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WEEK 11 FINAL EXAM / 100+ QUESTIONS AND
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Question 1
All of the following are risk factors for sexual assault EXCEPT
c A Religion
c B Serious mental illness
c © Substance use disorder
p Family history of sexual
c abuse
Question 2
Which of the following is consistent with what is known about postpartum depression?
c
A Feelings of guilt and inadequacy are often present and
excessive.
cB Thoughts of harming the baby are often present.
- C Typical onset is within 3-6 months after delivery.
g@ DAIl of the above
Question 3
Affirmatively acting to benefit another or others, going beyond what is required by law
isknown as which of the following?
cA Fidelity
ec BJustice
«@ CBeneficence
D Non-
° maleficence
Question 4
Which of the following is used for treating alcohol-dependent individuals seeking to
continueto remain alcohol free after they have stopped drinking?
B Amantadin
e
c Galantami
ne
D Acamprosa
te
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
c organizations.
B Become familiar with the resources available on NP organization
ce websites.
c Volunteer to serve on legislative committees within professional NP
c organizations.
« DAll the above
Question 6
The treatment of others equitably and distribution of benefits/burdens fairly is known
aswhich of the following?
c A Fidelity
«@ Biustice
c C Beneficence
D Non-
6 maleficence
Question 7
Which of the following is inconsistent with current literature about victims of sexual
abuse?
- AAll 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
© victi
>
S . sos
ability to make rational decisions.
A Compassion fatigue
c
B Primary
© traumatization
¢ C Transference
p Countertransferenc
6 e
Question 15
The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the
following relationships between child traumatic events and high-risk behaviors exhibited
by adults?
A The study revealed a causal relationship between child traumatic events and high-
© tisk adult behaviors.
B The study revealed a causal relationship between child traumatic events and high-
c tisk adult behaviors.
c The study revealed no relationship between child traumatic events and high-risk
© adult behaviors.
D The study revealed an indirect relationship between child traumatic events and
© high:
tisk adult behaviors.
Question 16
“Walking on eggshells” and appeasement and avoidance behaviors by the victim is
characteristic of which phase of the cycle of domestic violence?
A Honeymoon phase
c
B Abusive incident
© phase
c Tension-building
c phase
cD Refractory phase
Question 17
The only approved therapy in the United States for moderate to severe Alzheimer’s
diseaseis which of the following?
c¢ ADonepezil
B Memantin
e
c Rivastigmi
© ne
D Galantami
© ne
Question 18
A term that defines a person who has distress with clinical symptomatology because their
gender identity is not consistent with gender assigned at birth is which of the
following?
ce A Cisgender
c¢ BGender fluid
c C Pangender
p Gender
« dysphoria
Question 19
Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the
following Personality disorders?
c
A Cluster
A
B Cluster
B
c Cluster
Cc
p Cluster
D
Question 20
Which of the following is not consistent with recommendations for psychiatric history
taking and the mental status evaluation of older adults?
c
c
A When a patient is cognitively impaired, an independent history should be
obtained .
rom a family member or caretaker.
B The patient should still be seen alone even in cases of clear evidence of
impairment
io preserve the privacy of the doctor/patient relationship.
CIf the patient is cognitively impaired, the patient should never be seen alone.
c
Dp Even in patients with cognitive impairment, it is important to elicit any suicidal
© thoughts or paranoid ideations privately.
Question 21
Low health literacy has been linked with which of the following?
c
c
A Poor health outcomes
B lower rates of hospitalization
c Less frequent use of preventive
services
DAII of the above
Question 22
A claim of malpractice requires that a patient/plaintiff prove which of the following?
Selectall that apply.
A The existence of a client-professional relationship — duty to care.
r
B Behavior below the appropriate standard of care for professionals dealing in like
i circumstances.
c A causal link between the practitioner’s failure to conform to treatment standards
[Is and harm to the patient.
r D Actual injury to the patient.
