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NR 668 Final Exam (NR-668-2026) PMHNP Study Guide – 1000+ Questions on DSM-5, Psychotherapy, Pharmacology & Ethics – Chamberlain University

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This document is a comprehensive and in-depth final exam study guide for NR 668 (Psychiatric-Mental Health Capstone Practicum & Intensive), containing over 1000 structured questions with detailed and verified answers. It covers a wide range of advanced psychiatric nursing topics including DSM-5 diagnoses, evidence-based practice, psychopharmacology, psychotherapy modalities (CBT, IPT, motivational interviewing), and clinical decision-making. The material provides a detailed understanding of both theoretical frameworks and clinical application in psychiatric-mental health practice. Early sections (pages 1–10) focus on APRN competencies, scope of practice, licensure, and research principles such as evidence-based practice and statistical analysis. Mid sections (pages 20–100+) explore cultural psychiatry, ethical principles (autonomy, beneficence, veracity), legal frameworks (HIPAA, Nurse Practice Act), and clinical scenarios involving risk assessment, capacity, and patient rights. Extensive clinical content throughout the document includes diagnosis and management of psychiatric disorders, interpretation of symptoms, pharmacologic interventions, and medical differentials (e.g., lupus, sleep apnea, substance use disorders). It also integrates psychotherapy techniques such as cognitive restructuring, behavioral activation, Gestalt therapy, and motivational interviewing, alongside real-world patient scenarios that reinforce clinical reasoning and exam readiness. This resource is highly relevant for students enrolled in Psychiatric-Mental Health Nurse Practitioner (PMHNP), Nursing (MSN/DNP), Mental Health, and Advanced Practice Nursing programs. It is especially beneficial for graduate-level nursing students preparing for final exams, board-style assessments, or clinical practice. It also supports practicing nurses and healthcare professionals seeking to strengthen their expertise in psychiatric care and evidence-based interventions. The content aligns with widely used textbooks such as Kaplan & Sadock’s Synopsis of Psychiatry, DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders), and Psychiatric-Mental Health Nursing by Varcarolis. These references are foundational in PMHNP education and certification preparation, making this document a strong companion for both exam success and clinical mastery. Keywords: psychiatric mental health, PMHNP, DSM 5, psychotherapy, cognitive behavioral therapy, motivational interviewing, psychopharmacology, mental health disorders, evidence based practice, nursing ethics, HIPAA, scope of practice, patient assessment, clinical decision making, psychiatric exam

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NR 668 FINAL EXAM |
PSYCHIATRIC-MENTAL HEALTH
CAPSTONE PRACTICUM &
INTENSIVE FINAL EXAM (Latest
Update 2026) UPDATE!!

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:

COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, 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

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