4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAnswers
Questiong1
1goutgofg1gpoints
AgPMHNPghasgbeengtreatinggag9-year-
oldgpatientgwhogwasgreferredgbyghergschool.gStudentsgareg askedgtograisegtheirghandsgbefor
egspeakinggduringggroupgdiscussion,gbutgthegpatientgseemsgtogblurtg outgwhatgshegwantsgto
gsaygwithoutgbeinggcalledgon.gShegalsoginterruptsgothergchildrengwhilegtheyg aregtalkinggin
steadgofgwaitingghergturn.gWhengthegpatientggetsgfrustrated,gsheghasgtrouble
controllingghergemotionsgandgcriesgoften.gBasedgongtheginitialginformationgprovided,gthegfir
stgfocusg bygPMHNPgisgthegchild’sg .
Answer:gB.gself-regulation
Questiong2
1goutgofg1gpoints
ThegPMHNPgisgcaringgforgagpatientgwhogexperiencesgdepressiongcausedgbygthegtraumatic
experiencegofghergdoggpassinggaway.gShegreportsgnotgbeinggablegtogeatgorgsleep,gandgs
ometimesg doesn’tgwantgtogleavegtheghousegatgall.gWhichgstatementgisgmostgappropriate
gforgthegPMHNPgtog maximizegthegpatient’sgadaptivegcopinggmechanisms?
Answer:gC.g“It’sgimportantgtogbegmindfulgofghowgyougfeelgandgthengtogdeterminegwh
atgcausesg thosegfeelings.”
Questiong3
1goutgofg1gpoints
AgPMHNPgisgusinggGestaltgtherapygtogcommunicategwithgag50-year-
oldgpatientgwhogisggoingg throughgagdivorce.gAsghegisgcalmlygsharinggthegdetailsgofghisgdi
vorce,gthegPMHNPgnoticesgthat
Davegisgtappingghisgfingersgonghisglegs.gWhatgisgangappropriategresponsegbygthegPMHNPgusing
gtheg techniquegofgfocusing?
Answer:gA.g“Ignoticedgthatgyourgfingersgweregtapping.gCangyouggivegagvoicegtogyourgfingers?”
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,4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
Questiong4
1goutgofg1gpoints
ThegPMHNPgisgmeetinggwithgangolder,gfemalegadultgpatientgandghergdaughter.gThegpatien
tghasg earlygonsetgdementia.gThegdaughtergexpressesgconcern,gsaying,g“Igdon’tgwantgyougt
ogjustgstickgmyg mothergingaghomegandggiveghergmedicine.gI’mgworriedgthat’sgwhatgpeopl
egareggoinggtogwantgto
do.”gWhatgisgthegbestgresponsegbygthegPMHNPgtogthegdaughter?
Answer:gB.g“Thegtypegofgtreatmentgdependsgongthegstagegofgdementiagandgsafetygconsiderations.
”
Questiong5
1goutgofg1gpoints
AgPMHNPgisgtreatinggag10-year-
oldgboygwhogisgexhibitinggsignsgofgaggressiongandgattentiong problems.gWhatgtypegofginter
ventiongwillgthegPMHNPgconsidergusinggagcommongelements
approach?
Answer:gD.gAllgofgthegabove
Questiong6
1goutgofg1gpoints
Ag35-year-
oldgmalegpatientgisgbeinggtreatedgforgalcoholgaddiction.gHegasksgforgthegPMHNP’sgcellg
phonegnumbergtogusegingcasegofgangemergency.gWhengthegPMHNPgrespondsgthatggiving
gherg numbergwouldgbegagainstgtherapeuticgrules,gthegpatientgthreatensgangactgofgviolence
gtogtheg therapist.gWhatgwouldgbegthegmostgappropriategresponsegbygthegPMHNP?
Answer:gA.gImmediatelygreportgthegthreatgtogtheglocalgpolicegdepartment
Questiong7
about:blank 2/91
,4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
0goutgofg1gpoints
ThegPMHNPgisgcaringgforgangadultgmalegpatientgwhosegwifegleftghimgseveralgmonthsgago.
gHeg recentlyglearnedgthatghisgex-
wifegisgdatinggsomeonegmuchgyounger.gThegmangfeelsgbelittled,gsad,g andglonely.gHegtalks
gaboutgtryinggtogmeetgothergwomen,gbutgsays,g“Igcan’tgcompetegwithgtheg youngergguysgth
esegdays,gwithgthegcoolgclothesgandgthegvegangdiets.gI’mgbaldgandgoverweight,gandg whatg
womangisggoinggtogwantgtogbegwithgme?”gHowgdoesgthegPMHNPghelpgraisegthegman’sgse
lf-
esteem?
SelectedgAnswer:gA.gCorrectinggcognitivegdistortions
Questiong8
1goutgofg1gpoints
ThegPMHNPgusesgtherapeuticgcommunicationgskillsgwhilegensuringgthatgthegpatientgunders
tandsg thatgheghasgchoices.gThegPMHNPgcomprehendsgandgpracticesgmotivationalgintervie
wing.gThisgisg bestgunderstoodgasgwhichgofgthegfollowing?
