Page 1 of 49
NU 665C REGIS COLLEGE EXAM COMPLETE 300 QUESTIONS
WITH CORRECT DETAILED ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED
A 17-year-old female presents with panic attacks, social withdrawal, and academic decline
following a sexual assault. The patient reports feeling "detached" from her body and often
experiences periods of lost time. Which intervention should the PMHNP prioritize?A)
Facilitate grounding exercises to help the patient reconnect with the present momentB)
Encourage the patient to describe her memories of the trauma to desensitize triggersC)
Recommend exposure therapy to gradually reintroduce the patient to social situationsD)
Prescribe a beta-blocker to manage acute panic symptoms
Answer: ARationale: For trauma survivors experiencing dissociation, grounding exercises help
stabilize the patient and reduce distress by reconnecting them with their surroundings.
A 12-year-old child presents with persistent nightmares, exaggerated startle response, and
difficulty sleeping after witnessing a violent robbery. The child expresses fear that the
perpetrator may return. What is the most appropriate psychotherapeutic intervention?A)
Begin Trauma-Focused CBT (TF-CBT) with a focus on relaxation and cognitive restructuringB)
Recommend eye movement desensitization and reprocessing (EMDR) as a first-line
treatmentC) Initiate psychodynamic play therapy to explore unconscious conflictsD) Utilize
exposure therapy to reduce avoidance behaviors
Answer: ARationale: TF-CBT is an evidence-based intervention designed to help children
develop coping strategies, correct maladaptive thoughts, and safely process trauma memories.
1
,Page 2 of 49
An 8-year-old child presents with frequent stomachaches, social withdrawal, and refusal to
attend school following the sudden death of a parent. The child avoids conversations about
the loss. What intervention should the PMHNP prioritize?A) Encourage the child to create a
memory box to honor the deceased parentB) Begin cognitive restructuring to address
distorted thoughts about the lossC) Encourage prolonged exposure techniques to reduce
avoidanceD) Focus on somatic tracking to increase the child’s awareness of body sensations
Answer: ARationale: Developmentally appropriate grief interventions, such as creating a
memory box, help children express emotions in a non-threatening way while fostering
connection to the deceased.
A 14-year-old male reports flashbacks, insomnia, and emotional numbness after surviving a
car accident in which a friend was killed. He refuses to discuss the accident and shows limited
engagement in school. What is the most appropriate initial intervention?A) Engage the
adolescent in psychoeducation about trauma reactions and coping strategiesB) Encourage
him to describe the accident to promote emotional processingC) Initiate EMDR to reduce
distressing memoriesD) Refer the adolescent for pharmacologic treatment with an SSRI
Answer: ARationale: Psychoeducation about trauma responses normalizes symptoms and
equips the patient with strategies to manage distress before initiating trauma processing
interventions.
A 16-year-old male presents with aggressive outbursts, truancy, and substance use following
exposure to ongoing domestic violence. He refuses to engage in therapy and expresses
distrust toward authority figures. What is the PMHNP's most appropriate initial
intervention?A) Establish a strong therapeutic alliance by emphasizing safety and building
rapportB) Implement cognitive-behavioral strategies to reduce aggressionC) Refer the
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,Page 3 of 49
adolescent for inpatient hospitalization due to risk behaviorsD) Confront the adolescent
about his substance use to promote accountability
Answer: ARationale: Establishing a trusting relationship is crucial when working with trauma-
exposed adolescents, particularly those demonstrating distrust and avoidance. Building rapport
and ensuring safety are key initial steps.
A 7-year-old child with a history of physical abuse exhibits regressed behaviors, such as
thumb-sucking and bedwetting. The child also displays hypervigilance and avoids interactions
with peers. Which intervention should the PMHNP prioritize?A) Develop a behavior chart to
reinforce positive social interactionsB) Engage the child in therapeutic play to explore feelings
in a safe environmentC) Encourage the child to write a detailed account of the abuse to
promote healingD) Prescribe a low-dose anxiolytic to manage hypervigilance
Answer: BRationale: Therapeutic play is a developmentally appropriate approach that allows
young children to express emotions and process trauma safely.
