NSG-526 Exam 1 [wilkes university]

NSG-526 Exam 1 [Oct 2026]

A 26-month-old child often displays negative behavior, refuses to have anything to do with toilet training, and often shouts “no!” when given direction. By using Freud’s stages of psychosexual development, the psychiatric advanced practice nurse would assess the child’s behavior as being consistent with the stage of development termed:

1. A) oral.
2. B) anal. ✅
3. C) phallic.
4. D) genital.

A psychiatric advanced practice nurse at a community mental health center has worked with a patient for 3 years but is moving and must terminate the relationship. When a new psychiatric advanced practice nurse begins work with this patient, what is the starting point for the relationship?

1. A) Begin at the orientation phase ✅
2. B) Continue the working relationship
3. C) Start with informal social interactions
4. D) Return to the emotional catharsis phase

A psychiatric advanced practice nurse ends a relationship with a patient. Considering the magnitude and scope of the support provided, which action(s) by the nurse should not be included in the termination phase? (Select all that apply.)

1. A) Summarize goals and objectives.
2. B) Evaluate outcome attainment.
3. C) Review new medication options with client. ✅
4. D) Reinforce identified client strengths.

A new antidepressant is prescribed for an elderly patient with major depression by your collaborating Psychiatrist, but the dose is much more than the usual geriatric dose. Before reordering the medication, the psychiatric advanced practice nurse should:

1. A) consult a drug reference.
2. B) teach the patient about possible side effects and adverse effects.
3. C) Confer with the psychiatrist regarding the dosing. ✅
4. D) encourage the patient to increase oral fluids to reduce drug concentration.

A patient asks the psychiatric advanced practice nurse, “I read an article online about psychosocial factors that influence depression. What are psychosocial factors?” Examples a nurse could cite to support the premise that a patient’s depression may be influenced by psychosocial factors include.

1. A) Having a hostile and overinvolved family.
2. B) Getting removed from a social club due to negative behavior
3. C) Feeling strong guilt over having an abortion when one’s religion forbids it.
4. D) Experiencing the death of a parent a month before the onset of depression.
5. E) All of the above ✅………………………………………………purchase all the exam 50 questions and answers at $50 only