NR 510 NR-510 Leadership and Role of the APN

NURS6640IReviewITestISub mission:IWeekI11IFinalIExa m Test WeekI11IFinalIExam Started 8/12/20I11:39IAM Submitted 8/12/20I1:02IPM DueIDate 8/17/20I1:59IAM Status Completed AttemptIScore 74IoutIofI75IpointsII TimeIElapsed 1Ihour,I22IminutesIoutIofI2Ih ours ResultsIDisplay ed SubmittedIAnswers Linda is a 65-year- old patient who has completed initial treatment for alcohol addiction and anxiety proble ms. 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 Answer: A. Help Linda develop an awareness of triggers in order to have greater contr ol 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. Th e most appropriate setting to treat Carlos would be a . Selected Answ er: D. mental health system ofIcar e The PMHNP is interviewing a patient with a history of substance abuse. He has attem pted 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 h elp him facilitate his own inner coping. The PMHNP is assessing a 30-year- old client who reports feeling stressed outIdue to his current employment situation. Wh en asked about how he manages this work- related stress, the patientIsays that exercise helps him feel less anxious, so he often s pends 2 or more hours at the gym each night. After completing the patient assessment , the PMHNP has determined that an existential psychotherapy approach may bestIbe nefit this client. WhatIis the PMHNP’s goal in employing this treatmentIapproach? Selected Answ er: B. Help the patient be aware of his anxiety and embrace i t The PMHNP initiates feeling-state therapy to help a 25-year- old patient named Monique who has aIcompulsive urge to exercise. Using the Feeling- State Addiction Protocol, what is an appropriate nextIstep the PMHNP should take afte r identifying the specific positive feeling linked with the addictive behavior and its Positi ve Feeling Score level? Selected Ans wer: C. Locate and identify any physical sensations created by the positive fee lings The PMHNP uses the AdultIAttachmentIInterview (AAI) with a male patient who report s having had a difficult time being separated from his parents during his childhood. He explains that going to school or visiting his relatives without his parents was troubleso me. The PMHNP characterizes the patientIas unresolved/disorganized, according to hi s outcomes on the AAI. What does the PMHNP anticipate from the patient? Selected Answ er: A. He will have lapses in his memory of his childhood . A PMHNP is using motivational interviewing (MI) with a 50-year- old patient named Dave to commit to aIhealthy drug- free lifestyle. By using “change talk,” the PMHNP hopes to help the patient build self- esteem and hope. True or false: If Dave is resisting change, the PMHNP should challenge his resistance in order for MI to be successful. Selected Answ T