(Solved) NRNP 6675 Care Across the Lifespan II | Full Course Week 1 – 11 Solution

NRNP 6675 Care Across the Lifespan II

NRNP 6675 Module 1 Week 2 Assignment 1: Evaluation and Management (E-M)

Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.

For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5-TR to ICD-10. 

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

• American Psychiatric Association. (2022).  ICD-10-CM Codes Update Links to an external site.. https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/updates-to-dsm-5-tr-criteria-text
• American Psychiatric Association. (2022). Changes to ICD-10-CM Codes for DSM-5 Diagnoses Links to an external site. NRNP6675 https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/coding-updates
• American Psychiatric Association. (2020). Updates to DSM–5 criteria, text, and ICD-10 codes links to an external site.. https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5
• American Psychiatric Association. (2013). Insurance implications of DSM-5 Links to an external site.. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM_Insurance-Implications-of-DSM-5.pdf NRNP6675
  • Clicking on this link will initiate the download of the PDF.
• American Psychiatric Association. (2020). Coding and reimbursementLinks to an external site.
  https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement
• American Psychiatric Association. (2022). Numerical listing of DSM-5 diagnoses and codes (ICD-10-CM). In Diagnostic and statistical manual of mental disordersLinks to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
• Buppert, C. (2021). Nurse practitioner’s business practice and legal guide(7th ed.). Jones & Bartlett Learning.
  • Chapter 9, NRNP6675 “Reimbursement for Nurse Practitioner Services”
• Centers for Medicare & Medicaid Services. (2020). Your billing responsibilitiesLinks to an external site.. https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/ProviderServices/Your-Billing-Responsibilities
• Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.
  • Chapter 15, “Reimbursement for Nurse Practitioner Services”
• Walden University Academic Skills Center. (2017). Developing SMART goalsLinks to an external site.. https://academicguides.waldenu.edu/ld.php?content_id=51901492 NRNP6675
• Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.  
  • Chapter 4 “Neuroanatomy, Physiology, and Mental Illness”
• Document: E/M Patient Case Study

TO PREPARE

Reflect on the study plan you created in NRNP6665. Did you accomplish your SMART goals? What areas of focus still present opportunities for growth

• Review this week’s Learning Resources on coding, billing, reimbursement.
• Review the E/M patient case scenario provided.
  

THE ASSIGNMENT

• Assign DSM-5-TRand ICD-10 codes to services based upon the patient case scenario. 

Then, in 2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.

• Explain what pertinent information, generally, is required in documentation to support DSM-5-TRand ICD-10 coding.
• Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
• Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

NRNP 6675 Module 1 Week 2 Assignment 2: Study Plan

NRNP 6675 Module 2 Week 3 Assignment: Focused SOAP Note for Anxiety, PTSD, and OCD

In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. NRNP 6675 Care Across the Lifespan II

In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. 

TO PREPARE

• Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. ( Attached documents)
• Review the video, Case Study: Dev Cordoba. (See below the complete transcript.) You will use this case as the basis of this Assignment.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.

THE ASSIGNMENT – INSTRUCTIONS

Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: NRNP 6675 Care Across the Lifespan II

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?   

Assessment:

• Discuss the patient’s mental status examination results. What were your differential diagnoses?
• Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. NRNP 6675 Care Across the Lifespan II
• Compare the DSM-5-TRdiagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis.
• Explain the critical-thinking process that led you to the primary diagnosis you selected.
• Include pertinent positives and pertinent negatives for the specific patient case.

Plan:

• What is your plan for psychotherapy?
• What is your plan for treatment and management, including alternative therapies?
• Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. 
• Also incorporate one health promotion activity and one patient education strategy.

Reflection notes: 

• What would you do differently with this patient if you could conduct the session again? 
• Discuss what your next intervention would be if you could follow up with this patient. 
• Include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6675 Care Across the Lifespan II
• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

Case Study: Dev Cordoba.

Walden University. (2021). Case study: Dev Cordoba. Walden University Canvas. https://waldenu.instructure.com

Transcript:

JENNY: Hi there. My name is Dr. Jenny. Can you tell me your name and how old you are?

DEV CORDOBA: My name is Dev, and I am seven years old.

JENNY: Wonderful. Dev, can you tell me what the month and the date is? And where are we right now?

DEV CORDOBA: Today is St. Patrick’s Day. It’s March 17th. NRNP 6675 Care Across the Lifespan II

JENNY: Do you know where we are?

DEV CORDOBA: We’re at the school.

JENNY: Good. Did your mom tell you why you’re here today to see me?

DEV CORDOBA: She thought you were going to help me be better.

JENNY: Yes, I am here to help you. Have you ever come to see someone like me before, or talked to someone like me before to help you with your mood?

DEV CORDOBA: No, never.

JENNY: OK. Well, I would like to start with getting to know you a little bit better, if that’s OK. What do you like to do for fun when you’re at home?

DEV CORDOBA: Oh, I have a dog. His name is Sparky. We play policeman in my room. And I have LEGOs, and I could build something if you want.

JENNY: I would love to see what you build with your LEGOs. Maybe you can bring that in for me next appointment. Who lives in your home? NRNP 6675 Care Across the Lifespan II

DEV CORDOBA: My mom and my baby brother and Sparky.

JENNY: Do you help your mom with your brother?

DEV CORDOBA: No. His breath smells like bad milk all the time. [CHUCKLES] And he cries a lot, and my mom spends more time with him.

JENNY: So how do you feel most of the time? Do you feel sad or worried or mad or happy?

DEV CORDOBA: Worried.

JENNY: What types of things do you worry about?

DEV CORDOBA: I don’t know, just everything. I don’t know.

JENNY: OK. So your mom tells me you also have a lot of bad dreams. Can you tell me a little more about your bad dreams, like maybe what they’re about, how many nights you might have them?

