Test Week 11 Final Exam
Started 8/12/20 11:39 AM Submitted 8/12/20 1:02 PM Due Date 8/17/20 1:59 AM Status Completed Attempt Score 74 out of 75
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Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction
and anxiety problems. She is motivated to continue her treatment gains and have a healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case?
Selected Answer:
A.
Help Linda develop an awareness of triggers in order to have greater control over physical and emotional responses
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 is interviewing a patient with a history of substance abuse. He has
attempted to stop abusing drugs three times before. He states to the PMHNP, “I just cannot change. How can you help me?!” As it applies to change, the PMHNP understands the principle of evocation to mean:
Selected Answer:
B.
The patient already has everything needed and the PMHNP would like to help him facilitate his own inner coping.
The PMHNP is assessing a 30-year-old client who reports feeling stressed out due to his current employment situation. When asked about how he manages this work- related stress, the patient says that exercise helps him feel less anxious, so he often spends 2 or more hours at the gym each night. After completing the patient assessment, the PMHNP has determined that an existential psychotherapy approach may best benefit this client. What is the PMHNP’s goal in employing this treatment approach?
Selected Answer:
B.
Help the patient be aware of his anxiety and embrace it
The PMHNP initiates feeling-state therapy to help a 25-year-old patient named
Monique who has a compulsive urge to exercise. Using the Feeling-State Addiction Protocol, what is an appropriate next step the PMHNP should take after identifying the specific positive feeling linked with the addictive behavior and its Positive Feeling Score level?
Selected Answer:
C.
Locate and identify any physical sensations created by the positive feelings
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.
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:
Tru e
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 is to say:
Selected Answer:
A.
“Focus on your anger, take a deep breath, and allow an image to emerge.”
The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms.
Thomas is currently discussing with the PMHNP the reasons why she feels guilty about her drinking. Ms. Thomas tearfully states, “I have driven my family and friends away with this terrible habit. I have no one left. I had more than enough chances and now my children won’t even talk to me.” Which of the following statements demonstrate a simple reflection?
Selected Answer:
D.
All the above.
The PMHNP is caring for a geriatric patient who expresses symptoms of
gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling lonely, as more of his friends have been passing away over the recent months and years. The PMHNP focuses on which therapeutic approach for this patient?
Selected Answer:
D.
All of the above
The PMHNP is caring for an adult male patient whose wife left him several months
ago. He recently learned that his ex-wife is dating someone much younger. The man feels belittled, sad, and lonely. He talks about trying to meet other women, but says, “I can’t compete with the younger guys these days, with the cool clothes and the vegan diets. I’m bald and overweight, and what woman is going to want to be with me?” How does the PMHNP help raise the man’s self-esteem?
Selected Answer:
D.
All of the above
The PMHNP is initiating a plan of care for a patient who requires comprehensive
psychotherapy to manage his depression and mood disorder. Throughout the initial sessions, the patient reports feeling as though he cannot be helped. The PMHNP is concerned about premature termination initiated by the patient. What strategy can the PMHNP employ to prevent or reduce premature termination?
Selected Answer:
D.
All of the above
The PMHNP is caring for an older adult patient who is in the acute phase of
schizophrenia. Which therapeutic model will the PMHNP employ with this patient?
Selected Answer:
D.
None of the above
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
A PMHNP has been treating a 9-year-old patient who was referred by her school. Students
are asked to raise their hands before speaking during group discussion, but the patient seems to blurt out what she wants to say without being called on. She also interrupts other children while they are talking instead of waiting her turn. When the patient gets frustrated, she has trouble controlling her emotions and cries often. Based on the initial information provided, the first focus by PMHNP is the child’s .
Selected Answer:
B.
self- regulation
The PMHNP is working with a patient who describes having a painful and traumatic
childhood experience, which causes her to have anxiety as an adult. When asked how she manages her anxiety, the patient dismisses it and denies that it is a problem.
Using the supportive psychotherapy approach, the PMHNP will do which of the following when assessing the patient’s ego strength?
Selected Answer:
A.
Identify the primary defens [Show Less]