NRNP6675 and NRNP 6675 final exam all 100 questions and answers latest 2022 - 2023

Question 1

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 2

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 3

All the following is true regarding applying to take the ANCC PMHNP board certification exam EXCEPT:

 

A.           The clinical and didactic content related to your specialty certification must be completed.

 

B.           The application must contain proof of your RN license(s).

 

C.           The applicant may provide an unofficial transcript.

 

D.           The validation of the education form must be signed by the NP program director.

Question 4

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 5

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 6 of 101   

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Question 6

Loyalty, fairness, truthfulness, advocacy, and dedication in professional relationships is known as which of the following?

 

A.           Justice

 

B.           Fidelity

 

C.           Non-maleficence

 

D.           Respect for autonomy

Question 7

Features that point to a medical cause of mental disorder include which of the following? Select all that apply.

 

A.           Acute onset (within hours or minutes with prevailing symptoms)

 

B.           Nonauditory disturbances of perception

 

C.           Current medical illness or injury

 

D.           Constructional apraxia

Question 8

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 9

According to the AANP Process of Care Standards, performing or ordering preventative and diagnostic procedures based on the patient’s age and history is part of which of the following components?

 

A.           Assessment of health status

 

B.           Development of a treatment plan

 

C.           Implementation of the treatment plan

 

D.           Care priorities

Question 10

An ARNP takes a position in which a specific amount is paid according to a set job description. This type of pay structure is known as which of the following?

 

A.           Straight salary

 

B.           Average percentage of net receipts

 

C.           Base salary plus percentage

 

D.           Hourly rate

Question 11

In educating the patient beginning to take Lithium, the ARNP explains which of the following related to the need for blood tests?

 

A.           Your lithium blood levels, thyroid function, and kidney status need to be monitored as long as you take lithium.

 

B.           When going to have your lithium levels checked, you should have taken your last lithium dose 12 hours earlier.

 

C.           Once your lithium dose has been stabilized you will no longer need to have your lithium level monitored unless your dose is changed.

 

D.           A and B only

Question 12

Which stage of the cycle of domestic violence is characterized by the abuser subconsciously implementing defense mechanisms and cognitive distortions to alleviate the ego dystonic implication of the abuse?

 

A.           Sweetheart phase

 

B.           Honeymoon phase

 

C.           Tension building phase

 

D.           Defensive phase

Question 13

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 14

The NP preceptor should have which of the following?

 

A.           Knowledge of the NP role

 

B.           The ability to be a role model for the preceptee

 

C.           Solid clinical skill set in the specialty for which the NP student is being precepted

 

D.           All the above

Question 15

Acknowledging a person’s right to make choices, to hold views, and to take actions based on personal value is known as which of the following?

 

A.           Justice

 

B.           Fidelity

 

C.           Beneficence

 

D.           Respect for autonomy

Question 16

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 17

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 18

All the following is consistent with ANCC rules regarding recertification EXCEPT:

 

A.           You are required to have a maximum of 25 credit hours during each certification period.

 

B.           You can start the recertification process 1 year before your expiration date, but no later than 3 months before.

 

C.           You must have 1000 clinical practice hours in the clinical specialty within the preceding 5 years.

 

D.           You must have at least 25 contact hours in pharmacotherapy.

Question 19

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 20

In Canterbury v. Spence the U.S. Court of Appeals for the District of Columbia Circuit listed physician responsibilities for disclosure. Which of the following is not listed as a responsibility?

 

A.           Adopt a standard of full disclosure with patients.

 

B.           Alert the patient to symptoms of bodily abnormality.

 

C.           Inform the patient when the ailment does not respond to the physician’s ministrations.

 

D.           Inform the patient about precautionary therapy that he or she should seek in the future.

Question 21

Which of the following medications is associated with Ebstein’s anomaly when given during pregnancy?

 

A.           Haldol

 

B.           Lithium

 

C.           Valproic acid

 

D.           Chlorpromazine

Question 22

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 23

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 24

A psychotic disorder that occurs in women who have recently delivered a baby is known as which of the following?

 

A.           Postpartum psychosis

 

B.           Brief reactive psychosis

 

C.           Postpartum pseudocyesis

 

D.           Postpartum depression with psychotic features

uestion 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

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.

 

C.           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 27

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 28

Which of the following is consistent with current perspectives on nurse practitioner competencies?

 

A.           The National Organization of Nurse Practitioner Faculties has developed a list of core 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 29

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 30

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 31

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 32

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 33

Sexual assault is most often which of the following?

 

A.           A stranger

 

B.           An acquaintance

 

C.           A family member

 

D.           A professional

uestion 34

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

 

A.           0.8–1.5 mEq/L

 

B.           1.5–2.0 mEq/L

 

C.           2.0–2.5 mEq/L

 

D.           > 2.5 mEq/L

Question 35

Ethnocentrism results in which of the following?

