NR607 PRE-DIAGNOSTIC EXAM (CHAMBERLAIN UNIVERSITY) – COMPREHENSIVE EXAM GUIDE | 200 VERIFIED QUESTIONS WITH CORRECT ANSWERS & DETAILED RATIONALES | COVERS ALL TESTED TOPICS: NURSING REGULATION, EVIDENCE-BASED PRACTICE, SUICIDE ASSESSMENT, MENTAL STATUS EX

NR607 PRE-DIAGNOSTIC EXAM (CHAMBERLAIN UNIVERSITY) – COMPREHENSIVE EXAM GUIDE | 200 VERIFIED QUESTIONS WITH CORRECT ANSWERS & DETAILED RATIONALES | COVERS ALL TESTED TOPICS: NURSING REGULATION, EVIDENCE-BASED PRACTICE, SUICIDE ASSESSMENT, MENTAL STATUS EXAM, DSM-5 DISORDERS, PSYCHOPHARMACOLOGY, DEFENSE MECHANISMS, THERAPEUTIC COMMUNICATION, ETHICAL/LEGAL ISSUES, SUBSTANCE USE DISORDERS, MOOD DISORDERS, PSYCHOTIC DISORDERS, ANXIETY DISORDERS, PERSONALITY DISORDERS, NEUROCOGNITIVE DISORDERS, EATING DISORDERS, AND MORE 1. What method of analysis describes the basic features of the data and summarizes and organizes observations? A) Inferential statistics B) Regression analysis C) Analysis of variance (ANOVA) D) Descriptive statistics Correct Answer: D) Descriptive statistics Rationale: Descriptive statistics are used to summarize and organize data (e.g., means, frequencies). Inferential statistics draw conclusions about populations; regression and ANOVA are specific inferential techniques. ________________________________________ 2. The Nurse Practice Act and scope of practice are regulated by which entity? A) Joint Commission B) American Nurses Association C) Commission on Nursing Education D) Board of Nursing Correct Answer: D) Board of Nursing Rationale: State Boards of Nursing regulate nursing practice, including the Nurse Practice Act, scope, and prescriptive authority. The Joint Commission accredits facilities; the ANA is a professional organization. ________________________________________ 3. Which process integrates the best research evidence with clinical expertise and client needs and values? A) Research B) Quality improvement C) Evidence-based practice D) Research utilization Correct Answer: C) Evidence-based practice Rationale: EBP is the deliberate integration of research evidence, clinical expertise, and patient preferences. Research is systematic inquiry; QI focuses on process improvement. ________________________________________ 4. A 30-year-old male inpatient with thoughts of self-harm. Which suicide assessment tool is best for evaluation and documentation? A) Brose Checklist B) SIGECAPS C) SLUMS D) SAFE-T Correct Answer: D) SAFE-T Rationale: The SAFE-T (Suicide Assessment Five-Step Evaluation and Triage) is a validated tool endorsed by SAMHSA. SIGECAPS screens for depression; SLUMS assesses cognition. ________________________________________ 5. A client calmly starts with one statement, moves to another related topic, then another, and never returns to the original question. This thought process is called: A) Flight of ideas B) Tangential C) Obsessional D) Circumstantial Correct Answer: B) Tangential Rationale: Tangentiality is when the patient never returns to the original point. Flight of ideas has rapid shifts with loose associations; circumstantial eventually returns to the point. ________________________________________ 6. A 36-year-old Korean male with persistent abdominal pain despite negative GI workup. Which defense mechanism is most likely? A) Denial B) Reaction formation C) Dissociation D) Conversion Correct Answer: D) Conversion Rationale: Conversion involves physical symptoms without organic cause, often related to psychological conflict. Denial is refusing reality; reaction formation is opposite behavior. ________________________________________ 7. On the Mental Status Exam, where would you document gait, tics, and hand wringing? A) Extracorporeal findings B) Affect C) Speech D) Motor activity Correct Answer: D) Motor activity Rationale: Motor activity includes observable movements, gait, tics, and mannerisms. Affect is emotional expression; speech is verbal production. ________________________________________ 8. According to the DSM-5, what term describes incongruence between natal gender and experienced/expressed gender? A) Sexual aversion B) Transgender C) Sex development disorder D) Gender Dysphoria Correct Answer: D) Gender Dysphoria Rationale: Gender Dysphoria is the DSM-5 diagnostic term. Transgender is an identity term, not a disorder. ________________________________________ 9. A 43-year-old man requests Suboxone for addiction and wants to start immediately. What should the PMHNP do first? A) Assess his current level and history of use B) Provide psychoeducation about Suboxone maintenance C) Prescribe Suboxone 2 mg SL daily now D) Refer to inpatient detox Correct Answer: A) Assess his current level and history of use Rationale: Assessment of substance use history, severity, and withdrawal risk is essential before initiating MAT. Psychoeducation and prescription come after assessment. ________________________________________ 10. A client with GAD and depressive symptoms in remission abruptly reports symptom reemergence during therapy. In which phase is this expected? A) Acclimation B) Orientation C) Termination D) Working/treatment Correct Answer: C) Termination Rationale: Termination phase often brings reemergence of symptoms as