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NR 607 Updated Final Prep 2025/26 | Correct Answers Included | A+ Score

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NR 607 ASSESSMENT GUIDE
FOR 2025/2026 TESTS|MOST COMMON
QUESTIONS WITH CORRECTLY VERIFIED ANSWERS
(LATEST QUIZZES) |ALREADY A+
GRADED|GUARANTEED PASS
The PMHNP is conducting a neurological examination on a patient with altered mental status.
The inability to perform rapidly alternating hand movements is known as: -
Dysdiadochokinesia

Which of the following is the best example of secondary prevention?



Social skills training and vocational rehabilitation

All these listed are great examples.

Stress management classes

A suicide hotline - A suicide hotline aims to detect or screen and treat ASAP with a goal of
returning people to their original function and wellbeing.

A psychodynamic therapist is working with a patient who has difficulty forming stable and
healthy relationships. The therapist explores the patient's early relationships with caregivers to
understand these patterns. Which psychodynamic theory is the therapist primarily using?



Selective abstraction theory

Schema theory

Object Relations Theory

Ego Psychology - Object Relations Theory focuses on the internalized representations of
early relationships and their impact on current relationship patterns.

,A client with generalized anxiety disorder (GAD) often worries about minor issues escalating
into major catastrophes. During a CBT session, the therapist uses the downward arrow
technique to explore the underlying fears associated with these worries. What is the goal of this
technique? - The downward arrow technique involves asking a series of questions to
uncover deeper, underlying beliefs that contribute to the patient's anxiety. The goal is to
identify and challenge these core beliefs to reduce the intensity of the clients worries.

In a Gestalt therapy session, a therapist asks a patient to engage in a dialogue with an empty
chair, imagining that a significant person from their life is sitting in it. What is the primary
purpose of this technique? - The empty chair technique is used to help patients address
unresolved emotions and conflicts with significant people in their lives.

What is the purpose of developing "discrepancy" in Motivational Interviewing? - To
highlight the differences between the client's goals and their current behavior

Pam is 22 yr old female who lives alone and has Bipolar disorder documented as F31.2 (Manic,
Severe with psychotic features). Pam stopped taking her Quetiapine and Lithium medications.
Pam's delusions are worsening and she has been awake for 36 hours. Does the PMHNP have the
right to share this information with Pam's mother who lives in a neighboring state? - If
the PMHNP believes that the client does not have the capacity to agree or object to the sharing
information at that critical time and the sharing of the information would be in the clients best
interest, the provider may discuss the pertinent information only to the family member who can
possibly help with the clients immediate care concerns. 45 CFR 164.510(b)

The PMHNP is observing a patient making repetitive and rapid, jerking involuntary coordinated
movements. In documenting the findings of the mental status exam, which of the following
concisely describes this behavior? - Choreiform

When conducting a community outreach educational session regarding domestic violence,
which of the following points should the PMHNP emphasize? - The most dangerous time
for victims is when they try to leave the abuser.

How does Motivational Interviewing view ambivalence? - Motivational Interviewing (MI)
views ambivalence as a natural and common experience when contemplating change

A 32-year-old nurse presents with anxiety and describes an incident where her nursing manager
corrected her work during a meeting. She believes this correction means she is incompetent
and that her colleagues think poorly of her. This belief is causing significant distress and
impacting her performance at work. Which cognitive error is she displaying? -
Personalization involves attributing external events to oneself without evidence. In this

,case, the nurse believes the correction is a reflection of her incompetence and her colleagues'
opinions of her, despite lacking evidence.

Montel lost his family during a Tsunami while on vacation. This is an example of a what? -
Adventitious Crisis

The PMHNP finds herself sad when her client expresses sorrow. This is best described as what? -
In Concordant Identification, the therapist takes on part of the client's personality or
empathizes with the client's experience.

The PMHNP was asked to lead a new project at the hospital and implement a recovery oriented
care philosophy. The best intervention most consistent with recovery oriented nursing would
include which of the following? - Work with the patient to identify situations that may
lead to a relapse



The recovery model embraces empowering the patient, self directed and patient centered care
(Seed & Torkelson, 2012) i.e. more "work with" and less "do for".

A 30-year-old man with three past psychiatric hospitalizations for schizoaffective disorder
presents for follow-up care with the PMHNP. Before discharge, the patient received court
ordered Zyprexa Relprevv 300 mg IM X 1. The patient tells the PMHNP that he is aware that
smoking can "make him need more medication." Which stage of change is the patient in? -
Contemplation

A 38-year-old investment banker reveals that on weekends he visits the Delightful Dungeon and
pays a dominatrix to tie him up, humiliate him, and whip him. He finds these sessions painful
but very sexually arousing. He is able to become aroused and climax without this experience but
finds this activity novel and has no desire to stop. Which of the following diagnosis is most
likely? - No diagnosis

A 66-year-old woman employed as a federal appeals lawyer is being seen by the PMHNP
accompanied by her son, who has been concerned about progressive memory problems. Which
of the following would be most helpful in distinguishing between common forgetfulness and
cognitive impairment? - Montreal Cognitive Assessment (MoCA)

Which one of the following scenarios is most accurate in terms of the care of minors? -
Adolescents are able to seek STD assessment without parental consent.

A 40-year-old woman with depression has been struggling with a lack of motivation and
withdrawal from activities she previously enjoyed. Her CBT therapist recommends developing a

, behavioral action plan to address these issues. Which of the following is an essential component
of an effective behavioral action plan? - An effective behavioral action plan in CBT
includes scheduling specific enjoyable activities to help the client increase engagement in
positive behaviors, which can improve mood and motivation.

The PMHNP is treating a client for generalized anxiety disorder with depressive symptoms.
Treatment has included both psychopharmacology and interpersonal psychotherapy. The
patient abruptly reports a reemergence of the symptoms that have been in remission. In what
phase of therapy is this an expected finding? - Termination

Which of the following is NOT part of the OARS technique in Motivational Interviewing? -
OARS stands for Open-ended questions, Affirmations, Reflections, and Summarizations.
Solutions are not part of the OARS technique

A 36-year-old Korean male who has recently started attending graduate school complains of
persistent abdominal pain despite an extensive gastrointestinal work-up including an upper and
lower gastroscopy. Which of the following defense mechanisms is employed? -
Conversion

The PMHNP is evaluating a 45-year-old man in the emergency department; he has no past
psychiatric history and presents with passive suicidal ideations and emotional lability. Which of
the following tests is essential in helping formulate a preliminary diagnosis and treatment plan?
- Urine toxicology

Which of the following immediate determinants related to relapse prevention is the biggest
predictor of relapse? - Negative emotional state

Jake described his brother's death stemming from a horrific car accident with minimal
discomfort in his expression. Jake's affect would best be described as? - Restricted Affect
- Jake displayed little emotion describing the accident which would be considered a restricted or
constricted affect. The next best answer would be flat affect. However, a flat affect describes a
complete lack of emotional expression.

The PMHNP is facilitating a closed support group for victims of domestic violence and a member
shares she is ready to leave her abuser. What would be the best response? - "What plans
have you implemented?"

What level of prevention would include screening for pancreatic cancer in a asymptomatic 49
year old female with no family history of pancreatic cancer - The USPSTF recommends
against screening for pancreatic cancer in asymptomatic adults.
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