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NUR 670 - APEA PRETEST EXAM LATEST UPDATE 2025-
2026|687 REAL QUESTIONS AND CORRECT
ANSWERS|A+ GRADED
Psychotherapy and pharmacotherapy use similar pathways to treat patients. Psychotherapy, unlike pharmacotherapy, uses a top-down approach as opposed to the bottom-up approach believed to be utilized in pharmacotherapy. Which top-down pathway does psychotherapy likely use? A-Limbic system, prefrontal cortex B-Hippocampus, amygdala C-Prefrontal cortex, limbic system D-Thalamus, prefrontal cortex Prefrontal cortex, limbic system Which of the following best describes a healthcare proxy? A -Assigns another person to make all business and healthcare decisions for the patient B- Specifically prohibits doctors from attempting to resuscitate the patient
C- Specific instructions that doctors must follow when the patient cannot communicate them due to illness D- Also known as a durable power of attorney, gives another person the power to make medical decisions if the patient cannot Also known as a durable power of attorney, gives another person the power to make medical decisions if the patient cannot Which of the following is true about frontotemporal dementia (Pick's disease)? A - Personality and behavioral changes occur in the early stages of the disease B - The disorder is fatal and rapidly progressive, with death generally occurring within 6 months C - The disease is characterized mostly by motor abnormalities such as choreoathetoid movements. D - The disease has Parkinson features and usually presents with recurrent visual hallucinations. Personality and behavioral changes occur in the early stages of the disease
B-consumption of undercooked poultry may precipitate a flare. c- the shoulder joint is not a typical location of gout. D - hyperuricemia is not necessary for a gout flare to occur. hyperuricemia is not necessary for a gout flare to occur (confirm with peers) Two gay men in a committed gay relationship present to the PMHNP's office for an assessment prior to adopting a child. Which of the following statements reflects the PMHNP's accurate knowledge about the outcomes of children raised by same-sex parents? A."Children raised by same-sex parents are not measurably different from children raised by heterosexual parents" B - "Children raised by same-sex parents do not seem to have trouble with gender identity, but they are more likely to adopt a gay lifestyle." C- "Children of same-sex parents are well adjusted for the most part, but they can have substantial difficulties with gender identity and parental roles." D- "Same-sex parents often have difficulty creating a strong family bond. This results in an unstable environment for the adopted child. Children raised by same-sex parents are not measurably different from children raised by heterosexual parents
A 48-year-old woman presents to the PMHNP for a follow-up of her anxiety. Review of the record reveals the patient also has a diagnosis of Addison's disease, an adrenal insufficiency. What skin changes would the PMHNP expect to observe? A-Circumoral pallet B-Hyperpigmentation c-Facial plethora and hirsutism D-Maculopapular Eruptions Hyperpigmentation Which part of the brain is most likely involved when a patient experiences difficulties with working memory, planning and prioritizing, insight into problems. and impulse control? A-Occipital lobe B-Temporal lobe C-Panetallobe D-Frontal lobe Frontal lobe
husband of a 65-year-old woman complains to his PMHNP that his wife IS "driving him crazy." He complains that his spouse cannot make any decisions without first asking several people what she should do. He reports that she IS afraid of rejection from even the slightest things. Her children complain that she complains of illnesses in order to draw their affection and attention. He reports that she often refuses to do things for herself and is increasingly demanding of his time. What mental health disorder is his wife likely to be experiencing? A-Major depressive disorder (MDD) B- Dependent personality disorder C- Borderline personality disorder D-Avoidant personality disorder Dependent personality disorder A 32-year-cis female with schizophrenia is being treated with haloperidol (Haldol). The patient presents to the emergency department with her mother, whose report of her daughter's symptoms describes confusion, diaphoresis, and tremors with trismus and agitation. The mother noticed the symptoms immediately after her daughter came indoors after being outside in the sun. The nurse caring for the patient notes a heart rate of 140 Bpm and a temperature of 39.0 Celsius. Laboratory studies show an elevated white blood cell count and an elevation in creatine phosphokinase. Which of the following conditions is the parent likely experiencing?
