NRNP 6675 Final Exam Version-2-with 100% verified solutions-2023-2024, Exams of Health sciences

Download NRNP 6675 Final Exam Version-2-with 100% verified solutions-2023-2024 and more Exams Health sciences in PDF only on Docsity! NRNP 6675 Final Exam Version-2-with 100% verified solutions-2023-2024 100 Q & A, Question 1 All of the following are risk factors for sexual assault EXCEPT A Religion . B Serious mental illness . C Substance use disorder . D Family history of sexual abuse . Question 2 Which of the following is consistent with what is known about postpartum depression? A Feelings of guilt and inadequacy are often present andexcessive. . B Thoughts of harming the baby are often present. .C Typical onset is within 3–6 months after delivery. . . Question 6 The treatment of others equitably and distribution of benefits/burdens fairly is known as which of the following? A Fidelity . B Justice . C Beneficence . D Non- maleficence . Question 7 Which of the following is inconsistent with current literature about victims of sexual abuse? A All 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 victim’sability to make rational decisions. . D The victim may make excuses for the abuser’s behavior. . Question 8 Which of the following would constitute negligence? Select all that apply. A Failure to give necessary care. . B Failure to refer when necessary. . C Failure to follow-up with a patient. . D Failure to disclose necessary information to apatient. . Question 9 Which of the following developed a Biblically-based cultural competence model for healthcare professionals? A Spector . B Campinha-Bacote . C Kim-Godwin, et al . D Papadopoulos, et al . Question 10 The ARNP recognizes which of the following as long-term effects of sex trafficking on victims? A Severe depression . B Spiritual questions . C Trauma bonding . D All of the above . Question 11 A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders? A Schizoid personality disorder . B Paranoid personality disorder . C Schizotypal personality disorder . D Avoidant personality disorder . Question 12 Which of the following are criteria for a particular suicide to be considered inevitable? A Strong genetic history of suicide in one or more family members. . B A strong genetic loading of mental illness in the family. . C The patient must have received the highest standard of treatment and that treatment failed. . D All of the above. . Question 13 A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies? A Akathisia . B Korsakoff’s syndrome . C Wernicke’s encephalopathy . D Idiosyncratic alcohol intoxication . Question 17 The only approved therapy in the United States for moderate to severe Alzheimer’s disease is which of the following? A Donepezil . Memantin e C Rivastigmine . D Galantamine . 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? A Cisgender . B Gender fluid . C Pangender . D Gender dysphoria . Question 19 Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the following Personality disorders? A Cluster A . B Cluster B . C Cluster C . D 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? A When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker. . B The patient should still be seen alone even in cases of clear evidence of impairment to preserve the privacy of the doctor/patient relationship. . If the patient is cognitively impaired, the patient should never be seen alone. D 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? A Poor health outcomes . B lower rates of hospitalization . C Less frequent use of preventive services . D All of the above . Question 22 A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply. A The existence of a client-professional relationship – duty to care. . B Behavior below the appropriate standard of care for professionals dealing in like circumstances. . C A causal link between the practitioner’s failure to conform to treatment standards and harm to the patient. . D Actual injury to the patient. . Question 23 According to USDHHS and the Federal Bureau of Primary Health Care, which of the following individuals would be considered homeless? 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 . C A person who is living with a friend . D All of the above . Question 24 C Benadryl po or IM . D B and C only . Question 30 Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT: A Study in a distraction free environment. . B Six to eight hours of sleep is recommended. . 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 . B A physician . C A unlicensed social worker . D A and B . Question 32 The ARNP is treating a 27-year-old female with bipolar disorder who is obese and has renal dysfunction. Which of the following is true? A Lithium is the gold standard and should be used. . B Lithium should be avoided in patients with renal disease. . C An atypical antipsychotic such as olanzapine or risperidone should be used. . D Depakote is the best option for this patient. . Question 33 Patients with this personality disorder are described as excitable and emotional, and behave in 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 . C Schizotypal personality disorder . 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 . C Dependent personality disorder . D Obsessive-compulsive personality disorder . Question 35 A patient presents and is unapproachable, with poor eye contact, reporting a lifelong pattern of isolation, uncomfortable with human interaction, and constricted affect. This presentation is consistent with which of the following personality disorders? A Schizoid personality disorder . B Borderline personality disorder . C Avoidant personality disorder . D Schizotypal personality disorder . Question 36 Which of the following core competencies are quality competencies? A 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. . D A and C . Question 37 Non-pharmacological treatment for abuse includes all of the following EXCEPT: A Cognitive behavioral therapy . B Build a community of support . Question 43 A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends, unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects the patient likely has which of the following personality disorders? A Schizoid personality disorder . B Paranoid personality disorder . C Borderline personality disorder . D Antisocial personality disorder . Question 44 The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? A Fidelity . B Beneficence . C Non-maleficence . D Respect for autonomy . Question 45 In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts expect related to inpatient psychiatric unit suicide events? A Courts expect suicides to occur in inpatient settings. . B Courts require zero suicide rates in inpatient setting. . C Periodic patient evaluation for suicide risk . D Evidence of formulation of a treatment plan with a high levelof security . Question 46 Using the LIAASE: A General Cultural Competence Tool, the ARNP would do which of the following? A Agree to disagree on differences in values. . B Solicit other options or points of view. . C Acknowledge and validate powerful emotions when . expressed. D All of the above. . Question 47 Which of the following is not consistent with what is known about postpartum psychosis? A Symptoms 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 