DEV CORDOBA: I dream a lot that I’m lost, that I can’t find my mom or my little brother. They seem like they happen almost every night, but maybe not some nights. NRNP 6675 Care Across the Lifespan II

JENNY: Now that must feel horrible. Have you ever been lost before when maybe you weren’t asleep?

DEV CORDOBA: Oh, no. No. And I don’t like the dark. My mom puts me in a night light with the door open, so I know she’s really there.

JENNY: That seems like that probably would help. Do you like to go to school? Or would you rather not go?

DEV CORDOBA: I worry about by mom and brother when I’m at school. All I can think about is what they’re doing, and if they’re OK. And besides, nobody likes me there. They call me Mr. Smelly.

JENNY: Well. That’s not nice at all. Why do you feel they call you names?

DEV CORDOBA: I don’t know. But my mom says it’s because I won’t take my baths. [SIGHS] She tells

me to, and it– and I have night accidents. NRNP 6675 Care Across the Lifespan II

JENNY: Oh, how does that make you feel?

DEV CORDOBA: Sad and really bad. They don’t know how it feels for their daddy to never come home. What if my mom doesn’t come home too?

JENNY: Yes, you seem to worry about that a lot. Does this worry stop you from being able to learn in school?

DEV CORDOBA: Well, [SIGHS] my teacher is, all the time, telling me to sit down and focus. And I get in trouble for [SIGHS] looking out the window. And she moved my chair beside her desk, but I don’t mind because Billy leaves me alone now.

JENNY: Billy. Have you ever hit Billy or anyone else?

DEV CORDOBA: No, but I did throw my book at him.

JENNY: Hmm.

DEV CORDOBA: [CHUCKLES]

JENNY: What about yourself? Have you ever hit yourself or thought about doing something to hurt yourself?

DEV CORDOBA: No. NRNP 6675 Care Across the Lifespan II

JENNY: OK. Well, Dev, I would like to talk to your mom now. We’re going to work together, and we’re going to help you feel happier, less worried, and be able to enjoy school more. Is that OK?

DEV CORDOBA: Yes. Thank you.

MISS CORDOBA: Hi.

JENNY: Thank you, Miss Cordoba, for bringing in Dev. I feel we can help him. So tell me, what is your

main concerns for Dev?

MISS CORDOBA: [SIGHS] Well, he just seems so anxious and worried all the time, silly things like I’m going to die, or I won’t pick him up from school. He says I love his brother more than him. He’ll throw things around the house, and gets in trouble at school for throwing things. He has a difficult time going to sleep. He wants his lights on, doors open, gets up frequently. NRNP 6675 Care Across the Lifespan II

And he’s all the time wanting to come home from school, claims stomach aches, and headaches almost daily. He won’t eat. He’s lost three pounds in the past three weeks. Our pediatrician sent us to you because he doesn’t believe anything is physically wrong. Oh, and I almost forgot. He still wets the bed at night. [SIGHS] We’ve tried everything. His pediatrician did give him DDVAP, but it doesn’t seem to help.

JENNY: Hmm. OK. Can you tell me, any blood relatives have any mental health or substance use issues?

MISS CORDOBA: No, not really.

JENNY: What about his father? He said that he never came home?

MISS CORDOBA: Oh, yes. His father was deployed with the military when Dev was five. I told Dev he was on vacation. I didn’t know what to tell him. I thought he was too young to know about war. And his father was killed, so Dev still doesn’t understand that his father didn’t just leave him. [SIGHS] I just feel so guilty that all of this is my fault. NRNP 6675 Care Across the Lifespan II

JENNY: Miss Cordoba, you did the right thing by bringing in Dev. We can help you with him.

MISS CORDOBA: Oh, thank you.

NRNP 6675 Module 2 Week 5 Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders

Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.

For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder. 

TO PREPARE

• Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. (See attached documents)
• Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. – Transcript below NRNP 6675 Care Across the Lifespan II
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.

THE ASSIGNMENT

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: 
  • What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? NRNP 6675 Care Across the Lifespan II
  • What is the duration and severity of their symptoms?
  • How are their symptoms impacting their functioning in life? 
• Objective: 
  • What observations did you make during the psychiatric assessment?  

Assessment:

• Discuss the patient’s mental status examination results. What were your differential diagnoses?
• Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TRdiagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis.
• Explain the critical-thinking process that led you to the primary diagnosis you selected.
• Include pertinent positives and pertinent negatives for the specific patient case. NRNP 6675 Care Across the Lifespan II

Plan:

• • What is your plan for psychotherapy?
  • What is your plan for treatment and management, including alternative therapies?
  • Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. 
  • Also incorporate one health promotion activity and one patient education strategy.

Reflection notes:

• • What would you do differently with this patient if you could conduct the session again? 
  • Discuss what your next intervention would be if you were able to follow up with this patient. 
  • Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). NRNP 6675 Care Across the Lifespan II

• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

Case Study: Sherman Tremaine – Transcript

Walden University. (2021). Case study: Sherman Tremaine. Walden University Canvas. https://waldenu.instructure.com NRNP 6675 Care Across the Lifespan II

MOORE: Good afternoon, I’m Dr. Moore. Want to thank you for coming in for your appointment today. I’m going to be asking you some questions about your history and some symptoms. And to get started, I just want to ensure I have the right patient and chart. So can you tell me your name and your date of birth?

SHERMAN TREMAINE: I’m Sherman Tremaine, and Tremaine is my game game. My birthday is November 3, 1968.

MOORE: Great. And can you tell me today’s date? Like the day of the week, and where we are today?

SHERMAN TREMAINE: Use any recent date, and any location is OK.

MOORE: OK, Sherman. What about do you know what month this is?

SHERMAN TREMAINE: It’s March 18.

MOORE: And the day of the week? NRNP 6675 Care Across the Lifespan II

SHERMAN TREMAINE: Oh, it’s a Wednesday or maybe a Thursday.

MOORE: OK.

SHERMAN TREMAINE: I believe we’re in your office, Dr. Moore.