Question 23
According to USDHHS and the Federal Bureau of Primary Health Care, which of the
followingindividuals would be considered homeless?
c
A An individual whose primary residence during the night is a supervised public or
private facility that provides temporary living accommodations.
B An individual who is a resident in transitional housing
CA person who is living with a friend
D All of the above
Question 24
c Drink lot of caffeine and eat high-concentrated
« sugars.
D Plan to study for short periods of time over a longer
© time period.
Question 31
Which of the following professionals would be able to precept a nurse practitioner student?
A An advanced registered nurse
© practitioner
c B A physician
¢ CAunlicensed social worker
DA andB
Question 32
The ARNP is treating a 27-year-old female with bipolar disorder who is obese and has
renaldysfunction. Which of the following is true?
A Lithium is the gold standard and should be used.
c
- BLithium should be avoided in patients with renal disease.
c An atypical antipsychotic such as olanzapine or risperidone
« should be used.
c D Depakote is the best option for this patient.
Question 33
Patients with this personality disorder are described as excitable and emotional, and
behavein a colorful, dramatic, extroverted, attention-seeking fashion, often with an
inability to maintain deep long-lasting attachments.
A Borderline personality
© disorder
B Histrionic personality
« disorder
Cc Schizotypal personality
6 disorder
c D Narcissistic personality
disorder
Question 34
A personality disorder characterized by emotional constriction, orderliness, perseverance,
stubbornness, indecisiveness, and a pervasive pattern of perfectionism and inflexibility is
known as which of the following?
A Depressive personality disorder
B Borderline personality disorder
cC Dependent personality disorder
D Obsessive-compulsive personality
€ disorder
Question 35
A patient presents and is unapproachable, with poor eye contact, reporting a lifelong
patternof isolation, uncomfortable with human interaction, and constricted affect. This
presentationis consistent with which of the following personality disorders?
A Schizoid personality
© disorder
B Borderline personality
© disorder
Cc Avoidant personality
6 disorder
D_ Schizotypal personality
« disorder
Question 36
Which of the following core competencies are quality competencies?
cA Uses best available evidence to continually improve quality of practice.
¢ B Integrates ethical policies in decision making.
c Evaluates the relationships among access cost quality safety and their
© influence on health care.
DA and C
Question 37
Non-pharmacological treatment for abuse includes all of the following EXCEPT:
A Cognitive behavioral therapy
c
c B Build a community of support
c Assist patient to devise safe escape
c plan
p Involve the abuser in the treatment
« planning
Question 38
A personality disorder characterized by extraordinarily unstable affect, mood,
behavior, object relations, and self-image is known as which of the following?
A Schizoid personality
6 disorder
B Schizotypal personality
c disorder
Cc Borderline personality
« disorder
D Avoidant personality
© disorder
Question 39
A particular form of psychotherapy based on Otto Kernberg’s object relations theory
isknown as which of the following?
A Dialectical Behavior Therapy
c
c B Mentalization-based Treatment
Transference-focused
« Psychotherapy
cD Cognitive Behavioral Therapy
Question 40
Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the
following lithium levels?
expressed.
c DAII of the above.
Question 47
Which of the following is not consistent with what is known about postpartum psychosis?
-~ ASymptoms of postpartum psychosis can often begin within days of the delivery.
B The average time of onset of symptoms of postpartum psychosis is within 2 to 3
© weeks of delivery.
c Florid psychotic symptoms are usually preceded by prodromal signs such as
© insomnia, restlessness, agitation, and mild cognitive deficits.
D This disorder primarily effects first time mothers and there is very little risk of
© postpartum psychosis in subsequent pregnancies.
Question 48
Concerns when treating geriatric patients with psychotherapeutic drugs include all of
thefollowing EXCEPT:
A Elderly persons may be more susceptible to adverse effects of
© psychotherapeutic drugs.
B Elderly persons may metabolize psychotherapeutic drugs more slowly.
c
cC Elderly persons may metabolize psychotherapeutic drugs more rapidly.
