NURSING 6675 FINAL EXAM 2023 – 160
Verified Questions & Answers – Graded A+ |
With Rationales
Question 1
All of the following are risk factors for sexual assault EXCEPT
A. Religion
B. Serious mental illness
C. Substance use disorder
D. Family history of sexual abuse
Answer: A
Rationale: Religion is not a risk factor for sexual assault. Serious mental illness,
substance use disorder, and family history of sexual abuse are all established risk
factors.
Question 2
Which of the following is consistent with what is known about postpartum
depression?
A. Feelings of guilt and inadequacy are often present and excessive.
B. Thoughts of harming the baby are often present.
C. Typical onset is within 3-6 months after delivery.
D. All of the above
Answer: D
Rationale: Postpartum depression commonly includes excessive guilt, intrusive
thoughts of harming the baby (though rare to act), and onset can occur up to
several months after delivery, though often within the first month.
Question 3
Affirmatively acting to benefit another or others, going beyond what is required by
law is known as which of the following?
A. Fidelity
,B. Justice
C. Beneficence
D. Non-maleficence
Answer: C
Rationale: Beneficence is the ethical principle of doing good and acting in the best
interest of others, often beyond legal requirements.
Question 4
Which of the following is used for treating alcohol-dependent individuals seeking
to continue to remain alcohol free after they have stopped drinking?
A. Disulfiram
B. Naltrexone
C. Chlordiazepoxide
D. Lorazepam
Answer: B
Rationale: Naltrexone and acamprosate are used for relapse prevention in alcohol
use disorder. Disulfiram causes aversive reaction; benzodiazepines are for
withdrawal.
Question 5
The NP can impact health policy and healthcare by doing which of the following?
A. Become an active member of local, state, and/or national NP organizations.
B. Become familiar with the resources available on NP organization websites.
C. Volunteer to serve on legislative committees within professional NP
organizations.
D. All the above
Answer: D
Rationale: All listed activities contribute to policy influence and healthcare
improvement.
Question 6
The treatment of others equitably and distribution of benefits/burdens fairly is
known as which of the following?
,A. Fidelity
B. Justice
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Justice refers to fairness and equitable distribution of resources and
treatment.
Question 7
Which of the following is inconsistent with current literature about victims of
sexual abuse?
A. All victims of sexual abuse are aware that they are in an abusive
relationship.
B. Victims of sexual abuse may willingly participate in sexual acts with an idolized
authority figure.
C. The pre-existing relationship and familiarity with the abuser may impede the
victim’s ability to make rational decisions.
Answer: A
Rationale: Many victims do not recognize the abuse, especially in cases of
grooming or coercion. The other statements are consistent with literature.
Question 8
A 45-year-old male with a history of major depressive disorder presents with
anhedonia, fatigue, and guilt. He has been on sertraline 100 mg daily for 8 weeks
with partial response. The next best step is:
A. Switch to another SSRI
B. Augment with bupropion
C. Increase sertraline to 200 mg
D. Add a benzodiazepine
Answer: B
Rationale: Bupropion augmentation can address residual anhedonia and fatigue;
it is often used for partial response to SSRIs.
, Question 9
Which of the following is a first-line treatment for generalized anxiety disorder
(GAD)?
A. Alprazolam
B. Escitalopram
C. Propranolol
D. Buspirone
Answer: B
Rationale: SSRIs (escitalopram) and SNRIs are first-line for GAD;
benzodiazepines are second-line due to dependence risk.
Question 10
A patient with bipolar I disorder is in a manic episode. Which medication should
be avoided as monotherapy?
A. Lithium
B. Valproate
C. An antidepressant
D. Olanzapine
Answer: C
Rationale: Antidepressants can worsen mania and should not be used alone in
acute mania.
Question 11
The therapeutic serum level range for lithium is:
A. 0.2-0.5 mEq/L
B. 0.6-1.2 mEq/L
C. 1.5-2.0 mEq/L
D. 2.5-3.0 mEq/L
Answer: B
*Rationale: Maintenance level is 0.6-0.8 mEq/L; acute mania 0.8-1.2 mEq/L.
