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Exam (elaborations)

Misc Boards Exam Questions with correct Answers 2025/2026 A+ Graded 100% Verified

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MISC Boards Exam Questions with correct Answers 2025/2026 A+ Graded 100% Verified










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Misc Boards Exam Questions with correct
Answers 2025/2026 A+ Graded 100%
Verified
A new client presents for an initial evaluation on a medication requiring lab work. The patient
notes recently having lab work done 1 month prior at an internal medicine appt and asks if this
is sufficient, which the PMHNP agrees to. What is thePMHNP's next step? - ANS-Signed
release form (HIPAA)

Which of the following is not associated with increased validity in a clinical research trial?
a) outcome measure
b) randomization
c) confounder
d) sample size - ANS-c) confounder

Factor that distorts the true relationship of the study variable of interest by virtue of also being
related to the outcome of interest. Confounders are often unequally distributed among the
groups being compared

A 43 year old male patient presents to the PMHNP for a medication FU appt. As part of his FU
visit, his BP reading is 156/102 mm of mercury. The patient states he has been having
headaches for the last few weeks since he ran out of his blood pressure medication. The
PMHNP's best action is which of the following?

a) refer the patient to the ED for an eval
b) contact the patient's PCP, explain the patient's symptoms, and request the medication be
refilled and he be given a FU appt.
c) Call the pharmacy to confirm which antihypertensive the patient is taking and write a 30-day
supply of this medication
d) Call a local FNP and request that she refill this patient's medication - ANS-b) contact the
patient's PCP, explain the patient's symptoms, and request the medication be refilled and he be
given a FU appt.

According to scope and standards, standard 5A addresses need for coordination of care.

, PMHNP provides leadership in coordination of care for patients using interdisciplinary approach
to care delivery.

During an outpatient medication eval a depressed client reports persistent anger toward his
former boss after losing his job due to arguments and assaultive behavior toward co-workers.
The client has been waiting outside the plant in the afternoon, watching for the boss to leave to
confront him regarding his terminated employment. What responsibility does the PMHNP have
in this situation?

a) consult the state board of nursing regarding state law requirements reporting potential harm
b) advise the client to stop going to the plant and avoid making any eye contact with his former
boss
c) ask the client to sign a "no harm to others" and document in chart
d) contact the client's boss ot notify him of potential harm - ANS-a) consult the state board of
nursing regarding state law requirements reporting potential harm

Tarasoff v Regents: mental health professional has duty to warn potential victims of impending
danger from a patient. State laws on duty to warn vary by state.

It is the professional responsibility to know what is required in teh state where one practices.

The core values that underlie advanced practice nursing and culturally competent care include:

a) care, advocacy, respect
b) respect, advocacy, partnership
c) care, respect, collaboration
d) autonomy, respect, collaboration - ANS-b) respect, advocacy, partnership

When a clinical trial fails to reject the null hypothesis (i.e. when p-value > 0.05), the investigator
may have missed a true intervention effect. One should consider the following to avoid a type II
error:

a) effect size
b) sample bias
c) power
d) alpha level - ANS-c) power

If a sample size is too small, the study will have insufficient power to detect differences between
groups, if differences exist

You're an NP working in a hospital health system. The hospital admin has implemented a
productivity system where all psychiatrists and NPs in the dept of psychiatry will now have to
see 4 patients/hour. You have informed admin this is not a good system because many patients
are in fragile mental and physical health, require case management, and _____ during

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