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NR 668 CEA Final Exam Questions with Verified Solutions – Latest Update – Graded A+ with Rationales

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Prepare for the NR 668 CEA final exam with this comprehensive collection of verified questions and detailed rationales. Updated with the latest content, this guide includes essential topics such as psychiatric-mental health nursing, pharmacology, legal and ethical issues, cultural considerations, developmental stages, and evidence-based practice. Perfect for nurse practitioner students and PMHNP candidates aiming for top grades.

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NR 668 CEA FINAL EXAM QUESTIONS
WITH VERIFIED SOLUTIONS LATEST
UPDATE GRADED A+ WITH RATIONALES

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 --CORRECT ANSWER--b. Regulating
funding for the study



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. --CORRECT 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.




Page 1 of 152

,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

b. China and Southeast Asia

c. India and Pakistan

d. Russia and Ukraine --CORRECT ANSWER--c. 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.



A 34-year-old Korean male pediatric dentist is referred to psychiatry for persistent anxiety.
Upon further assessment, he reveals that his penis is shrinking into his abdomen. Despite the
reassurance he has received from numerous health care providers in the past he remains
convinced of this belief. This culture-bound delusion is known as:

a. Zar

b. Taijin kyofusho

c. Koro

d. Kuru --CORRECT ANSWER--c. Koro



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




Page 2 of 152

,d. Evaluating the appropriate use of seclusion --CORRECT ANSWER--a. Participating in a
community-focused program that promotes mental health and reduces the risk of mental
health problems



Which of the following allows the PMHNP to practice in a state?

a. Graduation

b. Licensure

c. Credentialing

d. Certification --CORRECT ANSWER--b. Licensure



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 --CORRECT ANSWER--d. The state Nurse Practice Act



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 --CORRECT ANSWER--a. Evidence-based practice




Page 3 of 152

, 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 --CORRECT ANSWER--c. Negligence




All of the following are attributes of cultural care that may influence the therapeutic alliance
except?

a. Urban setting

b. Beliefs

c. Religion

d. Gender roles --CORRECT ANSWER--a. Urban setting



Which statistical test differentiates among three or more groups?

a. T-test

b. Pearson's r correlation

c. Probability

d. Analysis of variance (ANOVA) --CORRECT ANSWER--d. Analysis of variance
(ANOVA)



The level of significance describing the probability of a particular result occurring by chance
alone is represented by which of the following?

a. Odds ratio

Page 4 of 152

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