NR 668 – Psychiatric Mental Health Nurse Practitioner CEA Final, Advanced Practice Nursing
Course, Comprehensive Exam Review and Assessment Material
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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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) - ✔✔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 - ✔✔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 - ✔✔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
Course, Comprehensive Exam Review and Assessment Material
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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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) - ✔✔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 - ✔✔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 - ✔✔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
