NRNP 6675 Final Exam (Version-2, 100 Q
and A, Latest-2024) / NRNP6675 Final
Exam: Walden University
Question 1
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
Rationale: Elderly patients typically have slower metabolism and excretion of
psychotherapeutic drugs, not more rapid metabolism. This slower metabolism
increases risk of adverse effects and requires careful dosing adjustments .
Question 2
The treatment of others equitably and distribution of benefits/burdens fairly is
known as which ethical principle?
• A) Fidelity
• B) Justice
• C) Beneficence
• D) Non-maleficence
Correct Answer: B
Rationale: Justice is the ethical principle concerned with fair and equitable
,distribution of health resources. Fidelity involves keeping promises, beneficence
involves doing good, and non-maleficence involves avoiding harm .
Question 3
Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas of their lives, lack self-confidence, and experience
intense discomfort when alone are demonstrating characteristics of which
personality disorder?
• A) Avoidant personality disorder
• B) Passive personality disorder
• C) Dependent personality disorder
• D) Antisocial personality disorder
Correct Answer: C
Rationale: Dependent personality disorder is characterized by a pervasive need to
be taken care of, leading to submissive and clinging behavior, fear of separation,
and difficulty making decisions without excessive reassurance .
Question 4
According to Sullivan, which of the following is consistent with a mentor/mentee
relationship?
• A) Mentors are assigned
• B) Mentor relationships are shorter term
• C) Goals for the mentoring relationship are set mutually
• D) A and B only
Correct Answer: C
Rationale: Sullivan emphasized that mentoring relationships should have mutually
set goals, with an interactive learning process to facilitate role development and
skill acquisition .
,Question 5
A form of child abuse in which a parent or caretaker repeatedly fabricates or
inflicts injury in a child for whom medical intervention is sought is known as:
• A) Korsakoff's syndrome
• B) Snyder's syndrome
• C) Munchausen syndrome
• D) Munchausen syndrome by proxy
Correct Answer: D
Rationale: Munchausen syndrome by proxy (now often called factitious disorder
imposed on another) involves a caregiver fabricating or inducing illness in a
dependent person, typically a child, to gain medical attention .
Question 6
The need for NPs to practice to the full extent of their education and training is
necessary for which reason?
• A) The growth in number and proportion of older Americans
• B) The projected primary care physician shortage by 2025
• C) Increased number of individuals with access to healthcare
• D) The economic push for cost-effective healthcare
Correct Answer: B, C, and D
Rationale: The National Academy of Medicine (formerly IOM) recommends that
NPs practice to the full extent of their training to address the projected physician
shortage, expand healthcare access, and provide cost-effective care .
Question 7
, The ARNP assessing lifestyle as a social determinant of health would ask about
which of the following?
• A) Diet
• B) Housing
• C) Health literacy
• D) Inherited diseases
Correct Answer: A
Rationale: Lifestyle factors as social determinants of health include diet, exercise,
smoking, and alcohol use. Housing and health literacy are also social determinants
but are not categorized as "lifestyle" factors .
Question 8
In educating a patient beginning Lithium, the ARNP explains which of the
following related to diet and fluid intake?
• A) Caffeine and alcohol can raise lithium concentrations
• B) Drink at least a gallon of water per day and limit salt intake
• C) If you go on a diet, blood tests may need to be more frequent
• D) All of the above
Correct Answer: D
Rationale: All statements are correct. Caffeine and alcohol affect hydration and
lithium levels. Stable fluid and salt intake are essential, and dietary changes may
alter lithium levels, requiring more frequent monitoring .
Question 9
The goal of psychotropic treatment to eliminate all manifestations of a disorder
below the syndromal threshold is defined as:
• A) Response
and A, Latest-2024) / NRNP6675 Final
Exam: Walden University
Question 1
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
Rationale: Elderly patients typically have slower metabolism and excretion of
psychotherapeutic drugs, not more rapid metabolism. This slower metabolism
increases risk of adverse effects and requires careful dosing adjustments .
Question 2
The treatment of others equitably and distribution of benefits/burdens fairly is
known as which ethical principle?
• A) Fidelity
• B) Justice
• C) Beneficence
• D) Non-maleficence
Correct Answer: B
Rationale: Justice is the ethical principle concerned with fair and equitable
,distribution of health resources. Fidelity involves keeping promises, beneficence
involves doing good, and non-maleficence involves avoiding harm .
Question 3
Persons who subordinate their own needs to those of others, get others to assume
responsibility for major areas of their lives, lack self-confidence, and experience
intense discomfort when alone are demonstrating characteristics of which
personality disorder?
• A) Avoidant personality disorder
• B) Passive personality disorder
• C) Dependent personality disorder
• D) Antisocial personality disorder
Correct Answer: C
Rationale: Dependent personality disorder is characterized by a pervasive need to
be taken care of, leading to submissive and clinging behavior, fear of separation,
and difficulty making decisions without excessive reassurance .
Question 4
According to Sullivan, which of the following is consistent with a mentor/mentee
relationship?
• A) Mentors are assigned
• B) Mentor relationships are shorter term
• C) Goals for the mentoring relationship are set mutually
• D) A and B only
Correct Answer: C
Rationale: Sullivan emphasized that mentoring relationships should have mutually
set goals, with an interactive learning process to facilitate role development and
skill acquisition .
,Question 5
A form of child abuse in which a parent or caretaker repeatedly fabricates or
inflicts injury in a child for whom medical intervention is sought is known as:
• A) Korsakoff's syndrome
• B) Snyder's syndrome
• C) Munchausen syndrome
• D) Munchausen syndrome by proxy
Correct Answer: D
Rationale: Munchausen syndrome by proxy (now often called factitious disorder
imposed on another) involves a caregiver fabricating or inducing illness in a
dependent person, typically a child, to gain medical attention .
Question 6
The need for NPs to practice to the full extent of their education and training is
necessary for which reason?
• A) The growth in number and proportion of older Americans
• B) The projected primary care physician shortage by 2025
• C) Increased number of individuals with access to healthcare
• D) The economic push for cost-effective healthcare
Correct Answer: B, C, and D
Rationale: The National Academy of Medicine (formerly IOM) recommends that
NPs practice to the full extent of their training to address the projected physician
shortage, expand healthcare access, and provide cost-effective care .
Question 7
, The ARNP assessing lifestyle as a social determinant of health would ask about
which of the following?
• A) Diet
• B) Housing
• C) Health literacy
• D) Inherited diseases
Correct Answer: A
Rationale: Lifestyle factors as social determinants of health include diet, exercise,
smoking, and alcohol use. Housing and health literacy are also social determinants
but are not categorized as "lifestyle" factors .
Question 8
In educating a patient beginning Lithium, the ARNP explains which of the
following related to diet and fluid intake?
• A) Caffeine and alcohol can raise lithium concentrations
• B) Drink at least a gallon of water per day and limit salt intake
• C) If you go on a diet, blood tests may need to be more frequent
• D) All of the above
Correct Answer: D
Rationale: All statements are correct. Caffeine and alcohol affect hydration and
lithium levels. Stable fluid and salt intake are essential, and dietary changes may
alter lithium levels, requiring more frequent monitoring .
Question 9
The goal of psychotropic treatment to eliminate all manifestations of a disorder
below the syndromal threshold is defined as:
• A) Response
