NR546 Actual Final Exam
1. A 14-year-old patient has nonspecific complaints about pain in his or her
legs. The physical examination is unremarkable. Laboratory results are within
normal limits except for a markedly elevated alkaline phosphatase level. The
psychiatric-mental health nurse practitioner
ANS interprets the findings as normally occurring during a rapid adolescent
growth spurt
2. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and
ANS increased MCV and elevated triglyceride levels.
3. A new patient arrives at the office for treatment for depression. The patient
reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an
antidepressant, the psychiatric-mental health nurse practitioner eliminates
fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that
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,ANS one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
4. A 28-year-old patient who is psychotic arrives at the clinic with family
members but refuses to meet if the family members are present. The psychi-
atric-mental health nurse practitioner
ANS asks the family members to leave for the appointment.
5. The psychiatric-mental health nurse practitioner is responsible for initiat-
ing quality improvement at a community mental health clinic. The effective
strategy for evaluating the clinic's services is to
ANS use a survey to elicit patient satisfaction responses.
6. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new medication
that he or she recently started. The nurse practitioner decides to provide
psychoeducation and to
ANS e-mail drug information and resources
7. Any court of law that evaluates the standards of care provided by a psy-
chiatric-mental health nurse practitioner
ANS considers what a reasonably prudent health care provider would do.
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, 8. The psychiatric-mental health nurse practitioner and a team of local mental
health professionals are asked to provide crisis counseling service, after a
gunman recently took a class hostage at a local elementary school, wounded
several students, and then shot himself. In preparing for this assignment, the
nurse practitioner recognizes that
ANS a child's developmental stage will influence his or her response to
catastrophic stress
9. Which community-based program is a tertiary level intervention?
ANS Partial hospitalization program that provides intensive group therapy for
rehabilitation.
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18
1. A 14-year-old patient has nonspecific complaints about pain in his or her
legs. The physical examination is unremarkable. Laboratory results are within
normal limits except for a markedly elevated alkaline phosphatase level. The
psychiatric-mental health nurse practitioner
ANS interprets the findings as normally occurring during a rapid adolescent
growth spurt
2. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and
ANS increased MCV and elevated triglyceride levels.
3. A new patient arrives at the office for treatment for depression. The patient
reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an
antidepressant, the psychiatric-mental health nurse practitioner eliminates
fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that
1/
18
,ANS one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
4. A 28-year-old patient who is psychotic arrives at the clinic with family
members but refuses to meet if the family members are present. The psychi-
atric-mental health nurse practitioner
ANS asks the family members to leave for the appointment.
5. The psychiatric-mental health nurse practitioner is responsible for initiat-
ing quality improvement at a community mental health clinic. The effective
strategy for evaluating the clinic's services is to
ANS use a survey to elicit patient satisfaction responses.
6. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new medication
that he or she recently started. The nurse practitioner decides to provide
psychoeducation and to
ANS e-mail drug information and resources
7. Any court of law that evaluates the standards of care provided by a psy-
chiatric-mental health nurse practitioner
ANS considers what a reasonably prudent health care provider would do.
2/
18
, 8. The psychiatric-mental health nurse practitioner and a team of local mental
health professionals are asked to provide crisis counseling service, after a
gunman recently took a class hostage at a local elementary school, wounded
several students, and then shot himself. In preparing for this assignment, the
nurse practitioner recognizes that
ANS a child's developmental stage will influence his or her response to
catastrophic stress
9. Which community-based program is a tertiary level intervention?
ANS Partial hospitalization program that provides intensive group therapy for
rehabilitation.
3/
18
