PMHNP 2 Final ,m ,m
1. The PMHNP has been managing a
,m Trans-Theoretical Model of ,m ,m ,m ,m ,m ,m
33-year-old patient with anxiety for
,m Change ,m ,m ,m ,m ,m
two years. After the first few meet-
,m ,m ,m ,m ,m ,m ,m
ings, the PMHNP determined that he
,m ,m ,m ,m ,m ,m
had a drinking problem, but he had
,m ,m ,m ,m ,m ,m ,m
no intention to change. In more re-
,m ,m ,m ,m ,m ,m ,m
cent meetings he has been openly dis-
,m ,m ,m ,m ,m ,m
cussing the issues that drinking has
,m ,m ,m ,m ,m ,m
been causing him and he is contem-
,m ,m ,m ,m ,m ,m ,m
plating the need to change.Together
,m ,m ,m ,m ,m ,m
you begin to develop a plan sowhen he
,m ,m ,m ,m ,m ,m ,m ,m ,m
is ready to abstain from alcohol,he has
,m ,m ,m ,m ,m ,m ,m ,m
a path.Even though you have been dis-
,m ,m ,m ,m ,m ,m ,m ,m
cussing this for some time,he remains
,m ,m ,m ,m ,m ,m ,m
in the preparation stage.Which theory
,m ,m ,m ,m ,m ,m
predicts the progressive stages toward
,m ,m ,m ,m ,m
change?
,m
2. A 50-year-old man presents and re-
,m ,m ,m ,m ,m Precontemplation
lates a story consistent with alcohol
,m ,m ,m ,m ,m ,m
dependence. When he is asked fur-
,m ,m ,m ,m ,m ,m
ther about his habits, the patient gets
,m ,m ,m ,m ,m ,m ,m
defensive, saying "I didn't come here
,m ,m ,m ,m ,m ,m
to talk about that." Which of the Di-
,m ,m ,m ,m ,m ,m ,m ,m
Clemente and Prochaska's stages of
,m ,m ,m ,m ,m
change describes this man?
,m ,m ,m ,m
3. Family conflicts may involve "triangu- ,m ,m ,m ,m In a family system, 2 family mem-
,m ,m ,m ,m ,m ,m
lation." How is this process best de-
,m ,m ,m ,m ,m ,m ,m bers join and draw in orscapegoat a
,m ,m ,m ,m ,m ,m ,m ,m
scribed?
,m third family member to deflect
,m ,m ,m ,m ,m
tension.
,m
4. Marissa is in 2nd grade, and today in Concrete operations (reversibility
,m ,m ,m ,m ,m ,m ,m ,m ,m
school they were learning about wa-
,m and conservation) ,m ,m ,m ,m ,m ,m ,m
ter's ability to turn from ice into wa- ter
,m ,m ,m ,m ,m ,m ,m ,m ,m
and water into ice. She also under-
,m ,m ,m ,m ,m ,m ,m
stands that no matter the shape clay
,m ,m ,m ,m ,m ,m ,m
takes, it is still clay.Which of Jean Pi-
,m ,m ,m ,m ,m ,m ,m ,m ,m
aget's four stages of cognitive devel-
,m ,m ,m ,m ,m ,m
,m ,m
, PMHNP 2 Final ,m ,m
opment are these concepts normally ,m ,m ,m ,m
achieved in?
,m ,m
5. Boundary crossings differ from bound- Boundary crossings are some- ,m ,m ,m ,m ,m ,m ,m
ary violations. Specifically, in which of times therapeutic, whereas
,m ,m ,m ,m ,m ,m ,m ,m ,m
the following ways?
,m ,m boundary violations are rarely ,m ,m ,m ,m ,m
therapeutic. ,m
6. A 14-year-old-male continuously ar-
,m ,m ,m Identity vs. role confusion
,m ,m ,m
gues with his parents about how they
,m ,m ,m ,m ,m ,m ,m
"just don't understand him." He also
,m ,m ,m ,m ,m ,m
refuses to attend the family's church,
,m ,m ,m ,m ,m ,m
stating "I'm an atheist." Which basic
,m ,m ,m ,m ,m ,m
conflict best describes this adoles-
,m ,m ,m ,m ,m
cent?
