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NR 607/ NR607 Chamberlain College Of Nursing -NR607
Final Exam 480 Questions With Complete Solutions
Chamberlain Prediagnostic NR607
NUR 607 (Mods 1-8 covered)
Being loyal and keeping promises is an example of what? - Answer: Fidelity- Fidelity is faithfulness
to one's duties, promise keeping or the commitment to obligations.
Which statistical test identifies a relationship between two variables? - Answer: Pearson's r
correlation
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? - Answer:
Autonomy
Which statistical test identifies if the means of two groups are statistically different from each
other? - Answer: t-test
The process of integrating the best research evidence with clinical expertise and client needs and
values is known as: - Answer: Evidence-based practice
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? -
Answer: Percieved severity and perceived barriers
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? - Answer: Female
The learned beliefs and behaviors common among all members of a group defines: - Answer: Culture
A cultural explanation of distress including fatigue, weakness, weight loss, somatic complaints,
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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? -
Answer: 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.
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? - Answer: Amok is mostly
found amongst males in Malaysia and Indonesia. Sudden violent behavior that is often followed by
amnesia best describes this dissociative episode.
A patient who is considering electroconvulsive therapy (ECT) for resistant depression inquires as to
the number of sessions she would likely require. Based on the best evidence currently available
what is the best response? - Answer: 10
In observing the appearance of the patient with depression and a history of systemic lupus
erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a pencil
eraser, flush with the skin, uniformly colored, with discrete borders, and consistent texture. The
PMHNP should: - Answer: Watch and wait
A 26-year-old man has been on an antipsychotic. He requires further titration for control of
symptoms. Which of the following tests should be repeated? - Answer: EKG
A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and
pertinent negative factors from the history is known as: - Answer: Review of systems
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN,
you recognize that cancerous moles can be detected on exam. Which of the following would not be
of concern? - Answer: Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular
borders, have color variation, a diameter > 6mm and elevated moles.
A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a lump
on his left testicle. He is concerned he has not had a physical exam in 10 years. What is the best
action by the PMHNP? - Answer: Explore the reason for not having had a physical in so long
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A 26-year-old female is diagnosed with psychosis not otherwise specified (NOS) and substance use
disorder. Which of the following lab tests should be ordered prior to starting antipsychotic
medications? - Answer: Hemoglobin A1C, lipid profile, EKG
A 68-year-old man with no past psychiatric history but with a history of poly substance use
disorder is admitted for psychosis (disorganized thoughts, rapid pressured speech, persistent
rumination, paranoid delusions, and apathy). Which of the following tests would be most important
in determining the etiology of his new onset symptoms? - Answer: HIV testing
Which of the following is true regarding the influenza vaccination? - Answer: All of the statements
are true about the influenza vaccine (CDC).
When evaluating a 78-year-old man, the PMHNP notices the patient frequently leans in with the
right side of his head and frequently asks for things to be repeated. His daughter is very worried
that he has dementia or depression because he has also become increasingly isolated, as well as
increasingly irritable as he believes people are yelling at him out of frustration of not being heard.
The daughter is tearful, anxious, and frustrated. What should the PMHNP do first? - Answer:
Examine the patient's ear canals
A 38-year-old investment banker reveals that on weekends he visits the Delightful Dungeon and
pays a dominatrix to tie him up, humiliate him, and whip him. He finds these sessions painful but
very sexually arousing. He is able to become aroused and climax without this experience but finds
this activity novel and has no desire to stop. Which of the following diagnosis is most likely? -
Answer: No diagnosis
A 44 year old female presents with a heart rate of 101, nervousness, insomnia and weight loss,
brittle hair. Which test would be most helpful given the findings? - Answer: TSH-Hyperthyroidism
can present with nervousness, irritability, increased heart rate, palpitations, sweating, tremors,
weight loss, exophthalmos and insomnia.
Pam is 22 yr old female who lives alone and has Bipolar disorder documented as F31.2 (Manic,
Severe with psychotic features). Pam stopped taking her Quetiapine and Lithium medications.
Pam's delusions are worsening and she has been awake for 36 hours. Does the PMHNP have the
right to share this information with Pam's mother who lives in a neighboring state? - Answer: Yes,
Pam does not currently have the capacity to make decisions given her chief complaint, presentation
and history of a serious mental illness.-If the PMHNP believes that the client does not have the
capacity to agree or object to the sharing information at that critical time and the sharing of the
information would be in the clients best interest, the provider may discuss the pertinent
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information only to the family member who can possibly help with the clients immediate care
concerns. 45 CFR 164.510(b)
When conducting a community outreach educational session regarding domestic violence, which of
the following points should the PMHNP emphasize? - Answer: The most dangerous time for victims
is when they try to leave the abuser.
