MCPHS NUR 807 Final Exam

MCPHS NUR 807 Final Exam Exam Questions (Transcribed from Uploaded Image) Question 7 The<> American<> Nurses<> Association’s<> position<> on<> restraints<> and<> seclusion<> states:<> Nurses<> are<> ethically accountable<> to<> support<> the<> dignity<> and<> worth<> of<> each<> person.<> Given<> this<> statement,<> select<> the<> correct answer.☐ Restraints can be used when there is no other option available ☐ Restraints can be used with patients who have dementia or delirium ☐ Restraints can be used when a patient experiences an acute psychotic episode ☐ All of the above are untrue Question 8 A<> 72-year-old<> male<> patient,<> accompanied<> by<> his<> daughter,<> comes<> for<> a<> psychiatric<> evaluation.<> The<> daughter is<> very<> concerned<> because<> his<> father<> has<> been<> waking<> up<> in<> the<> middle<> of<> the<> night<> and<> has<> stated<> that there<> are<> “people”<> in<> the<> house,<> yet<> no<> one<> is<> there.<> The<> patient<> gets<> very<> agitated,<> is<> difficult<> to<> redirect, and<> has<> been<> progressively<> experiencing<> a<> decline<> in<> memory.<> As<> the<> PMHNP,<> what<> would<> you<> consider<> as the most common diagnosis for this patient?☐ Alzheimer’s disease ☐ Frontotemporal Dementia ☐ Huntington’s disease ☐ Lewy Body Dementia Question 9 Your<> plan<> of<> care<> for<> this<> patient<> is<> to<> offer<> a<> medication<> to<> address<> perceptual<> disturbances.<> Which<> would be your drug of choice to begin treatment?☐ Risperdal 1 mg PO BID for psychosis ☐ Seroquel 12.5 mg PO QAM + 25 mg PO QHS for psychosis ☐ Haldol 1 mg PO BID for psychosis ☐ Fluoxetine 1 mg PO QAM + 2.5 mg PO QHS for psychosis • • • • • • • • • • • • 1

Question 10 Patients who have symptoms characteristic of antisocial personality disorder… Select the best answer.☐ rarely malignant ☐ may present as socially adept or intelligent ☐ should never be confronted directly about inappropriate behavior ☐ must be approached with a heightened sense of vigilance Question 11 Which<> of<> the<> anxiety<> disorders<> below<> has<> the<> greatest<> efficacy<> when<> antidepressant<> medications<> are<> used?Select the best answer.☐ Generalized Anxiety Disorder ☐ Personality Disorder ☐ Seasonal Affective Disorder ☐ Obsessive-Compulsive Disorder Question 12 What<> medication<> has<> NOT<> been<> proven<> to<> be<> effective<> in<> the<> treatment<> of<> obsessive-compulsive<> disorder?Select the best answer.☐ Bupropion ☐ Buspirone ☐ Sertraline ☐ Fluoxetine Question 13 From the conditions listed below, select the one that has the least empirical support for pharmacotherapy.☐ Obsessive-Compulsive Disorder ☐ Post-Traumatic Stress Disorder ☐ Social Phobia ☐ Trichotillomania • • • • • • • • • • • • • • • • 2

Added Questions from Uploaded Image Question 1 The<> psychiatric-mental<> health<> nurse<> practitioner<> is<> charged<> with<> continually<> improving<> the<> quality<> of<> care<> in an<> outpatient<> clinic.<> The<> nurse<> practitioner<> will<> implement:<> -<> ☐<> a<> chart<> review<> analysis<> -<> ☐<> a<> root-cause analysis - ☑️ a plan–do–study–act process - ☐ a multi-level analysis Question 2 To<> improve<> treatment<> and<> patient<> outcomes,<> the<> psychiatric-mental<> health<> nurse<> practitioner<> uses evidence‑based<> practices.<> An<> acceptable<> resource<> for<> evidence‑based<> meta‑analysis<> is<> the:<> -<> ☐<> Cochrane database - ☑️ Medscape database - ☐ PubMed database - ☐ WebMD database Question 3 A<> PMHNP<> in<> a<> school‑based<> setting<> wants<> to<> study<> adolescents<> who<> receive<> training<> on<> managing<> emotions in<> the<> form<> of<> either<> a<> computer<> game<> or<> instructional<> lessons.<> What<> statistical<> analysis<> would<> be<> most appropriate<> to<> test<> if<> two<> training<> methods<> resulted<> in<> different<> learning<> outcomes?<> -<> ☐<> T‑test<> -<> ☐<> chi‑square

• ☑️ t‑test - ☐ multiple regression

Question 4 A<> 30‑year‑old<> woman<> presents<> with<> a<> history<> of<> agoraphobia<> since<> adolescence.<> Her<> agoraphobia<> worsened over<> the<> subsequent<> decade<> until<> she<> was<> housebound.<> She<> was<> accompanied<> by<> her<> fiancé<> for<> treatment.The<> provider<> recommends<> exposure<> therapy.<> Over<> time,<> reinforcement<> gradually<> shaped<> the<> patient’s ability<> to<> tolerate<> walking<> distances<> away<> from<> home.<> This<> therapy<> is<> an<> example<> of:<> -<> ☐<> Classical conditioning - ☐ Cognitive conditioning - ☐ Social conditioning - ☑️ Operant conditioning Question 5 The<> therapy<> used<> in<> the<> previous<> case<> study<> is<> associated<> with<> what<> kind<> of<> learning?<> Select<> the<> best<> answer.

• ☐ trial‑and‑error learning - ☐ nonreflexive learning - ☑️ response behavioral learning - ☐ shaping

Question 6 The<> PMHNP<> understands<> the<> definition<> of<> prevalence<> is:<> -<> ☐<> risk<> of<> acquiring<> a<> condition<> at<> some<> point<> in time<> -<> ☐<> the<> statistical<> deviation<> at<> some<> point<> in<> time<> -<> ☐<> the<> ratio<> of<> people<> who<> acquire<> a<> disorder<> during a year’s time - ☑️ the proportion of a population that has a condition at any given moment in time (Additional<> pages<> will<> continue<> to<> be<> added<> to<> reach<> 16<> full<> pages.) will<> be<> added—please<> tell<> me<> if<> you'd<> like me<> to<> continue<> expanding<> this<> into<> a<> full<> 16-page<> exam<> with<> rationales,<> answer<> keys,<> formatting,<> and additional questions.)* 3