Tag: Clinical-Nursing

NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.

WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication. Daughter complains about her father’s unwillingness to be cared for. He is a widower whose only relatives around are his daughter, a nurse, and his 13-year-old grandchild.

Include the following: 

Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific. 

Explain the issues that you would need to be sensitive to when interacting with the patient, and why.  

Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques. 

Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient. 

Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific. 

References: This paper should be in APA format with at least three references to 
s
upport your posting. In-text citation should be used as well

 

NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.

Week 2 Assignment: Building a Patient’s Health History with Diversity and Cultural Awareness

Patients’ health history significantly influences their treatment outcomes by informing diagnoses and treatment decisions. Thus, an individual’s treatment starts with building a detailed health history. However, elements captured in the medical history differ from one patient to another. The assigned patient is a 62 y/o Chinese male accompanied by his daughter to the clinic. He has currently visited the clinic for a follow-up appointment following the prescription of a new medication for managing his hypertension. This paper presents significant components of the health history of a 62-year-old Chinese male.

Factors to Consider When Building a Health History

Considering multiple factors during clinical assessment would allow the NP to build a comprehensive medical history for this patient. The first significant aspect is the patient’s socioeconomic factors. This determinant of health must be considered since social support significantly impacts treatment outcomes in persons diagnosed with chronic disorders and undergoing continuous treatment (Şahin Altun et al., 2022). The daughter reports the patient’s unwillingness to be cared for. Thus, the clinician must assess the patient’s social support system since it is likely to impact his adherence to the recommended medication regimen. Moreover, the healthcare provider should consider the patient’s cultural factors since he is from a diverse ethnic background (Chinese). Therefore, examining the patient’s cultural values would allow the clinician to collect culturally sensitive comprehensive and detailed health history. For instance, examining Chinese perception towards medical treatment for chronic disorders, such as hypertension would indicate a patient’s likelihood to comply with the new medication regimen.

CLICK HERE TO GET HELP WITH YOUR PAPERS 

Areas to be Addressed with Sensitivity during the Patient’s Interaction

Being sensitive to some areas of the patient’s life while interacting with him is crucial in creating a good relationship. The most significant area that must be addressed with sensitivity and care is the patient’s cultural and ethnic background. Ziegler et al. (2022) associated nurses’ intercultural competence when dealing with culturally diverse patients with optimal treatment outcomes. Therefore, the NP should avoid directly associating the patient’s medical condition with his Chinese background. Consequently, the patient would feel that his cultural background or ethnicity has been respected; thereby responding to interview questions willingly. Health-related information and medical data collected during the interview would then allow the healthcare professional to make informed decisions regarding the patient’s treatment. Moreover, sensitivity is key when addressing the patient’s social life. Being a widower with a very small social circle that includes the patient’s nurse, a daughter, and a grandchild might have contributed to his current health status. Thus, the clinician must be careful when discussing with the patient his support system to avoid triggering emotions that might compromise the health history-building process.

Effective Communication Techniques

One of the most effective communication strategies in this scenario involves using formal titles. Chinese culture values social hierarchies and authority (Zhang, 2023). Therefore, the clinician should focus on using formal titles, such as Mr. to address this patient, which would make him feel valued and respected. Consequently, the patient would adhere to interview instructions, providing all essential health-related information. The second communication approach involves engaging a family member. Specifically, the patient’s bilingual daughter should be involved in the interview to provide his father’s medical information, resulting in a comprehensive health history. The last strategy involves using simple language with limited technical terms. This communication approach would enhance the patient’s daughter’s understanding of interview questions since English is not her first language. As a result, the daughter would provide all vital medical information needed to support clinical decisions.

The Health History Interview

” Do you have any concerns regarding new anti-hypertensive medication?” This question would allow the clinician to determine if an alternative medication or dose adjustment is necessary to enhance adherence to the current medication regimen.

“Is the current medication more effective than the previous one in improving your blood pressure?” This question would guide the clinician in deciding whether to continue the current medication.

“Do you monitor your blood pressure regularly?” This question would is effective in determining if the patient would notice when his blood pressure significantly varies with desired metrics.

“Do you have any mental health concern?” This question indicate if the patient’s hypertension has exposed him to mental health issues.

“Do you adhere to the recommended DASH diet?” This question would allow the NP to determine how the patient’s diet impacts his treatment outcomes.

The Best Risk Assessment Instrument

The most appropriate tool for a 62-year-old Chinese male with hypertension is the Framingham Risk Score (FRS). According to MB and WA (2021), FRS uses multiple factors, including age, blood pressure level, diabetes status, gender, and cholesterol levels to predict an individual’s risk of developing cardiovascular disease (CVD) within 10 years. The patient has been receiving hypertension management care, making him prone to CVDs. Therefore, the FRS is the best risk assessment tool in this case since it would allow the assessment of potential CVDs.

References

MB, A. A., & WA, K. (2021). Cardiovascular diseases Risk Prediction using the Framingham risk score. 
Egyptian Journal of Occupational Medicine
, 
45
(3), 249-264. DOI: 10.21608/ejom.2021.193283

Şahin Altun, Ö., Asi Karakas, S., Öztürk, Z., & Polat, H. (2022). An analysis of the relationship between social support levels and treatment compliance of individuals diagnosed with schizophrenia. 
Perspectives in Psychiatric Care
, 
58
(2). DOI: 10.1111/ppc.12813

Zhang, S. (2023). Just Hierarchy: Why Social Hierarchies Matter in China and the Rest of the World, written by Daniel Bell and Wang Pei. 
Journal of Chinese Humanities
, 
9
(1), 131-137.
https://brill.com/view/journals/joch/9/1/article-p131_8.xml

Ziegler, S., Michaëlis, C., & Sørensen, J. (2022). Diversity competence in healthcare: experts’ views on the most important skills in caring for migrant and minority patients. 
Societies
, 
12
(2), 43.
https://doi.org/10.3390/soc12020043
  NURS 6512 week 2 assignment – WH is a Chinese 62 y/o male with limited understanding of the English language who comes to the clinic with his adult bilingual daughter for a follow-up appointment after getting started with a new anti-hypertensive medication.

Week 1: i-Human Scavenger Hunt Quiz

Prepare for your i-Human Patients Case Study Assignments in the course with this quiz. Like a typical scavenger hunt, you will need to do some searching for the answers, which may include looking ahead to other weeks. Submit all requirements of the i-Human Scavenger Hunt Quiz by 
Day 3 of Week 1.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

Reflect on your experience with health assessments as an advanced practice nurse.

When you are ready, access the Quiz link. You will have one attempt to complete the Quiz.

By Day 3 of Week 1

Complete and submit
 the Quiz.

Note:
 You are also required to submit a copy of your receipt as proof of purchase with this completed file. Please submit the receipt at this link.

Attempt History

Attempt

Time

Score

LATEST

Attempt 1

38 minutes

10 out of 10

 Correct answers are hidden.

Score for this quiz: 10 out of 10

Submitted Feb 27 at 3:27 pm

This attempt took 6,538 minutes.

Question 1

2
/ 2
 pts

Where do you locate the Access i-Human Patients link?

Start Here Module in the course modules

 

Syllabus

 

Class Cafe

 

Week 1 Looking Ahead

 

GET iHUMAN HELP HERE

Question 2

2 
/ 2
 pts

Where do you find the following in Weeks 1–3?

i-Human Patients. (2023). 
i-Human Patients case player: Student manual.

I-Human Patients by Kaplan.

Syllabus

 

Required Resources (or Required Readings)

 

Learning Resources – Optional Resources

 

Announcements

 

Week 1: i-Human Scavenger Hunt Quiz Question 3

2 
/ 2
 pts

Where will you purchase your i-Human Patients access code to complete your Assignments? (Hint: Be sure you have reviewed the Course Syllabus.)

No need to purchase

 

Through Course link

 

Through Course link

 

Walden Univeristy Bookstore

 

Question 4

2 
/ 2
 pts

By what day are you required to purchase the iHuman code?

By day 7 in week 1

 

By day 7 in week 4

 

By day 7 in week 3

 

By day 7 in week 2

 

Question 5

2/ 2
 pts

What is your first
i-Human Patients
Case Assignment, how many attempts will you have with this Assignment, and when is your last attempt due?

Clara Barton, 5 attemtps, due by day 7 in week 2

 

Clara Barton,  3 Attempts, due by day 7 in week 3

 

Marvin Webster, Jr: 3 attempts: due by day 7 in Week 2

 

Marvin Webster, Jr.; 5 attempts; and due by day 7 in Week 3

 

Quiz Score: 10 out of 10 – Week 1: i-Human Scavenger Hunt Quiz

NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025

Question 1                 
1 pts

Choose the following statement that is 
most
 true:  The lower the psychotherapy patient is determined to be on the model of Maslow’s hierarchy of needs

Group of answer choices

The less involved the therapist must be in active treatment

The more involved the therapist must be in active treatment

The patient needs no therapist for treatment

The more enmeshed the therapist must be.

Question 4               
1 pts

Dialectical Behavior Therapy is known to be the 
most
 effective treatment for all the following disorders:

Group of answer choices

Cluster A personality disordered patients

Cluster B personality disordered patients

Cluster C personality disordered patients

None of the above

Question 6                       
1 pts

Which of the following is consistent regarding termination of treatment in 
brief 
psychodynamic psychotherapy?

Group of answer choices

The termination date is not set and is ongoing as long as the patient wants to come for visits

The termination date is set within 30 sessions

The termination date is set within 60 sessions

None of these are true

NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025 – Question 7   
1 pts

All of the following are potential ethical and legal violations for therapists when conducting therapy 
EXCEPT:

Group of answer choices

allowing a person to run up a high unpaid bill

sexual fantasies about a patient

processing therapist emotions about a patient in clinical supervision with a colleague in private

talking about a patient session in the elevator with a colleague

Question 8   
1 pts

The study of theories and principles for mental health, mental illness, and general psychodynamics is a strategy that supports which therapeutic group factor?

Group of answer choices

Imparting of information

Interpersonal learning

Imitative behavior

Development of socializing techniques

GET EXAM HELP

Question 9       
1 pts

What group therapeutic approach focuses on examining interactions among and between the group leader and group members, and assisting group members in increasing awareness of unconscious motivations and needs?

Group of answer choices

Cognitive Behavioral

Person-Centered

Psychodynamic

None of the above

Question 10     
1 pts

During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following?

Group of answer choices

Asking the children to not be involved

Asking the person identified as the problem to meet privately without regard to others in the family

Asking the person identified as the problem how they think the problem could be fixed.

Asking how others in the family about the involvement involved in or how affected by “the problem”.

Question 11   
1 pts

The therapist using a cognitive behavioral therapy approach says to the patient: “You say you become depressed. Explain to me what depression feels like to you.” This is an example of what question type in Socratic Dialogue?

Group of answer choices

Memory question

Translation question

Application question

History question

Question 13   
1 pts

Psychodynamic psychotherapy interventions focus on which of the following?

Group of answer choices

The person’s thoughts beliefs and behaviors

The person’s relationships and family dynamics

The person’s emotions and thoughts, deepening understanding of triggers form the past played out in the present.

The person’s body, beliefs, images, and emotions to process trauma

Question 16   
1 pts

What
psychotherapy
framework is the 
best
 choice for the therapy to use when assisting older adults with reflection and resolution in transitioning from one life stage to another focusing on bereavement, role transitions, and role conflict?

Group of answer choices

Interpersonal Psychotherapy

Cognitive Behavioral Therapy with use of computer keyboard for typing

Mindfulness-Based Interventions

Motivational Interviewing

 

NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025

Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.

Group of answer choices

Emphasis on the past; Focus on expression of emotion; Emphasis on transference

Focus on here and now, focus on current relationships, exploration of intra psychic issues.

Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.

Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.

Question 18
1 pts

Which of the following neurotransmitter stimulates the hypothalamic-pituitary-adrenal axis and acts on the reward system?

Group of answer choices

Gamma-aminobutyric acid

Dopamine

Cortisol

Norepinephrine

Which therapy is based on the theory of how a patient structures their experiences largely determine how they feel and behave (maladaptive thoughts are rooted in irrational or illogical assumptions)?

Group of answer choices

Psychodynamic Therapy

Supportive Psychotherapy

Cognitive Behavioral Therapy

Interpersonal Psychotherapy

Question 20
1 pts

Conducting psychotherapy is a skill and an art that must be learned by nurses transitioning from registered nurse to advanced practice registered nurses as they are accustomed to “taking care of people, being action-oriented, wanting to rescue patients by making them feel better” and helping the patient feel better is not the main goal of psychotherapy when in fact in psychotherapy attempts of “improving symptoms” may even be counterproductive to the therapeutic process.