After a motor vehicle accident, Nancy was unresponsive and required surgery for multiple leg
fractures. In an emergency situation where one cannot weigh the risks and benefits of a procedure,
what is assumed? - Answer: Informed consent-In a life saving situation with a patient who lacks
decision making capacity and no patient surrogate is available, the healthcare team may initiate
treatment. This is known as assuming informed consent.
A 16-year-old girl with no past medical history was referred by her primary care provider who saw
her for a sports physical because she said she was depressed. During the interview the girl revealed
that she has been feeling tired, sad, is crying easily, and has difficulty falling asleep. She reports that
she has also been eating a lot more and to keep from gaining weight she has been taking laxatives
and on occasion makes herself vomit. She has dropped out of the yearbook committee and she is
not sure she wants to go to college anymore. Which nonpharmacologic intervention is most
appropriate? - Answer: Cognitive behavioral therapy
A 70-year-old retired male with a history of hypertension controlled with amlodipine, metoprolol,
valsartan, and furosemide has been referred from his primary care provider for depression.
Formerly an avid reader, the patient has lost interest in reading and has become increasingly
isolative as he has been spilling things during his lunch club meetings and finds this embarrassing,
which makes him feel self-conscious and anxious. In which portion of the mental status exam would
the PMHNP expect to find a deficit? - Answer: Intersecting pentagon
A 45-year-old man presents for a follow-up visit after starting on an SSRI 2 weeks ago for major
depressive disorder. Which assessment tool would be the best indicator of progress? - Answer:
Quick Inventory of Depressive Symptomatology
The mental status exam includes all of the following except: - Answer: Cranial nerves and reflexes
Jake described his brother's death stemming from a horrific car accident with minimal discomfort
in his expression. Jake's affect would best be described as? - Answer: Restricted Affect - Jake
displayed little emotion describing the accident which would be considered a restricted or
NR 607/ NR607 Chamberlain College Of Nursing -NR607
Final Exam 480 Questions With Complete Solutions
Chamberlain Prediagnostic NR607
NUR 607 (Mods 1-8 covered)
Being loyal and keeping promises is an example of what? - Answer: Fidelity- Fidelity is faithfulness
to one's duties, promise keeping or the commitment to obligations.
Which statistical test identifies a relationship between two variables? - Answer: Pearson's r
correlation
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? - Answer:
Autonomy
Which statistical test identifies if the means of two groups are statistically different from each
other? - Answer: t-test
The process of integrating the best research evidence with clinical expertise and client needs and
values is known as: - Answer: Evidence-based practice
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? -
Answer: Percieved severity and perceived barriers
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? - Answer: Female
The learned beliefs and behaviors common among all members of a group defines: - Answer: Culture
A cultural explanation of distress including fatigue, weakness, weight loss, somatic complaints,
,Page 2 of 217
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? -
Answer: 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.
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? - Answer: Amok is mostly
found amongst males in Malaysia and Indonesia. Sudden violent behavior that is often followed by
amnesia best describes this dissociative episode.
A patient who is considering electroconvulsive therapy (ECT) for resistant depression inquires as to
the number of sessions she would likely require. Based on the best evidence currently available
what is the best response? - Answer: 10
In observing the appearance of the patient with depression and a history of systemic lupus
erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a pencil
eraser, flush with the skin, uniformly colored, with discrete borders, and consistent texture. The
PMHNP should: - Answer: Watch and wait
A 26-year-old man has been on an antipsychotic. He requires further titration for control of
symptoms. Which of the following tests should be repeated? - Answer: EKG
A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and
pertinent negative factors from the history is known as: - Answer: Review of systems
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN,
you recognize that cancerous moles can be detected on exam. Which of the following would not be
of concern? - Answer: Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular
borders, have color variation, a diameter > 6mm and elevated moles.
