Graded A++ Pass
A 10-year-old child lost her father to an unexpected heart attack. Normally confident, sociable
and an excellent student, her teachers and mother report that she has withdrawn, become
disinterested in schoolmates and schoolwork, and easily becomes tearful if anyone mentions her
father. What non-pharmacological intervention would be most helpful at this time to facilitate
her grieving and loss?
a. Bibliotherapy
b. Play therapy
c. Individual therapy
d. Psychoeducation group - CORRECT ANSWER ✔️✔️ -D
A 14-year-old girl admitted to a psychiatric unit following an overdose on alcohol and
benzodiazepines after the breakup of a relationship has made seductive comments to her
roommate, which is upsetting her roommate. In assessing the girl's behavior toward her
roommate, the PMHNP needs to include the topic of sexual orientation. What is the best
introductory approach to this topic?
a. Are you sexually active?
b. Are you attracted to girls rather than boys?
c. What is your experience in sexual relationships?
,d. Did you overdose after breaking up with a girlfriend or boyfriend? - CORRECT ANSWER
✔️✔️ -C
A 31-year-old married woman with a history of anorexia nervosa, binging-purging type, during
her teens and early 20's, is pregnant. She has had two prior spontaneous abortions in late 20's.
She is worried whether this pregnancy may trigger recurrence of her prior eating disorder,
adversely impact fetal development, or affect the likelihood of full-term delivery. At 5'7" she
maintains a weight of 120 pounds by running 6-10 miles daily as conditioning for marathons and
a 2,000 calorie daily vegan diet. What lifestyle modifications would reduce risks of exacerbating
an eating disorder and increasing likelihood of normal fetal development full-term delivery.
a. Increase daily caloric intake by 1,000 calories, continue running as tolerated with reduction in
second or third trimester, add pre-natal vitamin, vitamin E supplement, and B-complex
supplement, plan 20-30-pound gradual weight gain over the course of pregnancy.
b. - CORRECT ANSWER ✔️✔️ -B
A 32-year-old Caucasian Catholic female patient presents for her therapy session. She is upset
because she and her husband have been in an argument over finances. She does not work and
stays at home to take care of the children. She reports feeling sad and has had thoughts of hurting
herself. She has a past history of overdosing with Tylenol several years ago. Which of the
following places her at high-risk for suicide?
a. Age
b. Previous suicide attempt
c. Marital status
, d. Gender - CORRECT ANSWER ✔️✔️ -B
A 36-year-old woman was fired from her job as a paralegal at a law firm. She had worked for the
same attorney for 10 years. As soon as she came in the door from work, her husband noticed she
appeared upset and asked her if she was alright. She immediately started yelling at her husband
because he had not given their 5-year-od daughter a bath and had not cleaned the house. Which
of the following defense mechanisms is being demonstrated by this woman?
a. Dissociation
b. Conversion
c. Rationalization
d. Displacement - CORRECT ANSWER ✔️✔️ -D
A 44-year-old man presents to the PMHNNP at his wife's insistence. The patient was
hospitalized for a mild head injury after a motor vehicle accident four weeks ago. He reports a 3-
year history of drinking alcohol. The patient states he was at the store a week ago when he
realized the store clerk was an imposter replacing his wife. The patient's wife insists that her
husband is delusional and she intends to file for divorce if he does not get help. Which of the
following types of delusions is the patient expressing?
a. Fregoli phenomenon
b. Capgras syndrome
c. Delusion of doubles
d. Clerambault syndrome - CORRECT ANSWER ✔️✔️ -B