NURS MIDTERM EXAM 80 QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE// GRADED

NURS MIDTERM EXAM 80 QUESTIONS AND VERIFIED ANSWERS 2024 -2025 LATEST UPDATE// GRADED Which of the following is not a core competency of APRNs? A. Technology and information literacy B. Health delivery system C. Ethics D. Delegated practice - ANSWER>>>delegated practice 7. A patient has been prescribed sertraline 50 mg daily for the past year without adverse effects and remission of symptoms. The patient has missed the last two appointments but leaves a message that he feels "fantastic!" The wife called to reschedule a follow -up appointment, saying he has been giddy lately, emotionally labile, and spending money so frivolously that their account has been overdrawn. During the appointment the patient becomes hostile and tells the PMHNP that he is a phony, and not even a real do ctor, and is having an affair with his wife. The patient is uninterruptible, with pressured speech. What pharmacological change is indicated? A. Start lithium, increase sertraline B. Start valproic acid, stop sertraline C. Start valproic acid D. Stop sertr aline - ANSWER>>>7. Answer B. Start valproic acid and stop sertraline. Antidepressants can precipitate or exacerbate mania in patients with bipolar disorder who are frequently misdiagnosed initially with unipolar disorder. Increasing the sertraline while s tarting lithium will continue to exacerbate mania symptoms. Starting valproic acid without stopping the selective serotonin reuptake inhibitor (SSRI) will delay the treatment of mania. Stopping the sertraline without starting a mood stabilizer will delay t he resolution of the manic symptoms. Which of the following is characteristic of the leadership competency for APRNs? A. Participating in a community -focused program that promotes mental health and reduces the risk of mental health problems B. Evaluatin g the appropriate use of seclusion and restraints in caring for a mentally ill patient C. Developing an age -appropriate treatment plan D. Modifying the treatment plan based on the patient's needs - ANSWER>>> Answer A. Participating in a community -focused program that promotes mental health exemplifies a leadership competency. Evaluating the appropriate use of seclusion and restraints, developing an age -appropriate treatment plan, and modifying the treatment pl an based on clients' needs are clinical competencies. All of the following are characteristic of the independent practice competency except: A. Insulin during differential diagnoses B. Conducting individual and group psychotherapy C. Taking opportuniti es to influence health policy to reduce the stigma of mental health services D. Implementing plans to minimize complications and to promote function - ANSWER>>>Answer C. Taking opportunities to influence health policy and reduce the stigma of mental healt h services exemplifies health policy competency. Considering differential diagnoses, conducting psychotherapy, and implementing plans to minimize comorbidity are 35 examples of practicing with full practice authority at the top of the professional license. A state's Nurse Practice Act specifies all of the following except A. Who may use the title nurse practitioner B. What a nurse practitioner can do C. Restriction of the nurse practitioner's practice D. Provide oversight for service and benefits provi ded to patients - ANSWER>>>Answer D. The state Nurse Practice Act does not provide for oversight of services and benefits provided to patients. It does define who may use the title and the work of the nurse practitioner as well as restrict the practice of the professional. Which of the following may govern the profession of the PMHNP? A. Statutory law B. The U.S. Constitution C. Certification D. City ordinances - ANSWER>>>Answer A. Statutory laws govern the practice of a profession. The U.S. Constitution, certifications, and city ordinances do not address professional practice. Which of the following factors are facilitating the growth of the PMHNP? A. Increased competition in the job market B. Overlapping scope of practice with other types of nurse practi tioners C. Decreasing stigmatization D. Collaborative practice relationships with physicians - ANSWER>>>Answer C. Decreasing stigmatization regarding mental health enhances the growth of the profession. Increased competition, overlapping scope of practice, and mandated collaborative practice relationships restrict the growth of the profession. Why is it necessary for insurance companies to credential PMHNPs? A. To protect the public by ensuring a minimum level of professional competence B. To define the sc ope of practice and practice requirements C. To ensure a professional organization certifies the person is licensed to practice D. To define the role of the nurse practitioner - ANSWER>>>Answer A. The purpose of credentialing is to ensure public safety and a minimum level of professional competence; this helps reduce vicarious liability on the insurance company. Insurance companies do not define the scope of practice; they have nothing to do with professional organizations who grant certification. State gov erning bodies define the role of the nurse practitioner. Which of the following allows the PMHNP to practice in a state? A. Certification B. Licensure C. Credentialing D. Graduation - ANSWER>>>Answer B. LICENSURE Certification allows a professional to pra ctice their profession in a state. Certification designates successful completion of a course of study. Credentialing is a process that verifies minimum levels of professional competence to ensure public safety. Graduation is a ceremony offered by an educa tional institution in accordance with established criteria of completion. All of the following statements are true regarding scope of practice except: A. The scope of practice defines the nurse practitioner role and actions B. The scope of practice iden tifies competencies assumed to be held by all nurse practitioners in a specific role C. The scope of practice provides a way to judge the nature of the care provided D. The scope of practice varies broadly from state to state - ANSWER>>>Answer C. The sco pe of practice defines the nurse practitioner role and actions, identifies minimal competencies held by all nurse practitioners, and varies broadly from state to state. It does not provide a way to judge the nature of care provided. All the following statements are true regarding standards of practice except: A. Standards of practice reflect professional agreement focusing on the minimum levels of acceptable performance B. Standards of practice provide a way to judge the nature of c are provided C. Standards of practice identify competencies assumed to be held by all nurse practitioners (NPs) who function in a similar role D. Standards of practice can be used legally to describe a standard of care that must be met by a provider - ANSWER>>>Answer C. Standards of practice reflect the professional agreement that focuses on the minimum levels of acceptable performance, a means of judging the nature of care provided, and can be used legally to describe the standard of care that must be me t by a provider. It does not identify competencies held by all nurse practitioners as that is provided in the scope of practice. 15-Which of the following ethical principles deals with promoting the wellbeing of a patient? A. Justice B. Beneficence C. Non maleficence D. Autonomy - ANSWER>>>Answer B. The principle of beneficence is that of doing good for the patient. Justice is the principle of equity. Nonmaleficence is the principle of first doing no harm. Autonomy is the principle of respecting the indivi dual's right to self -determination. Which of the following ethical principles would conflict if the treatment team wanted to implement a therapeutic deception for the good of the patient? A. Beneficence B.