PMHNP Patient Assessment and Treatment: Identifying Key Themes and Approaches, Exams of Nursing

Download PMHNP Patient Assessment and Treatment: Identifying Key Themes and Approaches and more Exams Nursing in PDF only on Docsity! [Document title] [DATE] 2024 NURS-6640 Psychotherapy Questions with Correct Answers Latest Update Attempt Score 74 out of 75 points 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? Sele cted Ans wer: A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?” A 25-year-old female states, “I really need to lose weight. I know I’m the cause of our problems, if I • Question 1 1 out of 1 points • Question 2 1 out of 1 points [Document title] [DATE] could just lose weight he might be more attracted to me. Then we could start a family and we would be happy. I’m sure of it, right, we would definitely be happy!” Which statement shows the PMHNP’s ability to apply “summarizing”? Sele cted Ans wer: C. “You have identified your weight as a problem in your marriage and but believe that losing weight will gain happiness.” As part of the PMHNP’s role in the clinic, the PMHNP oversees students that gain clinical experience at the agency. The student is instructed to use the supportive psychodynamic therapy approach with the patient. Which action made by the student causes the PMHNP to intervene, after observing the student interacting with the patient? Selected Answer: A. Focusing too heavily on defenses • Question 3 1 out of 1 points Question 4 1 out of 1 points [Document title] [DATE] breaking point” with work. The PMHNP learns that the woman works 12-hour days, including one day on the weekend, because she is nervous about company layoffs. “I feel like I need to work myself to death in order to prove that I am valuable to the organization,” the woman says. Using the supportive psychodynamic therapy approach, how does the PMHNP respond? Sele cted Ans wer: D. “That must be a very tiring work schedule. How do you feel about working so much?” [Document title] [DATE] When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment? Sele cted Ans wer: B. Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction and anxiety problems. She is motivated to continue her treatment gains and have a healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case? Sele cted Ans wer: A. Help Linda develop an awareness of triggers in order to have greater control over physical and emotional responses • Question 9 1 out of 1 points • Question 10 1 out of 1 points • Question 11 1 out of 1 points [Document title] [DATE] 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? Selected Answer: B. Asking the patient how the patient feels The PMHNP is caring for an adult male patient whose wife left him several months ago. He recently learned that his ex-wife is dating someone much younger. The man feels belittled, sad, and lonely. He talks about trying to meet other women, but says, “I can’t compete with the younger guys these days, with the cool clothes and the vegan diets. I’m bald and overweight, and what woman is going to want to be with me?” How does the PMHNP help raise the man’s self-esteem? Selected Answer: D. All of the above A 43-year-old single mother is seeing the PMHNP at the request of her sister. “My sister thinks I • Question 12 1 out of 1 points • Question 13 1 out of 1 points [Document title] [DATE] 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: Selected Answer: B. “Modify your expectations at home and school until the depression lifts.” In the planning phase of change, a 42-year-old male client who struggles with gambling discusses how he plans to abstain from gambling. He tells the PMHNP, “I am no longer going to carry cash to the casino because you can’t spend what you don’t have.” The PMHNP uses an affirming communication skill when she states: Sele cted Ans wer: A. “Not gambling is a tough habit to break; not carrying cash is a big step in the right direction.” The PMHNP is assessing a patient who has been receiving months of outpatient psychotherapy. According to the PMHNP’s assessment, the patient • Question 17 1 out of 1 points • Question 16 1 out of 1 points [Document title] [DATE] 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? Selected Answer: B. Manage termination issues as part of the treatment • Question 18 1 out of 1 points [Document title] [DATE] The PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamic therapy model, what is the best statement made by the PMHNP? Sele cted Ans wer: B. “Let’s not think too much about emotion right now. Let’s focus on what got you upset in the first place.” 