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Exam (elaborations)

REVIEW TEST SUBMISSION: WEEK 11 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS.

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REVIEW TEST SUBMISSION: WEEK 11 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS.

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Test Week 11 Final Exam
Started 8/12/20 11:39 AM
Submitted 8/12/20 1:02 PM
Due Date 8/17/20 1:59 AM
Status Completed
Attempt Score 74 out of 75 points
Time Elapsed 1 hour, 22 minutes out of
2 hours
Results Submitted Answers
Displayed


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 the PMHNP apply a mindfulness approach to this case?
Selected A.
Answer: Help Linda develop an awareness of triggers in order to have greater
control over physical and emotional responses



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 D.
Answer: mental health system of care


The PMHNP is interviewing a patient with a history of substance abuse. He has
attempted to stop abusing drugs three times before. He states to the PMHNP, “I just
cannot change. How can you help me?!” As it applies to change, the PMHNP
understands the principle of evocation to mean:
Selected B.
Answer: The patient already has everything needed and the PMHNP would like
to help him facilitate his own inner coping.

,The PMHNP is assessing a 30-year-
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old client who reports feeling stressed out due to his current employment situation. Whe
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n asked about how he manages this work-
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related stress, the patient says that exercise helps him feel less anxious, so he often sp
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ends 2 or more hours at the gym each night. After completing the patient assessment, th
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e PMHNP has determined that an existential psychotherapy approach may best benefit t
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his client. What is the PMHNP’s goal in employing this treatment approach?
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Selected B. sd




Answer: Help the patient be aware of his anxiety and embrace it sd sd sd sd sd sd sd sd sd sd




The PMHNP initiates feeling-state therapy to help a 25-year-
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old patient named Monique who has a compulsive urge to exercise. Using the Feeling-
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State Addiction Protocol, what is an appropriate next step the PMHNP should take after id
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entifying the specific positive feeling linked with the addictive behavior and its Positive Fe
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eling Score level? sd sd




Selected C. sd




Answer: Locate and identify any physical sensations created by the positive feeli sd sd sd sd sd sd sd sd sd sd




ngs


The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who reports h
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aving had a difficult time being separated from his parents during his childhood. He explai
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ns that going to school or visiting his relatives without his parents was troublesome. The P
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MHNP characterizes the patient as unresolved/disorganized, according to his outcomes
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on the AAI. What does the PMHNP anticipate from the patient?
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Selected A. sd




Answer: He will have lapses in his memory of his childhood. sd sd sd sd sd sd sd sd sd




A PMHNP is using motivational interviewing (MI) with a 50-year-
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old patient named Dave to commit to a healthy drug-
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free lifestyle. By using “change talk,” the PMHNP hopes to help the patient build self-
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esteem and hope. sd sd




True or false: If Dave is resisting change, the PMHNP should challenge his resistance in or
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der for MI to be successful.
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Selected Tru s sd




dAnswer: e


A PMHNP is using emotion-focused therapy to help a 38-year-
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old patient who says, “I’ve been feeling angry lately, but I’m not sure why.” The first attem
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pt by the PMHNP is to say:
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, Selected sd A.
Answer: “Focus on your anger, take a deep breath, and allow an image to emerge
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.”



The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms. Thoma
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s is currently discussing with the PMHNP the reasons why she feels guilty about her drink
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ing. Ms. Thomas tearfully states, “I have driven my family and friends away with this terribl
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e habit. I have no one left. I had more than enough chances and now my children won’t ev
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en talk to me.” Which of the following statements demonstrate a simple reflection?
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Selected D. sd




Answer: All the above. sd sd




The PMHNP is caring for a geriatric patient who expresses symptoms of gastrointestinal
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problems, aches and pains, and loss of appetite. The patient reports feeling lonely, as mo
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re of his friends have been passing away over the recent months and years. The PMHNP f
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ocuses on which therapeutic approach for this patient?
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Selected D. sd




Answer: All of the above sd sd sd




The PMHNP is caring for an adult male patient whose wife left him several months ago. H
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e recently learned that his ex-
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wife is dating someone much younger. The man feels belittled, sad, and lonely. He talks a
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bout trying to meet other women, but says, “I can’t compete with the younger guys these d
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ays, with the cool clothes and the vegan diets. I’m bald and overweight, and what woman i
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s going to want to be with me?” How does the PMHNP help raise the man’s self-esteem?
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Selected D. sd




Answer: All of the above sd sd sd




The PMHNP is initiating a plan of care for a patient who requires comprehensive psychot
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herapy to manage his depression and mood disorder. Throughout the initial sessions, th
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e patient reports feeling as though he cannot be helped. The PMHNP is concerned about
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premature termination initiated by the patient. What strategy can the PMHNP employ to pr
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event or reduce premature termination?
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Selected D. sd




Answer: All of the above sd sd sd




The PMHNP is caring for an older adult patient who is in the acute phase of
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