MOORE: OK, great. So, tell me a little bit about what brings you in today. What brings you here?

SHERMAN TREMAINE: Well, my sister made me come in. I was living with my mom, and she died.

I was living, and not bothering anyone, and those people– those people, they just won’t leave me alone.

MOORE: What people?

SHERMAN TREMAINE: The ones outside my window watching. They watch me. I can hear them, and I see their shadows. They think I don’t see them, but I do. The government sent them to watch me.

MOORE: Sherman, how long have you saw or heard these people?

SHERMAN TREMAINE: Oh, for weeks, weeks and weeks and weeks. Hear that– hear that heavy metal music? They want you to think it’s weak, but it’s heavy. NRNP 6675 Care Across the Lifespan II

MOORE: No, Sherman. I don’t see any birds or hear any music. Do you sleep well, Sherman?

SHERMAN TREMAINE: I try to, but the voices are loud. They keep me up for days and days. I try to watch TV, but they watch me through the screen, and they come in and poison my food. I tricked them though. I tricked them. I locked everything up in the fridge. They aren’t getting in there. Can I smoke?

MOORE: No, Sherman. There is no smoking here. How much do you usually smoke?

SHERMAN TREMAINE: Well, I smoke all day, all day. Three packs a day.

MOORE: Three packs a day. OK. What about alcohol? When was your last drink?

SHERMAN TREMAINE: Oh, yesterday. My sister buys me a 12-pack, and tells me to make it last until next week’s grocery run. I don’t go to the grocery store. They play too loud of the heavy metal music. They also follow me there.

MOORE: What about marijuana?

SHERMAN TREMAINE: Yes, but not since my mom died three years ago.

MOORE: Use any cocaine? NRNP 6675 Care Across the Lifespan II

SHERMAN TREMAINE: No, no, no, no, no, no, no. No drugs ever, clever, ever.

MOORE: What about any blackouts or seizures or see or hear things from drugs or alcohol?

SHERMAN TREMAINE: No, no, never a clever [INAUDIBLE] ever.

MOORE: What about any DUIs or legal issues from drugs or alcohol?

SHERMAN TREMAINE: Never clever’s ever.

MOORE: OK. What about any medication for your mental health?

Have you tried those before, and what was your reaction to them?

SHERMAN TREMAINE: I hate Haldol and Thorazine. No, no, I’m not going to take it.

Risperidone gave me boobs. No, I’m not going to take it. NRNP 6675 Care Across the Lifespan II

Seroquel, that is OK.

But they’re all poison, nope, not going to take it.

MOORE: OK. So, tell me, any blood relatives have any mental health or substance abuse issues?

SHERMAN TREMAINE: They say that my dad was crazy with paranoid schizophrenia. He did in the old state hospital. They gave him his beer there. Can you believe that? Not like them today. My mom had anxiety.

MOORE: Did any blood relatives commit suicide?

SHERMAN TREMAINE: Oh, no demons there. No, no.

MOORE: What about you? Have you ever done anything like cut yourself, or had any thoughts about killing yourself or anyone else? NRNP 6675 Care Across the Lifespan II

SHERMAN TREMAINE: I already told you. No demons there. Have been in the hospital three times though when I was 20.

MOORE: OK. What about any medical issues? Do you have any medical problems?

SHERMAN TREMAINE: Ooh, I take metformin for diabetes. Had or I have a fatty liver, they say,

but they never saw it. So, I don’t know unless the aliens told them.

MOORE: OK. So, who raised you?

SHERMAN TREMAINE: My mom and my sister.

MOORE: And who do you live with now?

SHERMAN TREMAINE: Myself, but my sister’s plotting with the government to change that. They tapped my phone. NRNP 6675 Care Across the Lifespan II

MOORE: OK.

Have you ever been married? Are you single, widowed, or divorced?

SHERMAN TREMAINE: I’ve never been married.

MOORE: Do you have any children?

SHERMAN TREMAINE: No.

MOORE: OK. What is your highest level of education?

SHERMAN TREMAINE: I went to the 10th grade.

MOORE: And what do you like to do for fun?

SHERMAN TREMAINE: I don’t work, so smoking and drinking pop.

MOORE: OK. Have you ever been arrested or convicted for anything legally?

SHERMAN TREMAINE: No, but they have told me they would. They have told me they would if I didn’t stop calling 911 about the people outside. NRNP 6675 Care Across the Lifespan II

MOORE: OK. What about any kind of trauma as a child or an adult? Like physical, sexual, emotional abuse.

SHERMAN TREMAINE: My dad was rough on us until he died.

MOORE: OK. So, thank you for answering those questions for me. Now, let’s talk about how I can best help you.

NRNP 6675 Module 2 Week 6 Midterm Exam

1. Question: Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply
2. Question: Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? NRNP 6675 Care Across the Lifespan II
3. Question: Phencyclidine (PCP) and Ketamine exert their unique behavioral effects by blocking which of the following receptors?
4. Question: The diagnosis used to describe a syndrome characterized by specific signs and symptoms resulting from recent ingestion or exposure to a substance is known as which of the following?
5. Question: Abnormal involuntary movements in a rhythmic pattern affecting face, mouth, tongue, jaw is known as which of the following?
6. Question: A deeply held belief despite evidence to the contrary, lasting at least one month, without prominent hallucinations, with functional impairment that relates to the delusional system
7. Question: Which of the following is true about preoccupation with castration?
8. Question: Which of the following is a system that provides a uniform language for describing medical and surgical procedures and diagnostic services rendered by clinicians?
9. Question: A patient on Chlorpromazine states that his orgasm is dry and afterward he will commonly have milky urine. The ARNP realizes which of the following? NRNP 6675 Care Across the Lifespan II
10. Question: A condition which results from absence of second female sex Chromosome (XO) and is associated with web neck, dwarfism, cubitus valgus, and infertility is known as which of the following?
11. Question: Which of the following would be characterized as a negative symptom of schizophrenia?
12. Question: Which of the following are keys to distinguishing OCD from psychosis?
13. Question: A federal program administered nationally and locally which covers enrolled individuals 65 years and older who pay premiums and disabled individuals.
14.  Question: Having an adequate legal description of nurse practitioner (NP) scope of practice according to state law is important for which of the following reasons? NRNP 6675 Care Across the Lifespan II
15. Question: Which of the following is the most widely consumed psychoactive substance?
16. Question: Which of the following is used to treat Tardive Dyskinesia?
17. Question: The APRN consensus model did which of the following?
18. Question: Which of the following behaviors are associated with an alcohol blood level of 0.05 percent?
19. Question: According to HIPPA, which of the following must the NP share their NPI with? Check all that apply.
20. Question: A patient presents with delusions, disorganized thoughts, and speech with poor self care all of which have persisted for the past 7 months. The APRN this presentation is with which of the following diagnosis?
21. Question: Major neurotransmitters possibly involved in developing substance abuse and substance dependence which of the following? NRNP 6675 Care Across the Lifespan II
22. Question: The Dopamine hypothesis of schizophrenia which of the following?
23. Question: A patient reports a panic attack several years ago in an elevator and since then has avoided using elevators. This patient meets criteria for which of the following?
24. Question: A patient with a substance abuse disorder who does not meet the clinical criteria for hospitalization but who lacks sufficient social and vocational skills and lack substance-free social supports is ap
25. Question: Obscene phone calling to an unsuspecting partner for sexual arousal is known as which of the following?
26. Question: The main psychological difference between fear and anxiety is best described by which of the following statements?
27. Question: A diffuse, unpleasant, vague sense of apprehension often accompanied by autonomic symptoms which varies among persons is commonly known as which of the following?
28. Question: If a pregnancy begins while the woman is taking high doses of methadone and withdrawal is desired, during which trimester is this least hazardous? NRNP 6675 Care Across the Lifespan II
29. Question: Neurochemical or neurophysiologic changes in the body that result from the repeated administration of a drug is known as which of the following?
30. Question: The recurrent and intense sexual arousal from the physical and psychological suffering of another person is known as which of the following?
31. Question: Which of the following is not consistent with the onset of OCD?
32. Question: The recurrent urge to expose one’s genitals to a stranger is known as which of the following?
33. Question: Which of the following patients would be appropriate for hospitalization for substance use disorder? Select all that apply. NRNP 6675 Care Across the Lifespan II
34. Question: The nursing practice model recommended for NPs by the National Academy of Medicine and the National Council of State Boards of Nursing is which of the following?
35. Question: Which of the following groups does Medicare cover? Select all that apply.
36. Question: Which of the following neurotransmitters increases libido?
37. Question: Which of the following factors are associated with poor prognosis for patients with OCD?
38. Question: Which of the following is inconsistent with current knowledge about schizophrenia?
39. Question: A Chronic disorder characterized by repetitive hair pulling leading to variable
40. Question: 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…is known as which of the following?
41. Question: The conditions in which people are born, grow, work, live, and age are known as which of the following? NRNP 6675 Care Across the Lifespan II
42. Question: All the following is consistent with ANCC rules regarding recertification EXCEPT:
43. Question: Risk factors for school violence include which of the following? Select all that apply.
44. Question: Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack of self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of the following personality disorders?
45. Question: Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? NRNP 6675 Care Across the Lifespan II
46. Question: form of child abuse in which a patient or character repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought in an emergency setting is known as which of the following?
47. Question: Self-care strategies for the ARNP in preparing for the certification exam include all of the following EXCEPT?
48. Question: 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 ARNP suspects that the patient likely has which of the following personality disorders?
49. Question: A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. Symptoms as consistent with which of the following psychiatric emergencies?
50. Question: Cluster A personality disorders are more common in biological families of patients with which of the following disorders? NRNP 6675 Care Across the Lifespan II
51. Question: NP core competencies for INDEPENDENT practice include all of the following EXCEPT:
52. Question: Cluster A personality traits consist of which of the following?
53. Question: The misuse of the charge’s funds for personal gain is known as which of the following?
54. Question: The ARNP recognizes which of the following as long term effects of sex trafficking on victims?
55. Question: In about half of the cases in which suicides occur while parents are on a psychiatric unit, a lawsuit results. Which of the following is not consistent with what courts related to impatient psychiatric unit suicide events?
56. Question: Cultural Dimensions Therapy is a framework for cross-cultural communication that describes the effects of a society’s culture on the values of its members by which of the following theorists?
57. Question: The treatment of choice for patients with paranoid personality disorder includes which of the following? NRNP 6675 Care Across the Lifespan II
58. Question: The differences in the quality of healthcare across individuals or groups in regard to access, treatment options, and p following?
59. Question: The incidence of suicide is highest for which of the following populations?
60. Question: 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?
61. Question: 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? NRNP 6675 Care Across the Lifespan II
62. Question: A personality disorder characterized by emotional constriction, orderliness, perseverance, stubbornness, indecisiveness, a inflexibility as which of the following?
63. Question: Which of the following is consistent with what is known about the epidemiology of anxiety?
64. Question: Which of the following is consistent with NP practice parameters when prescribing buprenorphine?
65. Question: Which of the following are consistent with current data related to the prevalence of drinking alcohol?
66. Question: A patient with history of hypoglycemia reports feelings of fear, worry, and restlessness that has persisted over the past 6 months. The patient states these feelings are worse when glucose is low. The ARNP suspects the patient has which of the following diagnoses?
67. Question: Which of the following is not consistent with benzodiazepine withdrawal?
68. Question: Which of the following is true about the legal practice of the psychiatric-mental health nurse practitioner? NRNP 6675 Care Across the Lifespan II
69. Question: Flashbacks in which the individual may act and feel as if the trauma were reoccurring represent which of the following clinical features of PTSD?
70. Question: In which ways are nurse practitioners (NPs) and physician’s assistants (Pas) different?
71. Question: Which of the following initials would a psychiatric-mental health nurse practitioner use to designate appropriate credentials?
72. Question: Variations from norms in gender role behavior such as toy preferences, rough-and-tumble play, aggression, or playmate gender is known as which of the following? NRNP 6675 Care Across the Lifespan II
73. Question: The three major neurotransmitters associated with anxiety, based on animal studies and response to drug treatment include which of the following?
74. Question: Which of the following is consistent with the epidemiology of schizophrenia in the United States?
75. Question: Clinical findings that may indicate abuse include which of the following? Select all that apply.
76. Question: According to the American Psychiatric Association (APA) which of the following is consistent with the evidence base practice for telepsychiatry?
77. Question: Which of the following is consistent with literature regarding the term psychosexual?
78. Question: Bleuler identified four fundamental symptoms of schizophrenia known as the 4 As, which include which of the following symptoms? NRNP 6675 Care Across the Lifespan II
79. Question: The fear of or anxiety regarding places from which escape might be difficult is known as which of the following?
80. Question: All of the following are one of the five major categories of third-party payers EXCEPT:
81. Question: Discrepancy between anatomical sex and gender identity is known as which of the following?
82. Question: Which of the following is not a common physical effect of cannabis?
83. Question: A conscious standardized recurrent behavior such as counting, checking, avoiding that interferes significantly with the person’s normal routine and functioning is known as which of the following?
84. Question: Most everyone has a firm conviction that they are male or female by which age range?
85. Question: A patient who presents absent movement with difficulty starting activities flat affect, and avolition would be assessed as having which of the following? NRNP 6675 Care Across the Lifespan II
86. Question: Which of the following is consistent with current epidemiology literature about gender and Obsessive-Compulsive Disorder (OCD)?
87. Question: A type of schizophrenia in which the individual has a marked disturbance in motor function and may involve stupor, negativism, rigidity, excitement or posturing or mutism is
88. Question: A patient who presents with the inability to remain still, with motor restlessness, would be assessed to have which of the following? NRNP 6675 Care Across the Lifespan II
89. Question: The ARNP asks the patient “Has there ever been a period of a week or more when you were the opposite of depressed with super high energy and little need for sleep?” to assess for which of the following diagnoses?
90. Question: Applied behavioral analysis is typically indicated for which of the following disorders?
91. Question: Which of the following is true regarding prescribing guidelines?
92. Question: ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?
93. Question: A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis NRNP 6675 Care Across the Lifespan II
94. Question: According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?
95. Question: The American Academy of Child and Adolescent Psychiatry Code of Ethics Principle II: Promoting the Welfare of Children and Adolescents addresses which of the following ethical issues?
96. Question: Which of the following medications are approved by the FDA for treating OCD in children ages 6–17
97. Question: A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following? NRNP 6675 Care Across the Lifespan II
98. Question: The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than a year?” to assess for which of the following common diagnostic possibilities?
99. Question: Question: Data indicate which of the following regarding women drinking while pregnant or breast feeding?
100. Question: One’s sense of being male or female is known as which of the following?

NRNP 6675 Module 2 Week 7 Assignment: Controversy Associated with Personality and Paraphilic Disorders

Between 10% and 20% of the population experience personality disorders. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

Paraphilic disorders are far more common in men than in women, and generally quite chronic, lasting at least two years. Treatment of these disorders usually involves both psychotherapeutic and pharmacologic treatments.

In this Assignment, you will explore personality and paraphilic disorders in greater detail. You will research potentially controversial elements of the diagnosis and/or treatment and explain ethical and legal considerations when working with these disorders.

TO PREPARE

• Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders. NRNP 6675 Care Across the Lifespan II
• Select a specific personality or paraphilic disorder from the DSM-5-TR to use for this Assignment.
• Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. 

THE ASSIGNMENT

In 2–3 pages:

• Explain the controversy that surrounds your selected disorder.
• Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
  
• Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
• Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

NRNP 6675 Module 3 Week 8 Assignment: Legal and Ethical Issues Related to Psychiatric Emergencies

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare. NRNP 6675 Care Across the Lifespan II

In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments. 

To Prepare

• Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

The Assignment

In 2–3 pages, address the following:

• Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
• Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. NRNP 6675 Care Across the Lifespan II
• Explain the difference between capacity and competency in mental health contexts.
• Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
• Identify one evidence-based suicide risk assessment that you could use to screen patients.
• Identify one evidence-based violence risk assessment that you could use to screen patients.

NRNP 6675  Grand Rounds Discussion: Complex Case Study Presentation

This week you participate in the final of three clinical discussions called grand rounds. When it is your week to present, you will create a focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience.
You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present. Any student who has not yet presented should present this week.

To prepare:

NRNP 6675 PRACTICUM Week 9 Ground Rounds Focused Soap Note

Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
Select an older adult patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. NRNP 6675 Care Across the Lifespan II

All SOAP notes must be signed, and each page must be initialed by your Preceptor. When you submit your SOAP note, you should include the complete SOAP note as a Word document and PDF/images of each page that is initialed and signed by your Preceptor. You must submit your SOAP note using SafeAssign.

Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.

More on this assignment;

College of Nursing-PMHNP, Walden University

NRNP 6675 PRACTICUM Week 9 Ground Rounds Focused Soap Note assignment

Then, based on your SOAP note of this patient, develop a video case study presentation. Set aside time to practice what you will say beforehand and ensure that you have the appropriate lighting and equipment to record the presentation.

Your presentation should include objectives for your audience, at least 3 possible discussion questions/prompts for your classmates to respond to, and at least 5 scholarly resources to support your diagnostic reasoning and treatment plan. NRNP 6675 Care Across the Lifespan II

Video assignment for this week’s presenters:

Record yourself presenting the complex case study for your clinical patient. In your presentation:

Dress professionally with a lab coat and present yourself in a professional manner.