- D Elderly persons may excrete psychotherapeutic drugs more slowly.
Question 49
A clause in an employment contract that specifies that an employer and employee may
endthe working agreement without cause within a specified number of days is known
as which of the following?
AAtestrictive
©" covenant
B An employment
© clause
CA termination
« clause
c DAandC
Question 50
Standards of care are now being set, modified, monitored, and publicized by certain self -
appointed consumer-oriented agencies, as well as government agencies, including
which ofthe following?
¢ AMedicare
c B The Joint Commission
c The Agency for Healthcare Research and
c . Quality
c_ DAIl of the above
Question 51
The differences in the quality of healthcare across individuals or groups in regard to access,
treatment options, and preventative services is known as which of the following?
e ARacism
« B Health disparities
c c ‘Vulnerable populations
p Social determinants of
6 . health
Question 52
Which of the following medical conditions can present with prominent mental status
changesthat mimic common psychiatric illnesses? Select all that apply.
A Diabetes
fa Mellitus
B Thyroid
B disease
C AIDS
r D Head trauma
Question 53
A term used to describe individuals and families who are found to live in overcrowded
homes, relocate frequently, and struggle to pay rent and monthly expenses is which of
thefollowing?
A Homelessness
c
B Housing
© instability
c C Transiency
- DAandB
Question 54
Risk factors for school violence include which of the following? Select all that apply.
rc A Bullying
r B Being bullied
r C Isolation
D Involvement in school
E organizations
Question 55
Being knowledgeable about one’s own thoughts, feelings, and sensations as well as the
ability to reflect on how these can affect one’s interactions with others is known as
which ofthe following?
A Cultural
© Awareness
B Cultural
© Competence
c © Cultural Humility
p Cultural
© Sensitivity
Question 56
A patient with an inability to conform to the social norms that ordinarily govern
manyaspects of a person’s behavior is consistent with which of the following
personality disorders?
cA Avoidant personality
cD History of victimization during developmental
. years.
Question 63
According to Freud, passive and dependent personality traits are associated with
whichstage of development?
A Oral stage
c
cB Anal stage
C Phallic
6 stage
D Latency
c stage
Question 64
Sexual assault is most often which of the following?
c AA stranger
BpAn .
© acquaintance
CA family
6 member
DA professional
Question 65
Which of the following is the treatment of choice for patients with depressive personality?
- AExposure therapy
- B Light-exposure therapy
c Insight oriented
c psychotherapy
D Transmagnetic Stimulation
6 (TMS)
Question 66
Which of the following medications is associated with Ebstein’s anomaly when given during
pregnancy?
A Haldol
c
« BLithium
c C Valproic acid
D Chlorpromazi
© ne
Question 67
In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia
Circuit listedphysician responsibilities for disclosure. Which of the following is not
listed as a responsibility?
c AAdopt a standard of full disclosure with patients.
c B Alert the patient to symptoms of bodily abnormality.
c Inform the patient when the ailment does not respond to the physician’s
c ministrations.
Inform the patient about precautionary therapy that he or she should
« seek in the future.
Question 68
Ethnocentrism results in which of the following?
AA better understanding of various cultures and beliefs
B Impeding the delivery of culturally competent care
c Provides care givers the ability to better care for patients of various
c cultures
D Provides general principles that can be used to treat patients from a
© variety of cultures
Question 69
Which of the following demographic characteristics is consistent with high suicide risk?
c A Female
cB Married
© CEmployed
D Over 45 years of
© age
Question 70
An ARNP takes a position in which the ARNP is guaranteed a set salary but can
make additional salary if he or she generates practice income over some set amount.
This isknown as what type of pay structure?
A Fee for service
c
B Average percentage of net
© receipts
« © Base salary plus percentage
¢ DHourly rate with bonus
Question 71
Which of the following is not consistent with guidelines for a mentor?
c A Reassure the mentee that the mentor is available at any time of need.
