NURS6640 Mental Health Final Exam With Answers (75 Solved Questions)

Name: NURS6640 Mental Health Final Exam With Answers (75 Solved Questions)
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Improve your confidence with NURS6640 Mental Health Final Exam With Answers, containing real-world past exams and expert-verified answers.

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NURS 6640 FINAL
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
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.”

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

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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 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:
B.
Reviews the patient’s file to identify issues and important themes that were
highlighted throughout treatment
Question 20
1 out of 1 points

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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 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:
B.
“The type of treatment depends on the stage of dementia and safety
considerations.”
Question 22
0 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:
B.
“Now that you are feeling more stable, let’s talk about terminating these
sessions.”
Question 23
1 out of 1 points

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NURS6640 Mental Health Final Exam With Answers (75 Solved Questions)

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