NR548 Exam 1 Anew Updated Version Practical Questions And Answers.

Which of the following is not a core competency of APRNs? A. Technology and information literacy B. Health delivery system C. Ethics D. Delegated practice - correct answer delegated practice 7. A patient has been prescribed sertraline 50 mg daily for the past year without adverse effects and remission of symptoms. The patient has missed the last two appointments but leaves a message that he feels "fantastic!" The wife called to reschedule a follow-up appointment, saying he has been giddy lately, emotionally labile, and spending money so frivolously that their account has been overdrawn. During the appointment the patient becomes hostile and tells the PMHNP that he is a phony, and not even a real doctor, and is having an affair with his wife. The patient is uninterruptible, with pressured speech. What pharmacological change is indicated? A. Start lithium, increase sertraline B. Start valproic acid, stop sertraline C. Start valproic acid D. Stop sertraline - correct answer 7. Answer B. Start valproic acid and stop sertraline. Antidepressants can precipitate or exacerbate mania in patients with bipolar disorder who are frequently misdiagnosed initially with unipolar disorder. Increasing the sertraline while starting lithium will continue to exacerbate mania symptoms. Starting valproic acid without stopping the selective serotonin reuptake inhibitor (SSRI) will delay the treatment of mania. Stopping the sertraline without starting a mood stabilizer will delay the resolution of the manic symptoms. Which of the following is characteristic of the leadership competency for APRNs? A. Participating in a community-focused program that promotes mental health and reduces the risk of mental health problems B. Evaluating the appropriate use of seclusion and restraints in caring for a mentally ill patient C. Developing an age-appropriate treatment plan D. Modifying the treatment plan based on the patient's needs - correct answer Answer A. Participating in a community-focused program that promotes mental health exemplifies a leadership competency. Evaluating the appropriate use of seclusion and restraints, developing an age-appropriate treatment plan, and modifying the treatment plan based on clients' needs are clinical competencies. All of the following are characteristic of the independent practice competency except: A. Insulin during differential diagnoses B. Conducting individual and group psychotherapy C. Taking opportunities to influence health policy to reduce the stigma of mental health services D. Implementing plans to minimize complications and to promote function - correct answer Answer C. Taking opportunities to influence health policy and reduce the stigma of mental health services exemplifies health policy competency. Considering differential diagnoses, conducting psychotherapy, and implementing plans to minimize comorbidity are 35 examples of practicing with full practice authority at the top of the professional license. A state's Nurse Practice Act specifies all of the following except A. Who may use the title nurse practitioner B. What a nurse practitioner can do C. Restriction of the nurse practitioner's practice D. Provide oversight for service and benefits provided to patients - correct answer Answer D. The state Nurse Practice Act does not provide for oversight of services and benefits provided to patients. It does define who may use the title and the work of the nurse practitioner as well as restrict the practice of the professional. Which of the following may govern the profession of the PMHNP? A. Statutory law B. The U.S. Constitution C. Certification D. City ordinances - correct answer Answer A. Statutory laws govern the practice of a profession. The U.S. Constitution, certifications, and city ordinances do not address professional practice.