Review Test Submission:
NURS 6640 Week 11 Final Exam
Question 1
1 out of 1 points
A PMHNP has been treating a 9-year-old patient who was referred by
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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 ____________.
B.
self-regulation
Question 2
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?
2
Selected Answer:
C. “It’s important to be mindful of how you feel and then to determine
what causes those feelings.”
Question 3
1 out of 1 points
A PMHNP is using Gestalt therapy to communicate with a 50-year-old
patient who is going through a divorce. As he is calmly sharing the
details of his divorce, the PMHNP notices that Dave is tapping his
fingers on his legs. What is an appropriate response by the PMHNP
using the technique of focusing?
A. “I noticed that your fingers were tapping. Can you give a voice to
your fingers?”
Question 4
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?
B. “The type of treatment depends on the stage of dementia and safety
considerations.”
Question 5
1 out of 1 points
3
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?
D. All of the above
Question 6
1 out of 1 points
A 35-year-old male patient is being treated for alcohol addiction. He
asks for the PMHNP’s cell phone number to use in case of an
emergency. When the PMHNP responds that giving her number would
be against therapeutic rules, the patient threatens an act of violence to
the therapist. What would be the most appropriate response by the
PMHNP?
Selected Answer:
A. Immediately report the threat to the local police department
Question 7
0 out of 1 points
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:
A. Correcting cognitive distortions
4
Question 8
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. 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 9
1 out of 1 points
The PMHNP is terminating treatment for a patient who has been
receiving eye movement desensitization and reprocessing (EMDR)
therapy. What action does the PMHNP take at the final session to
terminate treatment?
B. Discusses all issues that have been addressed
Question 10
1 out of 1 points
The PMHNP is assessing an older adult male patient with depression
and comorbidities. According to the medical chart, the patient takes
medication to manage joint and bone pain. The patient reports feeling
“forgetful” and complains that he has a hard time remembering where he
puts things. What is the primary action by the PMHNP? [Show Less]