Display your photo ID at the start of the video when you introduce yourself.

Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).

State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing. NRNP 6675 Care Across the Lifespan II

Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.

Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Pose 3 questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.

Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide: NRNP 6675 Care Across the Lifespan II

Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

Objective: What observations did you make during the psychiatric assessment?

Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of 3 possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms.

Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. NRNP 6675 Care Across the Lifespan II

Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be. A note on grading:

NRNP 6675 PRACTICUM Week 9 Ground Rounds Focused Soap Note

Presenters: Review the Grand Rounds Presenter Rubric to ensure you meet the scoring criteria.
Participants: Review the Grand Rounds Participant Rubric to ensure you meet the scoring criteria.

NRNP 6675 Module 3 Week 10 Assignment 1: Nurse Practitioner Professional Career Planner

As you approach the end of your Master of Science in Nursing program and prepare for a career as a nurse practitioner, you will want to create a cover letter, resume, and portfolio that best represent your knowledge, skills, and abilities as a professional in the field of nursing.

For this Assignment, you will create a Career Planner, which includes these elements, that you can use as you pursue your next professional role. NRNP 6675 Care Across the Lifespan II

To Prepare

• Review the Career Planner Guide. This document contains the requirements for the Assignment as well as resources to consult.
• Seek out other resources on cover letters, resumes, and other professional resources, as needed. The Walden University Career Planning and Development site has information on many topics of relevance.  

The Assignment

Develop a cover letter, resume, philosophy statement, and other professional resources that meet the requirements outlined in the Career Planner Guide.

NRNP 6675: PMHNP Care Across the Lifespan II – Career Planner Guide

Your Nurse Practitioner Professional Career Planner is due by Day 7 of Week 10. It is highly recommended that you begin planning and working on this Assignment as early in the quarter as is feasible for you. The following checklists outline all of the items you should include in your Career Planner. Additionally, the resources below have been provided to assist you in its development. NRNP 6675 Care Across the Lifespan II

Refer to the Walden University Career Center website for resources and information on how to create cover letters, resumes, and professional portfolios. You may also choose to make certain portions of your Career Planner accessible online to members of your professional network or potential employers through platforms such as LinkedIn. Sharing on social media is a useful way to network for many, but it is not a requirement for this assignment.

Checklist for Cover Letter

Cover letters are typically tailored to individual jobs and companies. For this Assignment, you will select a job posting you would like to or could potentially apply for and create a cover letter for it. Your cover letter should be:

• Presented and formatted in professional business manner
• Addressed properly NRNP 6675 Care Across the Lifespan II
• Clear and concise (no more than one page) and include:
  • Content introduction
  • Content body
  • Content conclusion
• Written in a professional tone and include:
  • Correct spelling, punctuation, and grammar
  • Clear and accurate sentence structure

Checklist for Resume

Your resume should be clear, concise, and well organized, and it should also include your:

• Name, location (city/town and state), business phone number, and email address (centered at top of resume)
• Objective: 2–3 sentences describing your goal/objective for employment
• Certifications & licenses NRNP 6675 Care Across the Lifespan II
• Education
• Professional experience
• Honors/Awards (as applicable)

Checklist for Portfolio 

Your Portfolio should be clear, concise, and well organized, and it should also include your:

• Personal philosophy statement (1-page)
• Personal goals (short term and long term)
• Self-assessment NRNP 6675 Care Across the Lifespan II

The following items do not have to be submitted but should be available on request for employers:

• Achievements
• Letters of recommendation (2)
• References (list names, affiliation, and contact information) (3)
• Certifications and licenses
• Prior degrees
• Transcripts (Note: An unofficial transcript will meet this requirement.)
• Certificates of attendance for continuing education
• Publications
• Research
• Oral presentations and/or poster presentations

Learning Resources

Resume and Cover Letter Resources:

Canva. (n.d.). https://www.canva.com/

Canva has many resume templates and formats that may inspire your creativity. (Using Canva is optional.)

Cover Letter Advice (n.d.). Nurse practitioner cover letter sample 1. http://www.coverletter.us/nurse-practitioner-cover-letter/NRNP 6675 Care Across the Lifespan II

DeCapua, M. (2019). A nurse practitioner’s guide to the perfect cover letter. Health eCareers. https://www.healthecareers.com/article/healthcare-news/np-cover-letter

Hicks, R. W., & Roberts, M. E. E. (2016). Curriculum vitae: An important tool for the nurse practitioner. Journal of the American Association of Nurse Practitioners, 28(7), 347–352.

Gibson, A. (n.d.). Nurse.org career guide series: Ultimate guide to nursing resumes. Nurse.org. https://nurse.org/resources/nursing-resume/NRNP 6675 Care Across the Lifespan II

Walden University Career Services. (n.d.). Resumes & more. https://academicguides.waldenu.edu/careerservicescenter/resumesandmore

Portfolio Resources:

Chamblee, T. B., Dale, J. C., Drews, B., Spahis, J., & Hardin, T. (2015). Implementation of a professional portfolio: A tool to demonstrate professional development for advanced practice. Journal of Pediatric Health Care, 29(1), 113–117. NRNP 6675 Care Across the Lifespan II

Clarke, M. (2019). The importance of a professional nursing portfolio. HealthLeaders. https://www.healthleadersmedia.com/nursing/importance-professional-nursing-portfolio

Nurse Practitioner Business Owner. (n.d.). This is why you want to create your professional portfolio today! https://npbusiness.org/professional-portfolio/

Portfolium. (n.d.). https://portfolium.com/

Portfolium is one example of portfolio software that you could use to create a portfolio. You may choose your own tool, and it may be online (Google Sites, Portfolium) or offline (Word, pdf), as long as you can easily submit the portfolio files or link to your Instructor.