Answer:gB.gAgstatementgthatgbothgchallengesgthegpatient’sgresistancegandgoffersgangopport
unitygtog discussgthegissuesgallowsgthegpatientgtogarguegwithghim/herselfgtoghelpgproduceg
agdesiredgchange.
Questiong9
1goutgofg1gpoints
ThegPMHNPgisgterminatinggtreatmentgforgagpatientgwhoghasgbeengreceivinggeyegmovement
g desensitizationgandgreprocessingg(EMDR)gtherapy.gWhatgactiongdoesgthegPMHNPgtakegat
gthegfinalg sessiongtogterminategtreatment?
Answer:gB.gDiscussesgallgissuesgthatghavegbeengaddressed
Questiong10
about:blank 3/91
, 4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
1goutgofg1gpoints
ThegPMHNPgisgassessinggangoldergadultgmalegpatientgwithgdepressiongandgcomorbidities.g
Accordinggtogthegmedicalgchart,gthegpatientgtakesgmedicationgtogmanagegjointgandgbonegpa
in.gTheg patientgreportsgfeelingg“forgetful”gandgcomplainsgthatgheghasgaghardgtimegrememb
eringgwheregheg putsgthings.gWhatgisgthegprimarygactiongbygthegPMHNP?
Answer:gC.gDetermininggifgthegpatient’sgmedicationsgcangbegcausinggmemorygproblems
Questiong11
1goutgofg1gpoints
Ag21-year-
oldgpatientghasgbeenghavinggtroublegadjustinggtogcollegeglife.gShegtellsgthegPMHNPgthatg s
heghadgfivegalcoholicgdrinksgatgagpartygthisgpastgweekend.gShegalsogacknowledgesgthatgshe
gdrankg thegsamegamountgofgalcoholgatgagpartygthegpreviousg month.gBasedgongthisginfo
rmation,gwhatg wouldgthegPMHNPgmostglikelygrecommend?
Answer:gD.gNonegofgthegabove
Questiong12
0goutgofg1gpoints
ThegPMHNPgisgassessinggagnewggeriatricgpatientgwhogreportsgsymptomsgofgdepression.gTh
eg PMHNPgwantsgtogidentifygthegpatient’sgsymptomgseveritygovergtime.gWhichgassessment
gtoolgwillg thegPMHNPgusegtogcollectgthisgdatagongthegpatient?
SelectedgAnswer:gC.gABgCliniciangDepressiongScreen
Questiong13
about:blank 4/91
M wers
NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAnswers
Questiong1
1goutgofg1gpoints
AgPMHNPghasgbeengtreatinggag9-year-
oldgpatientgwhogwasgreferredgbyghergschool.gStudentsgareg askedgtograisegtheirghandsgbefor
egspeakinggduringggroupgdiscussion,gbutgthegpatientgseemsgtogblurtg outgwhatgshegwantsgto
gsaygwithoutgbeinggcalledgon.gShegalsoginterruptsgothergchildrengwhilegtheyg aregtalkinggin
steadgofgwaitingghergturn.gWhengthegpatientggetsgfrustrated,gsheghasgtrouble
controllingghergemotionsgandgcriesgoften.gBasedgongtheginitialginformationgprovided,gthegfir
stgfocusg bygPMHNPgisgthegchild’sg .
Answer:gB.gself-regulation
Questiong2
1goutgofg1gpoints
ThegPMHNPgisgcaringgforgagpatientgwhogexperiencesgdepressiongcausedgbygthegtraumatic
experiencegofghergdoggpassinggaway.gShegreportsgnotgbeinggablegtogeatgorgsleep,gandgs
ometimesg doesn’tgwantgtogleavegtheghousegatgall.gWhichgstatementgisgmostgappropriate
gforgthegPMHNPgtog maximizegthegpatient’sgadaptivegcopinggmechanisms?
Answer:gC.g“It’sgimportantgtogbegmindfulgofghowgyougfeelgandgthengtogdeterminegwh
atgcausesg thosegfeelings.”
Questiong3
1goutgofg1gpoints
AgPMHNPgisgusinggGestaltgtherapygtogcommunicategwithgag50-year-
oldgpatientgwhogisggoingg throughgagdivorce.gAsghegisgcalmlygsharinggthegdetailsgofghisgdi
vorce,gthegPMHNPgnoticesgthat
Davegisgtappingghisgfingersgonghisglegs.gWhatgisgangappropriategresponsegbygthegPMHNPgusing
gtheg techniquegofgfocusing?
Answer:gA.g“Ignoticedgthatgyourgfingersgweregtapping.gCangyouggivegagvoicegtogyourgfingers?”
about:blank 1/91
,4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
Questiong4
1goutgofg1gpoints
ThegPMHNPgisgmeetinggwithgangolder,gfemalegadultgpatientgandghergdaughter.gThegpatien
tghasg earlygonsetgdementia.gThegdaughtergexpressesgconcern,gsaying,g“Igdon’tgwantgyougt
ogjustgstickgmyg mothergingaghomegandggiveghergmedicine.gI’mgworriedgthat’sgwhatgpeopl
egareggoinggtogwantgto
do.”gWhatgisgthegbestgresponsegbygthegPMHNPgtogthegdaughter?