Group of answer choices

True

False

True

Question 21
1 pts

In group therapy, which Yalom principle is displayed when one group member shares vulnerable information about their own experiences in order to help another member of the group?

Group of answer choices

Altruism

Imitative Behavior

Universality

Existential Factors

Question 22
1 pts

Key Concepts for Emotionally Focused Family Therapy include all the following 
EXCEPT
:

Group of answer choices

Attachment Styles

Coalitions

Emotions

Attachment Injuries

Question 23
1 pts

The therapist is assessing a patient for suicide risk.  All of the following are considered protective factors to lower suicide risk for patients 
EXCEPT
:

Group of answer choices

a patient having religious beliefs

a patient having a history of self harm but never hospitalized

a patient expressing responsibility for family, friends, work, and/or pets

a patient demonstrating resiliency and ability to cope with stress

Question 24
1 pts

The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking,” If this is true then what happens?”

Group of answer choices

Idiosyncratic Meaning

Labeling of distortions,

Downward Arrow

Questioning the Evidence

Question 29
1 pts

According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior?

Group of answer choices

Imitative behavior generally plays a more important role in early stages of a group.

Imitative behavior may allow an individual to experiment with a new behavior.

Finding out what we are not is progress toward finding out what we are.

All of the above

Question 30
1 pts

According to Yalom, members of a cohesive psychotherapy group will demonstrate all the following variables 
EXCEPT
:

Group of answer choices

try harder to influence other group members

be more open to influence by other members

reluctantly participate in group meetings

be willing to listen and more accepting of others

Question 31
1 pts

All of the following are left-brain functions 
EXCEPT
:

Group of answer choices

Empathy

Problem-solving

Explicit reasoning

Controls the right side of the body

Question 32
1 pts

All of the following are features of Interpersonal Psychotherapy 
EXCEPT
:

Group of answer choices

Long term therapy sessions

Based on the present, not the past

Focused sessions, not open-ended

awareness of personality but not main focus

Question 33
1 pts

The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts?

Group of answer choices

Id vs ego conflict

Super ego actions to censor and restrain

Psychic determinism

Ego synchrony

Question 34
1 pts

The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following?

Group of answer choices

Labeling of Distortions

Questioning the Evidence

Advantages and Disadvantages

Examining Options and Alternatives

 

 

The therapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The therapist is concerned stopping treatment will
 jeopardize 
the patient’s 
safety 
and realizes which of the following are the 
best 
ethical actions?

Group of answer choices

the therapist continues to work with the patient to ensure ongoing treatment while working with the managed care company on payment solutions.

Stop treatment immediately.

Attempt to work out a payment plan with the patient for ongoing treatment

Both A and C are correct

Question 37             
1 pts

According to Freud’s Psychosexual stages development of sexual identity occurs during what age range?

Group of answer choices

18 months to 3 years

3 years to 6 years

6 years to 12 years

13 years to 20 years

Question 39             
1 pts

Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework?

Group of answer choices

Eric Erickson

Sigmund Freud

Margaret Mahler

Harry Stack Sullivan

Question 40   
1 pts

Common patterns of behavior and experience derived from the settings in which people live is known as which of the following?

Group of answer choices

Race

Culture

Ethnicity

Family structure

Question 41     
1 pts

In patients with chronic hyperarousal their Resilience Zone may be too narrow. Strategies to widen the Resilience Zone would include which of the following?

Group of answer choices

Exercise, decreasing caffeine intake, and imagery

Relaxation exercises, increasing caffeine intake and imagery

Both A and B

None of the above because actually their Resilience Zone is too wide.

 
Question 49             
1 pts

Which of the following are consistent with findings related to levels of cohesiveness in groups?

Group of answer choices

The higher the overall levels of cohesiveness are associated with significantly better total outcome than groups with low cohesiveness.

Group member with little sense of belonging or attraction to a group is unlikely to have a negative outcome.

The attraction to the group is a powerful determinant of outcome.

A and C

Question 50     
1 pts

Choose the two 
most theorized
 psychiatric disorders that are thought to have heritability and epigenetic roots.

Group of answer choices

Schizophrenia

Persistent Depressive Disorder

Bipolar Disorders

Borderline Personality Disorder

 
Question 51     
1 pts

The therapist is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The therapist recognizes the patient is at high suicide risk and recommends which of the following?

Group of answer choices

Develop a crisis plan and give emergency numbers.

Hospital psychiatric admission and suicide precautions.

Refer to intensive outpatient therapy and give emergency numbers.

Develop a no-suicide contract and provide emergency numbers.

 
Question 53 
1 pts

Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages?

Group of answer choices

Autonomy vs. self-doubt

Industry vs. inferiority

Identity vs. role confusion

Intimacy vs. isolation

Question 54
1 pts

A descriptive/biological approach of specialized knowledge that treats individuals as members of a diagnostic group is based on

Group of answer choices

A biomedical model

A holistic model

A recovery model

A resilience model

Question 55                   
1 pts

A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following?

Group of answer choices

Immediacy

Abreaction

Differentiation

Rapprochement

Question 56           
1 pts

Which of the following is 
NOT
 consistent with the underlying assumptions of psychodynamic psychotherapy?

Group of answer choices

What has happened in the past determines what we do today.

Psychodynamic psychotherapy is rooted in developmental theory

By changing one’s thoughts, emotions and behaviors can be changed.

Through understanding the past, the individual is impowered to make more conscious decisions.

NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025    – Question 57     
1 pts

The Health Insurance Portability and Accountability Act defined psychotherapy notes as separate notes maintained by therapists documenting/analyzing the contents of sessions outside of the patient’s medical record. Progress notes are documented in the patient’s medical record. 
Psychotherapy notes
are treated differently in privacy laws than progress notes as they contain sensitive, personal notes from the therapist that are typically not required or useful for treatment, payment, or healthcare operations; they are only beneficial for the mental health provider who created the notes.   All the following are elements  documented in the progress note in the medical record that 
WOULD NOT
 be documented in protected psychotherapy notes 
EXCEPT
:

Group of answer choices

counseling session start and stop times

treatment plan modalities and frequencies

results of clinical screenings and testing

therapist thoughts about how difficult was to hear patient talk about sexual abuse due to potential countertransference

Question 72                 
1 pts

The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following?

Group of answer choices

Acceptance, nonjudgmental attitude and empathy.

Listening to what the meaning of a situation is in the moment.

“Being with” the patient rather than “doing to” the patient.

All of the above are true

Question 73                     
1 pts

All of the following are general principles of 
brief 
psychodynamic psychotherapy 
EXCEPT
:

Group of answer choices

define a precipitating event

no therapy termination date is set

identify developmental issues and defenses to understand how to proceed

be sensitive to how the past is influencing the present

Question 74               
1 pts

All of the following are 
appropriate
 reasons for using screening tools for assessment 
EXCEPT
:

Group of answer choices

measuring patient outcomes

evaluating efficacy of treatment

supplementing the psychiatric interview

obtaining information from a non-cooperative patient

Question 76                 
1 pts

Socratic Dialogue is the gold standard for therapists asking patients questions to elicit answers in Cognitive Behavioral Therapy (CBT).  The CBT therapist asks the patient “On a scale of 1 to 10 how would you rate your level of depression today?” “And how does that compare to 2 months ago?” This is an example of what type of question type in Socratic Dialogue?

Group of answer choices

Application questions

Memory questions

Evaluation questions

Translation questions

Question 77               
1 pts

Which of the following statements is true for Cognitive-Behavioral Therapy (CBT)?

Group of answer choices

CBT is a system of psychotherapy based on a theoretical framework which maintains how an individual structures one’s experiences largely determines how one feels and behaves.

Maladaptive thoughts relating to the “cognitive triad” are rooted in irrational or illogical assumptions.

By changing one’s thoughts, emotions and behaviors can be changed.

All of the above are true

NRNP 6645 Psychotherapy with Multiple Modalities midterm exam 2025 – Question 88             
1 pts

All of the following are types of Exposure Therapy aimed to reduce distress a person experiences with stimuli associated with danger 
EXCEPT:

Group of answer choices

Eye Movement Desensitization and Reprocessing

Dialectical Behavior Therapy

Prolonged Exposure

Exposure and Response Prevention

Question 91                     
1 pts

If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment.

Group of answer choices

The health care provider

The managed care company.

The individual at the managed care company who failed to authorize necessary treatment.

all of these

Question 100                     
1 pts

Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The therapist understands that from Erikson’s psychosocial stages perspective, he is dealing with which psychosocial stage of development?

Group of answer choices

Intimacy vs. isolation

Ego integrity vs. despair

Generativity vs. stagnation

Autonomy vs. alienation

NRNP
6645
Psychotherapy with Multiple Modalities midterm exam 2025

After reading Chapters 19 and 20, please read the following scenario and respond to the questions with rationale from the textbook and/or other readings or references. This Discussion Board assignment is required for all students. It does have to be in APA format with at least 2 references (within 5 years)in APA format. Your response needs to be 200-300 words in length.

The 7 PM to 7 AM RN who usually works on the Adult Medical/Surgical unit is told to report to the Labor and Delivery (L&D) unit as it is his/her turn to float to another unit. The RN has not taken care of a patient in labor since nursing school 5 years ago. The unit supervisor on the L&D unit has assigned this RN to 2 patients in active labor. The floating RN states he or she is uncomfortable in this situation since it has been 5 years in caring for this type of patient. The unit supervisor says, “Don’t worry – you just need good basic nursing assessment and nursing skills.”

Respond to the question: Should the RN take the assignment?

If your answer is “yes”: State the rationale using support from the textbook or other references. If you have additional questions for the RN or the supervisor, please include those in your response.

If the answer is “no”: State the rationale using support from the textbook or other references. Give an alternative action in your response.

 

Discussion: Effective Delegation

Student’s First Name, Middle Initial(s), Last Name

Institutional Affiliation

Course Number and Name

Instructor’s Name and Title

Assignment Due Date

 

Discussion

The American Nurses Association highlights that professionally; nurses should know their rights and responsibilities when considering an assignment. If a nurse feels that they lack expertise in managing patients of a specific population or unit, the nurse is obligated to decline the assignment (American Nurses Association, n.d.). To know what decisions to make in which scenarios, nurses should familiarize with their state Nursing Practice Act or workplace hospital policy, which often highlight these circumstances.

In this case scenario, the author would decline the assignment. In practice, an assignment to an area that a practicing nurse is unfamiliar with and ordered to perform a task that the nurse may be unfamiliar with is likely to occur. In most cases, it can be because of a low staff: patient ratio or as a result of the rotational shifts of nurses from one department to another. For instance, in this case scenario, the nurse has never cared for patients in active labor and the in charge nurse assigns her to care for two patients who are in the active phase of labor. Although declining the assignment can amount to patient abandonment charges if anything wrong occurs, accepting the assignment is equally a threat to the patient’s and nurse’s wellbeing.

The nurse admits that she has never handled a patient in the active phase of labor since 5 years ago. This therefore implies that, she is convinced she lacks adequate practice and knowledge caring for this patient population, which can otherwise compromise the safety and overall well-being of the patients with both legal, financial, and professional implications to her and the hospital. When declining the assignment, Barrow & Sharma (2018) suggest that, a nurse should try to negotiate with the supervisor and demonstrate that, despite her willingness   to care for the assigned patients, she has never worked with mothers in the active phase of labor. Therefore, she cannot be in charge.

 

References

American Nurses Association (n.d.). Questions to Ask in Making the Decision to Accept a Staffing Assignment for Nurses. https://www.nursingworld.org/practice-policy/nurse-staffing/questions-to-ask-in-making-the-decision-to-accept-a-staffing-assignment-for-nurses/

Barrow, J. M., & Sharma, S. (2018). Five rights of nursing delegation.

