NRNP 6675 Final Exam: Questions and Answers for Walden University, Exams of Nursing

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NRNP 6675 Final Exam / NRNP6675 Final Exam

(2 Versions)(Each 100 Questions &

Answers)(2024-2025):Walden university

NRNP 6675 Final Exam

Question 1

All of the following are risk factors for sexual assault EXCEPT

A Religion

B Serious mental illness

C Substance use disorder

D Family^ history^ of^ sexual

abuse

Question 2

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

A Feelings^ of^ guilt^ and^ inadequacy^ are^ often^ present^ and

excessive.

B Thoughts of harming the baby are often present.

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

D All of the above

Question 3

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

A Fidelity

B Justice

C Beneficence

D Non-

maleficence

Question 4

Which of the following is used for treating alcohol-dependent individuals seeking to continue to remain alcohol free after they have stopped drinking?

A Tacrine

D The victim may make excuses for the abuser’s behavior.

Question 8

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

A Failure to give necessary care.

B Failure to refer when necessary.

C Failure to follow-up with a patient.

D Failure^ to^ disclose^ necessary^ information^ to^ a

patient.

Question 9

Which of the following developed a Biblically-based cultural competence model for healthcare professionals?

A Spector

B Campinha-

Bacote

C Kim-Godwin,^ et

al

D Papadopoulos,

et al

Question 10

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

A Severe

depression

B Spiritual

questions

C Trauma

bonding

D All of the above

Question 11

A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders?

A Schizoid^ personality

disorder

B Paranoid^ personality

disorder

C Schizotypal^ personality

disorder

D Avoidant^ personality

disorder

Question 12

Which of the following are criteria for a particular suicide to be considered inevitable?

A Strong genetic history of suicide in one or more family members.

B A strong genetic loading of mental illness in the family.

C The^ patient^ must^ have^ received^ the^ highest^ standard^ of^ treatment^ and^ that

treatment failed.

D All of the above.

Question 13

A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies?

A Akathisia

B Korsakoff’s syndrome

C Wernicke’s encephalopathy

D Idiosyncratic^ alcohol

intoxication

Question 14

The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following?

B Memantin

e

C Rivastigmi

ne

D Galantami

ne

Question 18

A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following?

A Cisgender

B Gender fluid

C Pangender

D Gender

dysphoria

Question 19

Narcissistic, borderline, antisocial, and histrionic subtypes are associated with which of the following Personality disorders?

A Cluster

A

B Cluster

B

C Cluster

C

D Cluster

D

Question 20

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

A When^ a^ patient^ is^ cognitively^ impaired,^ an^ independent^ history^ should^ be^ obtained

from a family member or caretaker.

B The^ patient^ should^ still^ be^ seen^ alone^ even^ in^ cases^ of^ clear^ evidence^ of^ impairment

to preserve the privacy of the doctor/patient relationship.

C If the patient is cognitively impaired, the patient should never be seen alone.

D Even^ in^ patients with^ cognitive^ impairment, it^ is^ important to elicit any^ suicidal

thoughts or paranoid ideations privately.

Question 21

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

A Poor health outcomes

B lower rates of hospitalization

C Less^ frequent^ use^ of^ preventive

services

D All of the above

Question 22

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

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

B

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

circumstances.

C

A causal link between the practitioner’s failure to conform to treatment standards

and harm to the patient.

D Actual injury to the patient.

Question 23

According to USDHHS and the Federal Bureau of Primary Health Care, which of the following individuals would be considered homeless?

A An^ individual^ whose^ primary^ residence^ during^ the^ night^ is^ a^ supervised^ public^ or

private facility that provides temporary living accommodations.

B An individual who is a resident in transitional housing

C A person who is living with a friend

D All of the above

Question 24

B Anal stage

C Phallic

stage

D Latency

stage

Question 28

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

A Acute onset

B Auditory

hallucinations

C Visual

hallucinations

D A and C

Question 29

A patient currently on risperidone presents to the emergency department with increased agitation, restlessness, muscle discomfort, and dysphoria. The APRN recognizes these symptoms of akathisia and recommends which of the following? Select all that may apply.

A Reduce^ antipsychotic

dosage

B Benztropine IM

C Benadryl po or IM

D B and C only

Question 30

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

A Study in a distraction free environment.

B Six to eight hours of sleep is recommended.

C Drink lot of caffeine^ and^ eat high-concentrated

sugars.

D Plan^ to^ study^ for^ short^ periods^ of^ time^ over^ a^ longer

time period.

Question 31

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

A An^ advanced^ registered^ nurse

practitioner

B A physician

C A unlicensed social worker

D A and B

Question 32

The ARNP is treating a 27 - year-old female with bipolar disorder who is obese and has renal dysfunction. Which of the following is true?

A Lithium is the gold standard and should be used.

B Lithium should be avoided in patients with renal disease.

C An^ atypical^ antipsychotic^ such^ as^ olanzapine^ or^ risperidone

should be used.

D Depakote is the best option for this patient.

