NR 668 CEA FINAL EXAM
QUESTIONS AND
CORRECT ANSWERS
(VERIFIED ANSWERS)
PLUS RATIONALES 2026
Q&A | INSTANT
DOWNLOAD PDF.
,CORE DOMAINS
Advanced Health Assessment & Clinical Reasoning
APRN Competencies, Scope of Practice & Professional Practice
Psychopharmacology & Neuroscience
Diagnostic Reasoning Across the Lifespan
Ethics, Legal & Regulatory Compliance
Psychiatric-Mental Health Management & Therapeutic Interventions
Evidence-Based Practice, Research & Quality Improvement
INTRODUCTION
The NR 668 Psychiatric-Mental Health Capstone Practicum & Intensive Final
Examination evaluates graduate-level psychiatric-mental health nurse
practitioner candidates for entry into advanced clinical practice. The
assessment focuses on clinical management skills, diagnostic reasoning,
psychopharmacology, and professional practice standards. Questions utilize
multiple-choice and scenario-based formats requiring application of evidence-
based knowledge to real-world clinical decision-making. Emphasis is placed on
synthesizing complex patient data, formulating differential diagnoses, and
implementing safe, ethical, and effective psychiatric-mental health care across
the lifespan.
SECTION ONE: QUESTIONS 1–100
1. Which of the following is characteristic of the leadership competency
for APRNs?
A. Modifying the treatment plan based on the patient's needs
,B. Developing an age-appropriate treatment plan
C. Participating in a community-focused program that promotes mental
health and reduces the risk of mental health problems
D. Evaluating the appropriate use of seclusion
RATIONALE: Leadership competency involves influencing health policy,
advocating for patients, and participating in community-level interventions
to reduce stigma and improve mental health services. Direct patient care
activities fall under clinical/direct care competencies.
2. Which of the following allows the PMHNP to legally practice in a
state?
A. Graduation from an accredited program
B. Licensure
C. Credentialing
D. Certification
RATIONALE: Licensure is the legal authority granted by a state Board of
Nursing that allows an individual to practice as a nurse practitioner in that
state. Certification is obtained through a professional organization and
demonstrates competence, but licensure is what legally permits practice.
3. A new graduate PMHNP is considering a job at a psychiatric ED. The
medical director informs the prospective hire that they are expected to
evaluate and treat patients across the lifespan. Which document
should be consulted to determine if the PMHNP can legally treat these
populations?
A. The hospital bylaws
, B. The PMHNP's national certification scope
C. The PMHNP's individual scope of practice
D. The state Nurse Practice Act
RATIONALE: The state Nurse Practice Act defines the legal scope of
practice for nurse practitioners in that state, including age populations and
specific practice parameters. Hospital bylaws and certification do not override
state law.
4. The process of integrating the best research evidence with clinical
expertise and patient needs and values is known as:
A. Quality improvement
B. Research
C. Research utilization
D. Evidence-based practice
RATIONALE: Evidence-based practice (EBP) is the integration of best
research evidence, clinical expertise, and patient preferences. Research
utilization is a component of EBP, but EBP is the broader, more
comprehensive process.
5. An RN on a busy unit forgets to turn a patient every 2 hours, and the
patient develops a stage I pressure ulcer. What does this best describe?
A. Lack of consent
B. Violation of order
C. Negligence
D. Battery
QUESTIONS AND
CORRECT ANSWERS
(VERIFIED ANSWERS)
PLUS RATIONALES 2026
Q&A | INSTANT
DOWNLOAD PDF.
,CORE DOMAINS
Advanced Health Assessment & Clinical Reasoning
APRN Competencies, Scope of Practice & Professional Practice
Psychopharmacology & Neuroscience
Diagnostic Reasoning Across the Lifespan
Ethics, Legal & Regulatory Compliance
Psychiatric-Mental Health Management & Therapeutic Interventions
Evidence-Based Practice, Research & Quality Improvement
INTRODUCTION
The NR 668 Psychiatric-Mental Health Capstone Practicum & Intensive Final
Examination evaluates graduate-level psychiatric-mental health nurse
practitioner candidates for entry into advanced clinical practice. The
assessment focuses on clinical management skills, diagnostic reasoning,
psychopharmacology, and professional practice standards. Questions utilize
multiple-choice and scenario-based formats requiring application of evidence-
based knowledge to real-world clinical decision-making. Emphasis is placed on
synthesizing complex patient data, formulating differential diagnoses, and
implementing safe, ethical, and effective psychiatric-mental health care across
the lifespan.
SECTION ONE: QUESTIONS 1–100
1. Which of the following is characteristic of the leadership competency
for APRNs?
A. Modifying the treatment plan based on the patient's needs
,B. Developing an age-appropriate treatment plan
C. Participating in a community-focused program that promotes mental
health and reduces the risk of mental health problems
D. Evaluating the appropriate use of seclusion
RATIONALE: Leadership competency involves influencing health policy,
advocating for patients, and participating in community-level interventions
to reduce stigma and improve mental health services. Direct patient care
activities fall under clinical/direct care competencies.
2. Which of the following allows the PMHNP to legally practice in a
state?
A. Graduation from an accredited program
B. Licensure
C. Credentialing
D. Certification
RATIONALE: Licensure is the legal authority granted by a state Board of
Nursing that allows an individual to practice as a nurse practitioner in that
state. Certification is obtained through a professional organization and
demonstrates competence, but licensure is what legally permits practice.
3. A new graduate PMHNP is considering a job at a psychiatric ED. The
medical director informs the prospective hire that they are expected to
evaluate and treat patients across the lifespan. Which document
should be consulted to determine if the PMHNP can legally treat these
populations?
A. The hospital bylaws
, B. The PMHNP's national certification scope
C. The PMHNP's individual scope of practice
D. The state Nurse Practice Act
RATIONALE: The state Nurse Practice Act defines the legal scope of
practice for nurse practitioners in that state, including age populations and
specific practice parameters. Hospital bylaws and certification do not override
state law.
4. The process of integrating the best research evidence with clinical
expertise and patient needs and values is known as:
A. Quality improvement
B. Research
C. Research utilization
D. Evidence-based practice
RATIONALE: Evidence-based practice (EBP) is the integration of best
research evidence, clinical expertise, and patient preferences. Research
utilization is a component of EBP, but EBP is the broader, more
comprehensive process.
5. An RN on a busy unit forgets to turn a patient every 2 hours, and the
patient develops a stage I pressure ulcer. What does this best describe?
A. Lack of consent
B. Violation of order
C. Negligence
D. Battery
