Primary prevention care practices are an essential aspect of the PMHNP role. Which
of the following is the best example of a primary prevention care strategy for
community behavioral health?
a. Aftercare program for chronically mentally ill clients recently discharged from the
hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
Give this one a try later!
, Correct Answer: D.
Information reduces incidence of disease.
REF: Pg. 103
A new client reveals to the PMHNP that her boyfriend screams at her and has
repeatedly slapped and pushed her in front of her 3-year-old son. She goes on to say
that the boyfriend has thrown things at her and on one occasion threw a glass of
water at her that hit her son in the back. Should the PMHNP report this to child
protective services (CPS)?
a. Yes, the client is issuing a cry for help for her son.
b. Yes, the PMHNP has a duty to report.
c. No, this does not constitute a reportable offense.
d. No, a report to CPS will escalate the violence.
Give this one a try later!
Correct Answer: B.
PMHNPs are mandated reporters of child abuse. The 3-year-old is being
exposed to violence and although not the target, could have been injured
when the boyfriend threw the glass of water.
REF: Pg. 17
Jason misses several appointments. The PMHNP notes she feels resentful toward
Jason and is struggling with how to respond to Jason when he finally comes in for his
appointment. Which of the following demonstrates a therapeutic response?
a. "Jason, since you have missed several appointments, we are closing your case."
b. "Jason, it's pretty clear to me that you don't want to be here."
c. "Jason, you are ambivalent about seeking treatment."
d. "Jason, help me understand what's going on so we can figure out how to proceed."
,Give this one a try later!
Correct Answer: D.
Although the PMHNP’s resentment is in response to actual behavior by
Jason (his missing several appointments), clarifying what is going on for him,
his expectations for treatment and the PMHNP’s (and the clinic’s)
expectations in a non-judgmental manner will help to develop a
therapeutic alliance.
REF: Pg. 38
When working with a dysfunctional family, you find that the father, Jim, worries
excessively and is resistant to change. You give Jim a paradoxical directive to worry
extremely well for 1 hour per day, knowing that he will likely be noncompliant, and
thus change will occur. With this technique, you are using which type of therapy?
a. Experiential therapy
b. Structural therapy
c. Strategic therapy
d. Solution-focused therapy
Give this one a try later!
Correct Answer: C.
Paradoxical directives are used in strategic therapy
REF: Pg. 131
You are working with a family: mother, father, and two biological children. Sam, the
father, is very rigid and controlling, which seems to be out of fear that something
might happen to his family. He worries daily and it affects his family relationships. You
give Sam a paradoxical directive and instruct him to intensely worry about everything
he can think of for 1 hour a day. Using a paradoxical directive is part of which therapy?
, a. Experimental
b. Structural
c. Strategic
d. Cognitive
Give this one a try later!
Correct Answer: C.
Paradoxical directives may be used in strategic family therapy.
REF: Pg. 131
You are treating Timothy, a 16-year-old boy, for an eating disorder. Timothy is of
normal weight and socially extroverted, at times appearing to seek attention when in
a peer group or class. Timothy's symptoms are most consistent with which eating
disorder?
a. Anorexia nervosa
b. Bulimia nervosa
c. Binge eating disorder
d. Anxiety-induced eating disorder
Give this one a try later!
Correct Answer: B.
Clients with bulimia are often of normal weight or overweight and are
outgoing.
REF: Pg. ??
The primary excitatory neurotransmitter is
a. GABA
of the following is the best example of a primary prevention care strategy for
community behavioral health?
a. Aftercare program for chronically mentally ill clients recently discharged from the
hospital
b. Court-ordered counseling for abusive parents
c. 24-hour crisis hotlines
d. Parenting skills classes for pregnant adolescents
Give this one a try later!
, Correct Answer: D.
Information reduces incidence of disease.
REF: Pg. 103
A new client reveals to the PMHNP that her boyfriend screams at her and has
repeatedly slapped and pushed her in front of her 3-year-old son. She goes on to say
that the boyfriend has thrown things at her and on one occasion threw a glass of
water at her that hit her son in the back. Should the PMHNP report this to child
protective services (CPS)?
a. Yes, the client is issuing a cry for help for her son.
b. Yes, the PMHNP has a duty to report.
c. No, this does not constitute a reportable offense.
d. No, a report to CPS will escalate the violence.
Give this one a try later!
Correct Answer: B.
PMHNPs are mandated reporters of child abuse. The 3-year-old is being
exposed to violence and although not the target, could have been injured
when the boyfriend threw the glass of water.
REF: Pg. 17
Jason misses several appointments. The PMHNP notes she feels resentful toward
Jason and is struggling with how to respond to Jason when he finally comes in for his
appointment. Which of the following demonstrates a therapeutic response?
a. "Jason, since you have missed several appointments, we are closing your case."
b. "Jason, it's pretty clear to me that you don't want to be here."
c. "Jason, you are ambivalent about seeking treatment."
d. "Jason, help me understand what's going on so we can figure out how to proceed."
,Give this one a try later!
Correct Answer: D.
Although the PMHNP’s resentment is in response to actual behavior by
Jason (his missing several appointments), clarifying what is going on for him,
his expectations for treatment and the PMHNP’s (and the clinic’s)
expectations in a non-judgmental manner will help to develop a
therapeutic alliance.
REF: Pg. 38
When working with a dysfunctional family, you find that the father, Jim, worries
excessively and is resistant to change. You give Jim a paradoxical directive to worry
extremely well for 1 hour per day, knowing that he will likely be noncompliant, and
thus change will occur. With this technique, you are using which type of therapy?
a. Experiential therapy
b. Structural therapy
c. Strategic therapy
d. Solution-focused therapy
Give this one a try later!
Correct Answer: C.
Paradoxical directives are used in strategic therapy
REF: Pg. 131
You are working with a family: mother, father, and two biological children. Sam, the
father, is very rigid and controlling, which seems to be out of fear that something
might happen to his family. He worries daily and it affects his family relationships. You
give Sam a paradoxical directive and instruct him to intensely worry about everything
he can think of for 1 hour a day. Using a paradoxical directive is part of which therapy?
, a. Experimental
b. Structural
c. Strategic
d. Cognitive
Give this one a try later!
Correct Answer: C.
Paradoxical directives may be used in strategic family therapy.
REF: Pg. 131
You are treating Timothy, a 16-year-old boy, for an eating disorder. Timothy is of
normal weight and socially extroverted, at times appearing to seek attention when in
a peer group or class. Timothy's symptoms are most consistent with which eating
disorder?
a. Anorexia nervosa
b. Bulimia nervosa
c. Binge eating disorder
d. Anxiety-induced eating disorder
Give this one a try later!
Correct Answer: B.
Clients with bulimia are often of normal weight or overweight and are
outgoing.
REF: Pg. ??
The primary excitatory neurotransmitter is
a. GABA