Sherman Tremaine SOAP note

Case Study

HPI: The session begins with Dr. Moore meeting Sherman Tremaine, a male avatar patient, who was born on November 3rd, 1968. Sherman appears well-dressed but avoids eye contact and fidgets during the session. He indicates that the current date is March 18th, either a Wednesday or Thursday, in Dr. Moore’s office. Sherman mentions his reason for the session, stating his sister compelled him to seek help after their mother’s death, claiming people outside were bothering him. Leaning with a subtle tilt, he gestures toward phantom silhouettes casting glances through the window, asserting they’ve been deployed by governmental bodies to observe him and unjustly inflate his tax liabilities. Sherman reports experiencing auditory and visual hallucinations of these people for weeks, alongside delusions of persecution. He mentions hearing loud voices that disrupt his sleep and believes they tamper with his food. Despite locking his food away, he feels paranoid about contamination. Sherman discloses his substance use, including heavy smoking and occasional alcohol consumption, influenced by his sister’s purchases. He denies cocaine use but admits to past marijuana use, emphasizing he dislikes medication due to adverse effects, citing risperidone’s side effect of gynecomastia. He brings up his father’s past with paranoid schizophrenia and his mother’s struggles with anxiety. Sherman denies suicidal ideation or self-harm history, although he acknowledges prior hospitalizations in his twenties. He takes metformin for diabetes but questions the diagnosis’s validity. Sherman discloses familial dynamics, expressing distrust towards his sister and alleging government conspiracy. Despite these concerns, he maintains a casual demeanor and denies a criminal history, except for frequent calls to 911 about perceived threats.

 

Introduction – Sherman Tremaine Soap note

Schizophrenia spectrum, as well as other psychotic disorders, are characterized by hallucinations, delusions, disorganized behaviors, and negative symptoms. Schizophrenia emerges in late adulthood and is marked with psychotic episodes. These conditions alter an individual daily life and affect their relationship, self-care, and work. In the provided case study, Sherman presents with psychotic symptoms, visual and auditory hallucinations, paranoid ideation as well as persecutory delusions. He has a family history of paranoid schizophrenia and has a history of hospitalization, heavy cigarette smoking, occasional alcohol use, and marijuana use that calls for the differentiation of psychotic disorders from substance induced conditions. Therefore, this case study ensures accurate assessment and collaborative treatment to manage symptoms and promote good quality of life.

Patient information:

Name: S.T

Date of Birth: 1968

Subjective:

CC
(chief complaint):

People outside are bothering me, and my sister has compelled me to seek help.

HPI
:

The onset
: A few weeks ago is when the symptoms started.

The course:
Persistent symptoms since onset.

Duration:
Symptoms lasted for some weeks.

Characteristics:
               Hallucinations: He has visual and auditory hallucinations. He mentions hearing loud voices that disrupt his sleep and people observing him through the window.               Delusions: He believes that people have been deployed by the government bodies to observe him and inflate tax liabilities. He also believes his food is being tampered with.Aggravating factor: Not mentioned.Relieving factor: Not mentioned.Associated symptoms: sleep disruptions due to voices.Substance use: heavy smoking, alcohol consumption, as well as past marijuana use.He dislikes medication because of side effects, like risperidone, because it causes gynecomastia.              
Substance Current Use:
He accepts heavy smoking, occasional alcohol consumption, and past marijuana use, but he denies cocaine use.

Medical History:
He had prior hospitalization in his twenties and was diagnosed with diabetes, which he questions the validity of the diagnosis.

Current Medications
: Metformin.

Allergies
: No allergy reported.

Reproductive Hx
: It is not provided.

BUY A CUSTOM SOAP NOTE HERE

ROS
:

GENERAL: He denies fever, weakness, fatigue or weight loss.

HEENT: Eyes: He denies visual loss, double vision, or blurred vision. Ear, Nose and Throat: There is no hearing loss, congestion, sneezing or sore throat.

SKIN: Denies any itching or rash.

CARDIOVASCULAR: Denies no chest pain, edema or palpitations.

RESPIRATORY: Denies no shortness of breath, sputum or cough.

GASTROINTESTINAL: He denies anorexia, nausea, vomiting, and diarrhea.

GENITOURINARY: He denies urgency, burning on urination and hesitancy.

NEUROLOGICAL: He denies headache, numbness, dizziness and seizures.

MUSCULOSKELETAL: he denies muscle pain, back pain, joint stiffness and pain.

HEMATOLOGIC: no bleeding, bruising or bleeding.

LYMPHATICS: No enlarged lymph nodes.

ENDOCRINOLOGIC: Denies heat and cold intolerance and sweating.

Objective:

Diagnostic results
:

Complete Blood count (CBC): CBC is done to assess for infection, anemia and hematologic diseases that manifest psychiatric symptoms (Juchnowicz et al., 2023). These tests include the hematocrit, platelet, white blood cell, red blood, and hemoglobin count that help rule out the condition.

Toxicology: This is done to identify the substances that could worsen or trigger psychotic symptoms, like cocaine, marijuana, and alcohol, as well as other drugs. For individuals with acute psychotic symptoms, it is advisable to do toxicology screening to rule out if it’s induced by substance use (Fiorentini et al., 2021). This is done by blood tests and urine to detect substances like marijuana, alcohol, cocaine and prescription drugs Sherman Tremaine Soap note.

Imaging studies, the MRI or CT scan: Through imaging studies, brain abnormalities like lesions, tumors and brain atrophy occur because psychotic symptoms are ruled out (Dabiri et al., 2022). Imaging studies are recommended for patients with a new onset of psychosis if neurological signs are present.

Positive and Negative Syndrome Scale (PANSS)

Its components are the positive scale, negative scale, and general psychopathology scale. Positive scale measures for delusions, hallucinations as well as conceptual disorganization. Negative scale measures for emotional withdrawal, blunted effort, and poor rapport. Psychopathology scale measures guilt, feelings as well as concentration difficulties. It is used to assess for severe symptoms of schizophrenia. Positive symptoms include hallucinations rated at 6, persecutory delusions rated 6, and conceptual disorganization rated 4. The negative symptoms include emotional withdrawal, rated 4; blunted affect rated five and poor rapport, rated 3. They are consistent with paranoid schizophrenia

Assessment:

Mental Status Examination:

Appearance
: he was well dressed, fidgeted and avoided eye contact.

Behavior:
he was fidgeting, had subtle leaning tilt and had gestures towards imaginary things.

Mood:
He was paranoid but distrustful.

Affect:
He maintains a casual demeanor.

Thought process:
He had persecutory delusions and delusional thinking.

Perception:
He had visual as well as auditory hallucinations.

Insight:
He has poor insight because of delusions and irrationality.

Judgment:
He has impaired judgment, evidenced by frequent calls to 911.

Diagnostic Impression:

Paranoid schizophrenia (F20.0)
:
He has visual and auditory hallucinations, persecutory delusions, and some symptoms that characterize paranoid schizophrenia. He believes that there are people deployed by the government to observe him as well as his tax liabilities inflation. He also has an auditory hallucination where there are sounds that disrupt his sleep. He sees phantom silhouettes outside. His father has schizophrenia, and it supports the diagnosis. Using the DSM-5-TR criteria, he meets the criteria because of symptoms like hallucinations and delusions as well as altered functioning like disrupted sleep and paranoia (Palit, 2023). He also has distrust issues and denies the history of psychiatric history.

Substance-Induced Psychotic
Disorder (F19. 959)
:
This disorder involves delusions and hallucinations that are directly related to substance. He has a history of heavy smoking, past marijuana use, and occasional alcohol consumption. DSM-5-TR criteria for diagnosis require that the symptoms are present during the withdrawal and intoxication periods (Gicas et al., 2022). They must be present during as well as soon after withdrawal or intoxication of the substances used. Despite his history of substance use, his symptoms are present even without the heavy usage of the substances, thus ruling out the diagnosis.

Delusional Disorder (F22):
This is the persecutory type that is characterized by delusions taking longer than one month without symptoms like impaired functions outside delusions impacts, disorganized and delusions. He believes that people are observing him fit this disorder. DSM-5-TR criteria hold that the hallucinations, if present, are related to the delusion the person is experiencing (González-Rodríguez & Seeman, 2022). In his case, the hallucinations, both auditory and visual, are not related to his delusions.

The primary diagnosis is paranoid schizophrenia.

The rationale for this is that his hallucinations, both auditory and visual, as well as delusions, are characteristics of schizophrenia. Additionally, there is a family history of schizophrenia. They are the pertinent positives for his case, indicating schizophrenia. The absence of current substance use usage, withdrawal or intoxications helps rule out the substance-induced psychotic disorder, while the hallucination’s presence rules out the delusional disorder diagnosis. They are the pertinent negatives. Sherman Tremaine Soap note

Reflections:

After this case review, I come to an agreement with the assessments as well as the diagnostic imprint of Sherman’s paranoid schizophrenia. The diagnosis is supported by his symptoms, which include visual and auditory hallucinations as well as delusions. The case emphasized the need for comprehensive psychiatric assessment, history, symptoms, and diagnostic tests to help in getting the potential diagnosis and differentiating the diagnosis. I have learned that it is important to consider medical factors as well as psychiatric factors during diagnosis formation. I also learned the importance of understanding various causes of psychotic symptoms and helping in giving the correct diagnosis.

What I would do differently is I would explore in-depth the substance use and its relationship with psychotic symptoms exhibited by him. I would try to create rapport with him to improve his trust in people and, in return, be able to obtain information accurate information because he would be truthful when trust is won.

I would ensure informed consent and confidentiality when dealing with him. Also, I would ensure his safety as well as other people’s safety with his history of calls to 911 that could be a result of perceived threats. I would also ensure he understands his condition and the importance of medication to manage symptoms despite the previous side effects of drugs he had used.

The health promotion would involve educating him on the benefits of medication adherence, psychotherapy and lifestyle medication, like quitting smoking and alcohol. Given his diabetes history, regular exercise and a balanced diet are essential for his health. I would educate on the antipsychotic drugs’ side effects because they can affect metabolic factors. The treatment should address the specific needs of the patient. I would involve him in care and be culturally sensitive.

Case Formulation and Treatment Plan:

Psychotherapy

Cognitive Behavioral Therapy(CBT).
This helps reduce paranoia and underscores reality testing. This helps him differentiate realistic from altered perception, and this would reduce his delusions of being watched (Kingdon & Turkington, 2022). This helps decrease the intensity and frequency of delusions.

Supportive therapy:
This is to help him build trust with those around him and enhance his coping skills. It helps improve stress management, offers emotional support, and ensures he gets a sense of security. This is achieved through showing empathy, active listening, and being experienced in rapport creation and trust.

Pharmacologic treatment

Initiation of aripiprazole, an antipsychotic drug. The starting dose is 10 mg OD. It has low metabolic side effects compared to risperidone that he had been prescribed (Preda & Shapiro, 2020). Also, he has a low risk of gynecomastia development that he experienced earlier. Its usage would be monitored for efficacy and side effects like nausea, akathisia, as well as dizziness. For diabetes management, metformin would be continued because he is already on medication. Monitoring of blood sugars would be essential when on medication to ensure it is well controlled. Additionally, to help with sleep disturbances, trazodone 50 mg should be prescribed. It has efficacy in treating insomnia for patients with psychiatric conditions and has no dependence risk associated with its usage (Jaffer et al., 2017).

Non-pharmacologic treatment

He should be enrolled in a smoking cessation program to address his heavy smoking that would affect his health. This program involves support groups, behavioral counseling and medications like bupropion. Also, alcohol consumption should be reduced because it has negative results on mental health. Alcoholics Anonymous support groups could be used to help him quit alcohol use Sherman Tremaine Soap note.

 

References

Dabiri, M., Dehghani Firouzabadi, F., Yang, K., Barker, P. B., Lee, R. R., & Yousem, D. M. (2022). Neuroimaging in schizophrenia: A review article. 
Frontiers in neuroscience
, 
16
, 1042814. https://doi.org/10.3389/fnins.2022.1042814

Fiorentini, A., Cantù, F., Crisanti, C., Cereda, G., Oldani, L., & Brambilla, P. (2021). Substance-induced psychoses: an updated literature review. 
Frontiers in psychiatry
, 
12
, 694863.
https://doi.org/10.3389/fpsyt.2021.694863

Gicas, K. M., Parmar, P. K., Fabiano, G. F., & Mashhadi, F. (2022). Substance-induced psychosis and cognitive functioning: A systematic review. 
Psychiatry Research
, 
308
, 114361.
https://doi.org/10.1016/j.psychres.2021.114361

González-Rodríguez, A., & Seeman, M. V. (2022). Differences between delusional disorder and schizophrenia: A mini narrative review. 
World journal of psychiatry
, 
12
(5), 683.
https://doi.org/10.5498%2Fwjp.v12.i5.683

Jaffer, K. Y., Chang, T., Vanle, B., Dang, J., Steiner, A. J., Loera, N., … & Ishak, W. W. (2017). Trazodone for insomnia: a systematic review. 
Innovations in clinical neuroscience
, 
14
(7-8), 24. Sherman Tremaine Soap note

Juchnowicz, D., Dzikowski, M., Rog, J., Waszkiewicz, N., Karakuła, K. H., Zalewska, A., … & Karakula-Juchnowicz, H. (2023). The usefulness of a complete blood count in the prediction of the first episode of schizophrenia diagnosis and its relationship with oxidative stress. Plos one, 18(10), e0292756. https://doi.org/10.1371/journal.pone.0292756

Kingdon, D. G., & Turkington, D. (2022). 
Cognitive-behavioral therapy of schizophrenia
. Psychology Press.

