NRNP 6640 FINAL EXAM WITH
ANSWERS
An 8-year-old has been having trouble making friends at school. His parents-initiated treatment
when he also started acting out at home. Which is the most appropriate step that the PMHNP
takes during the assessment process when using an integrated approach? All of the above
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 ____________. self-regulation
A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and attention
problems. What type of intervention will the PMHNP consider using a common elements
approach? All of the above
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? Affect
modulation
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? Trauma-focused CBT
A 13-year-old patient and his parents are meeting with a PMHNP. When the PMHNP says hello,
the boy just nods. His parents tell the PMHNP that he didn’t want to come to the session, but
they insisted. They explain that their son has been moody and depressed at home, but is still
getting good grades at school. Which of the following would be the best response by the
PMHNP? Compliment the patient on his academic achievement
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: “Modify your expectations at home and school until the
depression lifts.”
A 19-year-old female patient named Anna, who was the victim of child abuse and neglect, is also
in treatment for substance abuse. At her most recent appointment, Anna confesses to the PMHNP
that she is having romantic fantasies about him, and explains the he is one of the few people she
trusts. She believes that he is interested in her as well. What is the most appropriate response by
, the PMHNP in this situation? Guide the patient to examine her feelings and explore the
underlying meaning
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 ______________. ask the patient to reflect on and explore what she is
experiencing
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? None of the above
A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise to excess.
When asked to describe why she does so much exercise, she says, “I like the compliments I
receive from others on my new level of fitness, and the excitement of getting more attention.”
The PMHNP can use feeling-state therapy to help Monique ___________. All of the above
The PMHNP initiates feeling-state therapy to help a 25-year-old patient named Monique who
has a compulsive urge to exercise. Using the Feeling-State Addiction Protocol, what is an
appropriate next step the PMHNP should take after identifying the specific positive feeling
linked with the addictive behavior and its Positive Feeling Score level? Locate and identify any
physical sensations created by the positive feelings
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”? “You have identified your weight as a problem in
your marriage and but believe that losing weight will gain happiness.”
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? “Let’s see if we can come up with some ideas for you to feel safe telling
your story.”
The PMHNP is assessing a 30-year-old client who reports feeling stressed out due to his current
employment situation. When asked about how he manages this work-related stress, the patient
says that exercise helps him feel less anxious, so he often spends 2 or more hours at the gym
each night. After completing the patient assessment, the PMHNP has determined that an
existential psychotherapy approach may best benefit this client. What is the PMHNP’s goal in
employing this treatment approach? Help the patient be aware of his anxiety and embrace it
The PMHNP meets with a 31-year-old woman who reports feeling as though she is “at her
breaking point” with work. The PMHNP learns that the woman works 12-hour days, including
one day on the weekend, because she is nervous about company layoffs. “I feel like I need to
work myself to death in order to prove that I am valuable to the organization,” the woman says.
ANSWERS
An 8-year-old has been having trouble making friends at school. His parents-initiated treatment
when he also started acting out at home. Which is the most appropriate step that the PMHNP
takes during the assessment process when using an integrated approach? All of the above
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 ____________. self-regulation
A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and attention
problems. What type of intervention will the PMHNP consider using a common elements
approach? All of the above
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? Affect
modulation
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? Trauma-focused CBT
A 13-year-old patient and his parents are meeting with a PMHNP. When the PMHNP says hello,
the boy just nods. His parents tell the PMHNP that he didn’t want to come to the session, but
they insisted. They explain that their son has been moody and depressed at home, but is still
getting good grades at school. Which of the following would be the best response by the
PMHNP? Compliment the patient on his academic achievement
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: “Modify your expectations at home and school until the
depression lifts.”
A 19-year-old female patient named Anna, who was the victim of child abuse and neglect, is also
in treatment for substance abuse. At her most recent appointment, Anna confesses to the PMHNP
that she is having romantic fantasies about him, and explains the he is one of the few people she
trusts. She believes that he is interested in her as well. What is the most appropriate response by
, the PMHNP in this situation? Guide the patient to examine her feelings and explore the
underlying meaning
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 ______________. ask the patient to reflect on and explore what she is
experiencing
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? None of the above
A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise to excess.
When asked to describe why she does so much exercise, she says, “I like the compliments I
receive from others on my new level of fitness, and the excitement of getting more attention.”
The PMHNP can use feeling-state therapy to help Monique ___________. All of the above
The PMHNP initiates feeling-state therapy to help a 25-year-old patient named Monique who
has a compulsive urge to exercise. Using the Feeling-State Addiction Protocol, what is an
appropriate next step the PMHNP should take after identifying the specific positive feeling
linked with the addictive behavior and its Positive Feeling Score level? Locate and identify any
physical sensations created by the positive feelings
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”? “You have identified your weight as a problem in
your marriage and but believe that losing weight will gain happiness.”
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? “Let’s see if we can come up with some ideas for you to feel safe telling
your story.”
The PMHNP is assessing a 30-year-old client who reports feeling stressed out due to his current
employment situation. When asked about how he manages this work-related stress, the patient
says that exercise helps him feel less anxious, so he often spends 2 or more hours at the gym
each night. After completing the patient assessment, the PMHNP has determined that an
existential psychotherapy approach may best benefit this client. What is the PMHNP’s goal in
employing this treatment approach? Help the patient be aware of his anxiety and embrace it
The PMHNP meets with a 31-year-old woman who reports feeling as though she is “at her
breaking point” with work. The PMHNP learns that the woman works 12-hour days, including
one day on the weekend, because she is nervous about company layoffs. “I feel like I need to
work myself to death in order to prove that I am valuable to the organization,” the woman says.
