Nrnp
NRNP6640 Week 11
Final Exam Latest 2022
Question 1
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?
A. Incorporate patient preferences as to the type of therapy used
B. Educate the patient about the duration and pattern of change
C. Foster a therapeutic alliance with the patient
D. All of the above
Question 2
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?
A. Trauma-focused CBT
B. Interpersonal psychotherapy
C. Psychodynamic therapy
D. Behavioral parent
training Question 3
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
1
,Nrnp
unless I tell them.” The PMHNP understands that there are phases of change and can best
demonstrate “focusing” by responding with:
A. “I sincerely commend you for being here and seeking treatment; this is a great first step.”
B. “If no one knows about your substance usage, why are you here?”
C. “Just because no one knows about your drug usage does not mean you do not have a
problem.”
D. “I am wondering if your use of pain medication has ever prompted you to seek medical
attention.”
Question 4
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?
A. Build a therapeutic alliance
B. Build behavioral skills to increase pleasant activities
C. Build cognitive skills to challenge negative thinking
D. Build social skills to improve problem solving
Question 5
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?
A. “You feel that your children have given you many chances.”
B. “You believe that you have no one to support you through this.”
C. “You feel that your use of alcohol is a terrible habit.”
2
,Nrnp
D. All the above.
Question 6
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
Question 7
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.
Question 8
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
3
, Nrnp
C. ask the patient to reflect on and explore what she is experiencing
D. all of the above
Question 9
A 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”?
A. “You believe that your weight is a cause of your marital problems.”
B. “How would starting a family contribute to your overall happiness?
C. “You have identified your weight as a problem in your marriage and but believe
that losing weight will gain happiness.”
D. “Part of you believes that losing weight will bring you happiness, while the other part
believes that may not be true.”
Question 10
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.
4
NRNP6640 Week 11
Final Exam Latest 2022
Question 1
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?
A. Incorporate patient preferences as to the type of therapy used
B. Educate the patient about the duration and pattern of change
C. Foster a therapeutic alliance with the patient
D. All of the above
Question 2
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?
A. Trauma-focused CBT
B. Interpersonal psychotherapy
C. Psychodynamic therapy
D. Behavioral parent
training Question 3
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
1
,Nrnp
unless I tell them.” The PMHNP understands that there are phases of change and can best
demonstrate “focusing” by responding with:
A. “I sincerely commend you for being here and seeking treatment; this is a great first step.”
B. “If no one knows about your substance usage, why are you here?”
C. “Just because no one knows about your drug usage does not mean you do not have a
problem.”
D. “I am wondering if your use of pain medication has ever prompted you to seek medical
attention.”
Question 4
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?
A. Build a therapeutic alliance
B. Build behavioral skills to increase pleasant activities
C. Build cognitive skills to challenge negative thinking
D. Build social skills to improve problem solving
Question 5
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?
A. “You feel that your children have given you many chances.”
B. “You believe that you have no one to support you through this.”
C. “You feel that your use of alcohol is a terrible habit.”
2
,Nrnp
D. All the above.
Question 6
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
Question 7
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.
Question 8
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
3
, Nrnp
C. ask the patient to reflect on and explore what she is experiencing
D. all of the above
Question 9
A 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”?
A. “You believe that your weight is a cause of your marital problems.”
B. “How would starting a family contribute to your overall happiness?
C. “You have identified your weight as a problem in your marriage and but believe
that losing weight will gain happiness.”
D. “Part of you believes that losing weight will bring you happiness, while the other part
believes that may not be true.”
Question 10
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.
4
