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NR 668 FINAL LATEST EXAM 2025 WITH
500+ QUESTIONS AND DETAILED
CORRECT ANSWERS FOR
GUARANTEED PASS
Question-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 children, adolescents, adults, and geriatric patients. What document should be consulted to determine if the PMHNP can legally treat psychiatric patients across the life span? a, The hospital bylaws b. The PMHNP can treat any patient because there is a collaborating physician c. The PMHNP scope of practice d. The state Nurse Practice Act - answer-d. The state Nurse Practice Act Question-The process of integrating the best research evidence with clinical expertise and client needs and values is known as: a. Evidence-based practice b. Quality improvement c. Research d. Research utilization - answer-a. Evidence-based practice Which of the following is characteristic of the leadership competency for APRNs? a. Participating in a community-focused program that promotes mental health and reduces the risk of mental health problems b. Modifying the treatment plan based on the patient's needs c. Developing an age-appropriate treatment plan d. Evaluating the appropriate use of seclusion - answer-a. Participating in a community-focused program that promotes mental health and reduces the risk of mental health problems Question-Which of the following allows the PMHNP to practice in a state? a. Graduation b. Licensure
c. Credentialing d. Certification - answer-b. Licensure Question-Morgan is an RN on a busy cerebrovascular accident unit at the local hospital. She forgot to turn her patient every 2 hours in bed and now he has a stage I decubitus ulcer. What could this be best described as? a. Lack of consent b. Violations order c. Negligence d. Battery - answer-c. Negligence Question-All of the following are governed by the institutional review board except: a. Ensuring equitable selection b. Regulating funding for the study c. Evaluating risks and benefits, ensuring reporting of adverse events d. Ensuring risks to participants are minimized - answer-b. Regulating funding for the study Question-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? a. Agoraphobia b. Panic disorder c. PTSD d. All of these diagnoses are possible. - answer-d. All of these diagnoses are possible.
- Khyal cap or Khyal attacks is a syndrome found amongst Cambodians. Symptoms include panic attacks, agoraphobias, anxiety, PTSD and somatic symptoms which come out of the blue or are triggered by worrisome thoughts. Recognizing cultural concepts of distress is neceassry during case formulation. Question-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? a. Australia and Fiji
c. Confidence interval d. z-score - answer-b. p-value question-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? a. Advocacy b. Mentoring c. Case management d. Policy making - answer-c. Case management question-What method of analysis describes the basic features of the data and summarizes and organizes observations? a. Inferential statistics b. Descriptive statistics c. Regression analysis d. Analysis of variance (ANOVA) - answer-b. Descriptive statistics question-Which statistical test identifies a relationship between two variables? a. Pearson's r correlation b. Probability c. Analysis of variance (ANOVA) d. t-test - answer-a. Pearson's r correlation question-The process of synthesizing, disseminating, and using research-generated knowledge to make a change in practice is known as: a. Research utilization b. Research c. Evidence-based practice d. Quality improvement - answer-a. Research utilization question-The learned beliefs and behaviors common among all members of a group defines:
a. Folie a familie b. Complex delusions c. Culture d. Folie a deux - answer-c. Culture question-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 b. Asexual c. Male d. Lesbian - answer-a. Female question-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? a. Latah b. Amok c. Ataque de nervios d. Koro - answer-b. Amok Amok is mostly found amongst males in Malaysia and Indonesia. Sudden violent behavior that is often followed by amnesia best describes this dissociative episode. question-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? a. Perceived severity and perceived barriers b. Cues to action and perceived severity c. Self-efficacy and perceived susceptibility d. Self-efficacy and perceived benefits - answer-b. Cues to action and perceived severity
