NRNP 6675 FINAL EXAM
PMHNP Care Across the Lifespan II - Walden University
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
Guarantee passing score
100 Ques ons and Answers
format set of mul ple-choice
Expert-Verified Explana on
,─
QUESTION 1
Concerns when treating geriatric patients with psychotherapeutic drugs include all of
the following EXCEPT:
A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic
drugs.
B. Elderly persons may metabolize psychotherapeutic drugs more slowly.
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly.
D. Elderly persons may excrete psychotherapeutic drugs more slowly.
CORRECT ANSWER: C
RATIONALE:
• Older adults generally have reduced hepatic metabolism and renal excretion, so they
metabolize drugs more slowly, not more rapidly.
• Thus, they tend to accumulate medications longer and are prone to toxicity.
───────────────────────────────────────────────────────
─
QUESTION 2
The treatment of others equitably and the fair distribution of benefits/burdens is known
as which of the following?
A. Fidelity
B. Justice
C. Beneficence
D. Non-maleficence
CORRECT ANSWER: B
RATIONALE:
,• Justice is about fairness and equitable allocation of resources.
• Fidelity = loyalty, Beneficence = doing good, Non-maleficence = do no harm.
───────────────────────────────────────────────────────
─
QUESTION 3
Persons who subordinate their own needs to those of others, allow others to assume
responsibility for major areas of their lives, lack self-confidence, and may experience
intense discomfort when alone for more than a brief period of time are demonstrating
characteristics of which personality disorder?
A. Avoidant personality disorder
B. Passive personality disorder
C. Dependent personality disorder
D. Antisocial personality disorder
CORRECT ANSWER: C
RATIONALE:
• Dependent personality disorder involves pervasive dependence on others, difficulty
making decisions independently, and a significant fear of separation or abandonment.
───────────────────────────────────────────────────────
─
QUESTION 4
According to Sullivan, which of the following are consistent with a mentor/mentee
relationship?
A. Mentors are assigned.
B. Mentor relationships are shorter term.
C. Goals for the mentoring relationship are set mutually.
D. A and B only
,CORRECT ANSWER: C
RATIONALE:
• Effective mentor-mentee relationships are typically voluntary, long-term, and
characterized by mutual goal-setting.
• They are not simply “assigned” or necessarily short-term.
───────────────────────────────────────────────────────
─
QUESTION 5
A form of child abuse in which a caretaker repeatedly fabricates or deliberately causes
illness or injury in a child (leading to medical intervention) is known as which of the
following?
A. Korsakoff’s syndrome
B. Snyder’s syndrome
C. Munchausen syndrome
D. Munchausen syndrome by proxy
CORRECT ANSWER: D
RATIONALE:
• Munchausen syndrome by proxy = factitious disorder imposed on another, usually the
child, by a caregiver.
• Munchausen syndrome (without “by proxy”) involves factitious disorder imposed on
oneself.
───────────────────────────────────────────────────────
─
QUESTION 6
,The need for nurse practitioners to practice to the full extent of their education and
training is necessary for which of the following reasons? Select all that apply.
A. The growth in the number/proportion of older Americans
B. The projected primary care physician shortage by 2025
C. Increased number of individuals who have access to healthcare
D. The economic push for cost-effective healthcare
CORRECT ANSWERS: A, B, C, D
RATIONALE:
• All these factors increase demand for accessible, cost-effective care; allowing NPs full
scope improves healthcare delivery.
───────────────────────────────────────────────────────
─
QUESTION 7
The ARNP assessing “lifestyle” as a social determinant of health would ask about which
of the following?
A. Diet
B. Education
C. Health literacy
D. Inherited diseases
CORRECT ANSWER: A
RATIONALE:
• “Lifestyle” factors typically include diet, exercise, sleep patterns, and substance use.
• Education and health literacy are social determinants, and inherited diseases are
biological, not “lifestyle” behaviors.
,───────────────────────────────────────────────────────
─
QUESTION 8
In educating a patient beginning Lithium, which statement best describes advice
regarding diet and fluid intake?
A. Caffeine and alcohol act as hydration agents and raise lithium concentrations.
B. Drink at least a gallon or more of water daily and eliminate salt.
C. If you go on a diet, your doctor may need to increase the frequency of blood tests.
D. All of the above
CORRECT ANSWER: C
RATIONALE:
• Lithium levels can fluctuate if sodium or fluid intake changes significantly; dieting or
large dietary shifts can affect lithium and require more frequent lab monitoring.
• Caffeine and alcohol typically dehydrate rather than hydrate. Drinking a gallon of
water daily plus removing salt is not standard guidance.
───────────────────────────────────────────────────────
─
QUESTION 9
The goal of psychotropic treatment is to reduce the disorder’s symptoms below the
diagnostic threshold, which is known as:
A. Response
B. Remission
C. Resistance
D. Sensitization
CORRECT ANSWER: B
,RATIONALE:
• “Remission” indicates that symptoms no longer meet full diagnostic criteria, or are
minimal enough to cause very limited impairment.
