FINAL EXAM
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─────── 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 (Elderly persons may metabolize psychotherapeutic drugs more rapidly)
EXPERT-VERIFIED EXPLANATION:
• Elderly patients are generally more sensitive to the side effects of medications due to changes in
metabolism (especially decreased hepatic clearance) and reduced renal excretion.
• Options (A), (B), and (D) are true statements about increased sensitivity and decreased
metabolism/excretion of drugs in older adults. Because of physiologic changes (e.g., decreased liver
blood flow, decreased kidney function), the elderly likely accumulate medications longer and are
prone to toxicity.
• Option (C) claims they may metabolize drugs more rapidly—this is the exception, as aging
typically results in slower, not faster, metabolism.
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─────── 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 (Justice)
EXPERT-VERIFIED EXPLANATION:
• Justice in bioethics refers to fairness and the equitable allocation of resources or treatment.
• Fidelity (A) involves loyalty, truthfulness, and keeping promises.
• Beneficence (C) is the duty to act in the patient’s best interest, and non-maleficence (D) is the duty
to avoid harm.
• In the context of patient care, “justice” means treating patients with equity regardless of
socioeconomic status, diagnosis, background, etc.
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─────── QUESTION 3
Persons who subordinate their own needs to those of others, get 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
consistent with which of the following personality disorders?
A. Avoidant personality disorder
B. Passive personality disorder
C. Dependent personality disorder
D. Antisocial personality disorder
CORRECT ANSWER: C (Dependent personality disorder)
EXPERT-VERIFIED EXPLANATION:
• Dependent personality disorder is characterized by pervasive psychological dependence on
other people, difficulty making everyday decisions without advice/reassurance, and fear of
abandonment.
• Avoidant personality disorder (A) involves social inhibition due to fear of rejection but not
necessarily subordination of one’s needs.
• Antisocial personality disorder (D) involves disregard for the rights of others, not submission.
• While “passive personality disorder” (B) is not an official DSM term, some might informally use
“passive-dependent,” but the recognized diagnosis is “Dependent personality disorder.”
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─────── 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 (Goals for the mentoring relationship are set mutually.)
EXPERT-VERIFIED EXPLANATION:
• Harry Stack Sullivan’s framework (and many modern mentorship models) emphasize that
mentor-mentee relationships are typically voluntary and grounded in mutual agreement on
goals and expectations.
, • Mentors are usually not “forced” or “assigned;” instead, effective mentor-mentee relationships often
form through mutual interest or a structured matching process but include buy-in from both sides.
• True mentors often work with the mentee over a longer period (not necessarily short-term) and
collaboratively define objectives, timelines, and measures of success.
• Hence, (C) correctly states that goals should be a mutual, collaborative process.
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─────── QUESTION 5
A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or
illness in a child for whom medical intervention is then sought, often in an emergency setting, 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 (Munchausen syndrome by proxy)
EXPERT-VERIFIED EXPLANATION:
• Munchausen syndrome by proxy is a serious form of abuse wherein a caregiver (often the
mother) either fabricates symptoms or deliberately causes or aggravates an illness in a child,
leading to repeated medical visits or procedures.
• Munchausen syndrome (C) without “by proxy” refers to factitious disorder imposed on self.
• Korsakoff’s syndrome (A) is associated with chronic alcoholism and thiamine deficiency, not
child abuse.
• Snyder’s syndrome is not a recognized name in this context.
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─────── 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 number and 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 ANSWER(S): A, B, C, and D
EXPERT-VERIFIED EXPLANATION: