NUR 670 – APEA PRETEST TESTBANK
2026-2027 QUESTIONS AND ANSWERS
GRADED A+
A 48-year-old woman presents to the PMHNP for a follow-up of her anxiety.
Review of the record reveals the patient also has a diagnosis of Addison's disease,
an adrenal insufficiency. What skin changes would the PMHNP expect to observe?
A-Circumoral pallet
B-Hyperpigmentation
c-Facial plethora and hirsutism
D-Maculopapular Eruptions
Hyperpigmentation
Which part of the brain is most likely involved when a patient experiences
difficulties with working memory, planning and prioritizing, insight into problems.
and impulse control?
A-Occipital lobe
B-Temporal lobe
C-Panetallobe
D-Frontal lobe
Frontal lobe
,which of the following has the greatest impact on a pregnant woman's attitude
toward her pregnancy?
A-Her belief system about life and death
B-Her relationship with the father of the child
C- Her Relationship. With her in-laws
D- Whether the pregnancy was planned, and the baby is wanted
Whether the pregnancy was planned, and the baby is wanted
According to Gestalt Therapy, a boundary disturbance that involves accepting the
beliefs/opinions of others without questioning them is:
A-deflection
B-projection
C-introjection
D-retroflection
introjection
husband of a 65-year-old woman complains to his PMHNP that his wife IS
"driving him crazy." He complains that his spouse cannot make any decisions
without first asking several people what she should do. He reports that she IS
afraid of rejection from even the slightest things. Her children complain that she
complains of illnesses in order to draw their affection and attention. He reports that
,she often refuses to do things for herself and is increasingly demanding of his time.
What mental health disorder is his wife likely to be experiencing?
A-Major depressive disorder (MDD)
B- Dependent personality disorder
C- Borderline personality disorder
D-Avoidant personality disorder
Dependent personality disorder
A 32-year-cis female with schizophrenia is being treated with haloperidol (Haldol).
The patient presents to the emergency department with her mother, whose report of
her daughter's symptoms describes confusion, diaphoresis, and tremors with
trismus and agitation. The mother noticed the symptoms immediately after her
daughter came indoors after being outside in the sun. The nurse caring for the
patient notes a heart rate of 140 Bpm and a temperature of 39.0 Celsius.
Laboratory studies show an elevated white blood cell count and an elevation in
creatine phosphokinase. Which of the following conditions is the parent likely
experiencing?
A. Serotonin syndrome
B. Neuroleptic malignant syndrome
C. Heat stroke
D. Central nervous system infection
Neuroleptic malignant syndrome
, When using the LEARN (Listen, Explain, Acknowledge, Recommend and
Negotiate) model for cross cultural healthcare, the PMHNP recognizes that a
critical aspect of the Explain step is to:
A- allow the patient to describe their understanding of the diagnosis and plan
B-explain the plan of care while being mindful of patients' culture and literacy.
C-explain to the patient that their suggestions will be integrated into the plan of
care.
D-involve the patient and family in the plan of care
explain the plan of care while being mindful of patients' culture and literacy
A26-year-old female patient with a history of a suicide attempt collected items in a
shoebox. These include family photos, prayers, poetry and reasons forcing. This is
an example which of the following?
A- Guided imagery
B-Hope Kit
C-Coping cards
D-Activity scheduling
hope kit
Which of the following statements reflects the difference between the PMHNP's
professional relationship with a patient and a social relationship?
A- The professional relationship is focused on the patient and the patient's needs.
2026-2027 QUESTIONS AND ANSWERS
GRADED A+
A 48-year-old woman presents to the PMHNP for a follow-up of her anxiety.
Review of the record reveals the patient also has a diagnosis of Addison's disease,
an adrenal insufficiency. What skin changes would the PMHNP expect to observe?
A-Circumoral pallet
B-Hyperpigmentation
c-Facial plethora and hirsutism
D-Maculopapular Eruptions
Hyperpigmentation
Which part of the brain is most likely involved when a patient experiences
difficulties with working memory, planning and prioritizing, insight into problems.
and impulse control?
A-Occipital lobe
B-Temporal lobe
C-Panetallobe
D-Frontal lobe
Frontal lobe
,which of the following has the greatest impact on a pregnant woman's attitude
toward her pregnancy?
A-Her belief system about life and death
B-Her relationship with the father of the child
C- Her Relationship. With her in-laws
D- Whether the pregnancy was planned, and the baby is wanted
Whether the pregnancy was planned, and the baby is wanted
According to Gestalt Therapy, a boundary disturbance that involves accepting the
beliefs/opinions of others without questioning them is:
A-deflection
B-projection
C-introjection
D-retroflection
introjection
husband of a 65-year-old woman complains to his PMHNP that his wife IS
"driving him crazy." He complains that his spouse cannot make any decisions
without first asking several people what she should do. He reports that she IS
afraid of rejection from even the slightest things. Her children complain that she
complains of illnesses in order to draw their affection and attention. He reports that
,she often refuses to do things for herself and is increasingly demanding of his time.
What mental health disorder is his wife likely to be experiencing?
A-Major depressive disorder (MDD)
B- Dependent personality disorder
C- Borderline personality disorder
D-Avoidant personality disorder
Dependent personality disorder
A 32-year-cis female with schizophrenia is being treated with haloperidol (Haldol).
The patient presents to the emergency department with her mother, whose report of
her daughter's symptoms describes confusion, diaphoresis, and tremors with
trismus and agitation. The mother noticed the symptoms immediately after her
daughter came indoors after being outside in the sun. The nurse caring for the
patient notes a heart rate of 140 Bpm and a temperature of 39.0 Celsius.
Laboratory studies show an elevated white blood cell count and an elevation in
creatine phosphokinase. Which of the following conditions is the parent likely
experiencing?
A. Serotonin syndrome
B. Neuroleptic malignant syndrome
C. Heat stroke
D. Central nervous system infection
Neuroleptic malignant syndrome
, When using the LEARN (Listen, Explain, Acknowledge, Recommend and
Negotiate) model for cross cultural healthcare, the PMHNP recognizes that a
critical aspect of the Explain step is to:
A- allow the patient to describe their understanding of the diagnosis and plan
B-explain the plan of care while being mindful of patients' culture and literacy.
C-explain to the patient that their suggestions will be integrated into the plan of
care.
D-involve the patient and family in the plan of care
explain the plan of care while being mindful of patients' culture and literacy
A26-year-old female patient with a history of a suicide attempt collected items in a
shoebox. These include family photos, prayers, poetry and reasons forcing. This is
an example which of the following?
A- Guided imagery
B-Hope Kit
C-Coping cards
D-Activity scheduling
hope kit
Which of the following statements reflects the difference between the PMHNP's
professional relationship with a patient and a social relationship?
A- The professional relationship is focused on the patient and the patient's needs.
