NURS 6640 FINAL Exam
NURSE 6640 FINAL RESULTS 15 WRONG 60 CORRECT
Question 1 1 out of 1 points
A PMHNP is using interpersonal psychotherapy with a
... [Show More] 40-year-old patient having relationship problems with his extended family. The patient shares that he has been using the strategies they identified to reduce his distress, but they have not been helping. He is frustrated and is considering stopping treatment. What would be an appropriate step by the PMHNP?
Selected Answer: A. Encourage the patient to continue treatment by using alternative strategies
Question 2 0 out of 1 points
The PMHNP has been providing supportive psychodynamic psychotherapy to a patient and is nearing the termination stage. The PMHNP will use which criteria for determining that the patient is ready for termination?
Selected Answer: D. Self-analytic capacity has been developed.
Question 3 1 out of 1 pointsA PMHNP is using Gestalt therapy to communicate with a 42-year-old patient who is upset with her
mother. She says, “I want to tell her how hurt I feel when she doesn’t call me, but I don’t want to
upset her.” What technique can the PMHNP use to help Sasha express herself?
Selected Answer: B.
Empty-chair dialogue
Question 4
1 out of 1 points
The PMHNP is caring for an older patient with major depressive disorder, seasonal pattern. The
patient has been resolute about not taking medication to manage the depression brought on by his
illness, stating that it is against his yogic lifestyle. In addition to psychotherapy, what can the PMHNP
suggest to this patient?
Selected
Answer:
Question 5
0 out of 1 points
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: A.
primary health care setting with some specialized care
Question 6
1 out of 1 points
The PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamic therapy
model, what is the best statement made by the PMHNP?
Selected
Answer:
B.
A.
“You may want to look into therapeutic oils and aromatherapy as an alternative
to medication.”“Let’s not think too much about emotion right now. Let’s focus on what got you
upset in the first place.”
Question 7
1 out of 1 points
The PMHNP is meeting with a patient who has been diagnosed with depression. The 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.”
Question 8
1 out of 1 points
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
Question 9
1 out of 1 points
A PMHNP is assessing a 40-year-old patient named Sarah who has a severe cocaine addiction and
mild depression. Using the four-quadrant model, what would be the most appropriate setting to
help the patient?
Selected Answer: C.
Substance abuse treatment system
Question 10
0 out of 1 pointsA 25-year-old female states, “I really need to lose weight. I know I’m the cause of our problems, if I
could just lose weight he might be more attracted to me. Then we could start a family and we would
be happy. I’m sure of it, right, we would definitely be happy!” Which statement shows the PMHNP’s
ability to apply “summarizing”?
Selected Answer: A.
“You believe that your weight is a cause of your marital problems.”
Question 11
1 out of 1 points
An 8-year-old has been having trouble making friends at school. His parents initiated treatment
when he also started acting out at home. Which is the most appropriate step that the PMHNP takes
during the assessment process when using an integrated approach?
Selected Answer: D.
All of the above
Question 12
1 out of 1 points
A 21-year-old patient is worried about starting a new job. She talks about her fears of failure and not
making friends at the office. Using a person-centered approach, an appropriate response by the
PMHNP is to ______________.
Selected Answer: C.
ask the patient to reflect on and explore what she is experiencing
Question 13
0 out of 1 points
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: C.“Please tell me in detail about your anger and confusion.”
Question 14
1 out of 1 points
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
Question 15
1 out of 1 points
The PMHNP is treating an older adult patient who reports experiencing nightmares associated with
an automobile accident he was in 20 years ago. As the PMHNP formulates the case using the
dynamic supportive therapy model, what questions will the PMHNP use during the session?
Selected Answer: C.
“Let’s talk about what kinds of things are triggering you now.”
Question 16
1 out of 1 points
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
Question 17
0 out of 1 points
A 43-year-old single mother is seeing the PMHNP at the request of her sister. “My sister thinks I needto come here to talk about my feelings,” the patient reports. The PMHNP learns that the patient has
three children from three different men, but is unable to collect appropriate child support payments
from any of the biological fathers. Additionally, the woman is barely able to afford her apartment or
utilities payments. What is the appropriate response from the PMHNP when using the
psychodynamic psychotherapy technique?
Selected Answer: D.
Asking the patient why she thinks it is so hard to get the money she deserves
Question 18
0 out of 1 points
Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric facility. After 4
weeks in treatment, he is preparing for discharge. He is beginning to miss individual and group
therapy sessions and has refused medications twice in the past 2 days. The PMHNP demonstrates
understanding in this phase by saying which of the following statements?
Selected Answer: C.
“Are you upset with someone here? Tell me more about this.”
Question 19
1 out of 1 points
When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the
patient’s progress made during treatment?
Selected
Answer:
Question 20
1 out of 1 points
The PMHNP uses therapeutic communication skills while ensuring that the patient understands that
he has choices. The PMHNP comprehends and practices motivational interviewing. This is best
understood as which of the following?
B.
Reviews the patient’s file to identify issues and important themes that were
highlighted throughout treatmentSelected
Answer:
B.
