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 A.
Answer: “I noticed that your fingers were tapping. Can you give a voice
to your fingers?”
Question 2
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 C.
Answer: “You have identified your weight as a problem in your marriage
and but believe that losing weight will gain happiness.”
Question 3
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 approach with the patient. Which action
made by the student causes the PMHNP to intervene, after observing the student
interacting with the patient?
Selected Answer: A.
Focusing too heavily on defenses
Question 4
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 False
Answer:
Question 5
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: D.
All the above.
Question 6
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 B.
Answer: Empty-chair dialogue
Question 7
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 B.
Answer: “The type of treatment depends on the stage of dementia and
safety considerations.”
Question 8
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