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NR 668 CEA Final Exam Correctly Solved Correct Answers
1.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-fo- cused program that promotes mental health and reduces the risk of mental health problems 2.Which of the following allows the PMHNP to practice in a state? a. Graduation b. Licensure c. Credentialing d. Certification: b. Licensure 3.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 4.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 5.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 6.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 7.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 necessary during case formulation. 8.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. 9.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 10.All of the following are attributes of cultural care that may influence the therapeutic alliance except?
c. Religion d. Gender roles: a. Urban setting 11.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) 12.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 13.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 14.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 d. Analysis of variance (ANOVA): b. Descriptive statistics 15.Which statistical test identifies a relationship between two variables? a. Pearson's r correlation b. Probability c. Analysis of variance (ANOVA) d. t-test: a. Pearson's r correlation 16.The process of synthesizing, disseminating, and using research- generated knowledge to make a change in practice is known as: a. Research utilization b. Research c. Evidence-based practice d. Quality improvement: a. Research utilization 17.The learned beliefs and behaviors common among all members of a
group defines:
d. Physical assault charges against a patient: b. Medicare fraud
The OIG is responsible for investigating situations which involve fraud, waste and abuse of federal and other HHS programs. 22.All of the following statements are true regarding scope of practice except: a. The scope of practice varies broadly from state to state b.The scope of practice provides a way to judge the nature of the care provided c. The scope of practice defines the nurse practitioner role and actions d. The scope of practice identifies competencies assumed to be held by all nurse practitioners in a specific role: b. The scope of practice provides a way to judge the nature of the care provided 23.The Nurse Practice Act and scope of practice are regulated by whom? a. Board of Nursing b. American Nurses Association c. Commission on Nursing education d. Joint Commission: a. Board of Nursing The state Board of Nursing protects the public's health by overseeing the practice of nursing in regard to the state regulations, scope of practice, prescriptive authority and the Nurse Practice Act. 24.Use the following scenario to answer question regarding the Health Belief Model (HBM): A PMHNP is leading a recovery group for at-risk teens who have been mandated to attend meetings as part of their addiction treatment. A member of the group states that his problem is not that bad and he can stop anytime he chooses. Using on occasion is just a way to have fun with friends. Which concepts of the Health Belief Model best describes the group member's readiness to change? a. Self-efficacy and perceived benefits b. Perceived severity and perceived barriers c. Self-efficacy and perceived susceptibility d. Cues to action and perceived susceptibility: b. Perceived severity and per- ceived barriers 25.A 16-year-old boy is being evaluated for emotional lability, hypervigilance, difficulty sleeping, and irritability. During the interview he reports that his first sexual encounter was with his teacher 1 year ago and he continues to have sex with her on occasion. He states that his relationship is consensual. What should the PMHNP do with this information? a. Screen for neurosyphilis b. Instruct the boy in the proper use of condoms c. Prescribe a selective serotonin reuptake inhibitor (SSRI) for
d. Report the incident to child protective services: d. Report the incident to child protective services 26.All of the following are true regarding living wills except: a. Prepared while the client is mentally competent to designate preferences for care if the client becomes incompetent b. Legally binding in all 50 states c. Designates in writing an agent to act on behalf of the person should they become unable to make decisions d. Should be considered as an aspect of relapse planning for compliance with chronic psychiatric disorders: b. Legally binding in all 50 states 27.All of the following are necessary criteria for commitment for involuntary evaluation and treatment except: a.The person has potential to harm self or others because of the disorder and is unaware or unwilling to accept the nature and severity of the disorder b. The patient is unable to afford the cost of treatment c. Treatment is likely to improve function d. The person has a diagnosed psychiatric disorder: b. The patient is unable to afford the cost of treatment 28.All of the following are characteristic of the independent practice compe- tency except: a. Taking opportunities to influence health policy to reduce the stigma of mental health services b. Implementing plans to minimize complications and to promote function c. Considering differential diagnosis d. Conducting individual and group psychotherapy: a. Taking opportunities to influence health policy to reduce the stigma of mental health services 29.Which of the following is not a core competency of APRNs? a. Ethics b. Delegated practice c. Health delivery system d. Technology and information literacy: b. Delegated practice 30.All of the following are components of research utilization except: a. Synthesizing findings b. Randomizing the sample c. Applying the findings d. Critique of the literature: b. Randomizing the sample 31.Which statistical test identifies if the means of two groups are statistically different from each other?