───────────────────────────────────────────────────────
─
QUESTION 10
The NP can impact health policy by doing which of the following?
A. Becoming a member of NP organizations
B. Using online NP resources
C. Serving on legislative committees
D. All the above
CORRECT ANSWER: D
RATIONALE:
• Active involvement in professional organizations, policy committees, and keeping
abreast of legislation allows NPs to advocate and drive healthcare improvements.
───────────────────────────────────────────────────────
─
QUESTION 11
A term describing families who live in overcrowded homes, move frequently, and
regularly struggle to pay monthly expenses is which of the following?
A. Homelessness
B. Housing instability
C. Transiency
D. A and B
CORRECT ANSWER: B
,RATIONALE:
• “Housing instability” refers to difficulty paying rent, frequent moves, and
overcrowding—distinct from true homelessness, which typically means no stable
nighttime residence.
───────────────────────────────────────────────────────
─
QUESTION 12
Which of the following statements aligns with current literature about the epidemiology
of dependent personality disorder?
A. It is more common in men than women.
B. It is commonly diagnosed in young children.
C. Persons with chronic physical illness in childhood may be most susceptible.
D. B and C only
CORRECT ANSWER: C
RATIONALE:
• Dependent personality disorder frequently correlates with histories of chronic illness
or anxious attachment in childhood.
• It is not formally diagnosed in children; it is generally more common in females.
───────────────────────────────────────────────────────
─
QUESTION 13
Patients who injure themselves by self-mutilation (e.g., cutting) without a genuine wish
to die are said to have:
A. Suicide intent
B. Suicidal ideations
, C. Parasuicidal behavior
D. Aborted suicide attempt
CORRECT ANSWER: C
RATIONALE:
• Parasuicidal behavior refers to self-harm without a true suicidal intention, often as an
external expression of internal distress or a maladaptive coping mechanism.
───────────────────────────────────────────────────────
─
QUESTION 14
A nurse practitioner preceptor should have which of the following?
A. Knowledge of the NP role
B. Ability to serve as a professional role model
C. Strong clinical skills in the specialty of the student
D. All the above
CORRECT ANSWER: D
RATIONALE:
• Effective preceptors must master the clinical specialty, understand professional
scope/competencies, and exemplify best practices.
───────────────────────────────────────────────────────
─
QUESTION 15
The treatment of choice for patients with histrionic personality disorder includes which
of the following?
A. Psychoanalytic-oriented individual therapy
PMHNP Care Across the Lifespan II - Walden University
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
Guarantee passing score
100 Ques ons and Answers
format set of mul ple-choice
Expert-Verified Explana on
,─
QUESTION 1
Concerns when treating geriatric patients with psychotherapeutic drugs include all of
the following EXCEPT:
A. Elderly persons may be more susceptible to adverse effects of psychotherapeutic
drugs.
B. Elderly persons may metabolize psychotherapeutic drugs more slowly.
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly.
D. Elderly persons may excrete psychotherapeutic drugs more slowly.
CORRECT ANSWER: C
RATIONALE:
• Older adults generally have reduced hepatic metabolism and renal excretion, so they
metabolize drugs more slowly, not more rapidly.
• Thus, they tend to accumulate medications longer and are prone to toxicity.
───────────────────────────────────────────────────────
─
QUESTION 2
The treatment of others equitably and the fair distribution of benefits/burdens is known
as which of the following?
A. Fidelity
B. Justice
C. Beneficence
D. Non-maleficence
CORRECT ANSWER: B
RATIONALE:
,• Justice is about fairness and equitable allocation of resources.
• Fidelity = loyalty, Beneficence = doing good, Non-maleficence = do no harm.
───────────────────────────────────────────────────────
─
QUESTION 3
Persons who subordinate their own needs to those of others, allow others to assume
responsibility for major areas of their lives, lack self-confidence, and may experience
intense discomfort when alone for more than a brief period of time are demonstrating
characteristics of which personality disorder?
A. Avoidant personality disorder
B. Passive personality disorder
C. Dependent personality disorder
D. Antisocial personality disorder
CORRECT ANSWER: C
RATIONALE:
• Dependent personality disorder involves pervasive dependence on others, difficulty
making decisions independently, and a significant fear of separation or abandonment.
───────────────────────────────────────────────────────
─
QUESTION 4
According to Sullivan, which of the following are consistent with a mentor/mentee
relationship?
A. Mentors are assigned.
B. Mentor relationships are shorter term.
C. Goals for the mentoring relationship are set mutually.
D. A and B only
,CORRECT ANSWER: C
RATIONALE:
• Effective mentor-mentee relationships are typically voluntary, long-term, and
characterized by mutual goal-setting.
• They are not simply “assigned” or necessarily short-term.
───────────────────────────────────────────────────────
─
QUESTION 5
A form of child abuse in which a caretaker repeatedly fabricates or deliberately causes
illness or injury in a child (leading to medical intervention) is known as which of the
following?