Palit, S. (2023). The science of paranoid schizophrenia, the science of biomedical research and the visionary future. 
SAR Journal of Psychiatry and Neuroscience
, 
4
(6), 25-26. DOI: 10.36346/sarjpn.2023.v04i06.001

Preda, A., & Shapiro, B. B. (2020). A safety evaluation of aripiprazole in the treatment of schizophrenia. 
Expert opinion on drug safety
, 
19
(12), 1529-1538.
https://doi.org/10.1080/14740338.2020.1832990 
 Sherman Tremaine Soap note

NURS 6512 Final Exams Questions and Answers 2025 

Question 1                              1 pts

Testing the brachioradialis reflex helps localize lesions in which cervical nerve root?

Group of answer choices

 

C4

 

C7

 

C6

 

C8

 

C5

 

Question 2                                  1 pts

Which disease process is seen with hand overuse in playing video games?

Group of answer choices

 

De Quervain’s tenosynovitis

 

Carpal tunnel syndrome

 

Osteoarthritis of the distal interphalangeal joint of the hand

 

Lateral epicondylitis

 

Avascular necrosis of the scaphoid

 

NURS 6512 Final Exams Questions and Answers 2025 Question 3                                   1 pts

What condition is characterized by clue cells seen under the microscope due to anaerobic bacteria adhering to epithelial cells?

Group of answer choices

 

Lichen sclerosis

 

Vaginal candidiasis

 

Chlamydia

LET’S HANDLE YOUR EXAM 

Bacterial vaginosis

 

Gonorrhea

 

Question 4                 1 pts

During shift report, the nurse practitioner is told that their new patient has had a Glasgow Coma Scale score of eight throughout their hospital stay. How may the NP expect their patient to present during the morning assessment?

Group of answer choices

 

The patient only opens their eyes, withdraws to painful stimuli, and makes incomprehensible sounds.

 

The patient does not open their eyes, gives no verbal response, and flexes to pain.

 

The patient opens their eyes to verbal commands, communicates in inappropriate words, and localizes pain.

 

The patient opens their eyes spontaneously, is disoriented to date but otherwise oriented, and can obey commands.

 

Question 5                          1 pts

Which of the following is NOT a feature of a chest X-ray consolidation?

Group of answer choices

 

Silhouette sign

 

Air bronchograms

 

Indistinct margins

 

Kerley B lines

 

Spine sign

 

Question 6                           1 pts

Which of the following is a strategy to aid in patient comprehension of information during the informed consent process?

Group of answer choices

 

Using official medical language

 

Drawing pictures

 

Creating a forest plot

 

Using percentages

 

Showing a PowerPoint presentation

 

Question 7                                                 1 pts

What is the threshold level of the decision-making capacity assessment?

Group of answer choices

 

Any risk = ethically defined threshold

 

Any risk = low threshold

 

Any risk = high threshold

 

Low risk = high threshold

 

Low risk = low threshold

 

Question 8                                      1 pts

Which of the following factors is considered in the construction of the transplant waiting list?

Group of answer choices

 

Gender

 

Family history of cancer

 

Family history of autoimmune conditions

 

Social group

 

Associated medical conditions

 

Question 91 pts

What conditions is it important to look for on the penile exam of an infant?

Group of answer choices

 

Epididymitis

 

Testicular torsion

 

Inguinal hernia

 

Epispadias and hypospadias

 

Varicocele

 

Question 101 pts

What is one component of the CURVES mnemonic?

Group of answer choices

 

Recognize your weaknesses

 

Elective

 

Choose and communicate

 

Provide an answer

 

Understand some of the information

 

Question 111 pts

For what disease does the Schober test of limited flexion in the spine evaluate?

Group of answer choices

 

Sacroiliitis

 

Herpes zoster

 

Scoliosis

 

Ankylosing spondylitis

 

Paraspinal muscle spasm

 

Question 121 pts

On an AP radiograph of the chest…?

Group of answer choices

 

…the heart seems small.

 

…the lungs look hyperlucent.

 

…the ribs appear enlarged.

 

…the heart appears lower.

 

…the heart appears enlarged.

 

Question 131 pts

What does a talar tilt test” revealing no hard stop in the inversion of the ankle indicate?”

Group of answer choices

 

Plantar fasciitis

 

Tarsal tunnel syndrome

 

Lateral ankle ligamentous tear

 

Achilles tendon rupture

 

Medial ankle ligamentous tear

 

Question 141 pts

Which statement regarding pleural effusion is CORRECT?

Group of answer choices

 

Fluid accumulation is due to the increased rate of absorption by the lymphatics in the visceral pleura.

 

Pleural fluid is produced by the capillary bed of the visceral pleura.

 

It is the accumulation of air beneath the visceral pleura.

 

It can be a direct extension from the peritoneum.

 

Transudate has a high protein content.

 

Question 151 pts

What cardiac physiology does the S4 heart sound represent?

Group of answer choices

 

Ventricular contraction

 

Closure of the aortic valve and pulmonic valves

 

Atrial contraction against a stiff ventricle, as seen in left ventricular hypertrophy

 

Increased ventricular filling pressures, such as in heart failure

 

Closure of the mitral and tricuspid valves

 

Question 161 pts

What is being tested with a monofilament for diabetic neuropathy?

Group of answer choices

 

Two-point discrimination

 

Intact proprioception

 

Intact vibration sense

 

Intact sensation

 

Dermatomal nerve roots

 

Question 171 pts

Testing the biceps reflex helps localize lesions in which cervical nerve root?

Group of answer choices

 

C4

 

C5

 

C6

 

C7

 

C8

 

Question 181 pts

Testing the knee jerk reflex helps localize lesions in which nerve root(s)?

Group of answer choices

 

T12

 

L1

 

L3/L4

 

L2

 

L5/S1

 

Question 191 pts

What condition is represented by white plaques on the vulva?

Group of answer choices

 

Lichen sclerosis

 

Herpes simplex

 

Chlamydia

 

Pelvic inflammatory disease

 

Human papilloma virus

 

Question 201 pts

Emphysema can be described as…?

Group of answer choices

 

…an airspace disease due to the filling of alveoli with blood, pus water, or cells.

 

…a hypersensitivity reaction of the airspaces to allergic agents.

 

…a loss of volume from incomplete expansion or collapse of the lung parenchyma.

 

…an accumulation of fluid between the visceral and parietal pleura.

 

…the destruction of a portion of the airway distal to the terminal bronchiole.

 

Question 211 pts

What is tympany?

Group of answer choices

 

A high-pitched hollow sound usually heard over normal lung tissue

 

A low-pitched drum-like sound heard on percussion over a hollow viscous, such as the stomach

 

A soft, high-pitched sound generally heard over bones, muscles, and tumors

 

A short, flat, low-pitched sound heard on percussion over the muscles

 

A loud booming sound of short duration heard on percussion over the lungs

 

Question 221 pts

What is TRUE regarding collecting cells for a Pap smear?

Group of answer choices

 

Use a cotton swab to collect cervical cells for the Pap smear.

 

Collect the cells from the vagina with the cervical brush then put them in the collection jar.

 

After locating the cervix with the speculum, insert the brush or broom, rotate it 5 times, and then place it in the collection jar.

 

A speculum is not needed for collecting a Pap smear.

 

After locating the cervix with the speculum, insert the brush or broom and rotate it twice then put it in the collection jar.

 

Question 231 pts

What type of ethical dilemma would involve concerns surrounding stem cell research?

Group of answer choices

 

Societal mores

 

Medical engineering

 

Global ethics

 

Bioethics

 

Question 241 pts

What condition is characterized by the inability to retract the foreskin of the penis due to fibrotic changes?

Group of answer choices

 

Spermatocele

 

Peyronie’s disease

 

Phimosis

 

Paraphimosis

 

Hydrocele

 

Question 251 pts

What is the most common structure associated with ankle sprains?

Group of answer choices

 

Tarsal tunnel ligament

 

Calcaneofibular ligament

 

Peroneal tendon

 

Achilles tendon

 

Anterior talofibular ligament

 

Question 261 pts

Which chest X-ray view is the standard?

Group of answer choices

 

AP

 

Decubitus

 

Lordotic

 

Semi-upright

 

PA

 

Question 271 pts

Which cranial nerve (CN) affects the sensory as well as the motor function of the face?

Group of answer choices

 

CN VI: abducens nerve

 

CN III: oculomotor nerve

 

CN V: trigeminal nerve

 

CN IV: trochlear nerve

 

CN II: optic nerve

 

Question 281 pts

The patient opens their eyes spontaneously, is oriented in all spheres, and can obey commands. What is their Glasgow Coma Scale score?

Group of answer choices

 

15

 

13

 

20

 

12

 

Question 291 pts

What is one cause of lower motor neuron exam findings?

Group of answer choices

 

Spinal cord injury above the level of the findings

 

Cerebral palsy

 

Amyotrophic lateral sclerosis (ALS)

 

Carpal tunnel syndrome

 

Stroke

 

Question 301 pts

Where is the dermatome that corresponds approximately to the T10 nerve root?

Group of answer choices

 

At the level of the xiphoid process

 

At the level of the nipples

 

At the level of the lower anterior ribs

 

At the level of the inguinal ligament

 

At the level of the umbilicus

 

Question 311 pts

What is the condition presenting with acute scrotal pain caused by disruption of the blood supply to the testicle?

Group of answer choices

 

Hydrocele

 

Orchitis

 

Varicocele

 

Epididymitis

 

Testicular torsion

 

Question 321 pts

Which test involves having the patient lie supine, and flexing their knee 90 degrees with their foot flat on the table, while the examiner sits on their toes and pulls the tibia forward to check for anterior movement that is indicative of an anterior cruciate ligament (ACL) tear?

Group of answer choices

 

Anterior drawer test

 

Ballottement test

 

McMurray test

 

Apley test

 

Lachman test

 

Question 331 pts

How can an examiner assess a patient’s cardiovascular status even before using their stethoscope?

Group of answer choices

 

By observing the patient’s general signs of discomfort such as respiratory distress or diaphoresis

 

By looking in the chart to check if the patient has a history of cardiovascular disease

 

By asking the nurse who took their vital signs

 

By asking the patient’s companion if they are having distress

 

It is not possible to evaluate a patient’s cardiovascular status without using a stethoscope.

Question 341 pts

What is one of the structures evaluated on the INSPECTION part of the female genitourinary exam?

Group of answer choices

 

Uterus

 

Cervix

 

Ovaries

 

Labia majora

 

Bartholin’s glands

 

Question 351 pts

Which cranial nerve (CN) do the Weber and Rinne tests evaluate?

Group of answer choices

 

CN X: vagus nerve

 

CN IX: glossopharyngeal nerve

 

CN XII: hypoglossal nerve

 

CN VIII: cochlear nerve

 

CN XI: accessory nerve

 

Question 361 pts

What is the likely diagnosis in a patient with knee pain, especially with twisting or rotating, which is accompanied by locking or catching with walking, as well as swelling, stiffness, and difficulty extending the knee?

Group of answer choices

 

Pes anserine bursitis

 

Posterior cruciate ligament tear

 

Gout

 

Anterior cruciate ligament tear

 

Meniscal tear

 

Question 371 pts

In which condition is scrotal pain alleviated by lifting the testicles up (Prehn’s sign)?

Group of answer choices

 

Testicular torsion

 

Orchitis

 

Varicocele

 

Epididymitis

 

Inguinal hernia

 

Question 381 pts

What is a physical exam finding seen with lower motor neuron disease?

Group of answer choices

 

Focal atrophy

 

Contractures

 

Spasticity

 

Hyperreflexia

 

Intercostal muscle wasting

 

Question 391 pts

What is TRUE regarding tarsal tunnel syndrome?

Group of answer choices

 

It is diagnosed based on an abnormal calf squeeze test.

 

It is caused by an inversion ankle sprain.

 

It is caused by inflammatory arthritis.

 

It is a result of median nerve compression.

 

It causes burning pain from the medial ankle to the sole of the foot.

 

Question 401 pts

A patient with viral pericarditis…

Group of answer choices

 

…is most comfortable sitting upright and forward.

 

…has louder heart sounds than usual.

 

…will not have a pulsus paradoxus.

 

…is more comfortable lying flat.

 

…will have elevated blood pressure.