Levels >1.5 mEq/L may be toxic.*
Verified Questions & Answers – Graded A+ |
With Rationales
Question 1
All of the following are risk factors for sexual assault EXCEPT
A. Religion
B. Serious mental illness
C. Substance use disorder
D. Family history of sexual abuse
Answer: A
Rationale: Religion is not a risk factor for sexual assault. Serious mental illness,
substance use disorder, and family history of sexual abuse are all established risk
factors.
Question 2
Which of the following is consistent with what is known about postpartum
depression?
A. Feelings of guilt and inadequacy are often present and excessive.
B. Thoughts of harming the baby are often present.
C. Typical onset is within 3-6 months after delivery.
D. All of the above
Answer: D
Rationale: Postpartum depression commonly includes excessive guilt, intrusive
thoughts of harming the baby (though rare to act), and onset can occur up to
several months after delivery, though often within the first month.
Question 3
Affirmatively acting to benefit another or others, going beyond what is required by
law is known as which of the following?
A. Fidelity
,B. Justice
C. Beneficence
D. Non-maleficence
Answer: C
Rationale: Beneficence is the ethical principle of doing good and acting in the best
interest of others, often beyond legal requirements.
Question 4
Which of the following is used for treating alcohol-dependent individuals seeking
to continue to remain alcohol free after they have stopped drinking?
A. Disulfiram
B. Naltrexone
C. Chlordiazepoxide
D. Lorazepam
Answer: B
Rationale: Naltrexone and acamprosate are used for relapse prevention in alcohol
use disorder. Disulfiram causes aversive reaction; benzodiazepines are for
withdrawal.
Question 5
The NP can impact health policy and healthcare by doing which of the following?
A. Become an active member of local, state, and/or national NP organizations.
B. Become familiar with the resources available on NP organization websites.
C. Volunteer to serve on legislative committees within professional NP
organizations.
D. All the above
Answer: D
Rationale: All listed activities contribute to policy influence and healthcare
improvement.
Question 6
The treatment of others equitably and distribution of benefits/burdens fairly is
known as which of the following?
,A. Fidelity
B. Justice
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Justice refers to fairness and equitable distribution of resources and
treatment.
Question 7
Which of the following is inconsistent with current literature about victims of
sexual abuse?
A. All victims of sexual abuse are aware that they are in an abusive
relationship.
B. Victims of sexual abuse may willingly participate in sexual acts with an idolized
authority figure.
C. The pre-existing relationship and familiarity with the abuser may impede the
victim’s ability to make rational decisions.
Answer: A
Rationale: Many victims do not recognize the abuse, especially in cases of
grooming or coercion. The other statements are consistent with literature.
Question 8
A 45-year-old male with a history of major depressive disorder presents with
anhedonia, fatigue, and guilt. He has been on sertraline 100 mg daily for 8 weeks
with partial response. The next best step is:
A. Switch to another SSRI
B. Augment with bupropion
C. Increase sertraline to 200 mg
D. Add a benzodiazepine
Answer: B
Rationale: Bupropion augmentation can address residual anhedonia and fatigue;
it is often used for partial response to SSRIs.
, Question 9
Which of the following is a first-line treatment for generalized anxiety disorder
(GAD)?
A. Alprazolam
B. Escitalopram
C. Propranolol
D. Buspirone
Answer: B
Rationale: SSRIs (escitalopram) and SNRIs are first-line for GAD;
benzodiazepines are second-line due to dependence risk.
Question 10
A patient with bipolar I disorder is in a manic episode. Which medication should
be avoided as monotherapy?
A. Lithium
B. Valproate
C. An antidepressant
D. Olanzapine
Answer: C
Rationale: Antidepressants can worsen mania and should not be used alone in
acute mania.
Question 11
The therapeutic serum level range for lithium is:
A. 0.2-0.5 mEq/L
B. 0.6-1.2 mEq/L
C. 1.5-2.0 mEq/L
D. 2.5-3.0 mEq/L
Answer: B
*Rationale: Maintenance level is 0.6-0.8 mEq/L; acute mania 0.8-1.2 mEq/L.
Levels >1.5 mEq/L may be toxic.*
