ADVANCED PRACTICE PSYCHIATRIC NURSING
CHAPTER 24 COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ Rationale for integrated treatment.
Answer: *Nursing practice is holistic and the phenomena of interest
include not only symptoms but also health risks and promotion
*Underlying holistic theory remains as the foundation for any
intervention
*Scope of practice in PMH-APRN is continually expanding in
response to the context of practice, knowledge base evolution, and
ongoing need for clients holistic care
*The increasing cost of health care is reaching a level where it will
soon not be sustainable
◉ Recovery After an Initial Schizophrenia Episode (RAISE) project.
Answer: Low-dose medication
Family psychoeducation
Supported education/employment
Individualized resilience training
Other interventions to focus on more than psychotic symptoms and
medications
,◉ National Institute of Mental Health.
Answer: Research Domain Criteria (RDoC) project that may lead to
revolutionary, integrated diagnostics
◉ Psychotherapy and behavior changes.
Answer: Psychophysiological pathways underlying symptoms are
increasing understood to be nonlinear and multidimensional -
◉ Mechanistic world views.
Answer: chose conventional medical treatments
◉ Systems view.
Answer: chose complementary and alternative treatment
◉ thinking patterns, genomes and derivatives.
Answer: are being used to make treatment decisions with the
expectation of personalized treatment informed by each person's
unique information
◉ Holistic thinking.
Answer: Conceptualize symptoms across diagnostic categories
*No objective test to differentiate one diagnosis from another
, *signs and symptoms of psychiatric problems overlap
◉ Neurotransmitter pathways.
Answer: serotonin, dopamine, norepinephrine, glutamate, gamma-
aminobutyric acid
◉ Common neurobiological pathways.
Answer: Neurotransmitter pathways
Structural abnormalities identified on neuroimaging
Genetic predispositions cross diagnostic categories
◉ Homeostasis.
Answer: Natural healing powers of the individual
◉ Neuroplasticity.
Answer: Process of neuroplasticity, synaptogenesis, dendritic spines,
and neurogenesis, or modification of and individuals brain structure
may be the central process for therapeutic change
◉ Combination of psychotherapy and pharmacotherapy.
Answer: Resulted in more improvement than expected
CHAPTER 24 COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ Rationale for integrated treatment.
Answer: *Nursing practice is holistic and the phenomena of interest
include not only symptoms but also health risks and promotion
*Underlying holistic theory remains as the foundation for any
intervention
*Scope of practice in PMH-APRN is continually expanding in
response to the context of practice, knowledge base evolution, and
ongoing need for clients holistic care
*The increasing cost of health care is reaching a level where it will
soon not be sustainable
◉ Recovery After an Initial Schizophrenia Episode (RAISE) project.
Answer: Low-dose medication
Family psychoeducation
Supported education/employment
Individualized resilience training
Other interventions to focus on more than psychotic symptoms and
medications
,◉ National Institute of Mental Health.
Answer: Research Domain Criteria (RDoC) project that may lead to
revolutionary, integrated diagnostics
◉ Psychotherapy and behavior changes.
Answer: Psychophysiological pathways underlying symptoms are
increasing understood to be nonlinear and multidimensional -
◉ Mechanistic world views.
Answer: chose conventional medical treatments
◉ Systems view.
Answer: chose complementary and alternative treatment
◉ thinking patterns, genomes and derivatives.
Answer: are being used to make treatment decisions with the
expectation of personalized treatment informed by each person's
unique information
◉ Holistic thinking.
Answer: Conceptualize symptoms across diagnostic categories
*No objective test to differentiate one diagnosis from another
, *signs and symptoms of psychiatric problems overlap
◉ Neurotransmitter pathways.
Answer: serotonin, dopamine, norepinephrine, glutamate, gamma-
aminobutyric acid
◉ Common neurobiological pathways.
Answer: Neurotransmitter pathways
Structural abnormalities identified on neuroimaging
Genetic predispositions cross diagnostic categories
◉ Homeostasis.
Answer: Natural healing powers of the individual
◉ Neuroplasticity.
Answer: Process of neuroplasticity, synaptogenesis, dendritic spines,
and neurogenesis, or modification of and individuals brain structure
may be the central process for therapeutic change
◉ Combination of psychotherapy and pharmacotherapy.
Answer: Resulted in more improvement than expected
