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NR 668 CEA Final Examination: Psychiatric-Mental Health Capstone Practicum & Intensive (Questions, Answers & Rationales)

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This document is a comprehensive study guide and exam bank designed for PMHNP (Psychiatric-Mental Health Nurse Practitioner) students preparing for the NR 668 midterm or board examinations. It contains 300 practice questions complete with detailed answers and rationales across four core modules:

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,NR 668 CEA Final Examina on – Psychiatric-Mental Health Capstone Prac cum & Intensive

300 Ques ons with Correct Answers and Ra onales




Ques on 1

Which of the following is characteris c of the leadership competency for APRNs?

A) Modifying the treatment plan based on the pa ent's needs
B) Developing an age-appropriate treatment plan
C) Par cipa ng in a community-focused program that promotes mental health and reduces the
risk of mental health problems
D) Evalua ng the appropriate use of seclusion

Correct Answer: C

Ra onale: Leadership competency involves influencing health policy, advoca ng for pa ents,
and par cipa ng in community-level interven ons to reduce s gma and improve mental health
services. Direct pa ent care ac vi es (modifying treatment plans, age-appropriate plans,
seclusion evalua on) fall under clinical/direct care competencies .



Ques on 2

,Which of the following allows the PMHNP to legally prac ce in a state?

A) Gradua on from an accredited program
B) Licensure
C) Creden aling
D) Cer fica on

Correct Answer: B

Ra onale: Licensure is the legal authority granted by a state's Board of Nursing that allows an
individual to prac ce as a nurse prac oner in that state. Cer fica on (e.g., ANCC)
demonstrates competence but does not legally permit prac ce. Gradua on and creden aling
are necessary but not sufficient for legal prac ce authority .



Ques on 3

The process of integra ng the best research evidence with clinical exper se and client needs
and values is known as:

A) Evidence-based prac ce
B) Quality improvement
C) Research
D) Research u liza on

Correct Answer: A

Ra onale: Evidence-based prac ce (EBP) integrates the best available research evidence with
clinical exper se and pa ent preferences/values. Research u liza on is a narrower concept
limited to applying research findings. Quality improvement focuses on system process changes .



Ques on 4

All of the following are characteris c of the independent prac ce competency EXCEPT:

A) Taking opportuni es to influence health policy to reduce the s gma of mental health services
B) Implemen ng plans to minimize complica ons and to promote func on
C) Considering differen al diagnosis
D) Conduc ng individual and group psychotherapy

Correct Answer: A

, Ra onale: Independent prac ce competency focuses on direct pa ent care ac vi es:
assessment, diagnosis, treatment planning, implementa on, and evalua on. Policy influence is
a leadership competency, not an independent prac ce competency .



Ques on 5

Which of the following is NOT a core competency of APRNs?

A) Ethics
B) Delegated prac ce
C) Health delivery system
D) Technology and informa on literacy

Correct Answer: B

Ra onale: The APRN core competencies include: scien fic founda ons, leadership, quality,
prac ce inquiry, technology/informa on literacy, policy, health delivery system, ethics, and
independent prac ce. Delega on is a nursing func on but is not a dis nct APRN core
competency .



Ques on 6

Which APRN competency involves using informa cs to improve pa ent care and outcomes?

A) Ethics
B) Health policy
C) Technology and informa on literacy
D) Quality

Correct Answer: C

Ra onale: Technology and informa on literacy is a core APRN competency that includes using
electronic health records, clinical decision support, and telehealth. It improves care quality and
safety through effec ve informa on management. Informa cs skills support evidence-based
prac ce .



Ques on 7

The state Board of Nursing regulates which of the following?

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