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Question 1 All of the following are risk factors for sexual assault EXCEPT c A Religion ¢ B Serious mental illness ~ © Substance use disorder D Family history of sexual o abuse Question 2 Which of the following is consistent with what is known about postpartum depression? A Feelings of guilt and inadequacy are often present and c excessive. ¢ 8 Thoughts of harming the baby are often present. Cc C Typical onset is within 3-6 months after delivery. @ DAllof the above Question 3 Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following? AFidetity cB Justice @ © Beneficence Non- c 0 maleficence Question 4 Which of the following is used for treating alcohol-dependent individuals seeking to continue to remain alcohol free after they have stopped drinking? ¢ ATacrine B Amantadin e c Cc Galantami c ne Acamprosa « D te Question 5 The HP can impact health policy and healthcare by doing which of the following? Become an active member of local, state, and/or national IP co organizations. Become familiar with the resources a c websites. ilable on NP organization Cc Volunteer to serve on legislative committees within professional HP c organizations. D All the above Question 6 The treatment of others equitably and distribution of benefits/ burdens fairly is known as which of the following? c A Fidelity @ Bdustice - C Beneficence Non- c D maleficence Question 7 Which of the following is inconsistent with current literature about victims of sexual abuse? c A All victims of sexual abuse are aware that they are in an abusive relationship. Victims of sexual abuse may willingly participate in sexual acts with an idolized Cc authority figure. Cc The pre-existing relationship and familiarity with the abuser may impede the victim’s o ability to make rational decisions. Question 11 A patient appears odd, with a pervasive history of magical thinking, ideas of reference, illusions and derealization. This is consistent with which of the following personality disorders? A Schizoid personality Cc disorder B Paranoid personality Cc disorder ‘Schizotypal personality io disorder Avoidant personality Cc disorder Question 12 Which of the following are criteria for a particular suicide to be considered inevitable? Cc A Strong genetic history of suicide in one or more family members. c B A strong genetic loading of mental illness in the family. Cc The patient must have received the highest standard of treatment and that Cc treatment failed. D All of the above. Question 13 A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. The ARIP recognizes these ‘symptoms as consistent with which of the following psychiatric emergencies? A Akathisia c B Korsakoff’s syndrome @ c Wernicke’s encephalopathy > Idiosyncratic alcohol Cc ‘intoxication Question 14 The emotional burnout and lack of empathy towards clients that healthcare providers experience after treating victims of trauma is known as which of the following? A Compassion fatigue B Primary o traumatization e@ C Transference Dp Countertransferenc e Question 15 The Adverse Childhood Experience Study (Felitti et al., 1998) found which of the following relationships between child traumatic events and high-risk behaviors exhibited by adults? The study revealed a causal relationship between child traumatic events and high- © risk adult behaviors. The study revealed a causal relationship between child traumatic events and high- o risk adult behaviors. Cc The study revealed no relationship between child traumatic events and high-risk o adult behaviors. The study revealed an indirect relationship between child traumatic events and high- o risk adult behaviors. Question 16 “Walking on eggshells” and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence? - AHoneymoon phase B Abusive incident Cc phase Cc Tension-building c phase D Refractory phase Question 17 The only approved therapy in the United States for moderate to severe Alzheimer’s disease is which of the following? ¢ ADonepezil C If the patient is cognitively impaired, the patient should never be seen alone. o Even in patients with cognitive impairment, it is important to elicit any suicidal Cc thoughts or paranoid ideations privately. Question 21 Low health literacy has been linked with which of the following? A Poor health outcomes cB lower rates of hospitalization Cc Less frequent use of preventive Cc services c D AU of the above Question 22 A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply. nD A The existence of a client-professional relationship - duty to care. Behavior below the appropriate standard of care for professionals dealing in like im circumstances. Cc A causal link between the practitioner’s failure to conform to treatment standards 0 and harm to the patient. r D Actual injury to the patient. Question 23 According to USDHHS and the Federal Bureau of Primary Health Care, which of the following individuals would be considered homeless? An individual whose primary residence during the night is a supervised public or Cc Private facility that provides temporary living accommodations. c B An individual who is a resident in transitional housing c C A person who is living with a friend c D All of the above Question 24 A particular form of psychotherapy used for patients with borderline personality disorder, especially those with parasuicidal behavior such as frequent cutting in known as which of the following? @ A Dialectical Behavior Therapy ¢ 8 Mentalization-based Treatment Transference-focused Cc Psychotherapy o D Exposure Therapy Question 25 As a PMHIIP, one of the most common areas you will counsel your patients about is the importance of sleep hygiene. Which of the following is NOT consistent with common recommendations for good sleep hygiene? ¢ A Avoid alcohol and caffeine. B Set a cool room temperature. Cc Set TV to turn off within 1 hour of falling ic asleep. ¢ 0Go to bed at the same time each night. Question 26 The need for nurse practitioners to practice to the full extent of their education and training is necessary for which of the following reasons? Select all that apply. A The growth in number and proportion of older Cv Americans B The projected primary care physician shortage by Cc 2025 ¢ Increased number of individuals who have access to CD healthcare D The economic push for cost-effective healthcare Question 27 According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development? Cc A Oralstage Cc Drink lot of caffeine and eat high-concentrated © sugars. Plan to study for short periods of time over a longer Cc time period. Question 31 Which of the following professionals would be able to precept a nurse practitioner student? A An advanced registered nurse Cc practitioner B A physician c¢ © Aunticensed social worker DAandB e Question 32 The ARHP is treating a 27-year-old female with bipolar disorder who is obese and has renal dysfunction. Which of the following is true? c A Lithium is the gold standard and should be used. c B Lithium should be avoided in patients with renal disease. An atypical antipsychotic such as olanzapine or risperidone i should be used. c D Depakote is the best option for this patient. Question 33 Patients with this personality disorder are described as excitable and emotional, and behave in a colorful, dramatic, extroverted, attention-seeking fashion, often with an inability to maintain deep long-lasting attachments. ‘A Borderline personality © disorder Histrionic personality « disorder Cc Schizotypal personality Cc disorder CD Narcissistic personality disorder Question 34 A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, and a pervasive pattern of perfectionism and inflexibility is known as which of the following? ¢ ADepressive personality disorder B Borderline personality disorder O oO C Dependent personality disorder Obsessive-compulsive personality « disorder Question 35 A patient presents and is unapproachable, with poor eye contact, reporting a lifelong pattern of isolation, uncomfortable with human interaction, and constricted affect. This presentation is consistent with which of the following personality disorders? Schizoid personality c disorder Borderline personality 0 disorder Avoidant personality C disorder Schizotypal personality « disorder Question 36 Which of the following core competencies are quality competencies? Cc A Uses best available evidence to continually improve quality of practice. c B Integrates ethical policies in decision making. Evaluates the relationships among access cost quality safety and their Cc influence on health care. DAandc A 0-8-1.5 c mEq/L 1.52.0 c mEq/L 2.0-2.5 mEq/L c¢ D> 2.5 mEq/L Question 41 The term “suicide survivor” refers to which of the following? « A Those who have lost a loved one to suicide. o B Someone who has attempted suicide but failed. Cc Only those who have had a serious suicide attempt with a near Cc death experience. D This is an ambiguous term that should not be used. Question 42 At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply. r A Is the patient psychotic? on B Is the patient suicidal or homicidal? Is the problem organic, functional, or a Cc combination? Is it safe for the patient to be in the 0 emergency room? Question 43 A patient presents with a formal, tense manner. He reluctantly reports a longstanding (since early adulthood) pervasive suspiciousness of others, preoccupied with trustworthiness of friends, unjustified concerns about others deceiving him, angry about perceived insults and slights, reluctant to confide in the ARNP. The ARMP suspects the patient likely has which of the following personality disorders? A Schizoid personality Cc disorder Paranoid personality « disorder Borderline personality Cc disorder D Antisocial personality Cc disorder Question 44 The obligation to not inflict harm or balancing unavoidable harm with benefits of good achieved is known as which of the following? A Fidelity c @ B Beneficence ¢ C Non-maleficence Respect for c autonomy Question 45 In about half of the cases in which suicides occur while patients are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts expect related to inpatient psychiatric unit suicide events? c A Courts expect suicides to occur in inpatient settings. c B Courts require zero suicide rates in inpatient setting. re C Periodic patient evaluation for suicide risk Evidence of formulation of a treatment plan with a high level Cc of security Question 46 Using the LIAASE: A General Cultural Competence Tool, the ARIIP would do which of the following? c A Agree to disagree on differences in values. c__ B Solicit other options or points of view. Cc C Acknowledge and validate powerful emotions when Question 50 Standards of care are now being set, modified, monitored, and publicized by certain self- appointed consumer-oriented agencies, as well as government agencies, including which of the following? - AMedicare cB The Joint Commission The Agency for Healthcare Research and c Quality c_ _DAILof the above Question 51 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? c ARacism @ 8 Health disparities © Vulnerable populations p Social determinants of Cc health Question 52 Which of the following medical conditions can present with prominent mental status changes that mimic common psychiatric illnesses? Select all that apply. Diabetes Cc Mellitus p Thyroid im disease C AIDS D Head trauma Question 53 A term used to describe individuals and families who are found to live in overcrowded homes, relocate frequently, and struggle to pay rent and monthly expenses is which of the following? c¢ AdHomelessness Housing c instability c C Transiency DaAandB c Question 54 Risk factors for school violence include which of the following? Select all that apply. nD A Bullying —_ B Being bullied p> C Isolation Involvement in school D organizations Question 55 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? A Cultural Cc Awareness B Cultural Cc Competence o C Cultural Humility Dp Cultural Cc Sensitivity Question 56 A patient with an inability to conform to the social norms that ordinarily govern many aspects of a person’s behavior is consistent with which of the following personality disorders? C A Avoidant personality Dp Aborted suicide Cc attempt Question 60 The ARNP is working with a patient who has a heightened sense of self-importance and grandiose feelings of uniqueness. The patient also lacks empathy for others, although is very sensitive to minor criticism. The ARIIP recognizes these symptoms as consistent with which of the following personality disorders? Schizotypal personality c disorder B Borderline personality Cc disorder Narcissistic personality « disorder D Histrionic personality Cc lisorder Question 61 The degree to which individuals have the cognitive and social capacity to access, process, and utilize basic health information and services to maintain good health, make appropriate health decisions, and meet their goals is knowns as which of the following? @ AdHealth literacy cB Health advocacy C Health disparities c D Social determinants of Cc health Question 62 Risk factors for physical abuse include all of the following EXCEPT: c A Literacy B c Pregnancy Cc Serious mental illness c D History of victimization during developmental . years. Question 63 According to Freud, passive and dependent personality traits are associated with which stage of development? c Aral stage cB Anal stage c Phallic Cc stage Latency c PB stage Question 64 Sexual assault is most often which of the following? o A Astranger An Cc acquaintance A family C member c DA professional Question 65 Which of the following is the treatment of choice for patients with depressive personality? c AExposure therapy cB Light-exposure therapy Cc Insight oriented Cc psychotherapy D Transmagnetic Stimulation C (TMS) Question 66 Which of the following medications is associated with Ebstein’s anomaly when given during pregnancy? 
