NURS 6675 FINAL EXAM
Questions
SECTION 1: ETHICS, LEGAL, & 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
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 6
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 7
Concerns when treating geriatric patients with psychotherapeutic drugs include
all of the following EXCEPT:
A) Elderly persons may be more susceptible to adverse effects
B) Elderly persons may metabolize psychotherapeutic drugs more slowly
C) Elderly persons may metabolize psychotherapeutic drugs more rapidly
D) Elderly persons may excrete psychotherapeutic drugs more slowly
Correct Answer: C – Elderly persons may metabolize psychotherapeutic drugs
more rapidly
Rationale: Geriatric patients typically have decreased hepatic metabolism and
renal clearance, leading to slower drug metabolism and elimination. They are
more sensitive to medication effects and adverse reactions. "Start low, go slow" is
the guiding principle .
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
Low health literacy has been associated with which of the following?
A) Higher rates of hospitalization
B) Poor health outcomes
C) Less frequent use of preventive services
D) All of the above
Correct Answer: D – All of the above
Rationale: Low health literacy is associated with poor health outcomes, higher
rates of hospitalization, and less frequent use of preventive services. Patients with
low health literacy may struggle to manage chronic conditions and navigate the
healthcare system effectively .
Question 10
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
Questions
SECTION 1: ETHICS, LEGAL, & 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
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 6
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 7
Concerns when treating geriatric patients with psychotherapeutic drugs include
all of the following EXCEPT:
A) Elderly persons may be more susceptible to adverse effects
B) Elderly persons may metabolize psychotherapeutic drugs more slowly
C) Elderly persons may metabolize psychotherapeutic drugs more rapidly
D) Elderly persons may excrete psychotherapeutic drugs more slowly
Correct Answer: C – Elderly persons may metabolize psychotherapeutic drugs
more rapidly
Rationale: Geriatric patients typically have decreased hepatic metabolism and
renal clearance, leading to slower drug metabolism and elimination. They are
more sensitive to medication effects and adverse reactions. "Start low, go slow" is
the guiding principle .
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
Low health literacy has been associated with which of the following?
A) Higher rates of hospitalization
B) Poor health outcomes
C) Less frequent use of preventive services
D) All of the above
Correct Answer: D – All of the above
Rationale: Low health literacy is associated with poor health outcomes, higher
rates of hospitalization, and less frequent use of preventive services. Patients with
low health literacy may struggle to manage chronic conditions and navigate the
healthcare system effectively .
Question 10
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