 

A.           A 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 cultures

 

D.           Provides general principles that can be used to treat patients from a variety of cultures

Question 36

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 37

The goal of psychotropic treatment is to eliminate all manifestations of a disorder to below the syndromal threshold, which is defined as which of the following?

 

A.           Response

 

B.           Remission

 

C.           Resistance

 

D.           Sensitization

Question 38

Which of the following should be avoided when working with practice guidelines?

 

A.           Write guidelines with minute details that everyone will follow it in the exact same way.

 

B.           Base guidelines on evidence from widely used resources and reference those resources in the guidelines.

 

C.           Adopt an already published set of guidelines.

 

D.           If the guideline is inappropriate for a particular patient, document why an alternative ????approach is being taken.

Question 39

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 40

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

uestion 41

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 42

Which of the following defense mechanisms is frequently used by individuals with obsessive-compulsive personality disorder?

 

A.           Denial

 

B.           Asceticism

 

C.           Regression

 

D.           Rationalization

 

Question 78

Nurse practitioner preceptors should have at least how much experience as a nurse practitioner in the relevant specialty prior to precepting?

 

A.           A minimum of 6 months of experience as a licensed NP in the specialty

 

B.           A minimum of 9 months of experience as a licensed NP in the specialty

 

C.           A minimum of 1 year of experience as a licensed NP in the specialty

 

D.           A minimum of 2 years of experience as a licensed NP in the specialty

Question 79

A patient with history of schizophrenia, currently prescribed Haldol, presents to the emergency department with hyperthermia, muscle rigidity, autonomic instability, and elevated creatinine phosphokinase. The ARNP recognizes these symptoms are consistent with which of the following psychiatric emergencies?

 

A.           Nutmeg intoxication

 

B.           Bromide intoxication

 

C.           Extrapyramidal symptoms

 

D.           Neuroleptic malignant syndrome

Question 80

Cultural Dimensions Theory is a framework for cross-cultural communication that describes the effects of a society’s culture on the values of its members. It was developed by which of the following theorists?

 

A.           Hofstede

 

B.           Leininger

 

C.           Purcell

 

D.           Campinha-Bacote

Question 81

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 82

The misuse of the charge’s funds for personal gain is known as which of the following?

 

A.           Neglect

 

B.           Physical abuse

 

C.           Financial abuse/exploitation

 

D.           Emotional/psychological abuse

Question 83

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 84

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 85

Type of employment in which either party may terminate for any reason at any time is known as which of the following?

 

A.           Locum tenens

 

B.           At will employment

 

C.           Employment by contract

 

D.           Profit sharing employment

Question 86

Which of the following is consistent with what is known about personality disorders?

 

A.           Typical onset in early childhood

 

B.           Is stable over time

 

C.           Involves impairment in at least one of four areas of cognition, affectivity, interpersonal function or impulse control

 

D.           B and C only

Question 87

A patient prescribed clozapine presents to the ED with high fever, pharyngitis, and perianal ulceration. You suspect which of the following?

 

A.           Influenza

 

B.           Agranulocytosis

 

C.           Neuroleptic malignant syndrome

 

D.           Acquired immune deficiency syndrome

Question 88

The only approved therapy in the United States for moderate to severe Alzheimer’s disease is which of the following?

 

A.           Donepezil

 

B.           Memantine

 

C.           Rivastigmine

 

D.           Galantamine

Question 89

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 90

Patients with extreme sensitivity to rejection who are socially withdrawn because they consider themselves socially inept, although are not asocial, and show a great desire for companionship are demonstrating symptoms most consistent with which of the following personality disorders?

 

A.           Narcissistic personality disorder

 

B.           Avoidant personality disorder

 

C.           Borderline personality disorder

 

D.           Schizoid personality disorder

Question 91

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?

 

A.           Compassion fatigue

 

B.           Primary traumatization

 

C.           Transference

 

D.           Countertransference

Question 92

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 93

The ARNP recognizes which of the following as short-term effects of sex trafficking on victims?

 

A.           Depersonalization

 

B.           Post-traumatic stress disorder

 

C.           Higher risk behaviors (i.e., drug and alcohol abuse)

 

D.           A and C only

Question 94

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 95

An enduring pattern of behavior and inner experiences that deviates significantly from the individual’s cultural standards and produces functional impairment or subjective distress is consistent with which of the following?

 

A.           Dysphoric disorder

 

B.           General personality disorder

 

C.           Dysfunctional personality traits

 

D.           Developmental personality disorder

 

 

•                Question 96 of 101   

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Question 96

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 97

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 99

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 of the following?

 

A.           Medicare

 

B.           The Joint Commission

 

C.           The Agency for Healthcare Research and Quality

 

D.           All of the above

uestion 98

The treatment of choice for patients with histrionic personality disorder include which of the following?

 

A.           Psychoanalytic oriented individual psychotherapy

 

B.           Psychoanalytic oriented group psychotherapy

 

C.           Exposure therapy

 

D.           A or B

Question 100

Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the 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