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 . Selected Answer: B. integrate services that encompass mind, body, spirit, and community A PMHNP is assessing a 40-year-old patient named Sarah who has a severe cocaine addiction and mild depression. Using the four-quadrant model, what would be the most appropriate setting to help the patient? Selected Answer: B. • Question 19 1 out of 1 points • Question 20 0 out of 1 points [Document title] [DATE] He will have lapses in his memory of his childhood. The PMHNP is interviewing a patient who is in the process of successfully completing a substance abuse program. During the interview, the patient states, “I wish I was strong enough to keep the same friends I had before I came here for treatment. I’m really afraid of being discharged because I’ll probably run into my old friends again.” The PMHNP offers a complex reflection when she states the following: Sele cted Ans wer: C. “You’d like to keep your old friends but know being around them may lead you to abuse substances again.” A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship problems with his extended family. The patient shares that he has been using the strategies they identified to reduce his distress, but they have not been helping. He is frustrated and is considering stopping treatment. What would be an appropriate • Question 25 1 out of 1 points • Question 24 1 out of 1 points [Document title] [DATE] step by the PMHNP? Selected Answer: A. Encourage the patient to continue treatment by using alternative strategies An 8-year-old has been having trouble making friends at school. His parents initiated treatment when he also started acting out at home. Which is the most appropriate step that the PMHNP takes during the assessment process when using an integrated approach? Selected Answer: D. All of the above The PMHNP is treating an older adult patient who reports symptoms of late-life anxiety. What type of treatment(s) will the PMHNP consider? Selected Answer: A. Employ cognitive behavioral therapy The PMHNP is assessing a patient who requires • Question 26 1 out of 1 points • Question 27 1 out of 1 points • Question 28 1 out of 1 points [Document title] [DATE] cognitive behavioral therapy (CBT). Which of the following statements made by the PMHNP approach the termination phase for this patient? Sele cted Ans wer: A. “Although it’s your first session, we will discuss how termination of your [Document title] [DATE] strength? Selected Answer: A. Identify the primary defenses the patient uses to ward off anxiety • Question 34 [Document title] [DATE] The PMHNP uses therapeutic communication skills while ensuring that the patient understands that he has choices. The PMHNP comprehends and practices motivational interviewing. This is best understood as which of the following? Sele cted Ans wer: B. A statement that both challenges the patient’s resistance and offers an opportunity to discuss the issues allows the patient to argue with him/herself to help produce a desired change. While assessing a patient using a humanistic- existential approach, a patient tells the PMHNP, “For the past few weeks, I’ve felt anxious almost every single day.” What would be an appropriate next step by the PMHNP? Selected Answer: D. Encourage the patient to clarify by asking, “You constantly feel anxious?” 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 • Question 35 1 out of 1 points • Question 36 1 out of 1 points 1 out of 1 points [Document title] [DATE] made any new friends there. What would an appropriate response be by the PMHNP using the interpersonal psychotherapy approach? Sele cted Ans wer: C. “Tell me more about why you’re having trouble making new friends at work.” A 38-year-old patient tells the PMHNP that her father went to jail for selling drugs when she was a child. The patient is visibly upset when discussing what happened. Using a humanistic- existential approach to psychotherapy, which of the following is the most appropriate response by the PMHNP? Selected Answer: B. “What are you experiencing now as you share this story?” 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 • Question 37 1 out of 1 points • Question 38 1 out of 1 points [Document title] [DATE] witnessing the physical abuse of her sibling by their mother. The patient has been anxious and irritable since the experience. What evidence- based treatment would be most appropriate for the PMHNP to use? Selected Answer: A. Trauma-focused CBT The PMHNP uses the cognitive behavioral therapy model with Gerald, an older adult patient who is being treated for depression and mood disorder. What will the PMHNP do with the patient during the first three sessions? Selected Answer: A. Build a therapeutic alliance 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 • Question 42 1 out of 1 points • Question 43 1 out of 1 points [Document title] [DATE] premature termination? Selected Answer: D. All of the above How does the PMHNP approach termination with the patient who has been receiving • Question 44 1 out of 1 points [Document title] [DATE] intermittent therapy? Selected Answer: D. A and C A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise to excess. When asked to describe why she does so much exercise, she says, “I like the compliments I receive from others on my new level of fitness, and the excitement of getting more attention.” The PMHNP can use feeling-state therapy to help Monique . Selected Answer: D. all of the above A 19-year-old female patient named Anna, who was the victim of child abuse and neglect, is also in treatment for substance abuse. At her most recent appointment, Anna confesses to the PMHNP that she is having romantic fantasies about him, and explains the he is one of the few • Question 45 1 out of 1 points • Question 46 1 out of 1 points [Document title] [DATE] 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? Selected Answer: D. Combination of CBT and medication Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric facility. After 4 weeks in treatment, he is preparing for discharge. He is beginning to miss individual and group therapy sessions and has refused medications twice in the past 2 days. The PMHNP demonstrates understanding in this phase by saying which of the following statements? Selected Answer: B. “Have you thought of how you will continue your treatment plans?” The PMHNP assesses a 27-year-old patient named • Question 50 1 out of 1 points • Question 51 1 out of 1 points 1 out of 1 points [Document title] [DATE] Jeff, who was a victim of child abuse and neglect. Jeff says that he remembers a traumatic situation that he wants to share, but is having trouble talking about it. Which statement made by the PMHNP demonstrates the use of emotion-focused therapy? Sele cted Ans wer: A. “Let’s see if we can come up with some ideas for you to feel safe telling your story.” 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? Selected Answer: B. Symptoms have improved. The PMHNP has been treating a patient who is now being transferred to another provider. What is the appropriate action made by the PMHNP? Selected Answer: D. • Question 52 1 out of 1 points • Question 53 1 out of 1 points [Document title] [DATE] A and C A PMHNP has been treating a 9-year-old patient who was referred by her school. Students are asked to raise their hands before speaking during group discussion, but the patient seems to • Question 54 1 out of 1 points [Document title] [DATE] 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? Selected A. [Document title] [DATE] Answer: “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” 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? Selected Answer: D. None of the above A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and mild substance abuse issues. The most appropriate setting to treat Carlos would be a . Selected Answer: D. mental health system of care The PMHNP is terminating treatment for a patient who has been receiving eye movement desensitization and reprocessing (EMDR) therapy. • Question 60 1 out of 1 points • Question 61 1 out of 1 points • Question 62 1 out of 1 points [Document title] [DATE] What action does the PMHNP take at the final session to terminate treatment? Selected Answer: B. Discusses all issues that have been addressed The PMHNP is treating an older adult patient who reports experiencing nightmares associated with an automobile accident he was in 20 years ago. As the PMHNP formulates the case using the dynamic supportive therapy model, what questions will the PMHNP use during the session? Selected Answer: C. “Let’s talk about what kinds of things are triggering you now.” The PMHNP is assessing a new geriatric patient who reports symptoms of depression. The PMHNP wants to identify the patient’s symptom severity over time. Which assessment tool will the PMHNP use to collect this data on the patient? Selected Answer: B. • Question 63 1 out of 1 points • Question 64 1 out of 1 points [Document title] [DATE] D. “ I am wondering if your use of pain medication has ever prompted you to seek medical attention.” 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? Selected Answer: C. Emphasizes and validates the patient’s feelings of anger that may emerge The PMHNP is assessing a 30-year-old client who reports feeling stressed out due to his current employment situation. When asked about how he manages this work-related stress, the patient says that exercise helps him feel less anxious, so he often spends 2 or more hours at the gym each night. After completing the patient assessment, the PMHNP has determined that an existential psychotherapy approach may best benefit this client. What is the PMHNP’s goal in employing this treatment approach? Selected Answer: B. • Question 68 1 out of 1 points • Question 69 1 out of 1 points [Document title] [DATE] Help the patient be aware of his anxiety and embrace it The PMHNP is interviewing a patient with a history of substance abuse. He has attempted to stop abusing drugs three times before. He states to the PMHNP, “I just cannot change. How can you help me?!” As it applies to change, the PMHNP understands the principle of evocation to mean: • Question 70 1 out of 1 points [Document title] [DATE] Sele cted Ans wer: B. The patient already has everything needed and the PMHNP would like to help him facilitate his own inner coping. 