NURSING 668 EXAM QUESTIONS & ANSWERS GRADED A++ (WEEK 1 - WEEK 7)

NR 668 EXAM QUESTIONS & ANSWERS Policy, Culture & Ethics Test with Answers 1- Which statistical test identifies a relationship between two variables? Pearson's r correlation 2- A PMHNP is asked to determine if the patient has the capacity for informed consent. All of the following elements are necessary for making this determination except: The patient has a therapeutic alliance with the surgeon 3- All patients have the right to all of the following except To be treated by a physician 4- What does force field analysis prepare the nursing leader for? Becoming aware of the pressures for and against a proposed change 5- What concept is defined by a sample that is representative of the population, and where the results can be generalized? External validity 6- An elderly woman with dementia engages in a romantic relationship with an elderly man in her assisted living facility. She reports that their sex is consensual but she is sometimes sore afterward. Her daughter has discovered this relationship and insists something be done because she believes her mother is being sexually assaulted. What should the PMHNP do? Evaluate the patient for capacity to consent to sex 7- 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? Amok 8-A specific behavior related to a person’s culture and not leading to a psychiatric disorder is classified as: Culture-bound syndrome 9- 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? All of these diagnoses are possible. Panic Disorder Agoraphobia PTSD 10- All of the following factors put households headed by a single female at risk for homelessness except Education 11- Which of the following psychotherapies is NOT consistent with advocating for the health, safety and rights of the patient (ANA, 2001)? Reparative therapy for a homosexual male 12- Which of the following is characteristic of the leadership competency for APRNs? Participating in a community-focused program that promotes mental health and reduces the risk of mental health problems 13- 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 expresses how difficult it has been to maintain her sobriety and as a result does not feel she will be successful this time. Which concept of the Health Belief Model would be the most significant risk factor for relapse Cues to action and perceived severity 14- Actions judged based on their inherent value regardless of their consequence is based on which ethical decision-making approach? Deontological. Theory 15- 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? ercieved severity and perceived barriers 16-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? India and Pakistan 17-Why is it necessary for insurance companies to credential PMHNPs? To protect the public by ensuring a minimum level of professional competence 18-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? Autonomy 19- The Nurse Practice Act and scope of practice are regulated by whom? The board of nursing 20- All of the following statements are true regarding scope of practice except: The scope of practice provides a way to judge the nature of the care provided 21- All of the following are necessary criteria for commitment for involuntary evaluation and treatment except: The patient is unable to afford the cost of treatment 22– Which statistical test identifies if the means of two groups are statistically different from each other? t-test 23-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? A female 24-A new client born and raised in Zimbabwe presents to your office. He mentions ruminating on worries or upsetting thoughts in his mental health history. Which of the following diagnoses is consistent with this? Kufungisia 25- All of the following are methods of dissemination of findings except: Oral defense to your committee 26- HIPAA Privacy rules related to Behavior Health apply to which of the following? Psychotherapy 27- The PMHNP is working with an insurance organization to provide oversight and authorization of series and benefits to patients. Which role of the PMHNP best describes this activity? Case management 28- Which of the following best represents the Patient Self - Determination act of 1990? Informing a patient of their rights, documenting wishes and providing information on advanced directives at time of admission 29- All of the following are true regarding living wills except: Legally binding in all 50 states 30- All of the following are attributes of cultural care that may influence the therapeutic alliance except? Urban setting 31-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: Koro 32- All of the following circumstances would allow the release of medical information without the patient’s consent except: Next of kin wanting to help the patient make decisions 33- In the field of quality improvement, the key question "Why" leads to understanding and the prevention of the recurrence of an error or event. Which of the following utilizes the question of "Why" to help identify the underlying cause of error? Root cause analysis 34- PMHNP employed within a small telehealth practice routinely "curb side consults" a collaborative psychiatrist within the same state through email. The email includes the client's name in the subject line and the email body includes a general question about Risperdal management. Is this considered a HIPAA violation? Yes, this became a HIPAA violation when she put the client's name in the title subject line 35- All of the following are governed by the institutional review board except: Regulating funding for the study 36- Unless the patient provides consent for releasing information, the Health Information Portability and Accountability Act (HIPAA) prohibits the disclosure of personal health identifiers to all of the following except