A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a lump
on his left testicle. He is concerned he has not had a physical exam in 10 years. What is the best
action by the PMHNP? - Answer: Explore the reason for not having had a physical in so long
,Page 3 of 217
A 26-year-old female is diagnosed with psychosis not otherwise specified (NOS) and substance use
disorder. Which of the following lab tests should be ordered prior to starting antipsychotic
medications? - Answer: Hemoglobin A1C, lipid profile, EKG
A 68-year-old man with no past psychiatric history but with a history of poly substance use
disorder is admitted for psychosis (disorganized thoughts, rapid pressured speech, persistent
rumination, paranoid delusions, and apathy). Which of the following tests would be most important
in determining the etiology of his new onset symptoms? - Answer: HIV testing
Which of the following is true regarding the influenza vaccination? - Answer: All of the statements
are true about the influenza vaccine (CDC).
When evaluating a 78-year-old man, the PMHNP notices the patient frequently leans in with the
right side of his head and frequently asks for things to be repeated. His daughter is very worried
that he has dementia or depression because he has also become increasingly isolated, as well as
increasingly irritable as he believes people are yelling at him out of frustration of not being heard.
The daughter is tearful, anxious, and frustrated. What should the PMHNP do first? - Answer:
Examine the patient's ear canals
A 38-year-old investment banker reveals that on weekends he visits the Delightful Dungeon and
pays a dominatrix to tie him up, humiliate him, and whip him. He finds these sessions painful but
very sexually arousing. He is able to become aroused and climax without this experience but finds
this activity novel and has no desire to stop. Which of the following diagnosis is most likely? -
Answer: No diagnosis
A 44 year old female presents with a heart rate of 101, nervousness, insomnia and weight loss,
brittle hair. Which test would be most helpful given the findings? - Answer: TSH-Hyperthyroidism
can present with nervousness, irritability, increased heart rate, palpitations, sweating, tremors,
weight loss, exophthalmos and insomnia.
Pam is 22 yr old female who lives alone and has Bipolar disorder documented as F31.2 (Manic,
Severe with psychotic features). Pam stopped taking her Quetiapine and Lithium medications.
Pam's delusions are worsening and she has been awake for 36 hours. Does the PMHNP have the
right to share this information with Pam's mother who lives in a neighboring state? - Answer: Yes,
Pam does not currently have the capacity to make decisions given her chief complaint, presentation
and history of a serious mental illness.-If the PMHNP believes that the client does not have the
capacity to agree or object to the sharing information at that critical time and the sharing of the
information would be in the clients best interest, the provider may discuss the pertinent
, Page 4 of 217
information only to the family member who can possibly help with the clients immediate care
concerns. 45 CFR 164.510(b)
When conducting a community outreach educational session regarding domestic violence, which of
the following points should the PMHNP emphasize? - Answer: The most dangerous time for victims
is when they try to leave the abuser.
After a motor vehicle accident, Nancy was unresponsive and required surgery for multiple leg
fractures. In an emergency situation where one cannot weigh the risks and benefits of a procedure,
what is assumed? - Answer: Informed consent-In a life saving situation with a patient who lacks
decision making capacity and no patient surrogate is available, the healthcare team may initiate
treatment. This is known as assuming informed consent.
A 16-year-old girl with no past medical history was referred by her primary care provider who saw
her for a sports physical because she said she was depressed. During the interview the girl revealed
that she has been feeling tired, sad, is crying easily, and has difficulty falling asleep. She reports that
she has also been eating a lot more and to keep from gaining weight she has been taking laxatives
and on occasion makes herself vomit. She has dropped out of the yearbook committee and she is
not sure she wants to go to college anymore. Which nonpharmacologic intervention is most
appropriate? - Answer: Cognitive behavioral therapy
A 70-year-old retired male with a history of hypertension controlled with amlodipine, metoprolol,
valsartan, and furosemide has been referred from his primary care provider for depression.
Formerly an avid reader, the patient has lost interest in reading and has become increasingly
isolative as he has been spilling things during his lunch club meetings and finds this embarrassing,
which makes him feel self-conscious and anxious. In which portion of the mental status exam would
the PMHNP expect to find a deficit? - Answer: Intersecting pentagon
A 45-year-old man presents for a follow-up visit after starting on an SSRI 2 weeks ago for major
depressive disorder. Which assessment tool would be the best indicator of progress? - Answer:
Quick Inventory of Depressive Symptomatology
The mental status exam includes all of the following except: - Answer: Cranial nerves and reflexes
Jake described his brother's death stemming from a horrific car accident with minimal discomfort
in his expression. Jake's affect would best be described as? - Answer: Restricted Affect - Jake
displayed little emotion describing the accident which would be considered a restricted or
