NURS 6640 Final Exam Questions With Verified Answers 2023/2024 Latest Graded A+

NURS 6640 Final Exam Questions With Verified Answers 2023/2024 Latest Graded A+. A 21-year-old patient has been having trouble adjusting to college life. She tells the PMHNP that she had five alcoholic drinks at a party this past weekend. She also acknowledges that she drank the same amount of alcohol at a party the previous month. Based on this information, what would the PMHNP most likely recommend? A . Group therapy B . Peer support C . Hospitalization D . None of the above 1 points QUESTION 12 1. 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? A . Give the patient as much time needed to respond to questions and comments. 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. C . You must give full attention to the patient because nonverbal and verbal reactions are equally important. D . The PMHNP should be ready with a response when communicating with the patient. She understands that silence is also a therapeutic response. 1 points QUESTION 13 1. 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? A . Correcting cognitive distortions B . Using role-playing techniques C . Unraveling unconscious guilt D . All of the above 1 points QUESTION 14 1. 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? A . “Let’s see if we can come up with some ideas for you to feel safe telling your story.” B . “Jeff, it’s okay for you to not talk about your past here; this is a safe space, whether you feel like sharing or not.” C . “Jeff, can you tell me what was going on during your childhood that caused you to be a victim of neglect and abuse?” D . None of the above. 1 points QUESTION 15 1. 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? A . “Maybe we should extend your active treatment phase.” B . “Remember that the end of treatment is not a time to grieve.” C . “Don’t worry. Finishing therapy means you’ve met your goals.” D . “You seem upset. Tell me what seems to be bothering you.” 1 points QUESTION 16 1. 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? A . Identify the primary defenses the patient uses to ward off anxiety B . Focus on the patient’s attachment to the anxiety and memories of her childhood C . Identify whether the patient has an unresolved or disorganized attachment style D . All of the above 1 points QUESTION 17 1. 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 ______________. A . give the patient advice based on the therapist’s experiences B . persuade the patient to release her unfounded fears and worries C . ask the patient to reflect on and explore what she is experiencing D . all of the above 1 points QUESTION 18 1. 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? A . “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” B . “Some patients have good results with medicine. Are you sure you don’t want to try it?” C “You can try taking natural supplements in addition to the medicine I prescribe . you.” D . All of the above. 1 points QUESTION 19 1. 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 ____________. A . memory B . selfregulation C . language skills D . social system 1 points QUESTION 20 1. A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask during the initial sessions of interpersonal psychotherapy treatment? A . “What expectations do you have of your spouse?” B . “How is your depression affecting the relationship with your spouse?” C . “What changes would you and your spouse like to see in the relationship?” D . All of the above. 1 points QUESTION 21 1. The PMHNP has been treating a patient who is now being transferred to another provider. What is the appropriate action made by the PMHNP? A . Introducing the patient to the new provider B . Leaving the door open for the patient to return at any time C . Having the new provider come to a few sessions D . A and C 1 points QUESTION 22 1. The PMHNP is assessing a new geriatric patient who reports symptoms of depression. The PMHNP wants to identify the patient’s symptom severity over time. Which assessment tool will the PMHNP use to collect this data on the patient? A . Mood Disorder Questionnaire B . Montgomery-Asberg Depression Rating Scale C . AB Clinician Depression Screen D . Brief Psychiatric Rating Scale 1 points QUESTION 23 1. A 38-year-old patient tells the PMHNP that her father went to jail for selling drugs when she was a child. The patient is visibly upset when discussing what happened. Using a humanistic-existential approach to psychotherapy, which of the following is the most appropriate response by the PMHNP? A . “How were you feeling at the time when that happened?” B . “What are you experiencing now as you share this story?” C . “Did you allow yourself to feel anger when your father left?” D . “Are able to let go of the painful emotions you felt as a child?” 1 points QUESTION 24 1. 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? A . “For homework, please write a list of qualities you’d find in a good friend.” B . “Describe the friendships you had growing up, both as a child and teenager.” C . “Tell me more about why you’re having trouble making new friends at work.” D . All of the above. 1 points QUESTION 25 1. Mia is a 75-year-old patient who has completed initial treatment for depression. What might a PMHNP ask Mia when using a solution-focused therapy approach? A . “What specific improvements have you noticed in your mood since you made the call to see me?” B . “On a scale of 1–10 (with 1 being little to no improvement to 10 being a great deal of improvement) how much has your mood changed since we started working together?” C . “What needs to happen today in order for you to feel that is was a productive session?” D . All of the above. 1 points QUESTION 26 1. When recalling the phases of change, the PMHNP demonstrates “open questioning” in the “engagement” phase by making which statement? A . “What plans have you made to make this change?” B . “What occurred to cause you to seek treatment?” C . “What concerns you the most about these subjects?” D . “What do you want do you want be different?” 1 points QUESTION 27 1. 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? A . “What can you tell me about this room?” B . “You might benefit from a sleep aid.” C . “Let’s talk about what kinds of things are triggering you now.” D . “Do I have your permission to advocate for you with your primary care physician?” 1 points QUESTION 28 1. The PMHNP is caring for an older adult patient who presents with mixed dysphoric states and whose daughter reports “is becoming more irritable more easily.” When talking with the patient, the PMHNP also recognizes displays of cognitive dysfunction. Which treatment options will the PMHNP most likely suggest? A . Cognitive behavioral therapy (CBT) B . Interpersonal psychotherapy (IPT) C . Combination of CBT and IPT D . Combination of CBT and medication