Review Test Submission Week 11 Final Exam Attempt Score 70 out of 75 points, Exams of Nursing

Download Review Test Submission Week 11 Final Exam Attempt Score 70 out of 75 points and more Exams Nursing in PDF only on Docsity! NURS 6640 Walden University. Review Test Submission Week 11 Final Exam Attempt Score 70 out of 75 points Time Elapsed 1 hour, 59 minutes out of 2 hours Results Displaye d Submitted Answers 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? Selecte d Answer: D. All the above. 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? Selecte d Answer: C. Develop cognitive skills to challenge Gerald’s negative thinking 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? Selecte d Answer: B. Montgomery-Asberg Depression Rating Scale o Question 1 1 out of 1 points o Question 2 1 out of 1 points o Question 3 1 out of 1 points o Question 4 1 out of 1 points Selecte d Answer: D. Encourage the patient to clarify by asking, “You constantly feel anxious?” A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask during the initial sessions of interpersonal psychotherapy treatment? Selecte d Answer: D. All of the above. How does the PMHNP approach termination with the patient who has been receiving intermittent therapy? Selecte d Answer: D. A and C The PMHNP who practices motivational interviewing understands its relationship to patient behaviors and/or outcomes to mean which of the following? Selecte d Answer: D. There is a lower incidence of inconsistent behaviors with motivational interviewing. This is related to client engagement and better outcomes. 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? Selecte d Answer: C. “It’s important to be mindful of how you feel and then to determine what causes those feelings.” 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 o Question 9 1 out of 1 points o Question 10 1 out of 1 points o Question 11 1 out of 1 points o Question 12 1 out of 1 points o Question 13 1 out of 1 points existential psychotherapy, what might the PMHNP say next? Selecte d Answer: D. “What might help you to live a more meaningful life?” 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. Selecte d Answer: Tr u e 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: Selecte d Answer: C. “You’d like to keep your old friends but know being around them may lead you to abuse substances again.” 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? Selecte d Answer: D. The patient may need to have follow-up sessions every few months. 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 C. o Question 14 0 out of 1 points o Question 15 1 out of 1 points o Question 16 1 out of 1 points o Question 17 1 out of 1 points 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? Selecte d Answer: D. All of the above 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? Selecte d Answer: A. Identify the primary defenses the patient uses to ward off anxiety 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? Selecte d Answer: B. Help the patient be aware of his anxiety and embrace it 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? Selecte d Answer: B. Asking the patient how the patient feels o Question 23 1 out of 1 points o Question 24 1 out of 1 points o Question 25 1 out of 1 points A PMHNP has been treating a 9-year-old patient who was referred by her school. o Question 26 1 out of 1 points 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 . Selecte d Answer: B. self- regulatio n 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? Selecte d Answer: A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?” 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? Selecte d Answer: C. Determining if the patient’s medications can be causing memory problems 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: Selecte d Answer: A. “Not gambling is a tough habit to break; not carrying cash is a big step in the right direction.” o Question 27 1 out of 1 points o Question 28 1 out of 1 points o Question 29 1 out of 1 points o Question 30 0 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? Selecte d Answer: A. Individual CBT When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answers: s 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? Selecte d Answer: C. Embed the termination into the work of the therapeutic phase 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? Selecte d Answer: A. “Let’s see if we can come up with some ideas for you to feel safe telling your story.” 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? Selecte d Answer: B. Affect modulation o Question 37 1 out of 1 points o Question 36 0 out of 0 points o Question 38 1 out of 1 points o Question 39 1 out of 1 points o Question 40 1 out of 1 points A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having 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? Selecte d Answer: A. Trauma-focused CBT 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? Selecte d Answer: D. Combination of CBT and medication 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? Selecte d Answer: C. Guide the patient to examine her feelings and explore the underlying meaning 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? Selecte d Answer: C. “Let’s talk about what kinds of things are triggering you now.” 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? o Question 45 1 out of 1 points o Question 46 1 out of 1 points o Question 47 1 out of 1 points o Question 48 1 out of 1 points Selected A. Answer: “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” 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? Selecte d Answer: D. All of the above A 25-year-old female states, “I really need to lose weight. I know I’m the cause of our problems, if I 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”? Selecte d Answer: C. “You have identified your weight as a problem in your marriage and but believe that losing weight will gain happiness.” 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? Selecte d Answer: B. Empty-chair dialogue 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? Selecte d Answer: D. All of the above o Question 49 1 out of 1 points o Question 50 1 out of 1 points o Question 51 1 out of 1 points o Question 52 1 out of 1 points T r u e The PMHNP is initiating a plan of care for Holly, a 73-year-old female patient who has late-life bipolar disorder and reports consuming alcoholic beverages four times per week. What is the focus of Holly’s therapy going to be? Selecte d Answer: D. All of the above 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? Selecte d Answer: D. “You seem upset. Tell me what seems to be bothering you.” 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? Selecte d 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. 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? Selecte d Answer: A. Build a therapeutic alliance 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 o Question 58 1 out of 1 points o Question 59 1 out of 1 points o Question 60 1 out of 1 points o Question 61 1 out of 1 points o Question 62 1 out of 1 points to change, the PMHNP understands the principle of evocation to mean: Selected B. 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? Selecte d Answer: C. Locate and identify any physical sensations created by the positive feelings 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? Selecte d Answer: D. All of the above 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? Selecte d Answer: A. Immediately report the threat to the local police department 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 . Selecte d Answer: D. all of the above o Question 71 o Question 67 1 out of 1 points o Question 68 1 out of 1 points o Question 69 1 out of 1 points o Question 70 1 out of 1 points 0 out of 1 points The PMHNP has been treating a patient who is now being transferred to another provider. What is the appropriate action made by the PMHNP? Selecte d Answer: B. Leaving the door open for the patient to return at any time 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? Selecte d Answer: A. “What specific improvements have you noticed in your mood since you made the call to see me?” 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: Selecte d Answer: B. “Modify your expectations at home and school until the depression lifts.” 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? Selecte d Answer: C. “Tell me more about why you’re having trouble making new friends at work.” 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? Selecte d Answer: o Question 72 0 out of 1 points o Question 73 1 out of 1 points o Question 74 1 out of 1 points o Question 75 1 out of 1 points A. Focusing too heavily on defense s