NR668 CEA FINAL EXAM 184 ACTUAL PAPER
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A PLUS ADVANCED
CLINICAL ASSESSMENT GUIDE
◉ Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification.
Answer: b. Licensure
◉ A new graduate PMHNP is considering a job at a psychiatric ED.
The medical director informs the prospective hire that they are
expected to evaluate and treat children, adolescents, adults, and
geriatric patients. What document should be consulted to determine
if the PMHNP can legally treat psychiatric patients across the life
span?
a, The hospital bylaws
b. The PMHNP can treat any patient because there is a collaborating
physician
c. The PMHNP scope of practice
d. The state Nurse Practice Act.
,Answer: d. The state Nurse Practice Act
◉ 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.
Answer: a. Evidence-based practice
◉ Morgan is an RN on a busy cerebrovascular accident unit at the
local hospital. She forgot to turn her patient every 2 hours in bed
and now he has a stage I decubitus ulcer. What could this be best
described as?
a. Lack of consent
b. Violations order
c. Negligence
d. Battery.
Answer: c. Negligence
◉ All of the following are governed by the institutional review board
except:
a. Ensuring equitable selection
,b. Regulating funding for the study
c. Evaluating risks and benefits, ensuring reporting of adverse events
d. Ensuring risks to participants are minimized.
Answer: b. Regulating funding for the study
◉ Atith is a 21 year old male from Cambodia. His chest reveals long
raised red marks from dragging a coin across his skin. Recognizing
this cultural concept would prompt the PMHNP to consider what
potential diagnosis within the DSM-5?
a. Agoraphobia
b. Panic disorder
c. PTSD
d. All of these diagnoses are possible..
Answer: d. All of these diagnoses are possible.
- Khyal cap or Khyal attacks is a syndrome found amongst
Cambodians. Symptoms include panic attacks, agoraphobias, anxiety,
PTSD and somatic symptoms which come out of the blue or are
triggered by worrisome thoughts. Recognizing cultural concepts of
distress is neceassry during case formulation.
◉ 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?
, a. Australia and Fiji
b. China and Southeast Asia
c. India and Pakistan
d. Russia and Ukraine.
Answer: c. 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.
◉ A 34-year-old Korean male pediatric dentist is referred to
psychiatry for persistent anxiety. Upon further assessment, he
reveals that his penis is shrinking into his abdomen. Despite the
reassurance he has received from numerous health care providers in
the past he remains convinced of this belief. This culture-bound
delusion is known as:
a. Zar
b. Taijin kyofusho
c. Koro
d. Kuru.
Answer: c. Koro
◉ All of the following are attributes of cultural care that may
influence the therapeutic alliance except?
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A PLUS ADVANCED
CLINICAL ASSESSMENT GUIDE
◉ Which of the following allows the PMHNP to practice in a state?
a. Graduation
b. Licensure
c. Credentialing
d. Certification.
Answer: b. Licensure
◉ A new graduate PMHNP is considering a job at a psychiatric ED.
The medical director informs the prospective hire that they are
expected to evaluate and treat children, adolescents, adults, and
geriatric patients. What document should be consulted to determine
if the PMHNP can legally treat psychiatric patients across the life
span?
a, The hospital bylaws
b. The PMHNP can treat any patient because there is a collaborating
physician
c. The PMHNP scope of practice
d. The state Nurse Practice Act.
,Answer: d. The state Nurse Practice Act
◉ 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.
Answer: a. Evidence-based practice
◉ Morgan is an RN on a busy cerebrovascular accident unit at the
local hospital. She forgot to turn her patient every 2 hours in bed
and now he has a stage I decubitus ulcer. What could this be best
described as?
a. Lack of consent
b. Violations order
c. Negligence
d. Battery.
Answer: c. Negligence
◉ All of the following are governed by the institutional review board
except:
a. Ensuring equitable selection
,b. Regulating funding for the study
c. Evaluating risks and benefits, ensuring reporting of adverse events
d. Ensuring risks to participants are minimized.
Answer: b. Regulating funding for the study
◉ Atith is a 21 year old male from Cambodia. His chest reveals long
raised red marks from dragging a coin across his skin. Recognizing
this cultural concept would prompt the PMHNP to consider what
potential diagnosis within the DSM-5?
a. Agoraphobia
b. Panic disorder
c. PTSD
d. All of these diagnoses are possible..
Answer: d. All of these diagnoses are possible.
- Khyal cap or Khyal attacks is a syndrome found amongst
Cambodians. Symptoms include panic attacks, agoraphobias, anxiety,
PTSD and somatic symptoms which come out of the blue or are
triggered by worrisome thoughts. Recognizing cultural concepts of
distress is neceassry during case formulation.
◉ 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?
, a. Australia and Fiji
b. China and Southeast Asia
c. India and Pakistan
d. Russia and Ukraine.
Answer: c. 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.
◉ A 34-year-old Korean male pediatric dentist is referred to
psychiatry for persistent anxiety. Upon further assessment, he
reveals that his penis is shrinking into his abdomen. Despite the
reassurance he has received from numerous health care providers in
the past he remains convinced of this belief. This culture-bound
delusion is known as:
a. Zar
b. Taijin kyofusho
c. Koro
d. Kuru.
Answer: c. Koro
◉ All of the following are attributes of cultural care that may
influence the therapeutic alliance except?
