NURSING

Question 30

1. The PMHNP is initiating a plan of care for a patient who requires comprehensive psychotherapy to manage his depression and mood disorder. Throughout the initial sessions, the patient reports feeling as though he cannot be helped. The PMHNP is concerned about premature termination initiated by the patient. What strategy can the PMHNP employ to prevent or reduce premature termination?

A.

Incorporate patient preferences as to the type of therapy used

B.

Educate the patient about the duration and pattern of change

C.

Foster a therapeutic alliance with the patient

D.

All of the above

1 points

Question 31

1. The PMHNP is terminating treatment with a patient who is aggressive and has a history of anger. What does the PMHNP do when terminating treatment with this patient?

A.

Makes a list of all the positive things the patient gained from treatment

B.

Does not recognize the patient’s emotions so as to not encourage the onset of anger

C.

Emphasizes and validates the patient’s feelings of anger that may emerge

D.

Avoids upsetting the patient by keeping an open door policy

1 points

Question 32

1. A 13-year-old patient and his parents are meeting with a PMHNP. When the PMHNP says hello, the boy just nods. His parents tell the PMHNP that he didn’t want to come to the session, but they insisted. They explain that their son has been moody and depressed at home, but is still getting good grades at school. Which of the following would be the best response by the PMHNP?

A.

Ask the patient to leave the room to speak with his parents

B.

Tell the patient that he shouldn’t be upset at his parents

C.

Compliment the patient on his academic achievement

D.

All of the above

1 points

Question 33

1. The PMHNP is meeting with a patient who has been diagnosed with depression. The patient is having trouble adjusting to her new job and hasn’t made any new friends there. What would an appropriate response be by the PMHNP using the interpersonal psychotherapy approach?

A.

“For homework, please write a list of qualities you’d find in a good friend.”

B.

“Describe the friendships you had growing up, both as a child and teenager.”

C.

“Tell me more about why you’re having trouble making new friends at work.”

D.

All of the above.

1 points

Question 34

1. The PMHNP initiates feeling-state therapy to help a 25-year-old patient named Monique who has a compulsive urge to exercise. Using the Feeling-State Addiction Protocol, what is an appropriate next step the PMHNP should take after identifying the specific positive feeling linked with the addictive behavior and its Positive Feeling Score level?

A.

Evaluate the patient for having the coping skills to manage feelings

B.

Perform eye movement sets until the Positive Feeling Score level drops

C.

Locate and identify any physical sensations created by the positive feelings

D.

Have the patient visualize performing the addictive behavior

1 points

Question 35

1. A PMHNP has been working with a 50-year-old patient who has a stressful job and goes to the casino on weekends to play poker with his friends, which he says relieves his stress. Tim admits that he sometimes misses work on Monday when he stays out too late at the casino on Sunday nights. In addition, he once was an avid runner, and has given up running to spend more time gambling. True or false: According to the PMHNP, the desired goal after treatment is not complete abstinence from gambling, but reaching a healthy level of the behavior.

True

False

1 points

Question 36

1. When recalling the phases of change, the PMHNP demonstrates “open questioning” in the “engagement” phase by making which statement?

A.

“What plans have you made to make this change?”

B.

“What occurred to cause you to seek treatment?”

C.

“What concerns you the most about these subjects?”

D.

“What do you want do you want be different?”

1 points

Question 37

1. A PMHNP is using emotion-focused therapy to help a 38-year-old patient who says, “I’ve been feeling angry lately, but I’m not sure why.” The first attempt by the PMHNP is to say:

A.

“Focus on your anger, take a deep breath, and allow an image to emerge.”

B.

“Sit in these two chairs to have a conversation with your anger.”

C.

“Please tell me in detail about your anger and confusion.”

D.

“Your experience of anger and confusion is normal.”

1 points

Question 38

1. A 38-year-old patient has been having trouble communicating with his teenage daughter. Using a solution-focused therapy approach, the PMHNP responds by saying, “When was a time that a communication problem could have occurred, but did not?” In this case, what type of question is the PMHNP asking?

A.

Coping question

B.

Joining question

C.

Exception question

D.

Miracle question

1 points

Question 39

1. The PMHNP has been providing supportive psychodynamic psychotherapy to a patient and is nearing the termination stage. The PMHNP will use which criteria for determining that the patient is ready for termination?

A.

Transference neurosis has been resolved.

B.

Symptoms have improved.

C.

Core conflicts have been reduced.

D.

Self-analytic capacity has been developed.

1 points

Question 40

1. The PMHNP is assessing an older adult male patient with depression and comorbidities. According to the medical chart, the patient takes medication to manage joint and bone pain. The patient reports feeling “forgetful” and complains that he has a hard time remembering where he puts things. What is the primary action by the PMHNP?

A.

Collaborating with the patient’s caregiver to discuss a treatment approach

B.

Prescribing an antidepressant to address the patient’s symptoms

C.

Determining if the patient’s medications can be causing memory problems

D.

All of the above

1 points

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