NR 668 CEA Final Exam (2026) | Chamberlain
Practicum Actual Questions and Answers
Institution: Chamberlain University
Course: NR 668 - Clinical Evaluation and Assessment (CEA)
Exam: Psychiatric-Mental Health Capstone Practicum & Intensive Final Examination
Academic Year: 2025/2026
Question Bank: 150 Practice Questions with Answers & Detailed Rationales
EXAM OVERVIEW
The NR 668 CEA Final Exam is a comprehensive assessment for Psychiatric-Mental Health
Nurse Practitioner (PMHNP) students at Chamberlain University. This exam evaluates clinical
competencies in psychiatric assessment, differential diagnosis, psychopharmacology,
therapeutic interventions, and evidence-based management of mental health disorders across
the lifespan . The test bank includes Multiple Choice Questions (MCQs), Select All That Apply
(SATA), and case-based vignettes designed to mirror the actual Practicum Capstone Intensive
Exam format .
SECTION 1: APRN COMPETENCIES & PROFESSIONAL PRACTICE (Questions 1-25)
Question 1
Which of the following is characteristic of the leadership competency for APRNs?
A) Modifying the treatment plan based on the patient's needs
B) Developing an age-appropriate treatment plan
C) Participating in a community-focused program that promotes mental health and reduces the
risk of mental health problems
D) Evaluating the appropriate use of seclusion
Correct Answer: C
Rationale: Leadership competency involves influencing health policy, advocating for patients,
and participating in community-level interventions to reduce stigma and improve mental health
services. Direct patient care activities (modifying treatment plans, age-appropriate plans,
seclusion evaluation) fall under clinical/direct care competencies .
,Question 2
Which of the following allows the PMHNP to practice in a state?
A) Graduation
B) Licensure
C) Credentialing
D) Certification
Correct Answer: B
Rationale: Licensure is the legal authority granted by a state's Board of Nursing that allows an
individual to practice as a nurse practitioner in that state. Certification is obtained through a
professional organization (e.g., ANCC) and demonstrates competence, but licensure is what
legally permits practice .
Question 3
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 Answer: A
Rationale: Evidence-based practice (EBP) integrates the best available research evidence with
clinical expertise and patient preferences/values. Research utilization is a narrower concept
limited to applying research findings; quality improvement focuses on process improvement .
Question 4
All of the following are characteristic of the independent practice competency EXCEPT:
A) Taking opportunities to influence health policy to reduce the stigma of mental health services
B) Implementing plans to minimize complications and to promote function
C) Considering differential diagnosis
D) Conducting individual and group psychotherapy
,Correct Answer: A
Rationale: Independent practice competency focuses on direct patient care activities:
assessment, diagnosis, treatment planning, implementation, and evaluation. Policy influence is
a leadership competency, not an independent practice competency .
Question 5
Which of the following is NOT a core competency of APRNs?
A) Ethics
B) Delegated practice
C) Health delivery system
D) Technology and information literacy
Correct Answer: B
Rationale: The APRN core competencies include: scientific foundations, leadership, quality,
practice inquiry, technology/information literacy, policy, health delivery system, ethics, and
independent practice. Delegation is a nursing function but is not a distinct APRN core
competency .
Question 6
All of the following are components of research utilization EXCEPT:
A) Synthesizing findings
B) Randomizing the sample
C) Applying the findings
D) Critique of the literature
Correct Answer: B
Rationale: Research utilization involves critiquing, synthesizing, and applying existing research
findings to practice. Randomizing the sample is a research design element, not a component of
research utilization .
Question 7
, In the field of quality improvement, the key question "Why" leads to understanding and the
prevention of the recurrence of an error or event. Which of the following utilizes the question of
"Why" to help identify the underlying cause of error?
A) Bottom up approach
B) Kaizen
C) Plan-Do-Study-Act
D) Root cause analysis
Correct Answer: D
Rationale: Root cause analysis (RCA) uses iterative questioning ("why did this happen?") to
identify underlying system or process failures that contributed to an adverse event. RCA
prevents recurrence by addressing root causes, not just symptoms .
Question 8
What is the purpose of the "Just Culture" concept in nursing?
A) Reduce discrimination in nursing
B) Implement system wide practices to improve awareness of diverse cultures and backgrounds
C) Balance accountability for individual actions with system responsibility for errors
D) Improve empathy for persons with a mental health disorder
Correct Answer: C
Rationale: Just Culture distinguishes between human error (system-focused improvement),
at-risk behavior (behavioral choices, coaching), and reckless behavior (disciplinary action). It
balances individual accountability with system responsibility .
Question 9
In regards to the Consensus Model, which of the following best describes the APRN role?