,m
7. John wants to graduate from high
,m Identity vs. role confusion ,m ,m ,m ,m ,m ,m ,m
school and his grades suggest he will.
,m ,m ,m ,m ,m ,m ,m
He currently has no plans for attending
,m ,m ,m ,m ,m ,m ,m
college. He spends all his time play-
,m ,m ,m ,m ,m ,m ,m
ing video games and struggles with
,m ,m ,m ,m ,m ,m
socializing. He doesn't feel like he first
,m ,m ,m ,m ,m ,m ,m
in with any of his other peers and
,m ,m ,m ,m ,m ,m ,m ,m
doesn't really know who he is.Which of
,m ,m ,m ,m ,m ,m ,m ,m
Erikson's developmental stage is John
,m ,m ,m ,m ,m
struggling with?
,m ,m
8. A paraphilic disorder involves the ob-
,m ,m ,m ,m ,m Voyeuristic disorder—involves ,m
servation of unsuspecting people ei-
,m ,m ,m ,m ,m feelings of sexual excitement re-
,m ,m ,m ,m ,m
ther undressing or engaging in sexual
,m ,m ,m ,m ,m ,m latedtoviewing an individual while
,m ,m ,m ,m ,m ,m
activity. What is this disorder?
,m ,m ,m ,m ,m undressing, undressed, or having
,m ,m ,m ,m
sex without their knowledge
,m ,m ,m ,m
9. A 70-year-old retired preacher with a
,m ,m ,m ,m ,m Ego integrity vs. despair
,m ,m ,m
history of recurrent depression rumi-
,m ,m ,m ,m ,m
nates on choices he made as a young
,m ,m ,m ,m ,m ,m ,m ,m
man,wondering if his life course could
,m ,m ,m ,m ,m ,m ,m
have been different. What basic con-
,m ,m ,m ,m ,m ,m
flict best describes this adult?
,m ,m ,m ,m ,m
,m ,m
, PMHNP 2 Final ,m ,m
10. A mother is watching her 18-month-old The Id ("I want")
,m ,m ,m ,m ,m ,m ,m ,m
child and watches him try to get the
,m ,m ,m ,m ,m ,m ,m ,m
cord they have deemed off limits.The
,m ,m ,m ,m ,m ,m ,m
child will reach and the mother will
,m ,m ,m ,m ,m ,m ,m
redirect his hand, tell him it's danger-
,m ,m ,m ,m ,m ,m ,m
ous,and move the child away.The child
,m ,m ,m ,m ,m ,m ,m ,m
returns to the cord and the mother
,m ,m ,m ,m ,m ,m ,m
completes the same steps over again.
,m ,m ,m ,m ,m ,m
This goes on three more times until the
,m ,m ,m ,m ,m ,m ,m ,m
mother removes the lamp the cord was
,m ,m ,m ,m ,m ,m ,m
attached to. Using Freud's Psychosex-
,m ,m ,m ,m ,m
ual Stages of Development which psy-
,m ,m ,m ,m ,m ,m
chic is motivating this child's behav-
,m ,m ,m ,m ,m ,m
ior?
,m
11. Fetishistic disorder is considered a ,m ,m ,m ,m Use of inanimate objects for sexu- al
,m ,m ,m ,m ,m ,m
paraphilic disorder. How is it defined?
,m ,m ,m ,m ,m ,m stimulation
,m
12. A 14-month-old child cries for 1 hour
,m ,m ,m ,m ,m ,m Trust vs. mistrust ,m ,m
but is consoled when his mother picks
,m ,m ,m ,m ,m ,m ,m
him up from his crib.Which basic con-
,m ,m ,m ,m ,m ,m ,m ,m
flict best describes this child?
,m ,m ,m ,m ,m
13. A 25-year-old second grade teacher is Overgeneralization—using words
,m ,m ,m ,m ,m ,m
experiencing depression and anxiety. like always and never
,m ,m ,m ,m ,m ,m ,m ,m
She wants to quit her teaching job after a
,m ,m ,m ,m ,m ,m ,m ,m ,m
few months of her first job, but says it's
,m ,m ,m ,m ,m ,m ,m ,m ,m
the only thing she's ever wanted to do.
