NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS2022 latest update

NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS QUESTION 1 1.When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment? A. Interviews the patient’s family, caregiver, or friends regarding the patient’s progress outside of the sessions B. Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment C. Requests a peer to review the patient’s file to double check that the PMHNP has not overlooked anything D. All of the above 1 points    QUESTION 2 1.The PMHNP is caring for an older adult patient who is in the acute phase of schizophrenia. Which therapeutic model will the PMHNP employ with this patient? A. Individual CBT B. Group CBT C. Both A and B D. None of the above 1 points    QUESTION 3 1.A 55-year-old patient recovering from substance abuse tells the PMHNP, “It’s impossible to meet new people. I really hate being single.” Using existential psychotherapy, what might the PMHNP say next? A. “Where are you experiencing unhappiness in your body? B. “So you feel frustrated and unhappy being single. Is that right?” C. “Are you willing to say, ‘I’m having a hard time meeting people’?” D. “What might help you to live a more meaningful life?” 1 points    QUESTION 4 1.The PMHNP has been providing interpersonal psychotherapy (IPT) for a patient who the PMHNP observes implementing new ways of being, such as interacting more with peers and being less isolated in social scenarios. The PMHNP understands that the patient is approaching termination. How does the PMHNP address termination with this patient? A. Give the patient an option about terminating the therapy B. Allow the patient to bring up termination on his/her own C. Embed the termination into the work of the therapeutic phase D. None of the above 1 points    QUESTION 5 1.The PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamic therapy model, what is the best statement made by the PMHNP? A. “Express your emotion, and do not hold anything back.” B. “Let’s not think too much about emotion right now. Let’s focus on what got you upset in the first place.” C. A and B D. None of the above    1 points    QUESTION 6 1.A PMHNP is treating a 12-year-old girl who witnessed the physical abuse of her sibling. She has been anxious and irritable since the experience. After speaking with the PMHNP, the patient says she keeps having anxiety-causing thoughts about the experience. Using the PRACTICE technique, which skill will best help the patient interrupt these negative thoughts? A. Relaxation B. Affect modulation C. Enhancing safety D. Trauma narrative 1 points    QUESTION 7 1.A PMHNP has been treating a 14-year-old patient using interpersonal psychotherapy. The patient has been depressed since the death of his grandmother. To help the patient recover, the PMHNP has told the parents: A. “Keep your expectations high to show that you believe in his abilities.” B. “Modify your expectations at home and school until the depression lifts.” C. “Don’t put expectations on him while he is showing signs of depression.” D. “Allow him to be an active participant by setting his own expectations.”  1 points    QUESTION 8 1.A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship problems with his extended family. The patient shares that he has been using the strategies they identified to reduce his distress, but they have not been helping. He is frustrated and is considering stopping treatment. What would be an appropriate step by the PMHNP? A. Encourage the patient to continue treatment by using alternative strategies B. Restart the process at the assessment phase to formulate a new treatment plan C. Explain how the originally identified strategies will address the focus problem D. None of the above 1 points    QUESTION 9 1.The PMHNP is caring for a geriatric patient who expresses symptoms of gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling lonely, as more of his friends have been passing away over the recent months and years. The PMHNP focuses on which therapeutic approach for this patient? A. Supportive therapy B. Problem-solving therapy C. Cognitive behavioral therapy D. All of the above 1 points    QUESTION 10 1.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?” B. “I’m going to ask you to exaggerate the movement of tapping your fingers.” C. “Explore what is emerging in your body now. What are you experiencing right now?” D. None of the above. 1 points    QUESTION 11 1.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. self-regulation 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?