A. Korsakoff’s syndrome
B. Snyder’s syndrome
C. Munchausen syndrome
D. Munchausen syndrome by proxy
CORRECT ANSWER: D
RATIONALE:
• Munchausen syndrome by proxy = factitious disorder imposed on another, usually the
child, by a caregiver.
• Munchausen syndrome (without “by proxy”) involves factitious disorder imposed on
oneself.
───────────────────────────────────────────────────────
─
QUESTION 6
,The need for nurse practitioners to practice to the full extent of their education and
training is necessary for which of the following reasons? Select all that apply.
A. The growth in the number/proportion of older Americans
B. The projected primary care physician shortage by 2025
C. Increased number of individuals who have access to healthcare
D. The economic push for cost-effective healthcare
CORRECT ANSWERS: A, B, C, D
RATIONALE:
• All these factors increase demand for accessible, cost-effective care; allowing NPs full
scope improves healthcare delivery.
───────────────────────────────────────────────────────
─
QUESTION 7
The ARNP assessing “lifestyle” as a social determinant of health would ask about which
of the following?
A. Diet
B. Education
C. Health literacy
D. Inherited diseases
CORRECT ANSWER: A
RATIONALE:
• “Lifestyle” factors typically include diet, exercise, sleep patterns, and substance use.
• Education and health literacy are social determinants, and inherited diseases are
biological, not “lifestyle” behaviors.
,───────────────────────────────────────────────────────
─
QUESTION 8
In educating a patient beginning Lithium, which statement best describes advice
regarding diet and fluid intake?
A. Caffeine and alcohol act as hydration agents and raise lithium concentrations.
B. Drink at least a gallon or more of water daily and eliminate salt.
C. If you go on a diet, your doctor may need to increase the frequency of blood tests.
D. All of the above
CORRECT ANSWER: C
RATIONALE:
• Lithium levels can fluctuate if sodium or fluid intake changes significantly; dieting or
large dietary shifts can affect lithium and require more frequent lab monitoring.
• Caffeine and alcohol typically dehydrate rather than hydrate. Drinking a gallon of
water daily plus removing salt is not standard guidance.
───────────────────────────────────────────────────────
─
QUESTION 9
The goal of psychotropic treatment is to reduce the disorder’s symptoms below the
diagnostic threshold, which is known as:
A. Response
B. Remission
C. Resistance
D. Sensitization
CORRECT ANSWER: B
,RATIONALE:
• “Remission” indicates that symptoms no longer meet full diagnostic criteria, or are
minimal enough to cause very limited impairment.
───────────────────────────────────────────────────────
─
QUESTION 10
The NP can impact health policy by doing which of the following?
A. Becoming a member of NP organizations
B. Using online NP resources
C. Serving on legislative committees
D. All the above
CORRECT ANSWER: D
RATIONALE:
• Active involvement in professional organizations, policy committees, and keeping
abreast of legislation allows NPs to advocate and drive healthcare improvements.
───────────────────────────────────────────────────────
─
QUESTION 11
A term describing families who live in overcrowded homes, move frequently, and
regularly struggle to pay monthly expenses is which of the following?
A. Homelessness
B. Housing instability
C. Transiency
D. A and B
CORRECT ANSWER: B
,RATIONALE:
• “Housing instability” refers to difficulty paying rent, frequent moves, and
overcrowding—distinct from true homelessness, which typically means no stable
nighttime residence.
───────────────────────────────────────────────────────
─
QUESTION 12
Which of the following statements aligns with current literature about the epidemiology
of dependent personality disorder?
A. It is more common in men than women.
B. It is commonly diagnosed in young children.
C. Persons with chronic physical illness in childhood may be most susceptible.
D. B and C only
CORRECT ANSWER: C
RATIONALE:
• Dependent personality disorder frequently correlates with histories of chronic illness
or anxious attachment in childhood.
• It is not formally diagnosed in children; it is generally more common in females.
───────────────────────────────────────────────────────
─
QUESTION 13
Patients who injure themselves by self-mutilation (e.g., cutting) without a genuine wish
to die are said to have:
A. Suicide intent
B. Suicidal ideations
, C. Parasuicidal behavior
D. Aborted suicide attempt
CORRECT ANSWER: C
RATIONALE:
• Parasuicidal behavior refers to self-harm without a true suicidal intention, often as an
external expression of internal distress or a maladaptive coping mechanism.
───────────────────────────────────────────────────────
─
QUESTION 14
A nurse practitioner preceptor should have which of the following?
A. Knowledge of the NP role
B. Ability to serve as a professional role model
C. Strong clinical skills in the specialty of the student
D. All the above
CORRECT ANSWER: D
RATIONALE:
• Effective preceptors must master the clinical specialty, understand professional
scope/competencies, and exemplify best practices.
───────────────────────────────────────────────────────
─
QUESTION 15
The treatment of choice for patients with histrionic personality disorder includes which
of the following?
A. Psychoanalytic-oriented individual therapy
