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.
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?
Selected C.
Answer: 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?
Selected 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 ______________.
Selected B.
Answer: 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?
Selected 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?
Selected D.
Answer: 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?
Selected B.
Answer: “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?
Selected D.
Answer: 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?
Selected D.
Answer: All of the above.
o Question 10
How does the PMHNP approach termination with the patient who has been
receiving intermittent therapy?
Selected 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?
Selected D.
Answer: There is a lower incidence of inconsistent behaviors with
motivational interviewing. This is related to client engagement
and better outcomes.
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