A key principle of trauma-informed care emphasizes:A) Diagnosing the trauma as early as
possibleB) Prioritizing medication management over therapeutic interventionsC) Recognizing
the widespread impact of trauma and integrating this knowledge into practiceD) Avoiding
discussion of past trauma to prevent distress
Answer: CRationale: Trauma-informed care emphasizes understanding the impact of trauma,
creating a safe environment, and integrating that knowledge into care practices.
Which intervention is most consistent with the Trauma Resiliency Model (TRM)?A)
Encouraging the patient to re-experience traumatic memories for emotional processingB)
Using somatic awareness techniques to track sensations in the body and regulate the nervous
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, Page 4 of 49
systemC) Employing cognitive restructuring to challenge negative automatic thoughtsD)
Relying primarily on insight-oriented therapy to improve trauma recovery
Answer: BRationale: TRM emphasizes mind-body integration using somatic awareness to
promote self-regulation and resiliency in trauma recovery.
.When working with a child who has experienced complex trauma, the advanced practice
psychiatric nurse’s primary focus should be:A) Encouraging the child to recount the traumatic
event in detailB) Developing a safety plan and establishing a trusting therapeutic allianceC)
Initiating family therapy to address systemic issues before individual workD) Implementing
exposure therapy as a first-line intervention
Answer: BRationale: For children with complex trauma, safety, trust, and relationship-building
are foundational before deeper trauma processing can occur
Which stabilization strategy is most appropriate for a patient with dissociative symptoms
related to trauma?A) Grounding techniques such as focusing on sensory experiencesB)
Encouraging the patient to relive traumatic memories to desensitize triggersC) Exploring the
root cause of dissociation in early therapy sessionsD) Focusing on cognitive distortions before
addressing physical symptoms
Answer: ARationale: Grounding techniques help stabilize patients with dissociation by
reconnecting them to the present moment through sensory awareness.
According to Wheeler (2020), which psychotherapeutic approach is most effective for treating
trauma-related symptoms in children?A) Dialectical behavior therapy (DBT)B) Trauma-
focused cognitive-behavioral therapy (TF-CBT)C) Eye movement desensitization and
reprocessing (EMDR)D) Psychodynamic play therapy
4
NU 665C REGIS COLLEGE EXAM COMPLETE 300 QUESTIONS
WITH CORRECT DETAILED ANSWERS LATEST UPDATE THIS
YEAR - JUST RELEASED
A 17-year-old female presents with panic attacks, social withdrawal, and academic decline
following a sexual assault. The patient reports feeling "detached" from her body and often
experiences periods of lost time. Which intervention should the PMHNP prioritize?A)
Facilitate grounding exercises to help the patient reconnect with the present momentB)
Encourage the patient to describe her memories of the trauma to desensitize triggersC)
Recommend exposure therapy to gradually reintroduce the patient to social situationsD)
Prescribe a beta-blocker to manage acute panic symptoms
Answer: ARationale: For trauma survivors experiencing dissociation, grounding exercises help
stabilize the patient and reduce distress by reconnecting them with their surroundings.
A 12-year-old child presents with persistent nightmares, exaggerated startle response, and
difficulty sleeping after witnessing a violent robbery. The child expresses fear that the
perpetrator may return. What is the most appropriate psychotherapeutic intervention?A)
Begin Trauma-Focused CBT (TF-CBT) with a focus on relaxation and cognitive restructuringB)
Recommend eye movement desensitization and reprocessing (EMDR) as a first-line
treatmentC) Initiate psychodynamic play therapy to explore unconscious conflictsD) Utilize
exposure therapy to reduce avoidance behaviors
Answer: ARationale: TF-CBT is an evidence-based intervention designed to help children
develop coping strategies, correct maladaptive thoughts, and safely process trauma memories.
1
,Page 2 of 49
An 8-year-old child presents with frequent stomachaches, social withdrawal, and refusal to
attend school following the sudden death of a parent. The child avoids conversations about
the loss. What intervention should the PMHNP prioritize?A) Encourage the child to create a
memory box to honor the deceased parentB) Begin cognitive restructuring to address
distorted thoughts about the lossC) Encourage prolonged exposure techniques to reduce
avoidanceD) Focus on somatic tracking to increase the child’s awareness of body sensations
Answer: ARationale: Developmentally appropriate grief interventions, such as creating a
memory box, help children express emotions in a non-threatening way while fostering
connection to the deceased.