d. Cues to action and perceived susceptibility - answer-b. Perceived severity and perceived barriers question-A 16-year-old boy is being evaluated for emotional lability, hypervigilance, difficulty sleeping, and irritability. During the interview he reports that his first sexual encounter was with his teacher 1 year ago and he continues to have sex with her on occasion. He states that his relationship is consensual. What should the PMHNP do with this information? a. Screen for neurosyphilis b. Instruct the boy in the proper use of condoms c. Prescribe a selective serotonin reuptake inhibitor (SSRI) for posttraumatic stress disorder (PTSD) d. Report the incident to child protective services - answer-d. Report the incident to child protective services question-All of the following are true regarding living wills except: a. Prepared while the client is mentally competent to designate preferences for care if the client becomes incompetent b. Legally binding in all 50 states c. Designates in writing an agent to act on behalf of the person should they become unable to make decisions d. Should be considered as an aspect of relapse planning for compliance with chronic psychiatric disorders - answer-b. Legally binding in all 50 states question-All of the following are necessary criteria for commitment for involuntary evaluation and treatment except: a. The person has potential to harm self or others because of the disorder and is unaware or unwilling to accept the nature and severity of the disorder b. The patient is unable to afford the cost of treatment c. Treatment is likely to improve function d. The person has a diagnosed psychiatric disorder - answer-b. The patient is unable to afford the cost of treatment question-All of the following are characteristic of the independent practice competency except: a. Taking opportunities to influence health policy to reduce the stigma of mental health services b. Implementing plans to minimize complications and to promote function c. Considering differential diagnosis d. Conducting individual and group psychotherapy - answer-a. Taking opportunities to influence health policy to reduce the stigma of mental health services
question-Which of the following is not a core competency of APRNs? a. Ethics b. Delegated practice c. Health delivery system d. Technology and information literacy - answer-b. Delegated practice question-All of the following are components of research utilization except: a. Synthesizing findings b. Randomizing the sample c. Applying the findings d. Critique of the literature - answer-b. Randomizing the sample question-Which statistical test identifies if the means of two groups are statistically different from each other? a. T-test b. Probability c. Analysis of variance (ANOVA) d. Pearson's r correlation - answer-a. T-test question-All of the following factors put households headed by a single female at risk for homelessness except: a. Education b. Inaccessible housing options c. Inadequate benefits d. Underemployment - answer-a. Education question-A PMHNP is working with a nonprofit organization to implement a public health campaign aimed at reducing the stigma of mental illness. Which role of the PMHNP best describes this activity? a. Case management b. Advocacy
question-Which of the following ethical principles would conflict if the treatment team wanted to implement a therapeutic deception for the good of the patient? a. Veracity b. Nonmaleficence c. Justice d. Beneficence - answer-a. Veracity question-Why is it necessary for insurance companies to credential PMHNPs? a. To define the role of the nurse practitioner b. To ensure a professional organization certifies the person is licensed to practice c. To define the scope of practice and practice requirements d. To protect the public by ensuring a minimum level of professional competence - answer-d. To protect the public by ensuring a minimum level of professional competence question-What does force field analysis prepare the nursing leader for? a. Nursing leadership theory for preparing and delivering corrective action b. 360 degree feedback for nursing leadership growth and development c. Becoming aware of the pressures for and against a proposed change d. Policy development theory in nursing advocacy planning - answer-c. Becoming aware of the pressures for and against a proposed change Force field analysis recognizes that change occurs regularly. Becoming aware of the pressure for and against change can help an organization predict resistance to change. The force with a motive to change must outweigh the force maintaining the status quo. question-A specific behavior related to a person's culture and not leading to a psychiatric disorder is classified as: a. Brief psychotic episode b. Adjustment disorder c. Temporary delusion d. Culture-bound syndrome - answer-d. Culture-bound syndrome
question-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: a. The patient's clergy b. The patient's next of kin c. The patient's health insurance company d. The patient's memory - answer-c. The patient's health insurance company question-What method of analysis enables one to reach conclusions that extend beyond the immediate data and is generated by quantitative research designs? a. Standard deviations b. Inferential statistics c. Regression analysis d. Descriptive statistics - answer-b. Inferential statistics question-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: a. The patient understands alternatives to the intended procedure b. The patient understands the purpose of the proposed treatment for the procedure c. The patient understands the risks and discomforts and benefits of the treatment d. The patient has a therapeutic alliance with the surgeon - answer-d. The patient has a therapeutic alliance with the surgeon question-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? a. Screen the patient for sexually transmitted infections b. Evaluate the patient for capacity to consent to sex c. Report the incident to adult protective services d. Refer the patient to the emergency department for a sexual assault forensic exam - answer-b. Evaluate the patient for capacity to consent to sex question-All of the following are considered personal health identifiers except:
