NRNP6675 Week 11 Final Exam Walden University 100 Verified Q & A, Exams of Nursing

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NRNP 6675 Final Exam (Version-2, 100 Q & A, Latest-2022)

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NRNP6675 Week 11 Final Exam: Walden University | 100%

Verified 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 and

excessive.

.

B Thoughts of harming the baby are often present.

.

C Typical onset is within 3–6 months after delivery.

.

D All of the above

.

Question 3

Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the

following?

A Fidelity

.

B Justice

.

C Beneficence

.

D Non-

maleficence.

Question 4

Which of the following is used for treating alcohol-dependent individuals seeking to continue to remain alcohol

free after they have stopped drinking?

A Tacrine

.

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

organizations.

.

B Become familiar with the resources available on NP organization

websites.

.

C Volunteer to serve on legislative committees within professional NP

organizations.

.

D All the above

.

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’s

ability 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 a

patient.

.

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 14

The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating

victims of trauma is known as which of the following?

Compassion fatigue

B Primary

traumatization.

C Transference

.

D Countertransferenc

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-

risk adult behaviors.

.

B The study revealed a causal relationship between child traumatic events and high-

risk 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-

risk 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

.

B Abusive incident

phase

. C Tension-building

phase

.

D Refractory phase

.

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 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?

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

A particular form of psychotherapy used for patients with borderline personality disorder, especially those with

parasuicidal behavior such as frequent cutting in known as which of the following?

A Dialectical Behavior Therapy

.

B Mentalization-based Treatment

. C Transference-focused

Psychotherapy

.

D Exposure Therapy

.

Question 25

As a PMHNP, one of the most common areas you will counsel your patients about is the importance of sleep

hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene?

A Avoid alcohol and caffeine.

.

B Set a cool room temperature.

.

C Set TV to turn off within 1 hour of falling

asleep.

.

D Go to bed at the same time each night.

.

Question 26

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

.

C Increased number of individuals who have access to

healthcare

.

D The economic push for cost-effective healthcare

.

Question 27

According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of

development?

A Oral stage

.

B Anal stage

. C Phallic stage

.

D Latency

stage

.

Question 28

Features that point to a medical cause of a mental disorder include which of the following?

A Acute onset

.

B Auditory hallucinations.

C Visual

hallucinations.

D A and C

.

Question 29

A patient currently on risperidone presents to the emergency department with increased agitation, restlessness,

muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia and recommends which of

the following? Select all that may apply.

A Reduce antipsychotic

dosage

.

B Benztropine IM

.

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

.

C Assist patient to devise safe escape

plan

.

D 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

disorder

.

B Schizotypal personality

disorder

.

C Borderline personality

disorder

. D Avoidant personality

disorder

.

Question 39

A particular form of psychotherapy based on Otto Kernberg’s object relations theory is known as which of the

following?

A Dialectical Behavior Therapy

.

B Mentalization-based Treatment

. C Transference-focused

Psychotherapy

.

D Cognitive Behavioral Therapy

.

Question 40

Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels?

A

0.8–

1.5mEq/L.

B

1.5–

2.0mEq/L.

C

2.0–

2.5mEq/L.

D

2.5 mEq/L

.

Question 41

The term “suicide survivor” refers to which of the following?

A Those who have lost a loved one to suicide.

.

B Someone who has attempted suicide but failed.

.

C Only those who have had a serious suicide attempt with a near

death experience.

.

D This is an ambiguous term that should not be used.

.

Question 42

At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all

that apply. A Is the patient psychotic?

.

B Is the patient suicidal or homicidal?

.

C Is the problem organic, functional, or a

combination?

.

D Is it safe for the patient to be in the

emergency room?

.

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 level

of 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 and

Quality

.

D All 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?

A Racism

.

B Health disparities

.

C Vulnerable populations

.

D Social determinants of

health

.

Question 52

Which of the following medical conditions can present with prominent mental status changes that mimic common

psychiatric illnesses? Select all that apply.

A Diabetes Mellitus.

B Thyroid disease.

C AIDS

.

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 the following?

A Homelessness

.

B Housing instability.

C Transiency

.

D A and B

.

Question 54

Risk factors for school violence include which of the following? Select all that apply. A Bullying

.

B Being bullied

.

C Isolation

. D Involvement in school

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 of the following?

A Cultural

Awareness.

B Cultural

Competence.

C Cultural Humility

.

D Cultural

Sensitivity.

Question 56

A patient with an inability to

conform to the social norms that

ordinarily govern many aspects of a

person’s behavior is consistent with

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 Chlorpromazi

ne

.

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

.