Page |2
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
Ans: 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
Ans: a. Evidence-based practice
All rights reserved © 2025/ 2026 |
dr.j
, Page |3
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
Ans: c. Negligence
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
Ans: 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?
All rights reserved © 2025/ 2026 |
dr.j
, Page |4
a. Agoraphobia
b. Panic disorder
c. PTSD
d. All of these diagnoses are possible.
Ans: 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.
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
Ans: c. India and Pakistan
All rights reserved © 2025/ 2026 |
dr.j
, Page |5
- 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
Ans: c. Koro
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
All rights reserved © 2025/ 2026 |
dr.j
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
Ans: 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
Ans: a. Evidence-based practice
All rights reserved © 2025/ 2026 |
dr.j
, Page |3
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
Ans: c. Negligence
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
Ans: 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?
All rights reserved © 2025/ 2026 |
dr.j
, Page |4
a. Agoraphobia
b. Panic disorder
c. PTSD
d. All of these diagnoses are possible.
Ans: 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.
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
Ans: c. India and Pakistan
All rights reserved © 2025/ 2026 |
dr.j
, Page |5
- 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
Ans: c. Koro
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
All rights reserved © 2025/ 2026 |
dr.j