 

Question 411 pts

Which statement regarding bulla or bleb is FALSE?

Group of answer choices

 

Bulla and blebs are focal air-containing spaces within the lung.

 

Bleb is usually subpleural.

 

Bleb is located within the visceral pleura.

 

Bulla is more than 1 cm in size.

 

Bulla is seen with paraseptal and sometimes with centrilobular emphysema.

 

Question 421 pts

Which of the following tests for dysdiadochokinesia?

Group of answer choices

 

Rapidly alterating between pronation and supination of the hands.

 

Having the patient touch their own nose and then the practitioner’s finger

 

Walking heel-to-toe in a straight line

 

Standing still with the patient’s eyes closed

 

Holding both arms out with palms up and eyes closed

 

Question 431 pts

What type of headache might present with a “thunderclap” intense onset of pain?

Group of answer choices

 

Tension headache

 

Migraine headache

 

Headache due to a primary neoplasm

 

Headache due to a subarachnoid hemorrhage

 

Headache due to sinusitis

 

Question 441 pts

What are two preconditions that a patient must meet in order to participate in informed decision-making?

Group of answer choices

 

Competence 2. Capacity to make a decision

 

Competence 2. Reading and writing in English

 

Reading at an eighth-grade level 2. Competence

 

Voluntariness 2. Capacity to make a decision

 

Reading and writing in English 2. Capacity to make a decision

Question 451 pts

What are three core sets of values to consider in patient decision-making?

Group of answer choices

 

Relatability, family ownership, stability

 

Relatability, patient ownership, stability

 

Consistency, family ownership, stability

 

Consistency, patient ownership, relatability

 

Consistency, patient ownership, stability

 

Question 461 pts

Which statement demonstrates the correct path of cardiac blood flow?

Group of answer choices

 

Blood flows from the left atrium to the left ventricle through the tricuspid valve.

 

Blood flows from the right atrium to the right ventricle through the mitral valve.

 

Blood flows from the right ventricle to the aorta through the aortic valve.

 

Blood flows from the left atrium to the left ventricle through the mitral valve.

 

Blood flows from the left atrium to the left ventricle through the pulmonary valve.

 

Question 471 pts

What are the three factors to consider for the sliding scale of decision-making capacity?

Group of answer choices

 

Ambiguity, seriousness, uncertainty of decision

 

Ambiguity, seriousness, certainty of decision

 

Complexity, seriousness, uncertainty of decision

 

Complexity, seriousness, certainty of decision

 

Ambiguity, complexity, certainty of decision

 

Question 481 pts

What is one of the structures evaluated by PALPATION alone during a pelvic exam?

Group of answer choices

 

Clitoral hood

 

Vulva

 

Labia minora

 

Uterus

 

Urethral orifice

 

Question 491 pts

What muscle is tested with a painful arc” from 120 to 60 degrees?”

Group of answer choices

 

Trapezius

 

Deltoid

 

Supraspinatus

 

Subscapularis

 

Teres minor

 

Question 501 pts

On an ECG, how many seconds does each small box represent?

Group of answer choices

 

0.20 seconds

 

0.02 seconds

 

1.00 seconds

 

0.40 seconds

 

0.04 seconds

 

Question 511 pts

What does the anterior drawer test” in the ankle evaluate for?”

Group of answer choices

 

Plantar fasciitis

 

Achilles tendon rupture

 

Tarsal tunnel syndrome

 

Calcaneofibular ligament sprain

 

Anterior talofibular ligamentous integrity

 

Question 521 pts

An elevated central venous pressure reflects…

Group of answer choices

 

…the carotid arterial impulse.

 

…the monophasic venous pulse.

 

…volume overload.

 

…normal compensation with heart failure.

 

…elevated blood pressure.

 

Question 541 pts

What is NOT a red flag that should prompt a formal assessment of decision-making capacity?

Group of answer choices

 

Waxing and waning alertness

 

Inconsistent decisions over time

 

Decisions incongruent with stated values and goals

 

Mini-Mental State Examination score over 18

 

Concerns raised by a family member

 

Question 551 pts

In which condition would you find transillumination of the scrotum on a physical exam?

Group of answer choices

 

Varicocele

 

Hydrocele

 

Orchitis

 

Testicular torsion

 

Epididymitis

Question 731 pts

What process does NOT require written consent?

Group of answer choices

 

Surgery

 

Anesthesia with deep or moderate sedation

 

Treatment carrying a minor risk

 

Therapeutic procedure

 

Invasive procedure

 

Question 741 pts

How do you test for an afferent pupillary defect on a physical examination?

Group of answer choices

 

Using the swinging flashlight test

 

By testing light touch to the face

 

By measuring the pupil size

 

Using a Snellen chart

 

By testing eye movements

 

Question 751 pts

What are the components of Beck’s triad seen with pericarditis?

Group of answer choices

 

Muffled heart sounds, HYPERtension, and Kussmaul’s sign

 

Loud heart sounds, HYPERtension, and Kussmaul’s sign

 

Friction rub, HYPERtension, and Kussmaul’s sign

 

Loud heart sounds, HYPOtension, and pitting edema

 

Muffled heart sounds, HYPOtension, and Kussmaul’s sign

 

Question 771 pts

What is egophony?

Group of answer choices

 

A nail deformity associated with a pulmonary condition in which the angle between the proximal nail fold and the nail is no longer concave

 

A palpable vibratory sensation on the chest wall detected by the examiner’s hand

 

The abnormal transmission of sounds from the lungs or bronchi

 

Increased resonance of the voice through the lung structures, so that it is clearly comprehensible when using a stethoscope on the chest

 

A change in the patient’s vocalization sounds heard when auscultating the lungs, with the lower frequencies filtered out, resulting in a high-pitched nasal or bleating quality

 

Question 78                     1 pts

What physical exam finding is indicative of a cervical nerve root radiculopathy?

Group of answer choices

 

Positive foraminal compression test

 

Positive straight leg raise

 

Positive Lhermitte’s sign

 

Biceps tendon hyperreflexia

 

Positive Babinski reflex

 

Question 791 pts

What is one of the four aspects of the patient’s role in the informed consent process?

Group of answer choices

 

Inviting the preference of a close friend

 

Denying the preference of a close friend

 

Assessment of their comprehension

 

Invitation to call a loved one for advice

 

Invitation to decline consent

Question 801 pts

Which three cranial nerves control ocular movements?

Group of answer choices

 

III, IV, and VI

 

II, III, and IV

 

IV, V, and VI

 

II, IV, and V

 

II, III, and VI

 

Question 811 pts

Which is the best area to auscultate the right MIDDLE lobe?

Group of answer choices

 

On the left posterior upper chest wall

 

On the right side of the chest wall below the axilla

 

On the right posterior upper chest wall

 

On the right posterior lower chest wall

 

On the left posterior lower chest wall

 

Question 831 pts

What does a finding of 3/5 indicate on the motor strength scale?

Group of answer choices

 

Cannot lift against gravity

 

25% of normal motor strength

 

75% of normal motor strength

 

Can lift against gravity

 

50% of normal motor strength

 

Question 841 pts

Which of the following statements defines expressed refusal?

Group of answer choices

 

A patient with decision-making capacity may voluntarily decide against an intervention.

 

A patient without decision-making capacity may voluntarily decide against an intervention.

 

A patient can refuse consent only in the clinic consultation room.

 

Expressed refusal is only valid if the patient provides a written document.

 

A healthcare provider can override a patient’s refusal if they disagree with the decision.

 

Question 861 pts

What does the passive compression test (done by pushing the humeral head toward the scapula) assess for?

Group of answer choices

 

Cervical spine facet joint arthritis

 

A tear of the glenoid labrum

 

Acromioclavicular joint arthritis

 

Bicipital tendinopathy

 

Rotator cuff tendinitis

 

Question 881 pts

The natural kyphosis of the spine is in which area?

Group of answer choices

 

Thoracic spine

 

Lumbar spine

 

The entire spine

 

Sacroiliac joints

 

Question 891 pts

For which diagnosis do the patellar ballottement test and the bulge sign in a knee examination test?

Group of answer choices

 

Posterior cruciate ligament tear

 

Lateral collateral ligament tear

 

Knee effusion

 

Anterior cruciate ligament tear

 

Meniscal tear

 

Question 911 pts

How does valvular aortic stenosis affect the S2 heart sound?

Group of answer choices

 

S2 is heard more crisply, as the A2 component is affected by degenerating sclerotic tissue.

 

S2 is heard less crisply, as the A2 component is affected by degenerating sclerotic tissue.

 

S2 is heard more crisply, as the P2 component is affected by degenerating sclerotic tissue.

 

S2 is heard less crisply, as the P2 component is affected by degenerating sclerotic tissue.

 

Aortic stenosis causes splitting of the S2 heart sound, which is heard more easily.

 

Question 921 pts

What area is tender with iliopsoas bursitis?

Group of answer choices

 

Tenderness is elicited over the anterior thigh muscles.

 

Tenderness is elicited over the sacroiliac joint.

 

Tenderness is elicited over the lateral hip joint.

 

Tenderness is elicited on palpation of the lumbar spinous processes.

 

Tenderness is elicited over the inguinal ligament.

 

Question 961 pts

What is the likely diagnosis in a patient with warmth, redness, and tenderness about 2 inches below the medial knee joint line?

Group of answer choices

 

Anterior cruciate ligament tear

 

Gout

 

Collateral ligament tear

 

Pes anserine bursitis

 

Meniscal tear

 

Question 98                         1 pts

Which cranial nerve (CN) is affected by Bell’s palsy?

Group of answer choices

 

CN VII: facial nerve

 

CN XI: accessory nerve

 

CN IX: glossopharyngeal nerve

 

CN X: vagus nerve

 

CN XII: hypoglossal nerve

 

Question 99                 1 pts

What is a common ethical issue?

Group of answer choices

 

Informed consent

 

Pain as the fifth vital sign

 

Human resources policies

 

Principles of medication administration

 

Question 100                          1 pts

What is an accepted way to enhance a patient’s capacity to make their own decisions?

Group of answer choices

 

Using visual aids

 

Asking for advice from a sibling

 

Asking patients to communicate using sign language

 

Avoiding the underlying medical condition

 

Having a patient nod or shake their head

NRNP 6645 final exam questions 2025

Question 1                     1 pts

The therapist working with a patient diagnosed with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with this disorder?

Group of answer choices

 

Secure attachment style

 

Unresolved attachment style

 

Preoccupied attachment style

 

Disorganized attachment style

 

Question 2                1 pts

Which of the following are psychotherapeutic techniques used in person centered psychotherapy?

Group of answer choices

 

A highly structured approach is used.

 

Process interventions are widely used.

 

Directive, interpretive techniques are used.

 

A nondirective-facilitative counseling approach is used.

 

Question 3                        1 pts

Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a relationship-based treatment approach implemented with the parents and child.  The therapist is guided in this treatment technique with the following acronym associated with TF-CBT for the treatment of trauma in children:

Group of answer choices

 

PACE

 

PERFORM

 

PREVENT

 

PRACTICE

 

Question 4                          1 pts

Which of the following is true about dreamwork from a Gestalt perspective?

Group of answer choices

 

The individual tells the dream in past tense

 

Elements of the dream are viewed using standardized dream symbol meaning.

 

A dream diary is required to capture all elements of the team.

 

The characters and objects in the dream are projections of the individual whose dream it is.

 

Question 51 pts

Neuroscientists argue self-regulation development begins in childhood and involves developing inhibitory control with the integration of emotion with memory.  What areas of the brain do they claim are involved with this process?

Group of answer choices

 

Broca’s Area

 

Basal Ganglia

 

Wernicke’s Area

 

Frontal lobe in coordination with limbic structures

BUY EXAM HERE

Question 6                    1 pts

Which of the following therapeutic approaches would be a better choice for an older adult who presents with chronic depression, mild cognitive impairment expressing concerns about a negative life event and perceives himself as helpless?

Group of answer choices

 

Interpersonal Psychotherapy (IPT)

 

Cognitive Behavioral Therapy (CBT)

 

Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)

 

Reminiscence Therapy (RT)

 

Question 71 pts

All of the following are guiding principles for 12-step Peer Support Groups for patients diagnosed with substance use disorders EXCEPT:

Group of answer choices

 

Examining past errors with the help of a sponsor

 

Recognizing a higher power that can give strength

 

Forgetting past errors and move forward without further thought

 

Admitting that one cannot control one’s addiction or compulsion

 

Question 9                    1 pts

An important element of child psychotherapy is goal setting. Which of the following demonstrates the best way to build therapeutic relationship in goal setting for family therapy:

Group of answer choices

 

Allowing only the child to participate in goal setting.

