NR 607 Modules 3 – 6 Questions With Complete Solutions
A 26-year-old female with a 6-year history of Opioid use
disorder presents for follow up. She has been on buprenorphine
for 4 months and is considered in early remission according to
the DSM-5 definition. She continues to work full time as a
medical assistant and can provide for her child. She is confused
as to the benefit of continuing buprenorphine given her ability to
"remain clean". What is the best course of action for this
patient? Correct Answers Educate the patient on the benefit of
continuing buprenorphine for at least 1-2 more years, as the
benefit of the medication outweigh the risk of relapse in OUD.
A 30-year-old man with three past psychiatric hospitalizations
for schizoaffective disorder presents for follow-up care with the
PMHNP. Before discharge, the patient received court ordered
Zyprexa Relprevv 300 mg IM X 1. The patient tells the PMHNP
that he is aware that smoking can "make him need more
medication." Which stage of change is the patient in? Correct
Answers Contemplation
A 32-year-old nurse presents with anxiety and describes an
incident where her nursing manager corrected her work during a
meeting. She believes this correction means she is incompetent
and that her colleagues think poorly of her. This belief is causing
significant distress and impacting her performance at work.
Which cognitive error is she displaying? Correct Answers
Personalization involves attributing external events to oneself
without evidence. In this case, the nurse believes the correction
,is a reflection of her incompetence and her colleagues' opinions
of her, despite lacking evidence.
A 36-year-old Korean male who has recently started attending
graduate school complains of persistent abdominal pain despite
an extensive gastrointestinal work-up including an upper and
lower gastroscopy. Which of the following defense mechanisms
is employed? Correct Answers Conversion
A 38-year-old investment banker reveals that on weekends he
visits the Delightful Dungeon and pays a dominatrix to tie him
up, humiliate him, and whip him. He finds these sessions painful
but very sexually arousing. He is able to become aroused and
climax without this experience but finds this activity novel and
has no desire to stop. Which of the following diagnosis is most
likely? Correct Answers No diagnosis
A 40-year-old woman with depression has been struggling with
a lack of motivation and withdrawal from activities she
previously enjoyed. Her CBT therapist recommends developing
a behavioral action plan to address these issues. Which of the
following is an essential component of an effective behavioral
action plan? Correct Answers An effective behavioral action
plan in CBT includes scheduling specific enjoyable activities to
help the client increase engagement in positive behaviors, which
can improve mood and motivation.
A 66-year-old woman employed as a federal appeals lawyer is
being seen by the PMHNP accompanied by her son, who has
been concerned about progressive memory problems. Which of
the following would be most helpful in distinguishing between
,common forgetfulness and cognitive impairment? Correct
Answers Montreal Cognitive Assessment (MoCA)
A client with generalized anxiety disorder (GAD) often worries
about minor issues escalating into major catastrophes. During a
CBT session, the therapist uses the downward arrow technique
to explore the underlying fears associated with these worries.
What is the goal of this technique? Correct Answers The
downward arrow technique involves asking a series of questions
to uncover deeper, underlying beliefs that contribute to the
patient's anxiety. The goal is to identify and challenge these core
beliefs to reduce the intensity of the clients worries.
A psychodynamic therapist is working with a patient who has
difficulty forming stable and healthy relationships. The therapist
explores the patient's early relationships with caregivers to
understand these patterns. Which psychodynamic theory is the
therapist primarily using?
Selective abstraction theory
Schema theory
Object Relations Theory
Ego Psychology Correct Answers Object Relations Theory
focuses on the internalized representations of early relationships
and their impact on current relationship patterns.
How does Motivational Interviewing view ambivalence?
Correct Answers Motivational Interviewing (MI) views
ambivalence as a natural and common experience when
contemplating change
, In a Gestalt therapy session, a therapist asks a patient to engage
in a dialogue with an empty chair, imagining that a significant
person from their life is sitting in it. What is the primary purpose
of this technique? Correct Answers The empty chair technique
is used to help patients address unresolved emotions and
conflicts with significant people in their lives.
Jake described his brother's death stemming from a horrific car
accident with minimal discomfort in his expression. Jake's affect
would best be described as? Correct Answers Restricted Affect
- Jake displayed little emotion describing the accident which
would be considered a restricted or constricted affect. The next
best answer would be flat affect. However, a flat affect describes
a complete lack of emotional expression.
Montel lost his family during a Tsunami while on vacation. This
is an example of a what? Correct Answers Adventitious Crisis
Pam is 22 yr old female who lives alone and has Bipolar
disorder documented as F31.2 (Manic, Severe with psychotic
features). Pam stopped taking her Quetiapine and Lithium
medications. Pam's delusions are worsening and she has been
awake for 36 hours. Does the PMHNP have the right to share
this information with Pam's mother who lives in a neighboring
state? Correct Answers If the PMHNP believes that the client
does not have the capacity to agree or object to the sharing
information at that critical time and the sharing of the
information would be in the clients best interest, the provider
may discuss the pertinent information only to the family
member who can possibly help with the clients immediate care
concerns. 45 CFR 164.510(b)
A 26-year-old female with a 6-year history of Opioid use
disorder presents for follow up. She has been on buprenorphine
for 4 months and is considered in early remission according to
the DSM-5 definition. She continues to work full time as a
medical assistant and can provide for her child. She is confused
as to the benefit of continuing buprenorphine given her ability to
"remain clean". What is the best course of action for this
patient? Correct Answers Educate the patient on the benefit of
continuing buprenorphine for at least 1-2 more years, as the
benefit of the medication outweigh the risk of relapse in OUD.
