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

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NURS6640 FINALQuestion 11 out of 1 pointsA PMHNP is using interpersonal psychotherapy with a 40-year-old patient havingrelationship problems with his extended family. The patient shares that he has been using thestrategies they identified to reduce his distress, but they have not been helping.He isfrustrated and is considering stopping treatment. What would be an appropriate step by thePMHNP?SelectedAnswer:A.Encourage the patient to continue treatment by using alternativestrategiesQuestion 20 out of 1 pointsThe PMHNP has been providing supportive psychodynamic psychotherapy to a patient andis nearing the termination stage. The PMHNP will use which criteria for determining that thepatient is ready for termination?Selected Answer:D.Self-analytic capacity has been developed.Question 31 out of 1 pointsA PMHNP is using Gestalt therapy to communicate with a 42-year-old patient who is upsetwith her mother. She says, “I want to tell her how hurt I feel when she doesn’t call me, but Idon’t want to upset her.” What technique can the PMHNP use to help Sasha express herself?Selected Answer:B.Empty-chair dialogueQuestion 4

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1 out of 1 pointsThe PMHNP is caring for an older patient with majordepressive disorder, seasonal pattern.The patient has been resolute about not taking medication to manage the depression broughton by his illness, stating that it is against his yogic lifestyle. In addition to psychotherapy,what can the PMHNP suggest to this patient?SelectedAnswer:A.“You may want to look into therapeutic oils and aromatherapy as analternative to medication.”Question 50 out of 1 pointsA PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and mildsubstance abuse issues. The most appropriate setting to treat Carlos would be a _________.Selected Answer:A.primary health care setting with some specialized careQuestion 61 out of 1 pointsThe PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamictherapy model, what is the best statement made by the PMHNP?SelectedAnswer:B.“Let’s not think too much about emotion right now. Let’s focus on whatgot you upset in the first place.”Question 71 out of 1 points

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The PMHNP is meeting with a patient who has been diagnosed with depression. The patientis having trouble adjusting to her new job and hasn’t made any new friends there. Whatwould an appropriate response be by the PMHNP using the interpersonal psychotherapyapproach?SelectedAnswer:C.“Tell me more about why you’re having trouble making new friends atwork.”Question 81 out of 1 pointsThe PMHNP is initiating a plan of care for a patient who requires comprehensivepsychotherapy 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 aboutpremature termination initiated by the patient. What strategy can the PMHNP employ toprevent or reduce premature termination?Selected Answer:D.All of the aboveQuestion 91 out of 1 pointsA PMHNP is assessing a 40-year-old patient named Sarah who has a severe cocaineaddiction and mild depression. Using the four-quadrant model, what would be the mostappropriate setting to help the patient?Selected Answer:C.Substance abuse treatment systemQuestion 100 out of 1 pointsA 25-year-old female states, “I really need to lose weight. I know I’m the cause ofourproblems,if I could just lose weight he might be more attracted to me. Then we could start a

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family and we would be happy. I’m sure of it, right, we would definitely be happy!” Whichstatement shows the PMHNP’s ability to apply “summarizing”?Selected Answer:A.“You believe that your weight is a cause of your marital problems.”Question 111 out of 1 pointsAn 8-year-old has been having trouble making friends at school. His parents initiatedtreatment when he also started acting out at home. Which is the most appropriate step thatthe PMHNP takes during the assessment process when using an integrated approach?Selected Answer:D.All of the aboveQuestion 121 out of 1pointsA 21-year-old patient is worried about starting a new job. She talks abouther fears of failureand not making friends at the office. Using a person-centered approach, an appropriateresponse by the PMHNP is to ______________.Selected Answer:C.ask the patient to reflect on and explore what she is experiencingQuestion 130 out of 1 pointsA PMHNP is using emotion-focused therapy to help a38-year-old patient who says, “I’vebeen 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.”

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Question 141 out of 1 pointsA PMHNP is using motivational interviewing (MI) with a 50-year-old patient named Dave tocommit to a healthy drug-free lifestyle. By using “change talk,” the PMHNP hopes to helpthe patient build self-esteem and hope.True or false: If Dave is resisting change, the PMHNP should challenge his resistance inorder for MI to be successful.Selected Answer:FalseQuestion 151 out of 1 pointsThe PMHNP is treating an older adult patient who reports experiencing nightmaresassociated with an automobile accident he was in 20 years ago. As the PMHNP formulatesthe case using the dynamic supportive therapy model, what questions will the PMHNP useduring the session?Selected Answer:C.“Let’s talk about what kinds of things are triggering you now.”Question 161 out of 1 pointsThe 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 aboveQuestion 170 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 sisterthinks I need to come here to talk about my feelings,” the patient reports. The PMHNP learnsthat the patient has three children from three different men, but is unable to collectappropriate child support payments from any of the biological fathers.Additionally, thewoman is barely able to afford her apartment or utilities payments. What is the appropriateresponse from the PMHNP when using the psychodynamic psychotherapy technique?SelectedAnswer:D.Asking the patient why she thinks it is so hard to get the money shedeservesQuestion 180 out of 1 pointsFollowing 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 individualand group therapy sessions and has refused medications twice in the past2 days. ThePMHNP demonstrates understanding in this phase by saying which of the followingstatements?Selected Answer:C.“Are you upset with someone here? Tell me more about this.”Question 191 out of 1 pointsWhen preparing to terminate a patient, what does the PMHNP do to organize thoughtsaboutthe patient’s progress made during treatment?SelectedAnswer:B.Reviews the patient’s file to identify issues and important themes that werehighlighted throughout treatmentQuestion 201 out of 1 points

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The PMHNP uses therapeutic communication skills while ensuring that the patientunderstands that he has choices. The PMHNP comprehends and practices motivationalinterviewing. This is best understood as which of the following?SelectedAnswer:B.A statement that both challenges the patient’s resistance and offers anopportunity to discuss the issues allows the patient to argue with him/herselfto help produce a desired change.Question 211 out of 1 pointsThe PMHNP is meeting with an older, female adult patient and her daughter. The patient hasearly onset dementia. The daughter expresses concern, saying, “I don’t want you to just stickmy mother in a home and give her medicine. I’m worried that’s what people are going towant to do.” What is the best response by the PMHNP to the daughter?SelectedAnswer:B.“The type of treatment depends on the stage of dementia and safetyconsiderations.”Question 220 out of 1 pointsThe PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT). Whichof the following statements made by the PMHNP approach the termination phase for thispatient?SelectedAnswer:B.“Now that you are feeling more stable, let’s talk about terminating thesesessions.”Question 231 out of 1 points

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