NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RA, Exams of Nursing

Download NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RA and more Exams Nursing in PDF only on Docsity! DO NOT COPY DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+ 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? Selec ted Answ er: A. Help Linda develop an awareness of triggers in order to have greater control over physical and emotional responses 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 . NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 1 1 out of 1 points • Question 2 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Select ed Answ er: D. mental health system of care 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: Selec ted Answ er: B. The patient already has everything needed and the PMHNP would like to help him facilitate his own inner coping. NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 3 1 out of 1 points • Question 4 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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. Select ed Answ er: Tr u e 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: NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 8 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Select ed Answ er: A. “Focus on your anger, take a deep breath, and allow an image to emerge.” 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? Select ed Answ er: D. All the above. The PMHNP is caring for a geriatric patient who expresses NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 9 1 out of 1 points • Question 10 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Select ed Answe r: 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 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? NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 11 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. attention problems. What type of intervention will the PMHNP consider using a common elements approach? Select ed Answ er: D. All of the above 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? Select ed Answ er: B. Affect modulati on NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 16 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Select ed Answ er: B. Manage termination issues as part of the treatment 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? NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 17 1 out of 1 points • Question 18 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Select ed Answ er: D. All of the above. 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? Select ed Answ er: C. Exception question The PMHNP is treating an older adult patient who reports experiencing nightmares associated with an automobile accident he was in 20 NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 19 1 out of 1 points • Question 20 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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 NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 23 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. does the PMHNP plan to do with Gerald over the course of the next several sessions? Select ed Answ er: C. Develop cognitive skills to challenge Gerald’s negative thinking 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 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? Select ed Answ er: C. Emphasizes and validates the patient’s feelings of anger that may emerge NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 24 0 out of 0 points • Question 25 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Selec ted Answ er: B. “The type of treatment depends on the stage of dementia and safety considerations.” 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 work myself to death in order to prove that I am valuable to the organization,” the woman says. Using the supportive psychodynamic therapy NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 26 1 out of 1 points • Question 27 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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: Select ed Answ er: B. “Modify your expectations at home and school until the depression lifts.” 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 . Select ed Answer: NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 30 1 out of 1 points • Question 31 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. D. all of the above 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 A. NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 32 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Answer: Encourage the patient to continue treatment by using alternative strategies 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? Select ed Answ er: C. Substance abuse treatment system The PMHNP has been treating a patient who is now being transferred to another provider. What is the appropriate action made by the PMHNP? Select ed Answ er: D. A and C NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 34 1 out of 1 points • Question 33 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Select ed Answ er: D. “What might help you to live a more meaningful life?” 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. NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 38 1 out of 1 points • Question 39 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Select ed Answ er: Tr u e 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? Select ed Answ er: A. Immediately report the threat to the local police department 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 NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 40 1 out of 1 points • Question 41 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. approach with the patient. Which action made by the student causes the PMHNP to intervene, after observing the student interacting with the patient? Select ed Answ er: A. Focusing too heavily on defenses 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? Selec ted Answ er: B. “Let’s not think too much about emotion right now. Let’s focus on what NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 42 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Selec ted Answ er: D. “I am wondering if your use of pain medication has ever prompted you to seek medical attention.” 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? Select ed Answ er: B. Symptoms have improved. NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 47 1 out of 1 points • Question 48 DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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 . Select ed Answ er: C. ask the patient to reflect on and explore what she is experiencing 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? Select ed Answ er: D. Encourage the patient to clarify by asking, “You constantly feel anxious?” A 13-year-old patient and his parents are meeting with a NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 49 1 out of 1 points • Question 50 1 out of 1 points 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED 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? Select ed Answ er: C. Compliment the patient on his academic achievement 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 NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 51 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Selec ted Answ er: A. “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” 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? Select ed Answer: NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 55 1 out of 1 points • Question 56 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. B. M o ntgomery-Asberg Depression Rating Scale 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? Selec ted Answ er: 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. NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 57 1 out of 1 points • Question 58 DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Select ed Answ er: D. Combination of CBT and medication The PMHNP is treating an older adult patient who reports symptoms of late-life anxiety. What type of treatment(s) will the PMHNP consider? Select ed Answ er: A. Employ cognitive behavioral therapy NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 59 1 out of 1 points • Question 60 1 out of 1 points 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. The PMHNP is caring for an older adult patient who is in the acute phase of NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 63 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. schizophrenia. Which therapeutic model will the PMHNP employ with this patient? Select ed Answe r: D. None of the above 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? Select ed Answe r: A. Build a therapeutic alliance A PMHNP has been treating a 9-year-old patient who was referred by her school. Students NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 64 1 out of 1 points • Question 65 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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 . Select ed Answe r: B. self- regulat6on 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 NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 16 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. Select ed Answe r: B. Empty-chair dialogue 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? Select ed Answe r: B. Discusses all issues that have been addressed 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 NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 69 1 out of 1 points • Question 70 1 out of 1 points DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. reports feeling “forgetful” and complains that he has a hard time remembering where he puts things. What is the primary action by the PMHNP? Select ed Answe r: C. Determining if the patient’s medications can be causing memory problems NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ DO NO T COP Y NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2023/2024 RATED A+. 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? Selec ted Answ er: C. “It’s important to be mindful of how you feel and then to determine what causes those feelings.” A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask during the initial sessions of interpersonal psychotherapy treatment? NRNP 6640 final exam Q & AS ALL ANSWERS 100% CORRECTLY VERIFIED LATEST UPDATE 2022/2023 RATED A+ • Question 71 1 out of 1 points • Question 72 1 out of 1 points