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. Selected Answer: True The PMHNP is caring for a patient who experiences depression caused by the traumatic experience of her dog passing away. She reports not being able to eat or sleep, and sometimes doesn’t want to leave the house at all. Which statement is most appropriate for the PMHNP to • Question 71 1 out of 1 points • Question 72 1 out of 1 points [Document title] [DATE] his fifth session and feels comfortable with how the therapy works. What does the PMHNP plan to do with Gerald over the course of the next several sessions? Selected Answer: C. Develop cognitive skills to challenge Gerald’s negative thinking 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? Selected Answer: D. All of the above. Question 1 1 out of 1 points A PMHNP has been treating a 9-year-old patient who was referred by her school. Students are asked to raise their hands before speaking during group discussion, but the patient seems to blurt out what • Question 76 1 out of 1 points [Document title] [DATE] she wants to say without being called on. She also interrupts other children while they are talking instead of waiting her turn. When the patient gets frustrated, she has trouble controlling her emotions and cries often. Based on the initial information provided, the first focus by PMHNP is the child’s . Selected Answer: B. self-regulation Question 2 1 out of 1 points The PMHNP is caring for a patient who experiences depression caused by the traumatic experience of her dog passing away. She reports not being able to eat or sleep, and sometimes doesn’t want to leave the house at all. Which statement is most appropriate for the PMHNP to maximize the patient’s adaptive coping [Document title] [DATE] mechanisms? Selected Answer: [Document title] [DATE] A 35-year-old male patient is being treated for alcohol addiction. He asks for the PMHNP’s cell phone number to use in case of an emergency. When the PMHNP responds that giving her number would be against therapeutic rules, the patient threatens an act of violence to the therapist. What would be the most appropriate response by the PMHNP? Selected Answer: A. Immediately report the threat to the local police department Question 7 0 out of 1 points The PMHNP is caring for an adult male patient whose wife left him several months ago. He recently learned that his ex-wife is dating someone much younger. The man feels belittled, sad, and lonely. He talks about trying to meet other women, but says, “I can’t compete with the younger guys these days, with the cool clothes and the vegan diets. I’m bald and overweight, and what woman is going to want to [Document title] [DATE] be with me?” How does the PMHNP help raise the man’s self- esteem? Selected Answer: A. Correcting cognitive distortions Question 8 1 out of 1 points The PMHNP uses therapeutic communication skills while ensuring that the patient understands that he has choices. The PMHNP comprehends and practices motivational interviewing. This is best understood as which of the following? Selected Answer: B. A statement that both challenges the patient’s resistance and offers an opportunity to discuss the issues allows the patient to argue with him/herself to help produce a desired change. Question 9 1 out of 1 points [Document title] [DATE] The PMHNP is terminating treatment for a patient who has been receiving eye movement desensitization and reprocessing (EMDR) therapy. What action does the PMHNP take at the final session to terminate treatment? Selected Answer: [Document title] [DATE] Question 13 [Document title] [DATE] 1 out of 1 points How does the PMHNP approach termination with the patient who has been receiving intermittent therapy? Selected Answer: D. A and C Questi on 14 0 out of 1 points A 55-year-old patient recovering from substance abuse tells the PMHNP, “It’s impossible to meet new people. I really hate being single.” Using existential psychotherapy, what might the PMHNP say next? Selected Answer: B. “So you feel frustrated and unhappy being single. Is that right?” [Document title] [DATE] Question 15 1 out of 1 points The PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT). Which of the following statements made by the PMHNP approach the termination phase for this patient? Selected Answer: A. “Although it’s your first session, we will discuss how termination of your treatment will go.” Question 16 1 out of 1 points The PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamic therapy model, what is the best statement made by the PMHNP? Selected Answer: B. “Let’s not think too much about emotion right now. Let’s focus on what got you upset in the first place.” [Document title] [DATE] breath, and allow an image to emerge.” Question 19 1 out of 1 points Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric facility. After 4 weeks in treatment, he is preparing for discharge. He is beginning to miss individual and group therapy sessions and has refused medications twice in the past 2 days. The PMHNP demonstrates understanding in this phase by saying which of the following statements? Selected Answer: B. “Have you thought of how you will continue your treatment plans?” Question 20 1 out of 1 points The PMHNP is communicating with a middle-aged male patient who has a history of addiction to Percocet (acetaminophen/oxycodone). The patient [Document title] [DATE] 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: Selected Answer: [Document title] [DATE] D. “I am wondering if your use of pain medication has ever prompted you to seek medical attention.” Question 21 1 out of 1 points While assessing a patient using a humanistic- existential approach, a patient tells the PMHNP, “For the past few weeks, I’ve felt anxious almost every single day.” What would be an appropriate next step by the PMHNP? Selected Answer: D. Encourage the patient to clarify by asking, “You constantly feel anxious?” Question 22 1 out of 1 points The PMHNP is working with a patient who describes having a painful and traumatic childhood experience, which causes her to have anxiety as an adult. When asked how she manages her anxiety, the patient dismisses it and denies that it is a [Document title] [DATE] applies to change, the PMHNP understands the principle of evocation to mean: Selected Answer: B. The patient already has everything needed and the PMHNP would like to help him facilitate his own inner coping. Question 26 0 out of 1 points The PMHNP is in the process of terminating treatment with a patient who witnessed the death of her parent who used to sexually abuse her. What does the PMHNP understand about terminating this patient? Selected Answer: C. The patient can be weaned off from therapy, but cannot receive treatment indefinitely. Question 27 0 out of 1 points The PMHNP has been providing interpersonal [Document title] [DATE] psychotherapy (IPT) for a patient who the PMHNP observes implementing new ways of being, such as interacting more with peers and being less isolated in social scenarios. The PMHNP understands that the patient is approaching termination. How does the PMHNP address termination with this patient? [Document title] [DATE] Selected Answer: A. Give the patient an option about terminating the therapy Question 28 1 out of 1 points A 19-year-old female patient named Anna, who was the victim of child abuse and neglect, is also in treatment for substance abuse. At her most recent appointment, Anna confesses to the PMHNP that she is having romantic fantasies about him, and explains the he is one of the few people she trusts. She believes that he is interested in her as well. What is the most appropriate response by the PMHNP in this situation? Selected Answer: C. Guide the patient to examine her feelings and explore the underlying meaning Question 29 1 out of 1 points [Document title] [DATE] 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 . Selected Answer: B. integrate services that encompass mind, body, spirit, and community Question 32 0 out of 1 points 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. Selected Answer: True Questi [Document title] [DATE] on 33 1 out of 1 points 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 . Selected Answer: C. ask the patient to reflect on and explore what she is experiencing Question 34 1 out of 1 points 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? [Document title] [DATE] Selected Answer: D. All of the above [Document title] [DATE] An 8-year-old has been having trouble making friends at school. His parents initiated treatment when he also started acting out at home. Which is the most appropriate step that the PMHNP takes during the assessment process when using an integrated approach? [Document title] [DATE] Selected Answer: D. All of the above Question 39 1 out of 1 points A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship problems with his extended family. The patient shares that he has been using the strategies they identified to reduce his distress, but they have not been helping. He is frustrated and is considering stopping treatment. What would be an appropriate step by the PMHNP? Selected Answer: A. Encourage the patient to continue treatment by using alternative strategies Question 40 1 out of 1 points [Document title] [DATE] 