A) Psychopharmacology guidelines according to CMS and state guidelines
B) Vulnerable population with a focus on the biopsychosocial paradigm
C) APRNs will be trained and licensed according to their role and population focus
D) Policy, procedure and role development within NP role expansion
Correct Answer: C
Practicum Actual Questions and Answers
Institution: Chamberlain University
Course: NR 668 - Clinical Evaluation and Assessment (CEA)
Exam: Psychiatric-Mental Health Capstone Practicum & Intensive Final Examination
Academic Year: 2025/2026
Question Bank: 150 Practice Questions with Answers & Detailed Rationales
EXAM OVERVIEW
The NR 668 CEA Final Exam is a comprehensive assessment for Psychiatric-Mental Health
Nurse Practitioner (PMHNP) students at Chamberlain University. This exam evaluates clinical
competencies in psychiatric assessment, differential diagnosis, psychopharmacology,
therapeutic interventions, and evidence-based management of mental health disorders across
the lifespan . The test bank includes Multiple Choice Questions (MCQs), Select All That Apply
(SATA), and case-based vignettes designed to mirror the actual Practicum Capstone Intensive
Exam format .
SECTION 1: APRN COMPETENCIES & PROFESSIONAL PRACTICE (Questions 1-25)
Question 1
Which of the following is characteristic of the leadership competency for APRNs?
A) Modifying the treatment plan based on the patient's needs
B) Developing an age-appropriate treatment plan
C) Participating in a community-focused program that promotes mental health and reduces the
risk of mental health problems
D) Evaluating the appropriate use of seclusion
Correct Answer: C
Rationale: Leadership competency involves influencing health policy, advocating for patients,
and participating in community-level interventions to reduce stigma and improve mental health
services. Direct patient care activities (modifying treatment plans, age-appropriate plans,
seclusion evaluation) fall under clinical/direct care competencies .
,Question 2
Which of the following allows the PMHNP to practice in a state?
A) Graduation
B) Licensure
C) Credentialing
D) Certification
Correct Answer: B
Rationale: Licensure is the legal authority granted by a state's Board of Nursing that allows an
individual to practice as a nurse practitioner in that state. Certification is obtained through a
professional organization (e.g., ANCC) and demonstrates competence, but licensure is what
legally permits practice .
Question 3
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 Answer: A
Rationale: Evidence-based practice (EBP) integrates the best available research evidence with
clinical expertise and patient preferences/values. Research utilization is a narrower concept
limited to applying research findings; quality improvement focuses on process improvement .
Question 4
All of the following are characteristic of the independent practice competency EXCEPT:
A) Taking opportunities to influence health policy to reduce the stigma of mental health services
B) Implementing plans to minimize complications and to promote function
C) Considering differential diagnosis
D) Conducting individual and group psychotherapy
,Correct Answer: A
Rationale: Independent practice competency focuses on direct patient care activities:
assessment, diagnosis, treatment planning, implementation, and evaluation. Policy influence is
a leadership competency, not an independent practice competency .
Question 5
Which of the following is NOT a core competency of APRNs?
A) Ethics
B) Delegated practice
C) Health delivery system
D) Technology and information literacy
Correct Answer: B
Rationale: The APRN core competencies include: scientific foundations, leadership, quality,
practice inquiry, technology/information literacy, policy, health delivery system, ethics, and
independent practice. Delegation is a nursing function but is not a distinct APRN core
competency .
Question 6
All of the following are components of research utilization EXCEPT:
A) Synthesizing findings
B) Randomizing the sample
C) Applying the findings
D) Critique of the literature
Correct Answer: B
Rationale: Research utilization involves critiquing, synthesizing, and applying existing research
findings to practice. Randomizing the sample is a research design element, not a component of
research utilization .
Question 7
, In the field of quality improvement, the key question "Why" leads to understanding and the
prevention of the recurrence of an error or event. Which of the following utilizes the question of
"Why" to help identify the underlying cause of error?
A) Bottom up approach
B) Kaizen
C) Plan-Do-Study-Act
D) Root cause analysis
Correct Answer: D
Rationale: Root cause analysis (RCA) uses iterative questioning ("why did this happen?") to
identify underlying system or process failures that contributed to an adverse event. RCA
prevents recurrence by addressing root causes, not just symptoms .
Question 8
What is the purpose of the "Just Culture" concept in nursing?
A) Reduce discrimination in nursing
B) Implement system wide practices to improve awareness of diverse cultures and backgrounds
C) Balance accountability for individual actions with system responsibility for errors
D) Improve empathy for persons with a mental health disorder
Correct Answer: C
Rationale: Just Culture distinguishes between human error (system-focused improvement),
at-risk behavior (behavioral choices, coaching), and reckless behavior (disciplinary action). It
balances individual accountability with system responsibility .
Question 9
In regards to the Consensus Model, which of the following best describes the APRN role?
A) Psychopharmacology guidelines according to CMS and state guidelines
B) Vulnerable population with a focus on the biopsychosocial paradigm
C) APRNs will be trained and licensed according to their role and population focus
D) Policy, procedure and role development within NP role expansion
Correct Answer: C