B Review basic concepts to ensure the mentee has the fundamentals prior to starting
© the mentoring process.
c CBe prepared to fill the meeting time with specific issues and objectives.
D Be specific and kind when giving constructive feedback that may not be what the
c mentee might want to hear.
Question 72
Which stage of the cycle of domestic violence is characterized by overt aggressive
behaviortowards the victim?
A Tension building
c phase
c B Abusive incident
c _C Honeymoon phase
D Planning phase
c B Reducing recidivism of the abuser.
c Hormonal therapy for the perpetrator
© of abuse
c DA and B only
Question 80
Which of the following are important measures by which to evaluate a benefits
packagewhile negotiating employment benefits?
A What benefits does the ARNP
c need?
c B What is reasonable?
© What are other NPs getting?
c D All of the above
Question 81
The goal of psychotropic treatment is to eliminate all manifestations of a disorder to
belowthe syndromal threshold, which is defined as which of the following?
c A Response
cB Remission
co C Resistance
D Sensitizati
c on
Question 82
Type of employment in which either party may terminate for any reason at any time is
known as which of the following?
cA Locum tenens
B At will employment
© CEmployment by
contract
p Profit sharing
© employment
Question 83
A somatopsychic illness triggered by changing levels of sex steroids that accompany an
ovulatory menstrual cycle about one week before the onset of menses characterized by
irritability, emotional lability, HA, anxiety, and depression is known as which of the
following?
A Premenstrual syndrome
c
c B Premenstrual depression
é C Premenstrual dysphoric disorder
- b Premenstrual psychosomatic
Question 84
NP core competencies for INDEPENDENT practice include all of the following
EXCEPT:
A Maintains a collaboration agreement with a physician
c
c B Demonstrates the highest level of accountability for professional practice.
c C Practices independently managing previously diagnosed and undiagnosed patient.
D Practices patient-centered care recognizing culture diversity and the patient or
c designee as a full partner in decision making.
Question 85
The conditions in which people are born, grow, work, live, and age are known as which of
thefollowing?
A Health literacy
c
c B Health disparities
c C Health vulnerabilities
Dp Social determinants of
« health
Question 86
In order to qualify for ANCC board certification testing you must have a minimum
of howmany supervised clinical hours in the respective specialty for which you are
seeking certification?
A 300 supervised clinical
© hours
B 500 supervised clinical
« hours
c 600 supervised clinical
c hours
D 800 supervised clinical
© hours
Question 87
Which of the following is consistent with current perspectives on nurse practitioner
competencies?
The National Organization of Nurse Practitioner Faculties has developed a list of
core
A competencies that all students should have upon graduation from a master’s
program.
B Nursing specialty organizations DO NOT publish competencies for NPs who
© ~ provide .
care in specialty areas.
C Employers DO NOT establish their own set of competencies.
c
- D There are national standards for judging/evaluating nurse practitioner competencies.
Question 88
ARNPs caring for vulnerable populations are responsible for which of the following?
c A Providing a quick assessment
c B Providing housing
c Recognizing and responding to the needs of the population in a time-
6 sensitive manner
c DAI of the above
Question 89
According to the AANP Process of Care Standards, determining the effectiveness of the
treatment plan with documentation of patient care outcomes is part of which of the
followingcomponents?
Question 97
The incidence of suicide is highest for which of the following populations?
¢ AOlder Latino men
B Older Caucasian men
c Older Caucasian
6 women
p Older African American
© men
Question 98
Which of the following defense mechanisms does the abuser use during the
honeymoonphase of the cycle of violence?
c A Denial
c B Projection
c Reaction
6 : formation
DA and C only
Question 99
Obsessive-compulsive, dependent, and avoidant personality traits are associated with
whichof the following personality clusters?
Cluster
Cc AY
Cluster
C B
c Cluster
(e
Cluster
C Dy
Question 100
Which of the following is not advised to prevent a lawsuit?
A Follow-up
B When in doubt, do nothing
c Know the standard of care and practice
c within it.
D When in doubt, take a conservative
© approach.