a. Identify the patient, population, and problem b. Obtain institutional review board approval c. Identify key shareholders d. Review the literature - answer-a. Identify the patient, population, and problem question-Which of the following psychotherapies is NOT consistent with advocating for the health, safety and rights of the patient (ANA, 2001)? a. Reparative therapy for a homosexual male b. EMDR therapy for a client with PTSD c. Gestalt therapy working reviewing dreams with the client d. Dialectical behavior therapy for a person with Borderline personality disorder - answer-a. Reparative therapy for a homosexual male Reparative therapy or conversion therapy is an attempt to change one's sexual orientation or gender identity which is not consistent with provision 1 of the Code of Ethics for Nurses with interpretive statements supporting the unique attributes of the individual. question-Actions judged based on their inherent value regardless of their consequence is based on which ethical decision-making approach? a. Deontological theory b. Teleological theory c. Virtue ethics d. Justice principles - answer-a. Deontological theory question-Which of the following best represents the Patient Self - Determination act of 1990? a. The process for obtaining permission before conducting a healthcare intervention on a patient b. The right for patients to be fully aware of billing charges incurred during the hospitalization c. Informing a patient of their rights, documenting wishes and providing information on advanced directives at time of admission d. The legal process of obtaining a court appointed guardian for medical decision making in patient who lacks capacity to do so - answer-c. Informing a patient of their rights, documenting wishes and providing information on advanced directives at time of admission The patient self determination act involves informing patients of their health care decision rights and inquire about their advanced directives. Education about the advanced directive options. Never discriminating against patients who have a pre-existing advanced directive. question-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?
a. Justice b. Beneficence c. Nonmaleficence d. Autonomy - answer-d. Autonomy question-Childhood immunizations are examples of which type of prevention? a. Indicated prevention b. Statistical prevention c. Universal prevention d. Selective prevention - answer-c. Universal prevention Universal prevention. Examples of universal prevention include childhood immunization, helmets, access to health care and seatbelt laws. question-An action that is judged good or bad based on the consequence demonstrates which ethical decision-making approach? a. Virtue ethics b. Deontological theory c. Teleological theory d. Justice principle - answer-c. Teleological theory question-Which of the following may govern the profession of the PMHNP? a. City ordinances b. Certification c. Statutory law d. The U.S. Constitution - answer-c. Statutory law question-What concept is defined by a sample that is representative of the population, and where the results can be generalized? a. Incidence b. Prevalence c. External validity
Root cause analysis involves preventing future harm and asking the key question "why" did it happen? This leads to the root cause of the error or event. question-What is the purpose of the "Just Culture" concept in nursing? a. Reduce discrimination in nursing b. Implement system wide practices to improve awareness of diverse cultures and backgrounds c. Improve empathy for persons with a mental health disorder d. Improve patient safety - answer-d. Improve patient safety question-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? a. A mole that is not elevated b. A dark mole c. A mole that is 5 mm in size d. All of the above - answer-d. All of the above Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular borders, have color variation, a diameter > 6mm and elevated moles. question-A mother of a teenage boy is unable to acknowledge that her son's mental illness is perpetuated by his poly substance use disorder and is insisting that his father's genes are to blame. Which defense mechanism is employed? a. Reaction formation b. Regression c. Denial d. Dissociation - answer-c. Denial question-A 21-year-old man had his first drink at his birthday party with friends last night. He presented the following morning to the emergency department with psychomotor agitation, cognitive impairment, depressed mood, flat affect, and anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry for evaluation of mood disorder. Which of the following tests should the consulting PMHNP order given these symptoms? a. Urinary porphobilinogen b. Acetaminophen level
