NR 607 CERTIFICATION EVALUATION
EXAMS COMPLETE ANSWERS AND
PRACTICE SOLUTION
●● Which statistical test identifies a relationship between two variables?
Answer: Pearson's r correlation
●● A patient who is refusing psychiatric treatment has their case
adjudicated. The judge orders treatment over objection for the good of
the patient. Which ethical principle is trumped?
Answer: Autonomy
●● Which statistical test identifies if the means of two groups are
statistically different from each other?
Answer: t-test
●● The process of integrating the best research evidence with clinical
expertise and client needs and values is known as:
Answer: Evidence-based practice
●● Use the following scenario to answer question regarding the Health
Belief Model (HBM).
,A PMHNP is leading a recovery group for at-risk teens who have been
mandated to attend meetings as part of their addiction treatment. A
member of the group states that his problem is not that bad and he can
stop anytime he chooses. Using on occasion is just a way to have fun
with friends. Which concepts of the Health Belief Model best describes
the group member's readiness to change?
Answer: Percieved severity and perceived barriers
●● During a psychiatric evaluation, the client reveals to the PMHNP a
transgender identity. The client indicates a preference for personal
pronouns like he and him. What is the biological sex of the client?
Answer: Female
●● The learned beliefs and behaviors common among all members of a
group defines:
Answer: Culture
●● A cultural explanation of distress including fatigue, weakness, weight
loss, somatic complaints, depressed mood and impotence thought to be
related to semen loss is otherwise known as dhat in this region of the
world. Where is a client most likely from given the specific complaint of
dhat?
Answer: India and Pakistan -Dhat syndrome is a syndrome of distress
thought related to a loss of semen. Related symptoms thought caused
from dhat include depressed mood, fatigue, weight loss, anxiety, somatic
complaints and impotence.
, ●● Andika, a 26 year old male from Indonesia swung a sword at a
doctor shortly after the sudden death of his father. He lost consciousness,
collapsing to the floor after the violent attempt to hurt the doctor. Which
culture bound syndrome best describes Andika's behavior?
Answer: Amok is mostly found amongst males in Malaysia and
Indonesia. Sudden violent behavior that is often followed by amnesia
best describes this dissociative episode.
●● A patient who is considering electroconvulsive therapy (ECT) for
resistant depression inquires as to the number of sessions she would
likely require. Based on the best evidence currently available what is the
best response?
Answer: 10
●● In observing the appearance of the patient with depression and a
history of systemic lupus erythematosus, the PMHNP notices a lesion on
the neck of the patient about the size of a pencil eraser, flush with the
skin, uniformly colored, with discrete borders, and consistent texture.
The PMHNP should:
Answer: Watch and wait
●● A 26-year-old man has been on an antipsychotic. He requires further
titration for control of symptoms. Which of the following tests should be
repeated?
Answer: EKG
EXAMS COMPLETE ANSWERS AND
PRACTICE SOLUTION
●● Which statistical test identifies a relationship between two variables?
Answer: Pearson's r correlation
●● A patient who is refusing psychiatric treatment has their case
adjudicated. The judge orders treatment over objection for the good of
the patient. Which ethical principle is trumped?
Answer: Autonomy
●● Which statistical test identifies if the means of two groups are
statistically different from each other?
Answer: t-test
●● The process of integrating the best research evidence with clinical
expertise and client needs and values is known as:
Answer: Evidence-based practice
●● Use the following scenario to answer question regarding the Health
Belief Model (HBM).
,A PMHNP is leading a recovery group for at-risk teens who have been
mandated to attend meetings as part of their addiction treatment. A
member of the group states that his problem is not that bad and he can
stop anytime he chooses. Using on occasion is just a way to have fun
with friends. Which concepts of the Health Belief Model best describes
the group member's readiness to change?
Answer: Percieved severity and perceived barriers
●● During a psychiatric evaluation, the client reveals to the PMHNP a
transgender identity. The client indicates a preference for personal
pronouns like he and him. What is the biological sex of the client?
Answer: Female
●● The learned beliefs and behaviors common among all members of a
group defines:
Answer: Culture
●● A cultural explanation of distress including fatigue, weakness, weight
loss, somatic complaints, depressed mood and impotence thought to be
related to semen loss is otherwise known as dhat in this region of the
world. Where is a client most likely from given the specific complaint of
dhat?
Answer: India and Pakistan -Dhat syndrome is a syndrome of distress
thought related to a loss of semen. Related symptoms thought caused
from dhat include depressed mood, fatigue, weight loss, anxiety, somatic
complaints and impotence.
, ●● Andika, a 26 year old male from Indonesia swung a sword at a
doctor shortly after the sudden death of his father. He lost consciousness,
collapsing to the floor after the violent attempt to hurt the doctor. Which
culture bound syndrome best describes Andika's behavior?
Answer: Amok is mostly found amongst males in Malaysia and
Indonesia. Sudden violent behavior that is often followed by amnesia
best describes this dissociative episode.
●● A patient who is considering electroconvulsive therapy (ECT) for
resistant depression inquires as to the number of sessions she would
likely require. Based on the best evidence currently available what is the
best response?
Answer: 10
●● In observing the appearance of the patient with depression and a
history of systemic lupus erythematosus, the PMHNP notices a lesion on
the neck of the patient about the size of a pencil eraser, flush with the
skin, uniformly colored, with discrete borders, and consistent texture.
The PMHNP should:
Answer: Watch and wait
●● A 26-year-old man has been on an antipsychotic. He requires further
titration for control of symptoms. Which of the following tests should be
repeated?
Answer: EKG