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. . Question 49 A clause in an employment contract that specifies that an employer and employee may end the working agreement without cause within a specified number of days is known as which of the following? A A restrictive covenant . B An employment clause . C A termination clause . D A and C . Question 50 Standards of care are now being set, modified, monitored, and publicized by certain selfappointed consumer- oriented agencies, as well as government agencies, including which of the following? A Medicare . B The Joint Commission . C The Agency for Healthcare Research andQuality . which of the following personality disorders? A Avoidant personality . disorder B Antisocial personality disorder . C Borderline personality disorder . D Narcissistic personality disorder . Question 57 Which of the following medications is associated with neural tube defects when given during pregnancy? A Iron . B Haloperidol . C Valproic acid . D Chlorpromazine . Question 58 Curriculum content that supports the NP scientific foundation competency area includes which of the following? Select all that apply. A Comparison of patient data sets with evidence-based standards to improve care . B Science from other disciplines relevant to health care . C High reliability organization principles. . D Compliance issues related to patient privacy with use of technology. . Question 59 Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as which of the following? A Suicide . B Suicide intent . C Suicide attempt . D Aborted suicide attempt . Question 60 The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders? A Schizotypal personality disorder . B Borderline personality disorder . C Narcissistic personality disorder . D Histrionic personality disorder . Question 61 The degree to which individuals have the cognitive and social capacity to access, process, and utilize basic health information and services to maintain good health, make appropriate health decisions, and meet their goals is knowns as which of the following? A Health literacy . B Health advocacy . C Health disparities . D Social determinants of health . Question 62 Risk factors for physical abuse include all of the following EXCEPT: A Literacy . B Pregnancy . C Serious mental illness . D History of victimization during developmental . years. Question 63 According to Freud, passive and dependent personality traits are associated with which stage of development? A Oral stage . B Anal stage . C Phallic stage . . C Employed . 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 is known as what type of pay structure? A Fee for service . B Average percentage of net receipts . C Base salary plus percentage . D Hourly rate with bonus . Question 71 Which of the following is not consistent with guidelines for a mentor? 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 Be 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 mentee might want to hear. . Question 72 Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim? A Tension building phase . B Abusive incident . C Honeymoon phase . D Planning phase . Question 73 In educating the patient beginning to take Lithium, the ARNP explains which of the following related to diet and fluid intake? A Caffeine and alcohol act as hydration agents and can raise your lithium concentrations. . B Drink at least a gallon or more of water per day and limit your salt intake. . C If you go on a diet, your doctor may need to increase frequency of blood tests. . D All of the above . Question 74 A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nausea and vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deep tendon reflexes. The ARNP should do all of the following EXCEPT: A Discontinue the Lithium. . B Obtain vital signs, and obtain a neurological evaluation with complete formal mental examination. . C Obtain lithium level, serum electrolytes, renal function tests and ECG. . D Give activated charcoal to remove unabsorbed Lithium. . Question 75 Which of the following are symptoms consistent with patients with passive-aggressive personality? A Passive-aggressive patients are more dramatic than those with borderline personalitydisorder. . B Passive- aggressive patients are more openly aggressive than patients with histrionic or borderline personality disorder. . C Passive aggressive patients are more emotional than patients with narcissistic personality disorder. . D Passive-aggressive patients are more flamboyant than patients with borderline personality disorder. . Question 76 Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? A Dependent personality is more common in men than in women. . B Dependent personality disorder is more common in young children than in older ones. . C Persons with chronic physical illness in childhood may be most susceptible tothis disorder. . D B and C only . . B At will employment . C Employment by . contract D 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 . B Premenstrual depression . C Premenstrual dysphoric disorder . D Premenstrual psychosomatic disorder . Question 84 NP core competencies for INDEPENDENT practice include all of the following EXCEPT: A Maintains a collaboration agreement with a physician . B Demonstrates the highest level of accountability for professional practice. . C Practices independently managing previously diagnosed and undiagnosed patient. . D Practices patient-centered care recognizing culture diversity and the patient or 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 the following? A Health literacy . B Health disparities . C Health vulnerabilities . D Social determinants of health . Question 86 In order to qualify for ANCC board certification testing you must have a minimum of how many supervised clinical hours in the respective specialty for which you are seeking certification? A 300hours supervised clinical . B 500hours supervised clinical . C 600hours supervised clinical . D 800hours supervised clinical . 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. . 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? A Providing a quick assessment . B Providing housing . C Recognizing and responding to the needs of the population in a time-sensitive manner . D All 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 following components? A Care priorities . B Development of a treatment plan . C Implementation of the treatment plan . D Follow-up and evaluation of the patient status . Question 90 The ARNP assessing lifestyle as a social determinant of health would ask about which of the following? A Diet . B Education . C Health literacy Question 97 The incidence of suicide is highest for which of the following populations? A Older Latino men . B Older Caucasian men . C Older Caucasian women . D Older African American men . Question 98 Which of the following defense mechanisms does the abuser use during the honeymoon phase of the cycle of violence? A Denial . B Projection . C Reaction formation . D A and C only . Question 99 Obsessive-compulsive, dependent, and avoidant personality traits are associated with which of the following personality clusters? A Cluster A . B Cluster B . C Cluster C . D Cluster D . 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 within it. . D When in doubt, take a conservative approach. .