c. Urinalysis d. Blood alcohol level - answer-a. Urinary porphobilinogen question-In patients with active Lupus, the erythrocyte sedimentation rate is likely? a. 0. 5 - 1. b. Between 11 and 20 c. Elevated d. Markedly low - answer-c. Elevated The ESR or red blood cell sedimentation rate is elevated in conditions with inflammation. This is because of higher amounts of fibrinogen and antibodies found in conditions like Lupus, Temporal arteritis, etc. question-A patient presents with atypical symptoms of psychosis that include inconsistent auditory hallucinations without disorganization. What is the best definition of an EEG and its utility? a. Radiologic test utilizing magnets and radio waves to provide a detailed image of the structures of the brain b. Electrophysiologic test that depicts electrical activity on the surface of the brain c. A neuropsychological test to distinguish psychosis from a psychosomatic illness d. A serum test to indicate nutritional deficiencies that inhibit the formation of neurotransmitters - answer-b. Electrophysiologic test that depicts electrical activity on the surface of the brain question-A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue, anhedonia, and apathy. Her husband reports that she snores loudly when sleeping, and often will wake up drenched in sweat. The patient has no prior psychiatric history and denies substance abuse. Which of the following is the most likely cause of her symptoms? a. Airway obstruction b. Narcolepsy c. Perimenopause d. Major depression - answer-a. Airway obstruction question-A middle-school girl who is timid to take any risks, prefers solitary activities, and does not ask questions of her teachers for fear that she is bothering them likely did not master which developmental stage? a. Initiative versus Guilt
a. Continuous positive airway pressure b. Referral to otolaryngology for rhinoplasty c. Referral to otolaryngology for uvuloplasty d. Antidepressant medications - answer-a. Continuous positive airway pressure question-When providing psychoeducation to a patient with treatment-resistant depression about electroconvulsive therapy (ECT), you tell the patient that the most common adverse effect of treatment is which of the following? a. Arrhythmia b. Respiratory depression c. Amnesia d. Psychosis - answer-c. Amnesia question-A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall injury during her new taekwondo martial arts class. This pain subsided during "the cool down period" of her class. Which of the following is most likely given her presentation? a. Pericarditis b. Angina pectoris c. Acute myocardial infarction d. Hiatal hernia - answer-b. Angina pectoris Chest pain with activity and relieved at rest in a middle-aged adult should prompt concern for myocardial ischemia. Although acute myocardial infarction is a possibility, it is less likely given the scenario mentioned above. question-Which of the following is true regarding the influenza vaccination? a. Anyone 6 months of age or older should obtain the influenza vaccine b. Those who currently have cold-like symptoms with a temperature of 101.6 should not receive the vaccine c. A history of Guillain Barre 4 weeks after a previous influenza injection would be a contraindication for future influenza vaccination d. All of the statements are true - answer-d. All of the statements are true question-Which of the following would be considered a risk factor for melanoma? a. A mole with symmetrical borders
b. A dark covered mole approximately 5mm in size c. Female gender d. A history of melanoma - answer-d. A history of melanoma question-An 81-year-old female is found in acute respiratory distress after choking on a hotdog during lunch. On exam, which of the following lungs sounds are you most likely to hear? a. Crackles b. Egophony c. Bronchophony d. Stridor - answer-d. Stridor Stridor is the result of an upper airway obstruction, such as when there is a sudden acute aspiration of an object. question-A 43-year-old man was involved in a motor vehicle collision in which he was found to have a blood alcohol concentration of 0.200. He was observed wandering around the crash site, slurring his words, and unable to provide a clear history. Emergency Medical Services brought him to the emergency department. The nurse triaged him to psychiatry for acute alcohol intoxication. What is the first priority for the PMHNP? a. Ask the patient when he had his last drink b. C-spine stabilization and head imaging c. Explore the client's willingness to enter rehab d. IV hydration - answer-b. C-spine stabilization and head imaging question-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? a. 4 b. 40 c. 20 d. 10 - answer-d. 10 question-The S2 heart sound is a result of what? a. Opening of the atrioventricular valves b. Opening of the semilunar valves