Question 33

Patients with this personality disorder are described as excitable and emotional, and behave in a colorful, dramatic, extroverted, attention-seeking fashion, often with an inability to maintain deep long-lasting attachments.

A Borderline^ personality

disorder

B

Histrionic personality

disorder

C

Schizotypal personality

disorder

D Narcissistic^ personality

Question 37

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

A Cognitive behavioral therapy

B Build a community of support

C Assist^ patient^ to^ devise^ safe^ escape

plan

D Involve^ the^ abuser^ in^ the^ treatment

planning

Question 38

A personality disorder characterized by extraordinarily unstable affect, mood, behavior, object relations, and self-image is known as which of the following?

A

Schizoid personality

disorder

B

Schizotypal personality

disorder

C Borderline^ personality

disorder

D Avoidant^ personality

disorder

Question 39

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

A Dialectical Behavior Therapy

B Mentalization-based Treatment

C Transference-focused

Psychotherapy

D Cognitive Behavioral Therapy

Question 40

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

A 0.8–1.

mEq/L

B 1.5–2.

mEq/L

C 2.0–2.

mEq/L

D > 2.5 mEq/L

Question 41

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

A Those who have lost a loved one to suicide.

B Someone who has attempted suicide but failed.

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

death experience.

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

Question 42

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

A Is the patient psychotic?

B Is the patient suicidal or homicidal?

C

Is the problem organic, functional, or a

combination?

D Is it^ safe^ for^ the^ patient^ to^ be^ in^ the

emergency room?

Question 43

A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends, unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARNP suspects the patient likely has which of the following personality disorders?

A Schizoid^ personality

disorder

expressed.

D All of the above.

Question 47

Which of the following is not consistent with what is known about postpartum psychosis?

A Symptoms of postpartum psychosis can often begin within days of the delivery.

B The^ average^ time^ of^ onset^ of^ symptoms^ of^ postpartum^ psychosis^ is^ within^2 to^3

weeks of delivery.

C Florid^ psychotic^ symptoms^ are^ usually^ preceded^ by^ prodromal^ signs^ such^ as

insomnia, restlessness, agitation, and mild cognitive deficits.

D This^ disorder^ primarily^ effects^ first^ time^ mothers^ and^ there^ is^ very^ little^ risk^ of

postpartum psychosis in subsequent pregnancies.

Question 48

Concerns when treating geriatric patients with psychotherapeutic drugs include all of the following EXCEPT:

A Elderly^ persons^ may^ be^ more^ susceptible^ to^ adverse^ effects^ of

psychotherapeutic drugs.

B Elderly persons may metabolize psychotherapeutic drugs more slowly.

C Elderly persons may metabolize psychotherapeutic drugs more rapidly.

D Elderly persons may excrete psychotherapeutic drugs more slowly.

Question 49

A clause in an employment contract that specifies that an employer and employee may end the working agreement without cause within a specified number of days is known as which of the following?

A A^ restrictive

covenant

B An^ employment

clause

C A termination

clause

D A^ and^ C

Question 50

Standards of care are now being set, modified, monitored, and publicized by certain self- appointed consumer-oriented agencies, as well as government agencies, including which of the following?

A Medicare

B The Joint Commission

C The^ Agency^ for^ Healthcare^ Research^ and

Quality

D All of the above

Question 51

The differences in the quality of healthcare across individuals or groups in regard to access, treatment options, and preventative services is known as which of the following?

A Racism

B Health disparities

C Vulnerable populations

D Social^ determinants^ of

health

Question 52

Which of the following medical conditions can present with prominent mental status changes that mimic common psychiatric illnesses? Select all that apply.

A Diabetes

Mellitus

B Thyroid

disease

C AIDS

D Head trauma

Question 53

disorder

B Antisocial^ personality

disorder

C Borderline^ personality

disorder

D Narcissistic^ personality

disorder

Question 57

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

A Iron

B Haloperidol

C Valproic acid

D Chlorpromazi

ne

Question 58

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

A Comparison^ of^ patient^ data^ sets^ with^ evidence-based^ standards^ to

improve care

B Science from other disciplines relevant to health care

C High reliability organization principles.

D

Compliance issues related to patient privacy with use of

technology.

Question 59

Self-injurious behavior with a nonfatal outcome, accompanied by explicit or implicit evidence that the person intended to die, is most specifically known as which of the following?

A Suicide

B Suicide intent

C Suicide^ attempt

D Aborted^ suicide

attempt

Question 60

The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive to minor criticism. The ARNP recognizes these symptoms as consistent with which of the following personality disorders?

A Schizotypal^ personality

disorder

B Borderline^ personality

disorder

C Narcissistic^ personality

disorder

D Histrionic^ personality

disorder

Question 61

The degree to which individuals have the cognitive and social capacity to access, process, and utilize basic health information and services to maintain good health, make appropriate health decisions, and meet their goals is knowns as which of the following?

A Health literacy

B Health advocacy

C Health disparities

D Social^ determinants^ of

health

Question 62

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

A Literacy

B

Pregnancy

C

Serious mental illness