Answer:gB.g“Thegtypegofgtreatmentgdependsgongthegstagegofgdementiagandgsafetygconsiderations.
”
Questiong5
1goutgofg1gpoints
AgPMHNPgisgtreatinggag10-year-
oldgboygwhogisgexhibitinggsignsgofgaggressiongandgattentiong problems.gWhatgtypegofginter
ventiongwillgthegPMHNPgconsidergusinggagcommongelements
approach?
Answer:gD.gAllgofgthegabove
Questiong6
1goutgofg1gpoints
Ag35-year-
oldgmalegpatientgisgbeinggtreatedgforgalcoholgaddiction.gHegasksgforgthegPMHNP’sgcellg
phonegnumbergtogusegingcasegofgangemergency.gWhengthegPMHNPgrespondsgthatggiving
gherg numbergwouldgbegagainstgtherapeuticgrules,gthegpatientgthreatensgangactgofgviolence
gtogtheg therapist.gWhatgwouldgbegthegmostgappropriategresponsegbygthegPMHNP?
Answer:gA.gImmediatelygreportgthegthreatgtogtheglocalgpolicegdepartment
Questiong7
about:blank 2/91
,4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
0goutgofg1gpoints
ThegPMHNPgisgcaringgforgangadultgmalegpatientgwhosegwifegleftghimgseveralgmonthsgago.
gHeg recentlyglearnedgthatghisgex-
wifegisgdatinggsomeonegmuchgyounger.gThegmangfeelsgbelittled,gsad,g andglonely.gHegtalks
gaboutgtryinggtogmeetgothergwomen,gbutgsays,g“Igcan’tgcompetegwithgtheg youngergguysgth
esegdays,gwithgthegcoolgclothesgandgthegvegangdiets.gI’mgbaldgandgoverweight,gandg whatg
womangisggoinggtogwantgtogbegwithgme?”gHowgdoesgthegPMHNPghelpgraisegthegman’sgse
lf-
esteem?
SelectedgAnswer:gA.gCorrectinggcognitivegdistortions
Questiong8
1goutgofg1gpoints
ThegPMHNPgusesgtherapeuticgcommunicationgskillsgwhilegensuringgthatgthegpatientgunders
tandsg thatgheghasgchoices.gThegPMHNPgcomprehendsgandgpracticesgmotivationalgintervie
wing.gThisgisg bestgunderstoodgasgwhichgofgthegfollowing?
Answer:gB.gAgstatementgthatgbothgchallengesgthegpatient’sgresistancegandgoffersgangopport
unitygtog discussgthegissuesgallowsgthegpatientgtogarguegwithghim/herselfgtoghelpgproduceg
agdesiredgchange.
Questiong9
1goutgofg1gpoints
ThegPMHNPgisgterminatinggtreatmentgforgagpatientgwhoghasgbeengreceivinggeyegmovement
g desensitizationgandgreprocessingg(EMDR)gtherapy.gWhatgactiongdoesgthegPMHNPgtakegat
gthegfinalg sessiongtogterminategtreatment?
Answer:gB.gDiscussesgallgissuesgthatghavegbeengaddressed
Questiong10
about:blank 3/91
, 4/1/24,g8:52gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
1goutgofg1gpoints
ThegPMHNPgisgassessinggangoldergadultgmalegpatientgwithgdepressiongandgcomorbidities.g
Accordinggtogthegmedicalgchart,gthegpatientgtakesgmedicationgtogmanagegjointgandgbonegpa
in.gTheg patientgreportsgfeelingg“forgetful”gandgcomplainsgthatgheghasgaghardgtimegrememb
eringgwheregheg putsgthings.gWhatgisgthegprimarygactiongbygthegPMHNP?
Answer:gC.gDetermininggifgthegpatient’sgmedicationsgcangbegcausinggmemorygproblems
Questiong11
1goutgofg1gpoints
Ag21-year-
oldgpatientghasgbeenghavinggtroublegadjustinggtogcollegeglife.gShegtellsgthegPMHNPgthatg s
heghadgfivegalcoholicgdrinksgatgagpartygthisgpastgweekend.gShegalsogacknowledgesgthatgshe
gdrankg thegsamegamountgofgalcoholgatgagpartygthegpreviousg month.gBasedgongthisginfo
rmation,gwhatg wouldgthegPMHNPgmostglikelygrecommend?
Answer:gD.gNonegofgthegabove
Questiong12
0goutgofg1gpoints
ThegPMHNPgisgassessinggagnewggeriatricgpatientgwhogreportsgsymptomsgofgdepression.gTh
eg PMHNPgwantsgtogidentifygthegpatient’sgsymptomgseveritygovergtime.gWhichgassessment
gtoolgwillg thegPMHNPgusegtogcollectgthisgdatagongthegpatient?
SelectedgAnswer:gC.gABgCliniciangDepressiongScreen
Questiong13
about:blank 4/91
