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Nursing 6640: Final Exam with Verified Answers, Exams of Nursing

A series of questions and answers related to the practice of psychiatric mental health nursing. The questions cover a range of topics, including patient assessment, treatment approaches, therapeutic communication, and termination of treatment. The answers provide insights into the best practices for addressing various mental health issues and working with patients of different ages and backgrounds. likely to be useful for nursing students and professionals who are preparing for exams or seeking to improve their knowledge and skills in the field of mental health nursing.

Typology: Exams

2021/2022

Available from 03/31/2022

jameswest001
jameswest001 🇺🇸

3.3

(23)

765 documents

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 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. Help the patient be aware of his anxiety and embrace it  When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment? Selected Answer: B. Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment  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.

 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: A. Makes a list of all the positive things the patient gained from treatment  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.”  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 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 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 mechanisms? Selected Answer: C. “It’s important to be mindful of how you feel and then to determine what causes those feelings.” Question 3 1 out of 1 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? Selected Answer:

A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?” Question 4 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: B. “The type of treatment depends on the stage of dementia and safety considerations.” Question 5 1 out of 1 points 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? Selected Answer: D. All of the above Question 6 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 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 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 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 10 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 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 11 1 out of 1 points 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?

Selected Answer: D. None of the above Question 12 0 out of 1 points 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: C. AB Clinician Depression Screen Question 13 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 Question 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?” 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.” Question 17 1 out of 1 points 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 Question 18 1 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: A. “Focus on your anger, take a deep 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 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: 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 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 23

1 out of 1 points 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?” Question 24 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 Question 25 1 out of 1 points 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: 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 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: 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 A 38-year-old patient has been having trouble communicating with his teenage daughter. Using a solution-focused therapy approach, the PMHNP responds by saying, “When was a time that a communication problem could have occurred, but did not?” In this case, what

type of question is the PMHNP asking? Selected Answer: C. Exception question Question 30 1 out of 1 points

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 Question 31 1 out of 1 points 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 Question 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? Selected Answer: D. All of the above Question 35 1 out of 1 points 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.” Question 36 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 37 0 out of 1 points The PMHNP is caring for a geriatric patient who expresses symptoms of gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling lonely, as more of his friends have been passing away over the recent months and years. The PMHNP focuses on which therapeutic approach for this patient? Selected Answer:

C. Cognitive behavioral therapy Question 38 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 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 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 you to seek treatment?” Question 42 1 out of 1 points A 12-year-old girl was referred for treatment after 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 Question 43 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 the PMHNP apply a mindfulness approach to this case? Selected Answer: A. Help Linda develop an awareness of triggers in order to have greater control over physical and emotional responses 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