,m ,m ,m ,m ,m ,m ,m ,m
She tells you she always gets the
,m ,m ,m ,m ,m ,m ,m
challenging kids, and never gets any
,m ,m ,m ,m ,m ,m
assistance.What type of cognitive dis-
,m ,m ,m ,m ,m ,m
tortion is the patient demonstrating?
,m ,m ,m ,m ,m
14. Whentheir struggling child receives an A ,m ,m ,m ,m ,m ,m Extinction—the loss of a previous- ,m ,m ,m ,m
on his 6-week report card, the Smith
,m ,m ,m ,m ,m ,m ,m ly learned operant response after
,m ,m ,m ,m ,m
parents decided to reward him with $5
,m ,m ,m ,m ,m ,m ,m it is no longer reinforced by a stim-
,m ,m ,m ,m ,m ,m ,m ,m
per A grade. In the next few months,
,m ,m ,m ,m ,m ,m ,m ,m ulus
,m
the number of A grades the child re-
,m ,m ,m ,m ,m ,m ,m ,m
ceives increases until the both of the
,m ,m ,m ,m ,m ,m ,m
Smith parents are satisfied with his
,m ,m ,m ,m ,m ,m
,m ,m
, PMHNP 2 Final ,m ,m
performance and stop providing this ,m ,m ,m ,m
monetary incentive. At first, the child's
,m ,m ,m ,m ,m ,m
grades do not change. Over time, how-
,m ,m ,m ,m ,m ,m ,m
ever,the parents notice that his grades
,m ,m ,m ,m ,m ,m ,m
are slipping back to his original B and
,m ,m ,m ,m ,m ,m ,m ,m
C.What process describes this child's
,m ,m ,m ,m ,m
diminishing performance?
,m ,m
15. A 40-year-old single businessman ob- Generativity vs. stagnation
,m ,m ,m ,m ,m ,m
tained financial success early in life
,m ,m ,m ,m ,m ,m
but now cannot find a way "to really
,m ,m ,m ,m ,m ,m ,m ,m
contribute." Which of Erikson's basic
,m ,m ,m ,m ,m
conflicts best describes this man's sit-
,m ,m ,m ,m ,m ,m
uation?
,m
16. A 65-year-old woman presents to your
,m ,m ,m ,m ,m Integrity vs. despair ,m ,m
office and throughout the appoint-
,m ,m ,m ,m ,m
ment, the patient expresses quite a bit
,m ,m ,m ,m ,m ,m ,m
of anger and bitterness. She is regret-
,m ,m ,m ,m ,m ,m ,m
ful of her past and has alienated her-
,m ,m ,m ,m ,m ,m ,m ,m
self. According to Erikson, which de-
,m ,m ,m ,m ,m ,m
velopmental stage is this patient strug-
,m ,m ,m ,m ,m ,m
gling with?
,m ,m
17. An adult male is referred following is
,m Frotteuristic disorder—character-
,m ,m ,m ,m ,m ,m
release from jail. He was charged with ized by feelings of sexual excite-
,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
sexual misconduct for rubbing against ment related to coming into con-
,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
and grabbing a 19-year-old woman's
,m ,m tact with or brushing up against an ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
buttocks and breasts while riding the individual without their knowledge
,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
bus. He has done this countless times
,m ,m ,m ,m ,m ,m ,m
but was only caught once.What is this
,m ,m ,m ,m ,m ,m ,m ,m
disorder called?
,m ,m
18. Dialectical behavior therapy (DBT) is ,m ,m ,m ,m Process of offering support and
,m ,m ,m ,m
used to treat mood disorders and sui-
,m ,m ,m ,m ,m ,m ,m acknowledgement of patient's
,m ,m ,m
cidal ideation and affect change in be-
,m ,m ,m ,m ,m ,m ,m thoughts, feelings, and behaviors
,m ,m ,m ,m
havioral patterns such as self-harm
,m ,m ,m ,m ,m
and substance abuse. In this therapy,
,m ,m ,m ,m ,m ,m
what does "validation" entail?
