NURS 6640 Final Exam 3 (Questions and Answers) Question 1 1 out of 1 points A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship problems with his exte... nded 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 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: A. “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” Question 5 0 out of 1 points 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 Answer: B. “Let’s not think too much about emotion right now. Let’s focus on what got you upset in the first place.” Question 7 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 8 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? Selected Answer: D. All of the above Question 9 1 out of 1 points 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: C. Substance abuse treatment system Question 10 0 out of 1 points 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”? Selected Answer: A. “You believe that your weight is a cause of your marital problems.” Question 11 1 out of 1 points 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 Question 12 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 13 0 out of 1 points 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: Selected Answer: C. “Please tell me in detail about your anger and confusion.” ...............Continued [Show More]
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