Exam (elaborations) NUR 6640 Final Exam
Question 1
1 out of 1 points
A PMHNP has been treating a 9-year-old patient who was referred by her school. Students are asked to
raise their hands before speaking during group discussion, but the patient seems to blurt out what she
wants to say without...
A PMHNP has been treating a 9-year-old patient who was referred by her school. Students are asked to
raise their hands before speaking during group discussion, but the patient seems to blurt out what she
wants to say without being called on. She also interrupts other children while they are talking instead of
waiting her turn. When the patient gets frustrated, she has trouble controlling her emotions and cries
often. Based on the initial information provided, the first focus by PMHNP is the child’s ____________.
Selected Answer:
B.
self-regulation
Question 2
1 out of 1 points
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?
Selected Answer:
C. “It’s important to be mindful of how you feel and then to determine what causes those feelings.”
Question 3
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 Answer:
A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?”
Question 4
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 Answer:
B. “The type of treatment depends on the stage of dementia and safety considerations.”
Question 5
1 out of 1 points
A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and attention problems.
What type of intervention will the PMHNP consider using a common elements approach?
Selected Answer:
D. All of the above
Question 6
1 out of 1 points
A 35-year-old male patient is being treated for alcohol addiction. He asks for the PMHNP’s cell phone
number to use in case of an emergency. When the PMHNP responds that giving her number would be
against therapeutic rules, the patient threatens an act of violence to the therapist. What would be the
most appropriate response by the PMHNP?
Selected Answer:
A. Immediately report the threat to the local police department
Question 7
0 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 Answer:
A. Correcting cognitive distortions
, Question 8
1 out of 1 points
The PMHNP uses therapeutic communication skills while ensuring that the patient understands that he
has choices. The PMHNP comprehends and practices motivational interviewing. This is best understood
as which of the following?
Selected Answer:
B. A statement that both challenges the patient’s resistance and offers an opportunity to discuss the
issues allows the patient to argue with him/herself to help produce a desired change.
Question 9
1 out of 1 points
The PMHNP is terminating treatment for a patient who has been receiving eye movement
desensitization and reprocessing (EMDR) therapy. What action does the PMHNP take at the final session
to terminate treatment?
Selected Answer:
B. Discusses all issues that have been addressed
Question 10
1 out of 1 points
The PMHNP is assessing an older adult male patient with depression and comorbidities. According to the
medical chart, the patient takes medication to manage joint and bone pain. The patient reports feeling
“forgetful” and complains that he has a hard time remembering where he puts things. What is the
primary action by the PMHNP?
Selected Answer:
C. Determining if the patient’s medications can be causing memory problems
Question 11
1 out of 1 points
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?
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