NURS 6640 FINAL EXAM 4 – PSYCHOTHERAPY WITH ANSWERS
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NURS 6640 / NURS6640
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Walden University
NURS 6640 FINAL EXAM 4 – PSYCHOTHERAPY WITH ANSWERS 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...
nurs 6640 final exam 4 – psychotherapy with answers • question 1 1 out of 1 points a pmhnp is using gestalt therapy to communicate with a 50 year old patient who is going through a divorce as
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NURS 6640 FINAL EXAM 4 – PSYCHOTHERAPY
WITH ANSWERS
Question 1
1 out of 1 points
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
1 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 C.
Answer: “You have identified your weight as a problem in your marriage and
but believe that losing weight will gain happiness.”
Question 3
1 out of 1 points
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 A.
Answer: Focusing too heavily on defenses
Question 4
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 Fals
Answer: e
Question 5
, 1 out of 1 points
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 D.
Answer: All the above.
Question 6
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 B.
Answer: Empty-chair dialogue
Question 7
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 B.
Answer: “The type of treatment depends on the stage of dementia and safety
considerations.”
Question 8
1 out of 1 points
The PMHNP meets with a 31-year-old woman who reports feeling as though she is
“at her breaking point” with work. The PMHNP learns that the woman works 12-hour
days, including one day on the weekend, because she is nervous about company
layoffs. “I feel like I need to work myself to death in order to prove that I am valuable
to the organization,” the woman says. Using the supportive psychodynamic therapy
approach, how does the PMHNP respond?
Selected D.
Answer: “That must be a very tiring work schedule. How do you feel about
working so much?”
, Question 9
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 B.
Answer: Reviews the patient’s file to identify issues and important themes that
were highlighted throughout treatment
Question 10
1 out of 1 points
Linda is a 65-year-old patient who has completed initial treatment for alcohol
addiction and anxiety problems. She is motivated to continue her treatment gains
and have a healthy lifestyle. How would the PMHNP apply a mindfulness approach
to this case?
Selected A.
Answer: Help Linda develop an awareness of triggers in order to have greater
control over physical and emotional responses
Question 11
1 out of 1 points
The PMHNP is caring for a young adult patient with whom the PMHNP decides to
use a dynamic supportive therapy approach in addition to pharmacological
intervention. Which therapeutic action will the PMHNP take to employ the strategy of
holding and containing the patient?
Selected B.
Answer: Asking the patient how the patient feels
Question 12
1 out of 1 points
The PMHNP is caring for an adult male patient whose wife left him several months
ago. He recently learned that his ex-wife is dating someone much younger. The man
feels belittled, sad, and lonely. He talks about trying to meet other women, but says,
“I can’t compete with the younger guys these days, with the cool clothes and the
vegan diets. I’m bald and overweight, and what woman is going to want to be with
me?” How does the PMHNP help raise the man’s self-esteem?
Selected D.
Answer: All of the above
Question 13
1 out of 1 points
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
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