIPAA.
Question 7
According to USDHHS and the Federal Bureau of Primary Health Care, which of the following
individuals would be considered homeless?
A) An individual whose primary residence during the night is a supervised public or private
facility
B) An individual who is a resident in transitional housing
C) A person who is living with a friend (doubled up)
D) All of the above
Correct Answer: D – All of the above
Rationale: The federal definition of homelessness includes individuals staying in emergency
shelters, transitional housing, or living doubled up with others due to loss of housing or
economic hardship.
Question 8
The ANCC requires which of the following for recertification of PMHNPs?
A) 25 credit hours yearly, 1000 clinical practice hours in 5 years, and 25 pharmacotherapy hours
B) 50 credit hours yearly, 500 clinical practice hours, no pharmacotherapy requirement
C) No continuing education required
D) 1000 clinical practice hours annually
Correct Answer: A – 25 credit hours yearly, 1000 clinical practice hours in 5 years, and 25
pharmacotherapy hours
*Rationale: ANCC recertification requires 75 continuing education hours (average 25/year) over
5 years, 1000 clinical practice hours, and 25 of those CE hours must be in pharmacotherapeutics
for prescribers.*
Question 9
The NP can impact health policy and healthcare by doing which of the following?
A) Become an active member of local, state, and/or national NP organizations
B) Become familiar with the resources available on NP organization websites
C) Volunteer to serve on legislative committees within professional NP organizations
D) All of the above
Correct Answer: D – All of the above
Rationale: NPs can leverage their expertise to shape healthcare legislation, advocate for patient
needs, and advance the NP role through active membership, committee service, and staying
informed of policy resources.
, Question 10
Which of the following professionals would be able to precept a nurse practitioner student?
A) An advanced registered nurse practitioner
B) A physician
C) A licensed clinical social worker
D) Both A and B
Correct Answer: D – Both A and B (ARNP and physician)
Rationale: NP students require clinical preceptorship under qualified providers. This includes
both ARNPs and physicians with appropriate expertise in the clinical area. Social workers are not
qualified to precept NP students in clinical diagnosis and medication management.
Question 11
Self-care strategies for the ARNP in preparing for the certification exam include all of the
following EXCEPT:
A) Study in a distraction-free environment
B) Six to eight hours of sleep is recommended
C) Cramming the night before the exam
D) Staying hydrated
Correct Answer: C – Cramming the night before the exam
Rationale: Cramming is counterproductive and increases anxiety. Effective study strategies
include consistent preparation over time, adequate sleep, hydration, and a distraction-free
environment.
Question 12
The APRN Consensus Model merged foci to allow NPs to work across specialties. This means:
A) NPs must practice only in their originally certified specialty
B) NPs can practice across specialties if they have the education and competency
C) NPs cannot work in primary care if certified in psychiatry
D) State laws override the Consensus Model completely
Correct Answer: B – NPs can practice across specialties if they have the education and
competency
Rationale: The APRN Consensus Model merged the previous "foci" (family, adult, geriatric, etc.)
to allow APRNs to practice across the lifespan if they have the appropriate education and
demonstrated competency. However, state laws may still impose restrictions.
Question 13
A term used to describe individuals and families who are found to live in overcrowded homes,
relocate frequently, and struggle to pay rent and monthly expenses is which of the following?
A) Homelessness
