NURSING

Question 10

1. A cocaine-addicted female patient is entering residential treatment for substance abuse. Using the 10 guiding principles of recovery, an appropriate step by the PMHNP is to ______________.

A.

focus on the substance abuse problem before addressing any trauma

B.

integrate services that encompass mind, body, spirit, and community

C.

help the patient use fear of relapse to provide motivation for recovery

D.

none of the above

1 points

Question 11

1. A PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is going through a divorce. As he is calmly sharing the details of his divorce, the PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate response by the PMHNP using the technique of focusing?

A.

“I noticed that your fingers were tapping. Can you give a voice to your fingers?”

B.

“I’m going to ask you to exaggerate the movement of tapping your fingers.”

C.

“Explore what is emerging in your body now. What are you experiencing right now?”

D.

None of the above.

1 points

Question 12

1. The PMHNP is communicating with a middle-aged male patient who has a history of addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I do not have a problem with pain pills! I’ve never had an overdose and no one even knows that I take them unless I tell them.” The PMHNP understands that there are phases of change and can best demonstrate “focusing” by responding with:

A.

“I sincerely commend you for being here and seeking treatment; this is a great first step.”

B.

“If no one knows about your substance usage, why are you here?”

C.

“Just because no one knows about your drug usage does not mean you do not have a problem.”

D.

“I am wondering if your use of pain medication has ever prompted you to seek medical attention.”

1 points

Question 13

1. A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and attention problems. What type of intervention will the PMHNP consider using a common elements approach?

A.

Behavioral

B.

Cognitive

C.

Pyschoeducational

D.

All of the above

1 points

Question 14

1. The PMHNP is assessing a patient who has been receiving months of outpatient psychotherapy. According to the PMHNP’s assessment, the patient is nearing the termination phase of their therapeutic relationship because the patient’s symptoms have improved, and the patient shows progress managing behaviors and decision-making abilities according to the diagnosis. How does the PMHNP approach termination with this patient?

A.

Address the termination phase with the patient at the last session

B.

Manage termination issues as part of the treatment

C.

Determine the PMHNP’s readiness to terminate the therapeutic relationship

D.

None of the above

1 points

Question 15

1. The PMHNP is caring for an older adult patient who presents with mixed dysphoric states and whose daughter reports “is becoming more irritable more easily.” When talking with the patient, the PMHNP also recognizes displays of cognitive dysfunction. Which treatment options will the PMHNP most likely suggest?

A.

Cognitive behavioral therapy (CBT)

B.

Interpersonal psychotherapy (IPT)

C.

Combination of CBT and IPT

D.

Combination of CBT and medication

1 points

Question 16

1. The PMHNP is caring for an older patient with major depressive disorder, seasonal pattern. The patient has been resolute about not taking medication to manage the depression brought on by his illness, stating that it is against his yogic lifestyle. In addition to psychotherapy, what can the PMHNP suggest to this patient?

A.

“You may want to look into therapeutic oils and aromatherapy as an alternative to medication.”

B.

“Some patients have good results with medicine. Are you sure you don’t want to try it?”

C.

“You can try taking natural supplements in addition to the medicine I prescribe you.”

D.

All of the above.

1 points

Question 17

1. The PMHNP is caring for an older adult patient who is in the acute phase of schizophrenia. Which therapeutic model will the PMHNP employ with this patient?

A.

Individual CBT

B.

Group CBT

C.

Both A and B

D.

None of the above

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