NRNP 6640 FINAL EXAM
The PMHNP is assessing a new geriatric patient who reports symptoms of
depression. The PMHNP wants to identify the patient’s
... [Show More] symptom severity
over time. Which assessment tool will the PMHNP use to collect this data on
the patient?
Selected
Answer:
B.
Montgomery-Asberg Depression
Rating Scale
A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and
mild substance abuse issues. The most appropriate setting to treat Carlos would be a
.
Selected
Answer:
D.
mental health system of care
The PMHNP uses the cognitive behavioral therapy model with Gerald, an older
adult patient who is being treated for depression and mood disorder. What will the
PMHNP do with the patient during the first three sessions?
Selected
Answer:
A.
Build a therapeutic alliance
The PMHNP is meeting with a patient who has been diagnosed with depression. The
• Question 4
1 out of 1 points
• Question 3
1 out of 1 points
• Question 2
1 out of 1 points
• Question 1
1 out of 1 points
patient is having trouble adjusting to her new job and hasn’t made any new friends
there. What would an appropriate response be by the PMHNP using the
interpersonal psychotherapy approach?
Selected
Answer:
C.
“Tell me more about why you’re having trouble making new
friends at work.”
A PMHNP is using motivational interviewing (MI) with a 50-year-old patient
named Dave to commit to a healthy drug-free lifestyle. By using “change talk,” the
PMHNP hopes to help the patient build self-esteem and hope.
True or false: If Dave is resisting change, the PMHNP should challenge his
resistance in order for MI to be successful.
Selected
Answer:
False
The PMHNP uses the Adult Attachment Interview (AAI) with a male patient
who reports having had a difficult time being separated from his parents during
his childhood. He explains that going to school or visiting his relatives without
his parents was troublesome. The PMHNP characterizes the patient as
unresolved/disorganized, according to his outcomes on the AAI. What does the
PMHNP anticipate from the patient?
Selected
Answer:
A.
He will have lapses in his memory of his childhood.
The PMHNP is communicating with a middle-aged male patient who has a history
of addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I
do not have a problem with pain pills! I’ve never had an overdose and no one even
knows that I take them unless I tell them.” The PMHNP understands that there are
phases of change and can best demonstrate “focusing” by responding with:
Selected
Answer:
D.
“I am wondering if your use of pain medication has ever
prompted you to seek medical attention.”
A PMHNP is treating a 12-year-old girl who witnessed the physical abuse
of her sibling. She has been anxious and irritable since the experience. After
speaking with the PMHNP, the patient says she keeps having anxietycausing
thoughts
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about the experience. Using the PRACTICE technique, which skill will best
help the patient interrupt these negative thoughts?
Selected
Answer:
B.
Affect modulation
The PMHNP assesses a 27-year-old patient named Jeff, who was a victim of child
abuse and neglect. Jeff says that he remembers a traumatic situation that he wants to
share, but is having trouble talking about it. Which statement made by the PMHNP
demonstrates the use of emotion-focused therapy?
Selected
Answer:
A.
“Let’s see if we can come up with some ideas for you to feel safe
telling your story.”
A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise to
excess. When asked to describe why she does so much exercise, she says, “I like the
compliments I receive from others on my new level of fitness, and the excitement of
getting more attention.” The PMHNP can use feeling-state therapy to help Monique
.
Selected
Answer:
D.
all of the above
The PMHNP is caring for a young adult patient with whom the PMHNP decides to
use a dynamic supportive therapy approach in addition to pharmacological
intervention. Which therapeutic action will the PMHNP take to employ the strategy
of holding and containing the patient?
Selected
Answer:
B.
Asking the patient how the patient feels
A PMHNP is using emotion-focused therapy to help a 38-year-old patient who says,
“I’ve been feeling angry lately, but I’m not sure why.” The first attempt by the
PMHNP
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• Question 11
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• Question 10
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• Question 9
1 out of 1 points
is to say:
Selected
Answer:
A.
“Focus on your anger, take a deep breath, and allow an image to
emerge.”
A PMHNP has been treating a 14-year-old patient using interpersonal
psychotherapy. The patient has been depressed since the death of his grandmother.
To help the patient recover, the PMHNP has told the parents:
Selected
Answer:
B.
“Modify your expectations at home and school until the
depression lifts.”
The PMHNP is assessing a patient who has been receiving months of outpatient
psychotherapy. According to the PMHNP’s assessment, the patient is nearing the
termination phase of their therapeutic relationship because the patient’s
symptoms have improved, and the patient shows progress managing behaviors
and decision- making abilities according to the diagnosis. How does the PMHNP
approach termination with this patient?
Selected
Answer:
B.
Manage termination issues as part of the treatment [Show Less]