,m ,m ,m ,m
,m ,m
1. The PMHNP has been managing a
,m Trans-Theoretical Model of ,m ,m ,m ,m ,m ,m
33-year-old patient with anxiety for
,m Change ,m ,m ,m ,m ,m
two years. After the first few meet-
,m ,m ,m ,m ,m ,m ,m
ings, the PMHNP determined that he
,m ,m ,m ,m ,m ,m
had a drinking problem, but he had
,m ,m ,m ,m ,m ,m ,m
no intention to change. In more re-
,m ,m ,m ,m ,m ,m ,m
cent meetings he has been openly dis-
,m ,m ,m ,m ,m ,m
cussing the issues that drinking has
,m ,m ,m ,m ,m ,m
been causing him and he is contem-
,m ,m ,m ,m ,m ,m ,m
plating the need to change.Together
,m ,m ,m ,m ,m ,m
you begin to develop a plan sowhen he
,m ,m ,m ,m ,m ,m ,m ,m ,m
is ready to abstain from alcohol,he has
,m ,m ,m ,m ,m ,m ,m ,m
a path.Even though you have been dis-
,m ,m ,m ,m ,m ,m ,m ,m
cussing this for some time,he remains
,m ,m ,m ,m ,m ,m ,m
in the preparation stage.Which theory
,m ,m ,m ,m ,m ,m
predicts the progressive stages toward
,m ,m ,m ,m ,m
change?
,m
2. A 50-year-old man presents and re-
,m ,m ,m ,m ,m Precontemplation
lates a story consistent with alcohol
,m ,m ,m ,m ,m ,m
dependence. When he is asked fur-
,m ,m ,m ,m ,m ,m
ther about his habits, the patient gets
,m ,m ,m ,m ,m ,m ,m
defensive, saying "I didn't come here
,m ,m ,m ,m ,m ,m
to talk about that." Which of the Di-
,m ,m ,m ,m ,m ,m ,m ,m
Clemente and Prochaska's stages of
,m ,m ,m ,m ,m
change describes this man?
,m ,m ,m ,m
3. Family conflicts may involve "triangu- ,m ,m ,m ,m In a family system, 2 family mem-
,m ,m ,m ,m ,m ,m
lation." How is this process best de-
,m ,m ,m ,m ,m ,m ,m bers join and draw in orscapegoat a
,m ,m ,m ,m ,m ,m ,m ,m
scribed?
,m third family member to deflect
,m ,m ,m ,m ,m
tension.
,m
4. Marissa is in 2nd grade, and today in Concrete operations (reversibility
,m ,m ,m ,m ,m ,m ,m ,m ,m
school they were learning about wa-
,m and conservation) ,m ,m ,m ,m ,m ,m ,m
ter's ability to turn from ice into wa- ter
,m ,m ,m ,m ,m ,m ,m ,m ,m
and water into ice. She also under-
,m ,m ,m ,m ,m ,m ,m
stands that no matter the shape clay
,m ,m ,m ,m ,m ,m ,m
takes, it is still clay.Which of Jean Pi-
,m ,m ,m ,m ,m ,m ,m ,m ,m
aget's four stages of cognitive devel-
,m ,m ,m ,m ,m ,m
,m ,m
, PMHNP 2 Final ,m ,m
opment are these concepts normally ,m ,m ,m ,m
achieved in?
,m ,m
5. Boundary crossings differ from bound- Boundary crossings are some- ,m ,m ,m ,m ,m ,m ,m
ary violations. Specifically, in which of times therapeutic, whereas
,m ,m ,m ,m ,m ,m ,m ,m ,m
the following ways?
,m ,m boundary violations are rarely ,m ,m ,m ,m ,m
therapeutic. ,m
6. A 14-year-old-male continuously ar-
,m ,m ,m Identity vs. role confusion
,m ,m ,m
gues with his parents about how they
,m ,m ,m ,m ,m ,m ,m
"just don't understand him." He also
,m ,m ,m ,m ,m ,m
refuses to attend the family's church,
,m ,m ,m ,m ,m ,m
stating "I'm an atheist." Which basic
,m ,m ,m ,m ,m ,m
conflict best describes this adoles-
,m ,m ,m ,m ,m
cent?