A. Serotonin syndrome B. Neuroleptic malignant syndrome C. Heat stroke D. Central nervous system infection Neuroleptic malignant syndrome When using the LEARN (Listen, Explain, Acknowledge, Recommend and Negotiate) model for cross cultural healthcare, the PMHNP recognizes that a critical aspect of the Explain step is to: A- allow the patient to describe their understanding of the diagnosis and plan B-explain the plan of care while being mindful of patients' culture and literacy. C-explain to the patient that their suggestions will be integrated into the plan of care. D-involve the patient and family in the plan of care explain the plan of care while being mindful of patients' culture and literacy
Dialectical behavioral therapy (DBT) supports dialectical thinking, which involves examining and discussing different ideas to determine the truth. This is affirmed through DBT training. The central pattern emphasized in DBT involves the tension raised between: A-crisis survival and acceptance. B -emotional regulation and personal change C-crisis generation and blocking avoidance D - problem avoidance and problem-solving. crisis survival and acceptance. The PMHNP is examining a 24-year-old female and observes gingival hyperplasia (overgrowth of gum tissue). This Is a known side effect of ○ A. lamotrigine (Lamictal) ○ B-levetiracetam (Keppra) O C- Valproic Acid (Depakole) ○ D-phenytoin (Dilantin) phenytoin (Dilantin)
The PMHNP uses cognitive behavioral therapy to work with a patient who has been suicidal after three successive miscarriages. The PMHNP must always maintain the belief that: ○ A -suicide is not an acceptable solution for life's problems. ○ B- suicide may be a viable option for patients who can never seem to overcome their hopelessness. ○ C - it is acceptable to communicate their frustration to the patient when progress is not being made in therapy sessions ○ D - medication is often the best solution for suicidal patients because therapeutic counseling is rarely helpful. suicide is not an acceptable solution for life's problems. The PMHNP is evaluating a male client with chronic opioid use disorder. The patient presents today for follow-up after being discharged from the hospital for treatment of gastritis. The patient complains of increased drowsiness since the hospitalization. The patient provides their discharge medication list. The medication that ls the most likely cause of sedation is: A-metoclopramide (Reglan) B-omeprazole (Prilosec).
A-anxiety B-acute salpingitis C-acute gastroenteritis D-ruptured ovarian cyst acute gastroenteritis A complication of glomerulonephritis is A. type 2 diabetes mellitus, B- hypotension C-renal calculi. D - hypertension hypertension Accelerated thinking in which the mind skips rapidly from one thought to the next is known as: A -astereognosis. B- word salad
C- flight of ideas. D- loose association. flight of ideas The PMHNP observes a resting tremor in a 65-year-old male patient. In assessing other risk factors for Parkinson's disease, the PMHNP knows that the most important one is A - Age B - sex C - significant caffeine intake D - low body mass index age The PMHNP Is treating a patient who is upset because their friend just delivered a baby with anencephaly. The PMHNP knows that anencephaly Is associated with which type of deficiency. A - Ferritin B-Folic acid C-Cholecalciferol D-Pyridoxine
A male patient who lives in a nursing home is being evaluated by a PMHNP due to nursing complaints of hypersexuality, poor impulse control, and personality changes. Which type of dementia is this patient most likely exhibiting? A. vascular dementia B-Dementia with Lewy bodies C-Frontotemporal dementia D. Alzheimer's dementia Frontotemporal dementia The NP prepares for a head-to-toe assessment of a 49-year-old patient. Which of the following in the patient's history is least likely to represent stroke risk? ○ A-Hypertension ○ B-Hyperlipidemia ○ C-Diverticulitis ○ D.Diabetes mellitus Diverticulitis
Which of the following refers to the understanding that muscles act in pairs and coordinate with each other by simultaneously relaxing and contracting, suggesting that deep muscle relaxation can produce calmness? A-Isometric exposure B-Thought stopping C-isotonic relaxation D- Reciprocal inhibition Reciprocal inhibition The LEAST likely differential diagnosis in a patient who presents with pain in multiple joints is: A- Lyme disease B - multiple sclerosis C - systemic lupus erythematosus D - fibromyalgia multiple sclerosis
An uninterrupted period of illness in which the person experiences psychotic symptoms similar to schizophrenia, in addition to mood symptoms of major depressive disorder or bipolar disorder, Is most likely: A - schizoaffective disorder. B- brief psychotic disorder C - schizophreniform disorder. D - Delusional disorder. schizoaffective disorder Which of the following alternative therapies may be used by patients to address insomnia? A-Ginseng B-Valerian C -St. John's wort D-Licorice valerian
The PMHNP is treating a cisgender female with bulimia nervosa. The patient does not desire pregnancy and has an intrauterine contraceptive device. The first-line pharmacotherapy for this patient is: A-desipramine (Norpramin). B- fluoxetine (Prozac). C-sertraline (Zoloft). D - topiramate (Topamax). fluoxetine The PMHNP sees a 32-year-old patient who is pregnant. The patient has been unable to quit smoking. The patient feels "it won't hurt anything" because her mother smoked while pregnant with her. Which of the following potential effects of maternal smoking should the PMHNP NOT include in their patient education? A- Visual disturbances (e.9., strabismus) B-Restricted growth (e.g. head growth, low birth weight) C-Poor lung function (e.9 asthma, wheezing) D- Macrosomia (more than 9 lbs. 15 oz. or 4.5 kg) Macrosomia (more than 9 lbs. 15 oz. or 4.5 kg)