a. T-test
c. Executive dysfunction d. Keratocanthoma: a. Kufungisia Kufungisia is an idiom of distress and a cultural explanation among the Shona people of Zimbabwe. The definition surrounds thinking too much, ruminating on upsetting thoughts, and worry. It is considered to be the root cause of somatic complaints, depression and anxiety. 38.Which of the following ethical principles would conflict if the treatment team wanted to implement a therapeutic deception for the good of the patient? a. Veracity b. Nonmaleficence c. Justice d. Beneficence: a. Veracity 39.Why is it necessary for insurance companies to credential PMHNPs? a. To define the role of the nurse practitioner b. To ensure a professional organization certifies the person is licensed to practice c. To define the scope of practice and practice requirements d. To protect the public by ensuring a minimum level of professional com- petence: d. To protect the public by ensuring a minimum level of professional competence 40.What does force field analysis prepare the nursing leader for? a. Nursing leadership theory for preparing and delivering corrective action b. 360 degree feedback for nursing leadership growth and development c. Becoming aware of the pressures for and against a proposed change d. Policy development theory in nursing advocacy planning: c. Becoming aware of the pressures for and against a proposed change Force field analysis recognizes that change occurs regularly. Becoming aware of the pressure for and against change can help an organization predict resistance to change. The force with a motive to change must outweigh the force maintaining the status quo. 41.A specific behavior related to a person's culture and not leading to a psychiatric disorder is classified as: a. Brief psychotic episode b. Adjustment disorder c. Temporary delusion d. Culture-bound syndrome: d. Culture-bound syndrome 42.Unless the patient provides consent for releasing information, the Health Information Portability and Accountability Act (HIPAA) prohibits the
disclo- sure of personal health identifiers to all of the following except:
does not make me go to all those doctor's appointments." Depriving someone of their basic needs, and preventing them from receiving healthcare is an
example of: a. Emotional abuse b. Sexual abuse c. Physical abuse d. Neglect: d. Neglect 48.Being loyal and keeping promises is an example of what? a. Autonomy b. Beneficence c. Fidelity d. Veracity: c. Fidelity Fidelity is faithfulness to one's duties, promise keeping or the commitment to obligations. 49.HIPAA Privacy rules related to Behavior Health apply to which of the following? a. Treatment modalities b. Medication prescriptions c. Psychotherapy notes d. Medication monitoring: c. Psychotherapy notes Psychotherapy notes are treated differently because they contain sensitive informa- tion that are typically not required for payment, treatment or health care operations purposes. 50.The first step in implementing an evidence-based practice change is to: a. Identify the patient, population, and problem b. Obtain institutional review board approval c. Identify key shareholders d. Review the literature: a. Identify the patient, population, and problem 51.Which of the following psychotherapies is NOT consistent with advocating for the health, safety and rights of the patient (ANA, 2001)? a. Reparative therapy for a homosexual male b. EMDR therapy for a client with PTSD c. Gestalt therapy working reviewing dreams with the client d. Dialectical behavior therapy for a person with Borderline personality disor- der: a. Reparative therapy for a homosexual male Reparative therapy or conversion therapy is an attempt to change one's sexual orientation or gender identity which is not consistent with provision 1 of the Code of Ethics for Nurses with interpretive statements supporting the unique attributes of the individual. 52.Actions judged based on their inherent value regardless of their conse- quence is based on which ethical decision-making approach?
c. Teleological theory d. Justice principle: c. Teleological theory 57.Which of the following may govern the profession of the PMHNP? a. City ordinances b. Certification c. Statutory law d. The U.S. Constitution: c. Statutory law 58.What concept is defined by a sample that is representative of the popula- tion, and where the results can be generalized? a. Incidence b. Prevalence c. External validity d. Internal validity: c. External validity 59.Which of the following DOES NOT have to follow HIPAA privacy and secu- rity rules? a. Life insurers b. Employers c. Law enforcement agencies d. None of these have to follow these rules: d. None of these have to follow these rules Those not required to follow HIPAA rules include Law enforcement, Employers, Schools, Child protective state agencies, workers compensation carriers and life insurers. 60.In regards to the Consensus Model, which of the following best describes the APRN role? a. Psychopharmacology guidelines according to CMS and state guidelines b. Vulnerable population with a focus on the biopsychosocial paradigm c. APRNs will be trained and licensed according to their role and population focus d. Policy, procedure and role development within NP role expansion: c. APRNs will be trained and licensed according to their role and population focus 61.A state's Nurse Practice Act specifies all of the following except: a. Provide oversight for service and benefits provided to patients b. Restriction of the nurse practitioner's practice c. What a nurse practitioner can do d. Who may use the title nurse practitioner: a. Provide oversight for service and benefits provided to patients 62.In the field of quality improvement, the key question "Why" leads to un-
derstanding and the prevention of the recurrence of an error or event. Which