A 14-year-old male reports flashbacks, insomnia, and emotional numbness after surviving a
car accident in which a friend was killed. He refuses to discuss the accident and shows limited
engagement in school. What is the most appropriate initial intervention?A) Engage the
adolescent in psychoeducation about trauma reactions and coping strategiesB) Encourage
him to describe the accident to promote emotional processingC) Initiate EMDR to reduce
distressing memoriesD) Refer the adolescent for pharmacologic treatment with an SSRI
Answer: ARationale: Psychoeducation about trauma responses normalizes symptoms and
equips the patient with strategies to manage distress before initiating trauma processing
interventions.
A 16-year-old male presents with aggressive outbursts, truancy, and substance use following
exposure to ongoing domestic violence. He refuses to engage in therapy and expresses
distrust toward authority figures. What is the PMHNP's most appropriate initial
intervention?A) Establish a strong therapeutic alliance by emphasizing safety and building
rapportB) Implement cognitive-behavioral strategies to reduce aggressionC) Refer the
2
,Page 3 of 49
adolescent for inpatient hospitalization due to risk behaviorsD) Confront the adolescent
about his substance use to promote accountability
Answer: ARationale: Establishing a trusting relationship is crucial when working with trauma-
exposed adolescents, particularly those demonstrating distrust and avoidance. Building rapport
and ensuring safety are key initial steps.
A 7-year-old child with a history of physical abuse exhibits regressed behaviors, such as
thumb-sucking and bedwetting. The child also displays hypervigilance and avoids interactions
with peers. Which intervention should the PMHNP prioritize?A) Develop a behavior chart to
reinforce positive social interactionsB) Engage the child in therapeutic play to explore feelings
in a safe environmentC) Encourage the child to write a detailed account of the abuse to
promote healingD) Prescribe a low-dose anxiolytic to manage hypervigilance
Answer: BRationale: Therapeutic play is a developmentally appropriate approach that allows
young children to express emotions and process trauma safely.
A key principle of trauma-informed care emphasizes:A) Diagnosing the trauma as early as
possibleB) Prioritizing medication management over therapeutic interventionsC) Recognizing
the widespread impact of trauma and integrating this knowledge into practiceD) Avoiding
discussion of past trauma to prevent distress
Answer: CRationale: Trauma-informed care emphasizes understanding the impact of trauma,
creating a safe environment, and integrating that knowledge into care practices.
Which intervention is most consistent with the Trauma Resiliency Model (TRM)?A)
Encouraging the patient to re-experience traumatic memories for emotional processingB)
Using somatic awareness techniques to track sensations in the body and regulate the nervous
3
, Page 4 of 49
systemC) Employing cognitive restructuring to challenge negative automatic thoughtsD)
Relying primarily on insight-oriented therapy to improve trauma recovery
Answer: BRationale: TRM emphasizes mind-body integration using somatic awareness to
promote self-regulation and resiliency in trauma recovery.
.When working with a child who has experienced complex trauma, the advanced practice
psychiatric nurse’s primary focus should be:A) Encouraging the child to recount the traumatic
event in detailB) Developing a safety plan and establishing a trusting therapeutic allianceC)
Initiating family therapy to address systemic issues before individual workD) Implementing
exposure therapy as a first-line intervention
Answer: BRationale: For children with complex trauma, safety, trust, and relationship-building
are foundational before deeper trauma processing can occur
Which stabilization strategy is most appropriate for a patient with dissociative symptoms
related to trauma?A) Grounding techniques such as focusing on sensory experiencesB)
Encouraging the patient to relive traumatic memories to desensitize triggersC) Exploring the
root cause of dissociation in early therapy sessionsD) Focusing on cognitive distortions before
addressing physical symptoms
Answer: ARationale: Grounding techniques help stabilize patients with dissociation by
reconnecting them to the present moment through sensory awareness.
According to Wheeler (2020), which psychotherapeutic approach is most effective for treating
trauma-related symptoms in children?A) Dialectical behavior therapy (DBT)B) Trauma-
focused cognitive-behavioral therapy (TF-CBT)C) Eye movement desensitization and
reprocessing (EMDR)D) Psychodynamic play therapy
4