 

Allowing only the parent/guardian to participate in goal setting.

 

Allowing both the parent/guardian and child to participate in goal setting.

 

Allowing neither parent or child to participate in goal setting.. After careful assessment the therapist determines they should set the therapy goals.

 

Question 10               1 pts

When evaluating the concept of resiliency building in children through psychotherapy, the best outcome is defined as:

Group of answer choices

 

curing with psychotropic medication

 

healing so children can regulate their emotions/behaviors to be positively connected in their social environments

 

ensuring they child does not have disciplinary actions while in school

 

ensuring children do not have arguments with their siblings

 

NRNP 6645 final exam questions 2025  Question 11                                      1 pts

Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders?

Group of answer choices

 

Conduct Disorders

 

Anxiety and Depression

 

Depression and Psychosis

 

Attention Deficit-Hyperactivity Disorders

 

Question 12                                 1 pts

Which best describes gerotranscendence?

Group of answer choices

 

Erik Erikson’s ninth stage of development

 

Emphasizes ongoing growth over decrements

 

Focuses on the transition to old-old (80 years and older).

 

Focuses on letting go and coming to terms with end of one’s life

 

Question 13                                       1 pts

Advanced Practice Registered Nurses use medical evaluation and management (E/M) codes for billing treatment services.   The specific five-digit E/M code is chosen based on patient type, service location, and service level.  What do the third and fourth digits of an E/M code identify?

Group of answer choices

 

type of patient

 

location of service

 

both A and B are true

 

None of these

 

Question 14                                        1 pts

Gestalt therapists are aware patients have boundary disturbances in awareness and contact and bring awareness to these interruptions through ways to reduce them and restore self-regulation.  What is the interruption concept known to therapists to mean patients allow a blurring between themselves and their environment, they “try to blend in and get along with everyone”?

Group of answer choices

 

Introjection

 

Projection

 

Deflection

 

Confluence

 

Question 15                                     1 pts

The “here and now” approach in Humanistic-Existential Therapy is often a misunderstood concept where people believe talking about the “here and now” means the current present only when it truly means talking about the past, present, and future as if experienced in the present.

Group of answer choices

 

True

 

False

 

Question 161 pts

The primary source for constructive change in a humanistic-existential approach is which of the follow:

Group of answer choices

 

The patient’s motivation

 

The therapist’s structure

 

The therapist-patient relationship

 

The patient-family relationship

 

Question 171 pts

A specific type of CBT therapies aimed to reduce distress as a person experiences sensation  with danger is known as which of the following?

Group of answer choices

 

Exposure Therapy

 

Cognitive Rehearsal

 

Guided relaxation and meditation

 

Shame-Attacking

 

Question 181 pts

Which of the following is true about communication with children and adolescents?

Group of answer choices

 

Communication is developmentally based.

 

Offices should be free of toys or distractions.

 

Speak to children in adult manner as it lets them know you take them seriously.

 

Communicate at level lower than the child or adolescent to improve their self-esteem.

 

Question 191 pts

The following are specific strategies for working with adolescents versus adults in psychotherapy EXCEPT which of the following?

Group of answer choices

 

Therapist assumes a more active role

 

Stage of brain development is more of a consideration for therapy techniques implemented

 

It is especially helpful to leave extremely long silence episodes between interactions

 

Monitor nonverbal body language for worsening anxiety, gently move to another line of conversation, then circle back around to uncomfortable topic as build therapeutic relationship allows

 

Question 201 pts

Functional status refers to

Group of answer choices

 

A person’s capacity to manage activities of daily living independently

 

A person’s positive perspective on their own capabilities

 

A person’s expected increase in dependency as one ages

 

A person’s expected decrease in independence as one ages

 

Question 211 pts

According to Wheeler et al. (2020) which of the following is NOT supported by current evidence about Mental Health in older adults?

NRNP 6645 final exam questions 2025  Group of answer choices

 

At least 20% of older adults have one or more mental health or substance use conditions.

 

Mental illness is a normal part of aging.

 

There is an increasing need for behavioral health and substance abuse specialty services in primary care.

 

Mental health policy and treatment of older adults have lagged resulting in this population being underserved.

 

Question 221 pts

One key diagnostic feature for changing a diagnosis of Acute Stress Disorder to Posttraumatic Stress Disorder is the following:

Group of answer choices

 

symptoms develop after a trauma event and persist after 4 weeks

 

symptoms develop after a trauma event and persist for 2 weeks only

 

6 out of 14 diagnostic symptoms from the DSM-5 are noted after 3 days

 

there is no reported “sense of numbing”

 

Question 231 pts

Evidence supports which of the following statements about women and addictions treatment?

Group of answer choices

 

Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.

 

Women are more apt to drop out of treatment than men.

 

Women are less likely than men to seek mental health services.

 

Women are less likely than men to participate in group therapy.

 

Question 241 pts

Which of the following Dialectical Behavioral Therapy (DBT) strategies are implemented by therapists based upon the knowledge that many patients in need of this psychotherapy treatment modality experience poor boundary maintenance as a way of attempting to influence others?

Group of answer choices

 

expression of a desire to have mutual respect and reassurance of desire for helping the patient

 

reassurance confidentiality within the limits of the law and ethical practice will be maintained which includes a duty to report clear risks of harm to self and/or others

 

maintaining clear boundaries of the therapeutic relationship including ethical conduct and separation of personal and professional roles

 

All of the above are important strategies for DBT

 

Question 251 pts

Which theorist is known as the founder of phenomenology and focused on a “person’s lived experience as the source of knowledge and truth”?

Group of answer choices

 

Freud

 

Jung

 

Husserl

 

Henderson

 

Question 261 pts

The primary goal for the stabilization stage of trauma treatment when considering patient safety before moving from the safety stage to the processing stage is for the patient to demonstrate:

Group of answer choices

 

self-regulation of internal states of arousal

 

disregarding trust and therapeutic relationships

 

work toward preventing traumatic countertransference

 

learn to deny the trauma

 

Question 271 pts

The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following?

Group of answer choices

 

Tolerance

 

Withdrawal

 

Addiction

 

A craving

 

Question 281 pts

Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event?

Group of answer choices

 

Tell me about your childhood.

 

Let’s just focus on the here and now.

 

Tell me the story as if it were happening now.

 

Tell me what happened last week.

 

Question 291 pts

McGovern et al (2014) have found which of the following therapeutic approaches helpful In working with post-stroke patients experiencing depression?

Group of answer choices

 

Interpersonal Therapy for Mild Cognitive Impairment (IPT-CT)

 

Problem-Solving Therapy for Executive Dysfunction (PST-ED)

 

Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)

 

Ecosystem-Focused therapy (EFT)

 

Question 301 pts

The mother of a 6-year-old is concerned that the child seems to always want to pretend when playing. Which would be an appropriate response to the mother?

Group of answer choices

 

This shows some regression as most children of this age are in the concrete operational stage and play should be more realistic.

 

This is an appropriate activity for a child of this age consistent with Piaget’s sensorimotor stage.

 

Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development.

 

Pretend play shows the ability to think abstractly which indicates cognitive ability consistent with the formal operational stage of cognitive development.

 

Question 311 pts

Which of the following is true about the use of medications and/or psychotherapy in the treatment of patients diagnosed with Posttraumatic Stress Disorder (PTSD)?

Group of answer choices

 

Medication may be a helpful as an adjunctive treatment but is not a first-line treatment

 

Medication directly promotes new learning and processing.

 

Medications assuage the guilt, grief and interpersonal difficulties specifically in patients with PTSD.

 

Medications alone can cure PTSD

 

Question 321 pts

Dialectical Behavior Therapists realize which of the following:

Group of answer choices

 

Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSD

 

Everyone diagnosed with PTSD can be diagnosed with comorbid borderline personality disorder.

 

There are important overlapping symptoms and neuropsychological correlates that PTSD and borderline personality disorder have in common.

 

DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts.

 

Question 331 pts

In working with an older adult patient in the termination phase the therapist suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This suggestion demonstrates which of the following?

Group of answer choices

 

A major HIPPA violation

 

Lack of confidence in the patient and the therapeutic process of CBT

 

An appropriate strategy to solidify a supportive network for the patient.

 

Resistance to terminating the therapeutic relationship.

 

Question 341 pts

The therapist using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?

Group of answer choices

 

Invite the patient to new ways of viewing a situation

 

Guiding patient to develop more skills to achieve a greater quality of life.

 

Engage the patient in change talk

 

A and B

 

Question 361 pts

When referring a patient to a 12-step group the therapist realizes which of the following supports successful patient engagement in 12-step group participation?

Group of answer choices

 

Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.

 

Use Motivational Interviewing contracts for attendance at several different groups to find the right “fit” and encourage attendance.

 

Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.

 

A and B only

 

Question 371 pts

Which of the following would NOT be a first-line intervention for an individual with Posttraumatic Stress Disorder?

Group of answer choices

 

CPT

 

CPT-PE

 

EMDR therapy

 

Pharmacological interventions.

 

Question 381 pts

The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the  patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following?

Group of answer choices

 

Focusing

 

Body awareness

 

Language of responsibility

 

Empty-chair dialogue

Question 571 pts

The patient in Dialectical Behavior Therapy (DBT) is focusing on self-efficacy, interdependence, and self-dependence.  At times, the patient seems bored with therapy and informs the therapist of re-emerging thoughts of self-harming but does not want to act on these thoughts. The therapist using the DBT model of therapy would do which of the following?

Group of answer choices

 

Do nothing different.

 

Increase the frequency and intensity of processing the trauma

 

Decrease the frequency and intensity of processing the trauma

 

Immediately hospitalized the patient without further assessment

 

Question 581 pts

Which of the following is true about Complementary and Alternative Medicine (CAM) Therapies and Older Adults?

Group of answer choices

 

CAM therapies are a good alternative to conventional medicine

 

CAM therapies can be used in conjunction with psychotherapy to provide effective, evidence-based treatments to older adults with psychiatric disorder.

 

Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults.

 

Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns.

 

Question 591 pts

The most effective treatment for SUD with or without co-morbid psychiatric disorders is:

Group of answer choices

 

Multidimensional addressing medical, psychosocial and mental health issues

 

Trauma-informed care.

 

12-Step Peer Support Groups

 

Cognitive Behavioral Therapy

 

Question 601 pts

The following is considered the first-line treatment recommendation for Postraumatic Stress Disorders:

Group of answer choices

 

Electroconvulsive Therapy

 

Psychotropic Medications

 

Psychotherapy

 

None of these

 

Question 611 pts

Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?

Group of answer choices

 

Clarify explicitly the boundaries of the therapeutic relationship.

 

The therapist will maintain confidentiality within the limits of the law and ethical practice.

 

Explain a professional relationship is based on mutual respect and the desire to help the patient.

 

Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.

 

Question 621 pts

Which of the following screening tools for alcohol and drug use is recommended specifically for the target population of pregnant women:

Group of answer choices

 

AUDIT-C

 

CRAFFT

 

CAGE

 

UNCOPE

 

Question 641 pts

A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills?

Group of answer choices

 

Tracking

 

Resourcing and resource intensification

 

Grounding

 

Gesturing

 

Question 651 pts

The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children?

Group of answer choices

 

Family inclusion

 

The concept of recovery

 

Problem-based therapy

 

Interacting systems consideration

 

NRNP 6645 final exam questions 2025  Question 661 pts

An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?

Group of answer choices

 

Belief of human nature

 

Self-concept

 

Actualizing tendency

 

Fully functioning person

 

Question 671 pts

Clinical practice guidelines recommend the use of psychotropic medications in combination with psychotherapy for which of the following child and adolescent severe emotional disorder:

Group of answer choices

 

Pediatric bipolar disorder

 

Insomnia

 

Attachment Disorder

 

Oppositional Defiant Disorder

 

Question 681 pts

In working with an older adult female patient, the therapist notices that the patient starts bringing her baked goods.  Once the patient stated, “You remind me so much of my daughter, you are so easy to talk to.” The therapist recognizes this interaction is related to the following concept:

Group of answer choices

 

Gerotranscendence

 

Transference

 

Countertransference

 

Time for termination

 

Question 691 pts

Patient-reported signs of dissociation may include all the following EXCEPT:

Group of answer choices

 

Feeling out of touch with surroundings

 

Feeling like they are on autopilot

 

Things sound different, muffled or too loud, tiny, or echoing

 

Body becomes still or stiff

 

Question 701 pts

Which of the following capture techniques of interviewing communication skills with the acronym OARS (open questions, affirming, reflecting, summarizing)?