NRNP 6675 Module 3 Week 10 Assignment 2: National Organization of Nurse Practitioner Faculties (NONPF)

The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities. NRNP 6675 Care Across the Lifespan II

The nine areas of competency are:

• Scientific Foundations
• Leadership
• Quality
• Practice Inquiry
• Technology and Information Literacy
• Policy
• Health Delivery System
• Ethics
• Independent Practice

To Prepare

• Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content.

The Assignment

For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples. NRNP 6675 Care Across the Lifespan II

By Day 7 of Week 10

Submit your Assignment.

NRNP 6675 Module 3 Week 11 Assignment: Journal Entry

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes. NRNP 6675 Care Across the Lifespan II

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

To Prepare

• Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest. (see attached PDF document) NRNP 6675 Care Across the Lifespan II
• Refer to your Clinical Skills Self-Assessment Form you submitted in Week 1 and consider your strengths and opportunities for improvement. ( See word document). NRNP 6675 Care Across the Lifespan II

Journal Entry (450–500 words) – Instructions

Learning From Experiences

• Revisit the goals and objectives from your Practicum Experience Plan ( See attached word document). Explain the degree to which you achieved each during the practicum experience.
• Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
• What did you learn from this experience?
• What resources were available?
• What evidence-based practice did you use for the patients?
• What would you do differently? NRNP 6675 Care Across the Lifespan II
• How are you managing patient flow and volume?
• How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

• Reflect on how you might improve your skills and knowledge and communicate those efforts to your Preceptor.
• Answer the questions: How am I doing? What is missing?