A 30-year-old man with three past psychiatric hospitalizations
for schizoaffective disorder presents for follow-up care with the
PMHNP. Before discharge, the patient received court ordered
Zyprexa Relprevv 300 mg IM X 1. The patient tells the PMHNP
that he is aware that smoking can "make him need more
medication." Which stage of change is the patient in? Correct
Answers Contemplation
A 32-year-old nurse presents with anxiety and describes an
incident where her nursing manager corrected her work during a
meeting. She believes this correction means she is incompetent
and that her colleagues think poorly of her. This belief is causing
significant distress and impacting her performance at work.
Which cognitive error is she displaying? Correct Answers
Personalization involves attributing external events to oneself
without evidence. In this case, the nurse believes the correction
,is a reflection of her incompetence and her colleagues' opinions
of her, despite lacking evidence.
A 36-year-old Korean male who has recently started attending
graduate school complains of persistent abdominal pain despite
an extensive gastrointestinal work-up including an upper and
lower gastroscopy. Which of the following defense mechanisms
is employed? Correct Answers Conversion
A 38-year-old investment banker reveals that on weekends he
visits the Delightful Dungeon and pays a dominatrix to tie him
up, humiliate him, and whip him. He finds these sessions painful
but very sexually arousing. He is able to become aroused and
climax without this experience but finds this activity novel and
has no desire to stop. Which of the following diagnosis is most
likely? Correct Answers No diagnosis
A 40-year-old woman with depression has been struggling with
a lack of motivation and withdrawal from activities she
previously enjoyed. Her CBT therapist recommends developing
a behavioral action plan to address these issues. Which of the
following is an essential component of an effective behavioral
action plan? Correct Answers An effective behavioral action
plan in CBT includes scheduling specific enjoyable activities to
help the client increase engagement in positive behaviors, which
can improve mood and motivation.
A 66-year-old woman employed as a federal appeals lawyer is
being seen by the PMHNP accompanied by her son, who has
been concerned about progressive memory problems. Which of
the following would be most helpful in distinguishing between
,common forgetfulness and cognitive impairment? Correct
Answers Montreal Cognitive Assessment (MoCA)
A client with generalized anxiety disorder (GAD) often worries
about minor issues escalating into major catastrophes. During a
CBT session, the therapist uses the downward arrow technique
to explore the underlying fears associated with these worries.
What is the goal of this technique? Correct Answers The
downward arrow technique involves asking a series of questions
to uncover deeper, underlying beliefs that contribute to the
patient's anxiety. The goal is to identify and challenge these core
beliefs to reduce the intensity of the clients worries.
A psychodynamic therapist is working with a patient who has
difficulty forming stable and healthy relationships. The therapist
explores the patient's early relationships with caregivers to
understand these patterns. Which psychodynamic theory is the
therapist primarily using?
Selective abstraction theory
Schema theory
Object Relations Theory
Ego Psychology Correct Answers Object Relations Theory
focuses on the internalized representations of early relationships
and their impact on current relationship patterns.
How does Motivational Interviewing view ambivalence?
Correct Answers Motivational Interviewing (MI) views
ambivalence as a natural and common experience when
contemplating change
, In a Gestalt therapy session, a therapist asks a patient to engage
in a dialogue with an empty chair, imagining that a significant
person from their life is sitting in it. What is the primary purpose
of this technique? Correct Answers The empty chair technique
is used to help patients address unresolved emotions and
conflicts with significant people in their lives.
Jake described his brother's death stemming from a horrific car
accident with minimal discomfort in his expression. Jake's affect
would best be described as? Correct Answers Restricted Affect
- Jake displayed little emotion describing the accident which
would be considered a restricted or constricted affect. The next
best answer would be flat affect. However, a flat affect describes
a complete lack of emotional expression.
Montel lost his family during a Tsunami while on vacation. This
is an example of a what? Correct Answers Adventitious Crisis
Pam is 22 yr old female who lives alone and has Bipolar
disorder documented as F31.2 (Manic, Severe with psychotic
features). Pam stopped taking her Quetiapine and Lithium
medications. Pam's delusions are worsening and she has been
awake for 36 hours. Does the PMHNP have the right to share
this information with Pam's mother who lives in a neighboring
state? Correct Answers If the PMHNP believes that the client
does not have the capacity to agree or object to the sharing
information at that critical time and the sharing of the
information would be in the clients best interest, the provider
may discuss the pertinent information only to the family
member who can possibly help with the clients immediate care
concerns. 45 CFR 164.510(b)