Group of answer choices

 

Couples Interviewing Skills

 

Family Interviewing Skills

 

Interpersonal Interviewing Skills

 

Motivational Interviewing Skills

 

Question 711 pts

Medication management sessions, psychotherapy sessions, and combination medication management with add-on psychotherapy sessions will all have different billing codes and reimbursement rates; therefore, advanced practice nurses who conduct psychotherapy as well as prescribe psychotropic medications must have a good understanding of the differences as well as the documentation requirements for each type of session.

Group of answer choices

 

True

 

False

 

Question 721 pts

A patient whose husband had recently died suddenly expresses remorse regarding an argument they  had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?

Group of answer choices

 

Empty-chair dialogue

 

Dreamwork

 

Language of responsibility

 

Focusing

Question 731 pts

All of the following support emotional stability and well-being in older adults EXCEPT:

Group of answer choices

 

Diminished functional status

 

sense of personal control and empowerment

 

decisional control

 

resilience in recovery

 

Question 741 pts

An older adult female talks frequently about her love of gardening as a way of coping.  The therapist begins to realize after self-reflection that she allows the therapy session to move more toward a discussion of the love for flowers instead of focusing on the patient’s concerns because the therapist’s deceased mother also had a love of gardening.  This phenomenon is best known as:

Group of answer choices

 

Gerotransference

 

Transcendence

 

Countertransference

 

A sign of a close therapeutic relationship

Question 751 pts

Which of the following is a biologically based psychotherapy model best known to be used to treat patients who have experienced trauma?

Group of answer choices

 

Trauma Resiliency Model

 

Cognitive Behavioral Therapy

 

Existential Psychotherapy

 

Psychodynamic Psychotherapy

 

Question 761 pts

Which therapy approach has been shown to be effective in reducing depressive symptoms and suicidality in older adult with co-existing personality disorders?

Group of answer choices

 

Dialectical Behavior Therapy (DBT)

 

Ecosystem-Focused Therapy (EFT)

 

Cognitive Behavioral Therapy for Executive Dysfunction (CBT-MD)

 

Problem Adaptation Therapy (PATH)

 

Question 781 pts

The patient participating in Dialectical Behavior Therapy with a history of self-harming through cutting, the patient has been focusing on non-traumatizing emotional experiences and has shown progress in behavior control and management of emotions.   The therapist recognizes the patient is ready for which of the following:

Group of answer choices

 

The patient is ready to focus on building a therapeutic relationship

 

The patient is ready to focus on how to cope with scars

 

The patient is ready to focus on past trauma events

 

The patient is ready to focus on termination from therapy.

 

Question 791 pts

Which of the following is NOT consistent with a family-centered approach in child therapy?

Group of answer choices

 

In family-centered treatment, the family is the focus of treatment.

 

Family- centered treatment is appropriate to improve family interactions.

 

Family-centered treatment is appropriate to keep families engaged in services

 

Family-centered treatment is appropriate to increase family knowledge about mental health.

 

Question 801 pts

The therapist notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The therapist understands the reason for this phenomenon is likely which of the following:

Group of answer choices

 

This indicates the change(s) really did not take

 

The patient is consciously sabotaging the therapy.

 

This indicates process is trying to force a change too fast.

 

As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.

 

Question 811 pts

The MOST fundamental art aspect for a therapist in the science practice of Dialectical Behavioral Therapy treatment is assisting the patient with:

Group of answer choices

 

accepting and changing behaviors, to step out of comfort zone, synthesize fear and pain, and develop new skills/characteristics for greater quality of life

 

drawing genograms

 

uncovering lies the patient has told

 

pointing out the damage created by patient behaviors

Question 821 pts

The therapist working with the older adult cohort recognizes:

Group of answer choices

 

As a group, the elderly, regardless of specific age, race or experiences have similar issues.

 

This is basically the baby boomer generation, with great empowerment and entitlement

 

This enlightened cohort sees no stigma with mental health diagnosis or treatment.

 

There is great diversity with individual variation and cohort effects

 

Question 831 pts

The advanced practice registered nurse can add time reviewing charts, reviewing results of tests, ordering medications, collaborating with other professionals, insurance pre-authorizations, and interacting with the pharmacy to patient face-to-face billing times if these activities occur on the same day the patient is seen for the visit.

Group of answer choices

 

True

 

False

 

Question 841 pts

The person-centered therapist who is genuine and authentic during the therapy session is exhibiting       which psychological condition?

Group of answer choices

 

Congruence

 

Actualizing tendency

 

Belief of human nature

 

Accurate empathic understanding

 

NRNP 6645 final exam questions 2025  Question 85 1 pts

Challenges assessing psychiatric symptoms in older adults include which of the following EXCEPT:

Group of answer choices

 

Denial of symptoms

 

Age-related variations in symptom presentation

 

Masking of symptoms by comorbid disorders and medications

 

Ease in obtaining an accurate mental health history

 

Question 871 pts

Constructing from a biopsychosocial Four Perspectives framework, the therapist will use the following “four Ps” when formulating treatment goals for children:

Group of answer choices

 

predisposing, precipitating, perpetuating, and protective factors

 

predictive, promising, percolating, and protective factors

 

precipitating, purposeful, processing, and protective factors

 

prescribing, populating, performing, and protective factors

GET EXAM HELP HERE

Question 881 pts

The therapist proficient in Interpersonal Psychotherapy (IPT) is working with an older adult.  The patient does not recognized she has depression. Which of the following is true?

Group of answer choices

 

IPT is not an appropriate model for treating depression in older adults.

 

This is a common IPT issue with older adults during the initial sessions.

 

The therapist should consider using a standardized scale to quantify the depression and use this to educate the patient and the family.

 

B and C

 

Question 891 pts

Addiction is now recognized as:

Group of answer choices

 

A primary disease of the brain’s neurocircuitry

 

A volitional behavior that can be managed independently’

 

A family issue to be dealt with privately

 

A volitional behavior that will never be cured

 

Question 901 pts

Which of the following is NOT consistent with Eye Movement Desensitization and Reprocessing (EMDR)  in treating patients diagnosed with Posttraumatic Stress Disorders?

Group of answer choices

 

Treatment effects are witnessed in patients at rates of 77%-100% of with remission after 3-6 sessions

 

EMDR requires homework

 

EMDR treatment mechanism of action is unclear

 

EMDR was the first psychotherapy to demonstrate neurophysiological effects in response to treatment

 

Question 911 pts

In providing psychoeducation to a patient in recovery from substance use disorders, the therapist would NOT include which of the following?

Group of answer choices

 

Recovery is a lifelong process of change

 

A patient is considered recovered after 6 months free of substance use.

 

Recovery encompasses dimensions of health, home, purpose and community.

 

Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions.

 

Question 931 pts

In diagnosing children and adolescents with mental health disorders, the therapist must remember the following considerations to be true:

Group of answer choices

 

children’s psychiatric diagnoses are not static and can change over the years

 

taxonomies do not provide for a child or adolescent presentation that might be a blend of behaviors that do not fit one existing diagnostic criteria

 

Both A and B are true

 

None of these are true

 

Question 941 pts

A therapist specializing in the treatment of patients diagnosed with Posttraumatic Stress Disorders begins to experience disturbing dreams, anxiety, increased fatigue, and irritability. These symptoms are consistent with the phenomenon of:

Group of answer choices

 

Transference

 

Countertransference

 

Secondary trauma

 

Burnout

 

Question 951 pts

The therapist understands the following statements regarding traits identified for individuals diagnosed with personality disorders include all the following EXCEPT:

Group of answer choices

 

Often these individuals will see their problems as independent of their own behaviors.

 

These individuals will often describe themselves as a victim.

 

These individuals often present for treatment at the request of a significant other or other external pressure.

 

These individuals already have resiliency in coping.

 

Question 971 pts

Using a psychodynamic psychotherapy stage-oriented model for the treatment of trauma, the therapist would do which of the following in Stage 1?

Group of answer choices

 

Address safety issues

 

Process painful memories

 

Promote symptoms stabilization

 

A and B are true

 

Question 981 pts

What two therapeutic strategies assist with developing “dual awareness” for patients in the treatment of trauma?

Group of answer choices

 

Grounding and Managing Flashbacks

 

Mindfulness and Rating of Level of Disturbance

 

Sleep Hygiene and Administering Psychotropic Medication

 

None of these are true

 

Question 1001 pts

Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation.

NRNP 6645 final exam questions 2025  Group of answer choices

Locus coeruleus

Cerebellum

Thalamus

Hypothalamus

Question 201 pts

Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except:

Group of answer choices

 

Acne

 

Menstrual irregularity

BUY EXAM HERE

Hirsutism

 

Hypopigmentation of the extremities

 

NRNP 6552 Midterm Exam
Walden University

NRNP 6675 Final Exam Questions and Answers 2025

Question 1           1 pts

A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergency setting, is known as which of the following?

Group of answer choices

 

Korsakoff’s syndrome

 

Snyder’s syndrome

 

Munchausen syndrome

 

Munchausen syndrome by proxy

 

Question 2                 1 pts

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

Group of answer choices

 

Donepezil

 

Memantine

 

Rivastigmine

 

Galantamine

 

Question 3           1 pts

An ARNP takes a position agreeing to be paid the amount the NP bills minus accounts receivable and minus the NPs portion of practice expenses (which includes the expense of physician consultation). This type of pay structure is known as which of the following?

Group of answer choices

 

Straight salary

 

Average percentage of net receipts

 

Base salary plus percentage

 

Hourly rate

 

Question 4                    1 pts

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

Group of answer choices

 

Is the patient psychotic?

 

Is the patient suicidal or homicidal?

 

Is the problem organic, functional, or a combination?

 

Is it safe for the patient to be in the emergency room?

 

Question 5             1 pts

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?

Group of answer choices

 

300 supervised clinical hours

 

500 supervised clinical hours

 

600 supervised clinical hours

 

800 supervised clinical hours

 

Question 6           1 pts

The conditions in which people are born, grow, work, live, and age are known as which of the following?

Group of answer choices

 

Health literacy

 

Health disparities

 

Health vulnerabilities

 

Social determinants of health

 

Question 7            1 pts

Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder?

Group of answer choices

 

Dependent personality is more common in men than in women.

 

Dependent personality disorder is more common in young children than in older ones.

 

Persons with chronic physical illness in childhood may be most susceptible to this disorder.

 

B and C only

GET EXAM HELP HERE

 

Question 8                1 pts

Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia?

Group of answer choices

 

Chronic feelings of emptiness

 

Prolonged psychotic episodes

 

Demand extraordinary relationships

 

A and C only

 

Question 9            1 pts

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?

Group of answer choices

 

Schizotypal personality disorder

 

Borderline personality disorder

 

Narcissistic personality disorder

 

Histrionic personality disorder

 

Question 10              1 pts

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

Group of answer choices

 

Influenza

 

Agranulocytosis

 

Neuroleptic malignant syndrome

 

Acquired immune deficiency syndrome

 

Question 11          1 pts

According to Sullivan, which of the following are consistent with a mentor/mentee relationship?

Group of answer choices

 

Mentors are assigned

 

Mentor relationships are shorter term

 

Goals for the mentoring relationship are set mutually.

 

A and B only

 

Question 12         1 pts

Which of the following professionals would be able to precept a nurse practitioner student?

Group of answer choices

 

An advanced registered nurse practitioner

 

A physician

 

A unlicensed social worker

 

A and B

 

Question 13         1 pts

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?

Group of answer choices

 

Avoid alcohol and caffeine.

 

Set a cool room temperature.

 

Set TV to turn off within 1 hour of falling asleep.

 

Go to bed at the same time each night.

 

Question 14                 1 pts

Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following?

Group of answer choices

 

Suicide intent

 

Suicidal ideations

 

Parasuicidal behavior

 

Aborted suicide attempt

 

Question 15             1 pts

A late-appearing adverse effect of neuroleptic drugs is known as which of the following?

Group of answer choices

 

Akathisia

 

Parkinsonism

 

Neuroleptic malignant syndrome

 

Neuroleptic-induced tardive dyskinesia

 

Question 17       1 pts

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?

Group of answer choices

 

Premenstrual syndrome

 

Premenstrual depression

 

Premenstrual dysphoric disorder

 

Premenstrual psychosomatic disorder

 

Question 18      1 pts

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

Group of answer choices

 

Those who have lost a loved one to suicide.

 

Someone who has attempted suicide but failed.

 

Only those who have had a serious suicide attempt with a near death experience.

 

This is an ambiguous term that should not be used.

 

Question 19           1 pts

Standard of care addresses which of the following questions?

