NR 507 Final Exam Prep (2026) |
Chamberlain Pathophysiology -
Actual Questions & Rationale,
Exams of Nursing
On exam, he has no other symptoms, other than a sudden, rapid, recurrent,
non-rhythmic shoulder shrug that persists for less than one second. What is
the best diagnosis given the information provided? a. Persistent motor or
vocal tic disorder b. Tourette's disorder c. Provisional tic disorder d. Tardive
dyskinesia - ANSWER//a. Persistent motor or vocal tic disorder *the
diagnostic criteria for persistent motor or vocal tic disorder include the age of
onset before 18, the tic(s) have persisted for more than one year and motor or
vocal tics are present but not both; in Tourette's disorder both multiple motor
tics and vocal tics are present at some point; with provisional Tic disorder, the
symptoms are less than one year from onset; tardive dyskinesia is a
hyperkinetic movement disorder a/w dopamine receptor blocking agents A 6-
year-old boy is referred by the child study team for speech difficulty. On
examination the boy is friendly and cooperative, his speech is clear, and he
uses simple sentences with a limited vocabulary. Most notably he confuses
verb tenses consistently. The parents report he met most of his
developmental milestones except speech, which was delayed. His clinical
presentation is most consistent with which of the following? a. Stuttering
disorder b. Reading disorder c. Expressive language disorder d. Writing
disorder - ANSWER//c. Expressive language disorder A 32-year-old woman
who is 6-months postpartum requests a psychiatric house call while her
husband is at work. Upon entering the home, the PMHNP notices a well-cared
for infant playing in a crib, and the patient sitting in her breakfast nook
overlooking the nearby park. She is requesting a medication to help her relax
because she feels as if she is walking on eggshells around her husband for
fear of him "getting physical with me" if the baby cries too much. Which of the
following best describes this woman's circumstance? a. Honeymoon phase b.
Tension building phase c. Abusive incident phase d. Postpartum depression -
ANSWER//b. Tension building .
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 Which of the following allows
the PMHNP to practice in a state? a. Graduation b. Licensure c. Credentialing
d. Certification - 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 - 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 -
ANSWER//a. Evidence-based practice 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 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 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. 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 -
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 - ANSWER//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 - 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) -
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 b. p-value c. Confidence
interval d. z-score - ANSWER//b. p-value 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 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 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
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 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 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
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. 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 The
Office Inspector General or OIG has initiated an investigation regarding your
assigned collaborating psychiatrist. Which of the following is the OIG most
likely concerned with? a. Moral character of the physician b. Medicare fraud c.
FidelityPharmaceutical sponsored dinners for CME d. Physical assault
charges against a patient - ANSWER//b. Medicare fraud The OIG is
responsible for investigating situations which involve fraud, waste and abuse
of federal and other HHS programs. All of the following statements are true
regarding scope of practice except: a. The scope of practice varies broadly
from state to state b. The scope of practice provides a way to judge the nature
of the care provided c. The scope of practice defines the nurse practitioner
role and actions d. The scope of practice identifies competencies assumed to
be held by all nurse practitioners in a specific role - ANSWER//b. The scope of
practice provides a way to judge the nature of the care provided The Nurse
Practice Act and scope of practice are regulated by whom? a. Board of
Nursing b. American Nurses Association c. Commission on Nursing education
d. Joint Commission - ANSWER//a. Board of Nursing The state Board of
, Nursing protects the public's health by overseeing the practice of nursing in
regard to the state regulations, scope of practice, prescriptive authority and
the Nurse Practice Act. 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 states that his problem is not
that bad and he can stop anytime he chooses. Using on occasion is just a
way to have fun with friends. Which concepts of the Health Belief Model best
describes the group member's readiness to change? a. Self-efficacy and
perceived benefits b. Perceived severity and perceived barriers c. Self-
efficacy and perceived susceptibility d. Cues to action and perceived
susceptibility - ANSWER//b. Perceived severity and perceived barriers 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 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 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 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 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 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 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
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 A PMHNP
