NRNP 6675 final exam Walden university
NRNP 6675 final exam Walden university Question 1 1 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 4 1 pts
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?
Group of answer choices
Racism
Health disparities
Vulnerable populations
Social determinants of health
Question 5 1 pts
The antipsychotics which are most likely to cause neuroleptic-induced parkinsonism are which have which of the following effects?
Group of answer choices
High potency drugs with low levels of anticholinergic activity.
Low potency drugs with low levels of anticholinergic activity.
High potency drugs with high levels of anticholinergic activity.
Low potency drugs with high levels of anticholinergic activity.
Question 7 1 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 8 1 pts
Cluster A personality disorders are more common in biological families of patients with which of the following disorders?
Group of answer choices
Depression
Obsessive-compulsive disorder
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Alcohol use disorders
Schizophrenia
NRNP 6675 final exam Walden university Question 9 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 10 1 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 11 1 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 12 1 pts
A patient on lithium with a history of alcohol use disorder presents with dry mouth, ataxia, dizziness, abdominal pain, and slurred speech. The ARNP should do which of the following?
Group of answer choices
The ARNP recognizes this is likely a relapse on alcohol so sends the patient home to sleep it off.
The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, decreases the lithium by half, and encourages the patient to drink more fluids.
The ARNP recognizes these are symptoms of mild to moderate lithium toxicity, discontinues the lithium immediately, orders lithium level, serum electrolytes, and renal function tests.
The ARNP recognizes these are symptoms of moderate to severe lithium toxicity, discontinues the lithium and tells the patient hemodialysis will most probably be needed.
Question 13 1 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 14 1 pts
Which of the following are criteria for a particular suicide to be considered inevitable?
Group of answer choices
Strong genetic history of suicide in one or more family members.
A strong genetic loading of mental illness in the family.
The patient must have received the highest standard of treatment and that treatment failed.
All of the above.
Question 15 1 pts
“Walking on eggshells” and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence?
Group of answer choices
Honeymoon phase
Abusive incident phase
Tension-building phase
Refractory phase
NRNP 6675 final exam Walden university Question 16 1 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 17 1 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 87 1 pts
Which of the following selective serotonin-reuptake inhibitors (SSRIs) has the most pronounced effect on prolongation of QT interval?
Group of answer choices
Sertraline (Zoloft)
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Question 88 1 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 91 1 pts
An ARNP takes a position in which a specific amount is paid according to a set job description. This type of pay structure is known as which of the following?
Group of answer choices
Straight salary
Average percentage of net receipts
Base salary plus percentage
Hourly rate
Question 92 1 pts
The treatment of choice for patients with histrionic personality disorder include which of the following?
Group of answer choices
- Psychoanalytic oriented individual psychotherapy
- Psychoanalytic oriented group psychotherapy
- Exposure therapy
- A or B
Question 93 1 pts
In the judicial system one organization may publish one standard of care and an expert my testify to an alternate version of the standard of care. In this scenario who is the final arbiter of the standard of care?
Group of answer choices
The organization where the practitioner worked at the time
The judicial system
The expert testifying
The professional organization for the practitioner
Question 95 1 pts
The ARNP working as an at will employee realizes which of the following?
Group of answer choices
- Unless the ARNP has a contract for a specified term of employment, the employee has no legal right to a job.
- Employment will not be covered by equal opportunity or disability laws.
- He or she must negotiate terms of employment on a piecemeal basis.
- A and C only
Question 96 1 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 97 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 99 1 pts
Type of employment in which either party may terminate for any reason at any time is known as which of the following?
Group of answer choices
Locum tenens
At will employment
Employment by contract
Profit sharing employment
Question 100 1 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