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? Selected Answer: B. Manage termination issues as part of the treatment Question 41 1 out of 1 points When recalling the phases of change, the PMHNP demonstrates “open questioning” in the “engagement” phase by making which statement? Selected Answer: B. “What occurred to cause [Document title] [DATE] Question 44 1 out of 1 points The PMHNP assesses a 27-year-old patient named Jeff, who was a victim of child abuse and neglect. Jeff says that he remembers a traumatic situation that he wants to share, but is having trouble talking about it. Which statement made by the PMHNP demonstrates the use of emotion- focused therapy? Selected Answer: A. “Let’s see if we can come up with some ideas for you to feel safe telling your story.” Question 45 1 out of 1 points 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 [Document title] [DATE] suggest to this patient? Selected Answer: [Document title] [DATE] A. “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” Question 46 1 out of 1 points 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? Selected Answer: C. Locate and identify any physical sensations created by the positive feelings Question 47 1 out of 1 points A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask [Document title] [DATE] fifth session and feels comfortable with how the therapy works. What does the PMHNP plan to do with Gerald over the course of the next several sessions? Selected Answer: C. Develop cognitive skills to challenge Gerald’s negative thinking Question 50 1 out of 1 points A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise to excess. When asked to describe why she does so much exercise, she says, “I like the compliments I receive from others on my new level of fitness, and the excitement of getting more attention.” The PMHNP can use feeling-state therapy to help Monique . Selected Answer: D. all of the above [Document title] [DATE] Question 51 1 out of 1 points A 43-year-old single mother is seeing the PMHNP at the request of her sister. “My sister thinks I need to come here to talk about my feelings,” the patient reports. The PMHNP learns that the patient has three children from three different men, but is unable to collect appropriate child support payments from any of the biological fathers. Additionally, the woman is barely able to afford her apartment or utilities payments. What is the appropriate response from the PMHNP when using the psychodynamic psychotherapy technique? Selected Answer: C. Suggesting that the patient seek professional legal help Question 52 1 out of 1 points [Document title] [DATE] The PMHNP meets with a 31-year-old woman who reports feeling as though she is “at her breaking point” with work. The PMHNP learns that the woman works 12-hour days, including one day on the weekend, because she is nervous about company layoffs. “I feel like I need to [Document title] [DATE] therapeutic model will the PMHNP employ with this patient? Selected Answer: [Document title] [DATE] D. None of the above Question 56 1 out of 1 points 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? Selected Answer: B. Symptoms have improved. Question 57 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? [Document title] [DATE] Selected Answers: Yes Question 58 1 out of 1 points A patient is finishing the active treatment phase of interpersonal psychotherapy (IPT). After the PMHNP reminds the patient that she has three sessions left, the patient says nothing, but looks distressed. What would be the best reply by the PMHNP following IPT protocol? Selected Answer: D. “You seem upset. Tell me what seems to be bothering you.” Question 59 0 out of 1 points [Document title] [DATE] Selected Answer: A. Encouraging and nurturing the patient Question 63 1 out of 1 points 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? Selected Answer: C. “Tell me more about why you’re having trouble making new friends at work.” Question 64 1 out of 1 points The PMHNP is initiating a plan of care for Holly, a 73-year-old female patient who has late-life bipolar [Document title] [DATE] disorder and reports consuming alcoholic beverages four times per week. What is the focus of Holly’s therapy going to be? Selected Answer: D. All of the above Question 65 1 out of 1 points The PMHNP is interviewing a patient who is in the process of successfully completing a substance abuse program. During the interview, the patient states, “I wish I was strong enough to keep the same friends I had before I came here for treatment. I’m really afraid of being discharged because I’ll probably run into my old friends again.” The PMHNP offers a complex reflection when she states the following: Selected Answer: C. “You’d like to keep your old friends but know [Document title] [DATE] being around them may lead you to abuse substances again.” Question 66 0 out of 1 points