NRNP 6675 Module 3 Week 11 Final Exam

1. Question: Affirmatively acting to benefit another or others, going beyond what is required by law is known as which of the following?
2. Question: Standard of care addresses which of the following questions?
3. Question: In order to qualify for ANCC board certification testing you must have a minimum of how many supervised clinical hours in the respective specialty for which you are seeking certification?
4. Question: NRNP 6675 Care Across the Lifespan II All of the following are risk factors for sexual assault EXCEPT
5. Question: 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?
6. Question: A late-appearing adverse effect of neuroleptic drugs is known as which of the following?
7. Question: Which of the following selective serotonin-reuptake inhibitors (SSRIs) has the most pronounced effect on prolongation of QT interval?
8. Question: Which of the following developed a Biblically-based cultural competence model for healthcare professionals? NRNP 6675 Care Across the Lifespan II
9. Question: ARNPs caring for vulnerable populations are responsible for which of the following?
10. Question: The ARNP working in a primary care office knows which of the following information is consistent with what is known regarding suicide screening? Select all that apply.
11. Question: NP core competencies for INDEPENDENT practice include all of the following EXCEPT:
12. Question: 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?
13. Question: The failure of a professional to exercise that degree of skill and learning commonly applied by the average prudent, reputable member of the profession is known as which of the following?
14. Question: The treatment of choice for patients with histrionic personality disorder include which of the following?
15. Question: The United States Supreme Court upheld the psychotherapist-patient privilege in which of the following cases? NRNP 6675 Care Across the Lifespan II
16. Question: Low health literacy has been linked with which of the following?
17. Question: Which of the following should be avoided when working with practice guidelines?
18. Question: According to Sullivan, which of the following are consistent with a mentor/mentee relationship?
19. Question: 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?
20. Question: 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?
21. Question: 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?
22. Question: Which of the following is true about standards of care?
23. Question: 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?
24. Question: Which of the following is the treatment of choice for patients with depressive personality?
25. Question: Features that point to a medical cause of mental disorder include which of the following? Select all that apply.
26. Question: Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?
27. Question: 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.
28. Question: Ethnocentrism results in which of the following? NRNP 6675 Care Across the Lifespan II
29. Question: 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?
30. Question: Cultural Dimensions Theory is a framework for cross-cultural communication that describes the effects of a society’s culture on the values of its members. It was developed by which of the following theorists?
31. Question: Which of the following symptoms of borderline personality disorder assist in differentiating borderline personality disorder from schizophrenia?
32. Question: Generalized convulsions, oliguria, and renal failure are symptoms seen with which of the following lithium levels? NRNP 6675 Care Across the Lifespan II
33. Question: Which of the following demographic characteristics is consistent with high suicide risk?
34. Question: Risk factors for physical abuse include all of the following EXCEPT:
35. Question: Which of the following are symptoms consistent with patients with passive-aggressive personality?
36. Question: The goal of psychotropic treatment is to eliminate all manifestations of a disorder to below the syndromal threshold, which is defined as which of the following? NRNP 6675 Care Across the Lifespan II
37. Question: According to Freud, stubborn, parsimonious, and highly conscientious traits are associated with which stage of development?
38. Question: Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder?
39. Question: At a minimum, a psychiatric evaluation in an emergency should include which of the following? Select all that apply.
40. Question: A form of child abuse in which a parent or caretaker repeatedly fabricates or actually inflicts injury or illness in a child for whom medical intervention is then sought, often in an emergency setting, is known as which of the following? NRNP 6675 Care Across the Lifespan II
41. Question: Which of the following is consistent with what is known about personality disorders?
42. Question: The incidence of suicide is highest for which of the following populations?
43. Question: Persons who subordinate their own needs to those of others, get other to assume responsibility for major areas of the lives, lack self-confidence, and may experience intense discomfort when alone for more than a brief period of time are demonstrating characteristics consistent with which of the following personality disorders? NRNP 6675 Care Across the Lifespan II
44. Question: Which stage of the cycle of domestic violence is characterized by overt aggressive behavior towards the victim?
45. Question: A personality disorder characterized by extraordinarily unstable affect, mood, behavior, object relations, and self-image is known as which of the following?
46. Question: Which of the following is used for treating alcohol-dependent individuals seeking to continue to remain alcohol free after they have stopped drinking? NRNP 6675 Care Across the Lifespan II
47. Question: Which of the following is not consistent with Leininger’s theory on diversity and universality?
48. Question: Patients who injure themselves by self-mutilation (i.e., cutting their skin) but who usually do not wish to die are said to have which of the following?  
49. Question: Which of the following is not consistent with what is known about the “baby blues.”
50. Question: Curriculum content that supports the NP scientific foundation competency area includes which of the following? Select all that apply.
51. Question: According to the National Organization for Nurse Practitioner Faculties (NONPF), the policy competency area for the NP graduate includes all the following EXCEPT:
52. Question: 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? NRNP 6675 Care Across the Lifespan II
53. Question: The misuse of the charge’s funds for personal gain is known as which of the following?
54. Question: A patient on Lithium and Quetiapine presents to the emergency room with anorexia, persistent nausea and vomiting, blurred vision, choreoathetoid movements, muscle fasciculations, and hyperactive deep tendon reflexes. The ARNP should do all of the following EXCEPT: NRNP 6675 Care Across the Lifespan II
55. Question:  A patient with history of schizophrenia, currently prescribed Haldol, presents to the emergency department with hyperthermia, muscle rigidity, autonomic instability, and elevated creatinine phosphokinase. The ARNP recognizes these symptoms are consistent with which of the following psychiatric emergencies?
56. Question: Which of the following defense mechanisms does the abuser use during the honeymoon phase of the cycle of violence?
57. Question: Which of the following would constitute negligence? Select all that apply.
58. Question: Which of the following medical conditions can present with prominent mental status changes that mimic common psychiatric illnesses? Select all that apply.
59. Question: As a PMHNP, 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? NRNP 6675 Care Across the Lifespan II
60. Question: A term that defines a person who has distress with clinical symptomatology because their gender identity is not consistent with gender assigned at birth is which of the following?
61. Question: Which of the following is consistent with current perspectives on nurse practitioner competencies?
62. Question: Cluster A personality traits consist of which of the following?
63. Question: Which of the following is not consistent with what is known about postpartum psychosis?
64. Question: An enduring pattern of behavior and inner experiences that deviates significantly from the individual’s cultural standards and produces functional impairment or subjective distress is consistent with which of the following? NRNP 6675 Care Across the Lifespan II
65. Question: A patient present 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 ARNP suspects the patient likely has which of the following personality disorders?
66. Question: All the following is true regarding applying to take the ANCC PMHNP board certification exam EXCEPT: NRNP 6675 Care Across the Lifespan II
67. Question: 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?
68. Question: A patient with a history of alcohol use presents to the emergency department with oculomotor disturbances, cerebellar ataxia, and confusion. The ARNP recognizes these symptoms as consistent with which of the following psychiatric emergencies? NRNP 6675 Care Across the Lifespan II
69. Question: A claim of malpractice requires that a patient/plaintiff prove which of the following? Select all that apply.
70. Question: The ARNP assessing lifestyle as a social determinant of health would ask about which of the following?
71. Question: Which of the following are important measures by which to evaluate a benefits package while negotiating employment benefits? NRNP 6675 Care Across the Lifespan II
72. Question: Which of the following are important measures by which to evaluate a benefits package while negotiating employment benefits? Question: 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?
73. Question: Which of the following is consistent with what is known about terrorist-bomber suicides?
74. Question: 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. NRNP 6675 Care Across the Lifespan II
75. Question: Which of the following medications is associated with neural tube defects when given during pregnancy?
76. Question: Which of the following is consistent with what is known about postpartum depression?
77. Question: Cluster A personality disorders are more common in biological families of patients with which of the following disorders?
78. Question: The independent credentialing body for the ANA is known as which of the following?
79. Question: 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? NRNP 6675 Care Across the Lifespan II
80. Question: Which of the following is the therapeutic blood level range for lithium?
81. Question: The treatment of others equitably and distribution of benefits/burdens fairly is known as which of the following?
82. Question: Which of the following are criteria for a particular suicide to be considered inevitable?
83. Question: Patients with extreme sensitivity to rejection who are socially withdrawn because they consider themselves socially inept, although are not asocial, and show a great desire for companionship are demonstrating symptoms most consistent with which of the following personality disorders?
84. Question: “Walking on eggshells” and appeasement and avoidance behaviors by the victim is characteristic of which phase of the cycle of domestic violence? NRNP 6675 Care Across the Lifespan II
85. Question: Features that point to a medical cause of a mental disorder include which of the following?
86. Question: Persons who exhibit impulsive traits also show high levels of which of the following hormones? Select all that apply.
87. Question: An ARNP takes a position in which the ARNP is guaranteed a set salary but can make additional salary if he or she generates practice income over some set amount. This is known as what type of pay structure? NRNP 6675 Care Across the Lifespan II
88. Question: Which of the following is consistent with the course and prognosis of narcissistic personality disorder?
89. Question: The only approved therapy in the United States for moderate to severe Alzheimer’s disease is which of the following?
90. Question: 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?
91. Question: All the following is consistent with ANCC rules regarding recertification EXCEPT:
92. Question: A clause in an employment agreement that restricts and employee from practicing within a set number of miles from an employer’s business for a set period of time after the employee leaves the employer’s business is known as which of the following? NRNP 6675 Care Across the Lifespan II
93. Question: Which of the following is not advised to prevent a lawsuit?
94. Question: A clause in an employment contract that specifies that an employer and employee may end the working agreement without cause within a specified number of days is known as which of the following?Question: Which of the following is not consistent with guidelines for a mentor?
95. Question: The ARNP recognizes which of the following as long-term effects of sex trafficking on victims?
96. Question: The ARNP recognizes which of the following as long-term effects of sex trafficking on victims?
97. Question: Which of the following is inconsistent with current literature about victims of sexual abuse?
98. Question: 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?
99. Question: A patient prescribed clozapine presents to the ED with high fever, pharyngitis, and perianal ulceration. You suspect which of the following? NRNP 6675 Care Across the Lifespan II
100. Question: 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?