PMHNP Final Exam Study Guide 2024, Exams of Nursing

Download PMHNP Final Exam Study Guide 2024 and more Exams Nursing in PDF only on Docsity! NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed. Question 1 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 2 0 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: D. Self-analytic capacity has been developed. Question 3 1 out of 1 points NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed A PMHNP is using Gestalt therapy to communicate with a 42-year-old patient who is upset with her mother. She says, “I want to tell her how hurt I feel when she doesn’t call me, but I don’t want to upset her.” What technique can the PMHNP use to help Sasha express herself? Selected Answer: B. Empty-chair dialogue Question 4 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 suggest to this patient? Selected Answer: Question 5 0 out of 1 points A. “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” 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: A. primary health care setting with some specialized care Question 6 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 B. Answer: NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed “Please tell me in detail about your anger and confusion.” Question 14 1 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: False Question 15 1 out of 1 points 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.” Question 16 1 out of 1 points 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 Question 17 0 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 NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed 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: D. Asking the patient why she thinks it is so hard to get the money she deserves Question 18 0 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: C. “Are you upset with someone here? Tell me more about this.” Question 19 1 out of 1 points When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment? Selected Answer: Question 20 1 out of 1 points B. Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment 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? NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed 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 21 1 out of 1 points 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? Selected Answer: Question 22 0 out of 1 points B. “The type of treatment depends on the stage of dementia and safety considerations.” 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: Question 23 1 out of 1 points B. “Now that you are feeling more stable, let’s talk about terminating these sessions.” 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 A. Answer: NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed Employ cognitive behavioral therapy Question 31 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 32 1 out of 1 points 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 Question 33 1 out of 1 points The PMHNP has been providing interpersonal 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? Selected Answer: C. Embed the termination into the work of the therapeutic phase Question 34 0 out of 1 points NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms. Thomas is currently discussing with the PMHNP the reasons why she feels guilty about her drinking. Ms. Thomas tearfully states, “I have driven my family and friends away with this terrible habit. I have no one left. I had more than enough chances and now my children won’t even talk to me.” Which of the following statements demonstrate a simple reflection? Selected Answer: C. “You feel that your use of alcohol is a terrible habit.” Question 35 1 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: D. “What might help you to live a more meaningful life?” Question 36 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 mechanisms? Selected Answer: Question 37 1 out of 1 points C. “It’s important to be mindful of how you feel and then to determine what causes those feelings.” 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 NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed 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: Question 38 1 out of 1 points C. “You’d like to keep your old friends but know being around them may lead you to abuse substances again.” 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: Selected Answer: Question 39 1 out of 1 points D. “I am wondering if your use of pain medication has ever prompted you to seek medical attention.” 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 40 1 out of 1 points 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 NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed Question 47 1 out of 1 points A PMHNP is treating a 12-year-old girl who witnessed the physical abuse of her sibling. She has been anxious and irritable since the experience. After speaking with the PMHNP, the patient says she keeps having anxiety-causing thoughts about the experience. Using the PRACTICE technique, which skill will best help the patient interrupt these negative thoughts? Selected Answer: B. Affect modulation Question 48 1 out of 1 points 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: B. Discusses all issues that have been addressed Question 49 0 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: B. the correct answer was d. A and c break the feeling/behavior connection Question 50 1 out of 1 points NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed 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 you to seek treatment?” Question 51 0 out of 1 points 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: False The correct answer was true Question 52 1 out of 1 points The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who reports having had a difficult time being separated from his parents during his childhood. He explains that going to school or visiting his relatives without his parents was troublesome. The PMHNP characterizes the patient as unresolved/disorganized, according to his outcomes on the AAI. What does the PMHNP anticipate from the patient? Selected Answer: A. He will have lapses in his memory of his childhood. Question 53 0 out of 1 points How does the PMHNP approach termination with the patient who has been receiving intermittent therapy? Selected Answer: A. NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed Uses the word “interrupt” instead of “terminate” with the patient Question 54 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 problem. Using the supportive psychotherapy approach, the PMHNP will do which of the following when assessing the patient’s ego strength? Selected Answer: A. Identify the primary defenses the patient uses to ward off anxiety Question 55 1 out of 1 points 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 56 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 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. NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed Selected Answer: D. A and C Question 64 1 out of 1 points 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 Question 65 1 out of 1 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answers: Yes Question 66 1 out of 1 points 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 Question 67 1 out of 1 points 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 NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed feeling “forgetful” and complains that he has a hard time remembering where he puts things. What is the primary action by the PMHNP? Selected Answer: C. Determining if the patient’s medications can be causing memory problems Question 68 1 out of 1 points A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask during the initial sessions of interpersonal psychotherapy treatment? Selected Answer: D. All of the above. Question 69 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 70 0 out of 1 points 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: C. “What needs to happen today in order for you to feel that is was a productive session?” NUR6640 FINAL EXAM STUDY GUIDE 2024 Best exam Study Guide 2024. Success Guaranteed Question 71 1 out of 1 points 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 72 1 out of 1 points The PMHNP continues to meet with Gerald, who is the patient with depression and mood disorder. The PMHNP uses the CBT approach. Gerald is now meeting with the PMHNP for 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 Question 73 1 out of 1 points 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? Selected Answer: C. Compliment the patient on his academic achievement Question 74 1 out of 1 points