,m
7. John wants to graduate from high
,m Identity vs. role confusion ,m ,m ,m ,m ,m ,m ,m
school and his grades suggest he will.
,m ,m ,m ,m ,m ,m ,m
He currently has no plans for attending
,m ,m ,m ,m ,m ,m ,m
college. He spends all his time play-
,m ,m ,m ,m ,m ,m ,m
ing video games and struggles with
,m ,m ,m ,m ,m ,m
socializing. He doesn't feel like he first
,m ,m ,m ,m ,m ,m ,m
in with any of his other peers and
,m ,m ,m ,m ,m ,m ,m ,m
doesn't really know who he is.Which of
,m ,m ,m ,m ,m ,m ,m ,m
Erikson's developmental stage is John
,m ,m ,m ,m ,m
struggling with?
,m ,m
8. A paraphilic disorder involves the ob-
,m ,m ,m ,m ,m Voyeuristic disorder—involves ,m
servation of unsuspecting people ei-
,m ,m ,m ,m ,m feelings of sexual excitement re-
,m ,m ,m ,m ,m
ther undressing or engaging in sexual
,m ,m ,m ,m ,m ,m latedtoviewing an individual while
,m ,m ,m ,m ,m ,m
activity. What is this disorder?
,m ,m ,m ,m ,m undressing, undressed, or having
,m ,m ,m ,m
sex without their knowledge
,m ,m ,m ,m
9. A 70-year-old retired preacher with a
,m ,m ,m ,m ,m Ego integrity vs. despair
,m ,m ,m
history of recurrent depression rumi-
,m ,m ,m ,m ,m
nates on choices he made as a young
,m ,m ,m ,m ,m ,m ,m ,m
man,wondering if his life course could
,m ,m ,m ,m ,m ,m ,m
have been different. What basic con-
,m ,m ,m ,m ,m ,m
flict best describes this adult?
,m ,m ,m ,m ,m
,m ,m
, PMHNP 2 Final ,m ,m
10. A mother is watching her 18-month-old The Id ("I want")
,m ,m ,m ,m ,m ,m ,m ,m
child and watches him try to get the
,m ,m ,m ,m ,m ,m ,m ,m
cord they have deemed off limits.The
,m ,m ,m ,m ,m ,m ,m
child will reach and the mother will
,m ,m ,m ,m ,m ,m ,m
redirect his hand, tell him it's danger-
,m ,m ,m ,m ,m ,m ,m
ous,and move the child away.The child
,m ,m ,m ,m ,m ,m ,m ,m
returns to the cord and the mother
,m ,m ,m ,m ,m ,m ,m
completes the same steps over again.
,m ,m ,m ,m ,m ,m
This goes on three more times until the
,m ,m ,m ,m ,m ,m ,m ,m
mother removes the lamp the cord was
,m ,m ,m ,m ,m ,m ,m
attached to. Using Freud's Psychosex-
,m ,m ,m ,m ,m
ual Stages of Development which psy-
,m ,m ,m ,m ,m ,m
chic is motivating this child's behav-
,m ,m ,m ,m ,m ,m
ior?
,m
11. Fetishistic disorder is considered a ,m ,m ,m ,m Use of inanimate objects for sexu- al
,m ,m ,m ,m ,m ,m
paraphilic disorder. How is it defined?
,m ,m ,m ,m ,m ,m stimulation
,m
12. A 14-month-old child cries for 1 hour
,m ,m ,m ,m ,m ,m Trust vs. mistrust ,m ,m
but is consoled when his mother picks
,m ,m ,m ,m ,m ,m ,m
him up from his crib.Which basic con-
,m ,m ,m ,m ,m ,m ,m ,m
flict best describes this child?
,m ,m ,m ,m ,m
13. A 25-year-old second grade teacher is Overgeneralization—using words
,m ,m ,m ,m ,m ,m
experiencing depression and anxiety. like always and never
,m ,m ,m ,m ,m ,m ,m ,m
She wants to quit her teaching job after a
,m ,m ,m ,m ,m ,m ,m ,m ,m
few months of her first job, but says it's
,m ,m ,m ,m ,m ,m ,m ,m ,m
the only thing she's ever wanted to do.
