1. The PMHNP is caring for a young adult patient with whom the PMHNP decides to use a dynamic supportive therapy approach in addition to pharmacological intervention. Which therapeutic action will the PMHNP take to employ the strategy of holding and containing the patient?
|A.||Encouraging and nurturing the patient|
|B.||Asking the patient how the patient feels|
|C.||Discussing why the patient is not taking the medication as directed|
|D.||Teaching the patient about medication side effects|
1. A PMHNP is using motivational interviewing (MI) with a 50-year-old patient named Dave to commit to a healthy drug-free lifestyle. By using “change talk,” the PMHNP hopes to help the patient build self-esteem and hope. True or false: If Dave is resisting change, the PMHNP should challenge his resistance in order for MI to be successful.
1. The PMHNP is meeting with an older, female adult patient and her daughter. The patient has early onset dementia. The daughter expresses concern, saying, “I don’t want you to just stick my mother in a home and give her medicine. I’m worried that’s what people are going to want to do.” What is the best response by the PMHNP to the daughter?
|A.||“Most of the time, institutionalization cannot be prevented.”|
|B.||“The type of treatment depends on the stage of dementia and safety considerations.”|
|C.||“Don’t worry; I do not believe in hospitalizing my patients.”|
|D.||“The treatment decision will be up to your mother and what she wants.”|
1. Mia is a 75-year-old patient who has completed initial treatment for depression. What might a PMHNP ask Mia when using a solution-focused therapy approach?
|A.||“What specific improvements have you noticed in your mood since you made the call to see me?”|
|B.||“On a scale of 1–10 (with 1 being little to no improvement to 10 being a great deal of improvement) how much has your mood changed since we started working together?”|
|C.||“What needs to happen today in order for you to feel that is was a productive session?”|
|D.||All of the above.|
1. A PMHNP has been treating a 14-year-old patient using interpersonal psychotherapy. The patient has been depressed since the death of his grandmother. To help the patient recover, the PMHNP has told the parents:
|A.||“Keep your expectations high to show that you believe in his abilities.”|
|B.||“Modify your expectations at home and school until the depression lifts.”|
|C.||“Don’t put expectations on him while he is showing signs of depression.”|
|D.||“Allow him to be an active participant by setting his own expectations.”|
1. A 21-year-old patient is worried about starting a new job. She talks about her fears of failure and not making friends at the office. Using a person-centered approach, an appropriate response by the PMHNP is to ______________.
|A.||give the patient advice based on the therapist’s experiences|
|B.||persuade the patient to release her unfounded fears and worries|
|C.||ask the patient to reflect on and explore what she is experiencing|
|D.||all of the above|
1. A 21-year-old patient has been having trouble adjusting to college life. She tells the PMHNP that she had five alcoholic drinks at a party this past weekend. She also acknowledges that she drank the same amount of alcohol at a party the previous month. Based on this information, what would the PMHNP most likely recommend?
|D.||None of the above|