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NURS 6640 Final Exam
Latest Multiple Versions
Verified Questions and Answers
Complete and Best Document for Exam Preparation
, NURS 6640 Final Exam
Review Test Submission: Week 11 Final Exam
Course NURS-6640 Psychotherapy Individ
Attempt Score 75 out of 75 points
Results Displayed Submitted Answers
o Question 1
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?
Answer: D.
All the above.
o Question 2
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 does the PMHNP
plan to do with Gerald over the course of the next several sessions?
Answer: C.
Develop cognitive skills to challenge Gerald’s negative thinking
o Question 3
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?
Answer: B.
Montgomery-Asberg Depression Rating Scale
o Question 4
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
______________.
, Answer: B.
integrate services that encompass mind, body, spirit, and community
o Question 5
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?
Answer: A.
He will have lapses in his memory of his childhood.
o Question 6
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?
Answer: D.
None of the above
o Question 7
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?
Answer: B.
“Have you thought of how you will continue your treatment plans?”
o Question 8
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?
Answer: D.
Encourage the patient to clarify by asking, “You constantly feel anxious?”
o Question 9
A patient’s depression is affecting her relationship with her spouse. What might the PMHNP
, ask during the initial sessions of interpersonal psychotherapy treatment?
Answer: D.
All of the above.
o Question 10
How does the PMHNP approach termination with the patient who has been receiving
intermittent therapy?
Answer: D.
A and C
o Question 11
The PMHNP who practices motivational interviewing understands its relationship to patient
behaviors and/or outcomes to mean which of the following?
D.
Answer: There is a lower incidence of inconsistent behaviors with motivational
interviewing. This is related to client engagement and better outcomes.
o Question 12
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?
C.
Answer: “It’s important to be mindful of how you feel and then to determine what causes
those feelings.”
o Question 13
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?
Answer: D.
“What might help you to live a more meaningful life?”
o Question 14
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
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