Chamberlain Pathophysiology -
Actual Questions & Rationale,
Exams of Nursing
On exam, he has no other symptoms, other than a sudden, rapid, recurrent,
non-rhythmic shoulder shrug that persists for less than one second. What is
the best diagnosis given the information provided? a. Persistent motor or
vocal tic disorder b. Tourette's disorder c. Provisional tic disorder d. Tardive
dyskinesia - ANSWER//a. Persistent motor or vocal tic disorder *the
diagnostic criteria for persistent motor or vocal tic disorder include the age of
onset before 18, the tic(s) have persisted for more than one year and motor or
vocal tics are present but not both; in Tourette's disorder both multiple motor
tics and vocal tics are present at some point; with provisional Tic disorder, the
symptoms are less than one year from onset; tardive dyskinesia is a
hyperkinetic movement disorder a/w dopamine receptor blocking agents A 6-
year-old boy is referred by the child study team for speech difficulty. On
examination the boy is friendly and cooperative, his speech is clear, and he
uses simple sentences with a limited vocabulary. Most notably he confuses
verb tenses consistently. The parents report he met most of his
developmental milestones except speech, which was delayed. His clinical
presentation is most consistent with which of the following? a. Stuttering
disorder b. Reading disorder c. Expressive language disorder d. Writing
disorder - ANSWER//c. Expressive language disorder A 32-year-old woman
who is 6-months postpartum requests a psychiatric house call while her
husband is at work. Upon entering the home, the PMHNP notices a well-cared
for infant playing in a crib, and the patient sitting in her breakfast nook
overlooking the nearby park. She is requesting a medication to help her relax
because she feels as if she is walking on eggshells around her husband for
fear of him "getting physical with me" if the baby cries too much. Which of the
following best describes this woman's circumstance? a. Honeymoon phase b.
Tension building phase c. Abusive incident phase d. Postpartum depression -
ANSWER//b. Tension building .
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 Which of the following allows
the PMHNP to practice in a state? a. Graduation b. Licensure c. Credentialing
d. Certification - 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 - 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 -
ANSWER//a. Evidence-based practice 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 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 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. 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 -
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 - ANSWER//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 - 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) -
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 b. p-value c. Confidence
interval d. z-score - ANSWER//b. p-value 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 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 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
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 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 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
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. 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 The
Office Inspector General or OIG has initiated an investigation regarding your
assigned collaborating psychiatrist. Which of the following is the OIG most
likely concerned with? a. Moral character of the physician b. Medicare fraud c.
FidelityPharmaceutical sponsored dinners for CME d. Physical assault
charges against a patient - ANSWER//b. Medicare fraud The OIG is
responsible for investigating situations which involve fraud, waste and abuse
of federal and other HHS programs. All of the following statements are true
regarding scope of practice except: a. The scope of practice varies broadly
from state to state b. The scope of practice provides a way to judge the nature
of the care provided c. The scope of practice defines the nurse practitioner
role and actions d. The scope of practice identifies competencies assumed to
be held by all nurse practitioners in a specific role - ANSWER//b. The scope of
practice provides a way to judge the nature of the care provided The Nurse
Practice Act and scope of practice are regulated by whom? a. Board of
Nursing b. American Nurses Association c. Commission on Nursing education
d. Joint Commission - ANSWER//a. Board of Nursing The state Board of
, Nursing protects the public's health by overseeing the practice of nursing in
regard to the state regulations, scope of practice, prescriptive authority and
the Nurse Practice Act. 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 states that his problem is not
that bad and he can stop anytime he chooses. Using on occasion is just a
way to have fun with friends. Which concepts of the Health Belief Model best
describes the group member's readiness to change? a. Self-efficacy and
perceived benefits b. Perceived severity and perceived barriers c. Self-
efficacy and perceived susceptibility d. Cues to action and perceived
susceptibility - ANSWER//b. Perceived severity and perceived barriers 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 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 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 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 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 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 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
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 A PMHNP