,m ,m ,m ,m ,m ,m ,m ,m
She tells you she always gets the
,m ,m ,m ,m ,m ,m ,m
challenging kids, and never gets any
,m ,m ,m ,m ,m ,m
assistance.What type of cognitive dis-
,m ,m ,m ,m ,m ,m
tortion is the patient demonstrating?
,m ,m ,m ,m ,m
14. Whentheir struggling child receives an A ,m ,m ,m ,m ,m ,m Extinction—the loss of a previous- ,m ,m ,m ,m
on his 6-week report card, the Smith
,m ,m ,m ,m ,m ,m ,m ly learned operant response after
,m ,m ,m ,m ,m
parents decided to reward him with $5
,m ,m ,m ,m ,m ,m ,m it is no longer reinforced by a stim-
,m ,m ,m ,m ,m ,m ,m ,m
per A grade. In the next few months,
,m ,m ,m ,m ,m ,m ,m ,m ulus
,m
the number of A grades the child re-
,m ,m ,m ,m ,m ,m ,m ,m
ceives increases until the both of the
,m ,m ,m ,m ,m ,m ,m
Smith parents are satisfied with his
,m ,m ,m ,m ,m ,m
,m ,m
, PMHNP 2 Final ,m ,m
performance and stop providing this ,m ,m ,m ,m
monetary incentive. At first, the child's
,m ,m ,m ,m ,m ,m
grades do not change. Over time, how-
,m ,m ,m ,m ,m ,m ,m
ever,the parents notice that his grades
,m ,m ,m ,m ,m ,m ,m
are slipping back to his original B and
,m ,m ,m ,m ,m ,m ,m ,m
C.What process describes this child's
,m ,m ,m ,m ,m
diminishing performance?
,m ,m
15. A 40-year-old single businessman ob- Generativity vs. stagnation
,m ,m ,m ,m ,m ,m
tained financial success early in life
,m ,m ,m ,m ,m ,m
but now cannot find a way "to really
,m ,m ,m ,m ,m ,m ,m ,m
contribute." Which of Erikson's basic
,m ,m ,m ,m ,m
conflicts best describes this man's sit-
,m ,m ,m ,m ,m ,m
uation?
,m
16. A 65-year-old woman presents to your
,m ,m ,m ,m ,m Integrity vs. despair ,m ,m
office and throughout the appoint-
,m ,m ,m ,m ,m
ment, the patient expresses quite a bit
,m ,m ,m ,m ,m ,m ,m
of anger and bitterness. She is regret-
,m ,m ,m ,m ,m ,m ,m
ful of her past and has alienated her-
,m ,m ,m ,m ,m ,m ,m ,m
self. According to Erikson, which de-
,m ,m ,m ,m ,m ,m
velopmental stage is this patient strug-
,m ,m ,m ,m ,m ,m
gling with?
,m ,m
17. An adult male is referred following is
,m Frotteuristic disorder—character-
,m ,m ,m ,m ,m ,m
release from jail. He was charged with ized by feelings of sexual excite-
,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
sexual misconduct for rubbing against ment related to coming into con-
,m ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
and grabbing a 19-year-old woman's
,m ,m tact with or brushing up against an ,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
buttocks and breasts while riding the individual without their knowledge
,m ,m ,m ,m ,m ,m ,m ,m ,m ,m
bus. He has done this countless times
,m ,m ,m ,m ,m ,m ,m
but was only caught once.What is this
,m ,m ,m ,m ,m ,m ,m ,m
disorder called?
,m ,m
18. Dialectical behavior therapy (DBT) is ,m ,m ,m ,m Process of offering support and
,m ,m ,m ,m
used to treat mood disorders and sui-
,m ,m ,m ,m ,m ,m ,m acknowledgement of patient's
,m ,m ,m
cidal ideation and affect change in be-
,m ,m ,m ,m ,m ,m ,m thoughts, feelings, and behaviors
,m ,m ,m ,m
havioral patterns such as self-harm
,m ,m ,m ,m ,m
and substance abuse. In this therapy,
,m ,m ,m ,m ,m ,m
what does "validation" entail?
,m ,m ,m ,m
,m ,m
