NRNP 6665 MIDTERM EXAM

NRNP 6665 MIDTERM EXAM

Actual Questions and Answers Expert-Verified Explanation

This Exam contains:

❖ The Exam has passing score of 90% ❖ 100 Questions and Answers ❖ format set of multiple-choice ❖ Expert-Verified explanation ❖ Verified with trusted textbooks 1 / 8

### 1. Which of the following is not a core competency of APRNs?

• Technology and information literacy
• Health delivery system
• Ethics
• Delegated practice

**Answer:** D. Delegated practice

**Explanation:**

**Delegated practice**, while important in healthcare settings, refers to the tasks assigned by one healthcare provider to another (e.g., physician to nurse) under specific guidelines. It is more about the delegation process within healthcare teams rather than an inherent competency that APRNs must develop. Therefore, **Delegated practice** is not classified as a core competency of APRNs.

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### 2. Which of the following is a characteristic of the leadership competency for APRNs?

• Participating in a community-focused program that promotes mental

health and reduces the risk of mental health problems

• Evaluating the appropriate use of seclusion and restraints in caring for a

mentally ill patient

• Developing an age-appropriate treatment plan
• Modifying the treatment plan based on the patient's needs

**Answer:** A. Participating in a community-focused program that

promotes mental health and reduces the risk of mental health problems

**Explanation:**

Leadership competency in APRNs involves the ability to influence and guide healthcare teams, organizations, and communities towards improved health

outcomes. Characteristics of this competency include:

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- **Advocacy and Policy Influence:** Engaging in initiatives that promote

public health, such as community-focused programs aimed at mental health promotion, exemplifies leadership. By participating in these programs, APRNs can spearhead efforts to reduce the incidence and impact of mental health issues within the community.

- **Strategic Planning:** Leaders in nursing must develop and implement

strategies that address systemic challenges, enhance care delivery, and foster interprofessional collaboration.

- **Change Management:** Effectively leading change within healthcare

settings, whether through innovation, education, or policy development, is a key aspect of leadership.

Option **A** highlights active participation in community programs that have a broad impact on mental health, aligning directly with leadership roles. The other options, while important clinical skills, are more related to individual patient care rather than leadership-driven initiatives.

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### 3. All of the following are characteristics of the independent practice

competency except:

• Insulin administration during differential diagnoses
• Conducting individual and group psychotherapy
• Taking opportunities to influence health policy to reduce the stigma of

mental health services

• Implementing plans to minimize complications and to promote function

**Answer:** C. Taking opportunities to influence health policy to reduce the

stigma of mental health services

**Explanation:**

**Independent practice competency** refers to the APRN's ability to assess,

diagnose, and manage patient care autonomously. Characteristics include:

- **Clinical Autonomy:** Administering treatments such as insulin during

differential diagnoses demonstrates the ability to independently manage and adjust patient care based on clinical assessments. 3 / 8

- **Therapeutic Interventions:** Conducting psychotherapy sessions,

whether individual or group-based, showcases the APRN's capability to provide comprehensive mental health care without direct oversight.

- **Care Management:** Implementing plans to minimize complications and

promote patient function reflects the APRN’s role in ensuring optimal outcomes through effective care strategies.

Option **C** involves influencing health policy to reduce stigma, which is more aligned with advocacy and leadership roles rather than the clinical autonomy emphasized in independent practice. While advocacy is an essential role for APRNs, it is distinct from the independent clinical competencies focused on direct patient care.

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### 4. Which of the following may govern the profession of the PMHNP?

• Statutory law
• The US Constitution
• Certification
• City ordinances

**Answer:** A. Statutory law

**Explanation:**

The profession of Psychiatric-Mental Health Nurse Practitioners (PMHNPs) is governed primarily by **statutory laws** established at the state level.These laws define the scope of practice, licensure requirements, and regulatory guidelines that PMHNPs must adhere to. While certification is essential for demonstrating competency and is often required for licensure, it is not a governing factor but rather a credentialing one. The US Constitution provides the overarching legal framework for the country but does not specifically govern nursing practices. City ordinances may impact certain aspects of healthcare delivery but do not typically govern the professional standards and scopes of practice for PMHNPs. Hence, **Statutory law** is the most direct governance factor for the profession.

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