A statement that both challenges the patient’s resistance and offers an opportunity
to discuss the issues allows the patient to argue with him/herself to help produce a
desired change.
Question 21
1 out of 1 points
The PMHNP is meeting with an older, female adult patient and her daughter. The patient has early
onset dementia. The daughter expresses concern, saying, “I don’t want you to just stick my mother
in a home and give her medicine. I’m worried that’s what people are going to want to do.” What is
the best response by the PMHNP to the daughter?
Selected
Answer:
Question 22
0 out of 1 points
The PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT). Which of the
following statements made by the PMHNP approach the termination phase for this patient?
Selected
Answer:
Question 23
1 out of 1 points
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.
B.
“Now that you are feeling more stable, let’s talk about terminating these
sessions.”
B.
“The type of treatment depends on the stage of dementia and safety
considerations.”“Let’s see if we can come up with some ideas for you to feel safe telling your
story.”
Question 24
1 out of 1 points
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
Question 25
1 out of 1 points
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
Question 26
1 out of 1 points
A 12-year-old girl was referred for treatment after witnessing the physical abuse of her sibling by
their mother. The patient has been anxious and irritable since the experience. What evidence-based
treatment would be most appropriate for the PMHNP to use?
Selected Answer: A.
Trauma-focused CBT
Question 271 out of 1 points
A patient is finishing the active treatment phase of interpersonal psychotherapy (IPT). After the
PMHNP reminds the patient that she has three sessions left, the patient says nothing, but looks
distressed. What would be the best reply by the PMHNP following IPT protocol?
Selected Answer: D.
“You seem upset. Tell me what seems to be bothering you.”
Question 28
1 out of 1 points
The PMHNP is initiating a plan of care for Holly, a 73-year-old female patient who has late-life bipolar
disorder and reports consuming alcoholic beverages four times per week. What is the focus of
Holly’s therapy going to be?
Selected Answer: D.
All of the above
Question 29
1 out of 1 points
The PMHNP is in the process of terminating treatment with a patient who witnessed the death of
her parent who used to sexually abuse her. What does the PMHNP understand about terminating
this patient?
Selected Answer: D.
The patient may need to have follow-up sessions every few months.
Question 30
1 out of 1 points
The PMHNP is treating an older adult patient who reports symptoms of late-life anxiety. What type
of treatment(s) will the PMHNP consider?
Selected Answer: A.Employ cognitive behavioral therapy
Question 31
1 out of 1 points
While assessing a patient using a humanistic-existential approach, a patient tells the PMHNP, “For
the past few weeks, I’ve felt anxious almost every single day.” What would be an appropriate next
step by the PMHNP?
Selected Answer: D.
Encourage the patient to clarify by asking, “You constantly feel anxious?”
Question 32
1 out of 1 points
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
Question 33
1 out of 1 points
The PMHNP has been providing interpersonal psychotherapy (IPT) for a patient who the PMHNP
observes implementing new ways of being, such as interacting more with peers and being less
isolated in social scenarios. The PMHNP understands that the patient is approaching termination.
How does the PMHNP address termination with this patient?
Selected Answer: C.
Embed the termination into the work of the therapeutic phase
Question 34
0 out of 1 pointsThe 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: C.
“You feel that your use of alcohol is a terrible habit.”
Question 35
1 out of 1 points
A 55-year-old patient recovering from substance abuse tells the PMHNP, “It’s impossible to meet
new people. I really hate being single.” Using existential psychotherapy, what might the PMHNP say
next?
Selected Answer: D.
“What might help you to live a more meaningful life?”
Question 36
1 out of 1 points
The PMHNP is caring for a patient who experiences depression caused by the traumatic experience
of her dog passing away. She reports not being able to eat or sleep, and sometimes doesn’t want to
leave the house at all. Which statement is most appropriate for the PMHNP to maximize the
patient’s adaptive coping mechanisms?
Selected
Answer:
Question 37
1 out of 1 points
The PMHNP is interviewing a patient who is in the process of successfully completing a substance
abuse program. During the interview, the patient states, “I wish I was strong enough to keep the
C.
“It’s important to be mindful of how you feel and then to determine what causes
those feelings.”same friends I had before I came here for treatment. I’m really afraid of being discharged because I’ll
probably run into my old friends again.” The PMHNP offers a complex reflection when she states the
following:
Selected
Answer:
Question 38
1 out of 1 points
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:
Question 39
1 out of 1 points
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
Question 40
1 out of 1 points
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
D.
“I am wondering if your use of pain medication has ever prompted you to seek
medical attention.”
C.
“You’d like to keep your old friends but know being around them may lead you to
abuse substances again.”the PMHNP apply a mindfulness approach to this case?
Selected Answer:
Question 41 1 out of 1 points
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
Question 42 1 out of 1 points
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
Question 43 1 out of 1 points
A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and attention problems. What type of intervention will the PMHNP consider using a common elements approach?
Selected Answer: D. A.
Help Linda develop an awareness of triggers in order to have greater control over physical and emotional responses [Show Less]