Group of answer choices

 

Did the clinician do the right thing at the right time?

 

Was effective care provided to the patient?

 

Was care provided safely regardless of time frame?

 

A and B only

 

Question 20         1 pts

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

Group of answer choices

 

Justice

 

Fidelity

 

Non-maleficence

 

Respect for autonomy

 

Question 21               1 pts

Which of the following is not consistent with Leininger’s theory on diversity and universality?

Group of answer choices

 

For a caregiver’s work to be meaningful and relevant, transcultural knowledge and competence is imperative to guiding decisions and actions for successive outcomes.

 

Is suitable for application to the care of diverse populations

 

States that provision of care needs to be harmonious with an individual’s or group’s cultural beliefs, practices, and ideals.

 

States that provision of care needs to be harmonious with the provider’s cultural beliefs, practices, and ideals.

 

Question 221 pts

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

Group of answer choices

 

Severe depression

 

Spiritual questions

 

Trauma bonding

 

All of the above

 

Question 23               1 pts

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

nrnp 6675 final exam questions and answers Group of answer choices

 

Haldol

 

Lithium

 

Valproic acid

 

Chlorpromazine

 

Question 241 pts

Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT:

Group of answer choices

 

Study in a distraction free environment.

 

Six to eight hours of sleep is recommended.

 

Drink lot of caffeine and eat high-concentrated sugars.

 

Plan to study for short periods of time over a longer time period.

 

Question 25             1 pts

Which of the following is not advised to prevent a lawsuit?

Group of answer choices

 

Follow-up

 

When in doubt, do nothing

 

Know the standard of care and practice within it.

 

When in doubt, take a conservative approach.

 

Question 261 pts

Which of the following are important measures by which to evaluate a benefits package while negotiating employment benefits?

Group of answer choices

 

What benefits does the ARNP need?

 

What is reasonable?

 

What are other NPs getting?

 

All of the above

 

Question 271 pts

ARNPs caring for vulnerable populations are responsible for which of the following?

Group of answer choices

 

Providing a quick assessment

 

Providing housing

 

Recognizing and responding to the needs of the population in a time-sensitive manner

 

All of the above

 

Question 281 pts

Which of the following is consistent with recommendations regarding assessing for suicidal ideations?

Group of answer choices

 

The clinician should always ask about suicidal ideations as part of every mental status examination.

 

Assessing for suicidal ideations is only required if patient is depressed.

 

Asking a psychotic patient if they are having suicidal ideations is not advised as this could introduce the idea to the patient.

 

If a patient who has been threatening suicide becomes quiet and less agitated, it is safe to assume the suicidal ideations have subsided.

 

Question 291 pts

A clause in an employment agreement that restricts and employee from practicing within a set number of miles from an employer’s business for a set period of time after the employee leaves the employer’s business is known as which of the following?

Group of answer choices

 

Restrictive covenant

 

An employment clause

 

A termination clause

 

A termination covenant

 

Question 301 pts

Obsessive-compulsive, dependent, and avoidant personality traits are associated with which of the following personality clusters?

Group of answer choices

 

Cluster A

 

Cluster B

 

Cluster C

 

Cluster D

 

Question 311 pts

The NP can impact health policy and healthcare by doing which of the following?

Group of answer choices

 

Become an active member of local, state, and/or national NP organizations.

 

Become familiar with the resources available on NP organization websites.

 

Volunteer to serve on legislative committees within professional NP organizations.

 

All the above

 

Question 321 pts

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?

Group of answer choices

 

a, A restrictive covenant

 

An employment clause

 

A termination clause

 

A and C

 

Question 341 pts

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?

Group of answer choices

 

Hofstede

 

Leininger

 

Purcell

 

Campinha-Bacote

 

Question 351 pts

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?

Group of answer choices

 

Cultural Awareness

 

Cultural Competence

 

Cultural Humility

 

Cultural Sensitivity

 

Question 361 pts

“Assumes complex and advanced leadership roles to initiate and guide change” is a NP core competency for which NP competency area?

Group of answer choices

 

Policy competencies

 

Quality competencies

 

Leadership competencies

 

Practice inquiry competencies

 

Question 371 pts

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?

Group of answer choices

 

Assessment of health status

 

Development of a treatment plan

 

Implementation of the treatment plan

 

Care priorities

 

Question 381 pts

Which of the following medications is associated with neural tube defects when given during pregnancy?

Group of answer choices

 

Iron

 

Haloperidol

 

Valproic acid

 

Chlorpromazine

 

Question 391 pts

The failure of a professional to exercise that degree of skill and learning commonly applied by the average prudent, reputable member of the profession is known as which of the following?

Group of answer choices

 

Negligence

 

Malpractice

 

Causation of injury

 

Duty liability

 

Question 401 pts

Persons who exhibit impulsive traits also show high levels of which of the following hormones? Select all that apply.

nrnp 6675 final exam questions and answers Group of answer choices

 

Testosterone

 

17-estradiol

 

Estrone

 

A and C only

 

Question 411 pts

Which of the following is the therapeutic blood level range for lithium?

Group of answer choices

 

0.2–1.0 mEq/L

 

0.3–0.8 mEq/L

 

0.3–1.2 mEq/L

 

0.5–1.5 mEq/L

 

Question 421 pts

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

Group of answer choices

 

Bullying

 

Being bullied

 

Isolation

 

Involvement in school organizations

 

 

 

Question 571 pts

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?

Group of answer choices

 

Justice

 

Fidelity

 

Beneficence

 

Respect for autonomy

 

Question 581 pts

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?

Group of answer choices

 

Medicare

 

The Joint Commission

 

The Agency for Healthcare Research and Quality

 

All of the above

 

Question 591 pts

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?

Group of answer choices

 

Schizoid personality disorder

 

Paranoid personality disorder

 

Borderline personality disorder

 

Antisocial personality disorder

Question 601 pts

Which of the following is not consistent with recommendations for psychiatric history taking and the mental status evaluation of older adults?

Group of answer choices

 

When a patient is cognitively impaired, an independent history should be obtained from a family member or caretaker.

 

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.

 

Even in patients with cognitive impairment, it is important to elicit any suicidal thoughts or paranoid ideations privately.

 

Question 611 pts

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?

Group of answer choices

 

Cisgender

 

Gender fluid

 

Pangender

 

Gender dysphoria

 

Question 621 pts

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?

Group of answer choices

 

The study revealed a causal relationship between child traumatic events and high-risk adult behaviors.

 

The study revealed a causal relationship between child traumatic events and high-risk adult behaviors.

 

The study revealed no relationship between child traumatic events and high-risk adult behaviors.

 

The study revealed an indirect relationship between child traumatic events and high-risk adult behaviors.

 

Question 641 pts

Curriculum content that supports the NP scientific foundation competency area includes which of the following? Select all that apply.

Group of answer choices

 

Comparison of patient data sets with evidence-based standards to improve care

 

Science from other disciplines relevant to health care

 

High reliability organization principles.

 

Compliance issues related to patient privacy with use of technology.

 

Question 661 pts

A method of therapy used to treat individuals with substance abuse based on the fundamental principle of a psychology that reinforced behaviors are likely to be repeated is known as which of the following?

Group of answer choices

 

Exposure therapy

 

Contingency management

 

Motivational interviewing

 

Cognitive behavioral therapy

 

Question 671 pts

The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following?

Group of answer choices

 

Fidelity

 

Beneficence

 

Non-maleficence

 

Respect for autonomy

 

Question 681 pts

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

nrnp 6675 final exam questions and answers Group of answer choices

 

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

 

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

 

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

 

You must have at least 25 contact hours in pharmacotherapy.

 

Question 691 pts

Which of the following is consistent with what is known about terrorist-bomber suicides?

Group of answer choices

 

The goal is death or escape.

 

The motivation is vengeance and mass murder.

 

Psychological/psychiatric disorder is present in most cases.

 

A and B only

 

Question 701 pts

All of the following are risk factors for sexual assault EXCEPT

Group of answer choices

 

Religion

 

Serious mental illness

 

Substance use disorder

 

Family history of sexual abuse

 

Question 711 pts

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?

Group of answer choices

 

Adopt a standard of full disclosure with patients.

 

Alert the patient to symptoms of bodily abnormality.

 

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

 

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

 

Question 731 pts

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?

Group of answer choices

 

Care priorities

 

Development of a treatment plan

 

Implementation of the treatment plan

 

Follow-up and evaluation of the patient status

 

Question 751 pts

A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply.

Group of answer choices

 

The existence of a client-professional relationship – duty to care.

 

Behavior below the appropriate standard of care for professionals dealing in like circumstances.

 

A causal link between the practitioner’s failure to conform to treatment standards and harm to the patient.

 

Actual injury to the patient.

 

Question 761 pts

Cluster A personality traits consist of which of the following?

Group of answer choices

 

Schizotypal, schizoid, and paranoid subtypes

 

Narcissistic, borderline, antisocial, and histrionic subtypes

 

Obsessive-compulsive, dependent, and avoidant subtypes

 

Depressive, anxious, hypomanic subtypes

 

 

Question 841 pts

Low health literacy has been linked with which of the following?

Group of answer choices

 

Poor health outcomes

 

lower rates of hospitalization

 

Less frequent use of preventive services

 

All of the above

 

Question 851 pts

Which of the following is consistent with what is known about postpartum depression?

Group of answer choices

 

Feelings of guilt and inadequacy are often present and excessive.

 

Thoughts of harming the baby are often present.

 

Typical onset is within 3–6 months after delivery.

 

All of the above

Question 861 pts

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?

Group of answer choices

 

Dysphoric disorder

 

General personality disorder

 

Dysfunctional personality traits

 

Developmental personality disorder

 

Question 871 pts

Which of the following demographic characteristics is consistent with high suicide risk?

Group of answer choices

 

Female

 

Married

 

Employed

 

Over 45 years of age

 

Question 881 pts

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.

Group of answer choices

 

Borderline personality disorder

 

Histrionic personality disorder

 

Schizotypal personality disorder

 

Narcissistic personality disorder

 

Question 891 pts

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?

Group of answer choices

 

Avoidant personality disorder

 

Antisocial personality disorder

 

Borderline personality disorder

 

Narcissistic personality disorder

 

Question 901 pts

Risk factors for physical abuse include all of the following EXCEPT:

Group of answer choices

 

Literacy

 

Pregnancy

 

Serious mental illness

 

History of victimization during developmental years.

 

Question 911 pts

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?

Group of answer choices

 

Compassion fatigue

 

Primary traumatization

 

Transference

 

Countertransference

 

Question 921 pts

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

Group of answer choices

 

Typical onset in early childhood

 

Is stable over time

 

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

 

B and C only

 ORDER EXAM HELP NOW

Question 93                  1 pts

Non-pharmacological treatment for abuse includes all of the following EXCEPT:

Group of answer choices

 

Cognitive behavioral therapy

 

Build a community of support

 

Assist patient to devise safe escape plan

 

Involve the abuser in the treatment planning

 

Question 941 pts

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

nrnp 6675 final exam questions and answers Group of answer choices

 

0.8–1.5 mEq/L

 

1.5–2.0 mEq/L

 

2.0–2.5 mEq/L

 

> 2.5 mEq/L

 

Question 95                   1 pts

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?

Group of answer choices

 

Lithium is the gold standard and should be used.

 

Lithium should be avoided in patients with renal disease.

 

An atypical antipsychotic such as olanzapine or risperidone should be used.

 

Depakote is the best option for this patient.

 

Question 96                       1 pts

Which of the following would constitute negligence? Select all that apply.

Group of answer choices

 

Failure to give necessary care.

 

Failure to refer when necessary.

 

Failure to follow-up with a patient.

 

Failure to disclose necessary information to a patient.

 

Question 97                  1 pts

According to Freud, passive and dependent personality traits are associated with which stage of development?

Group of answer choices

 

Oral stage

 

Anal stage

 

Phallic stage

 

Latency stage

 

Question 100             1 pts

According to the National Organization for Nurse Practitioner Faculties (NONPF), the policy competency area for the NP graduate includes all the following EXCEPT:

Group of answer choices

 

The NP graduate demonstrates an understanding of the interdependence of policy and practice.

 

The NP graduate advocates for ethical policies that promote access, equity, quality, and cost.

 

The NP graduate advocates for the nursing profession.

 

The NP graduate contributes to the development of health policy.

Question 19                                         1 pts

The average age for females to start having a menache is;

Group of answer choices

 

12 years of age

 

13 years of age

ORDER EXAM HELP HERE

15 years of age

 

16 years of age

 

NRNP 6552
Midterm Exam Walden University