WGU D344 Pre-assessment Questions and Answers | 2026
Update | 100% Correct.
1
A patient is referred to a nurse practitioner (NP) by their primary care provider after
scoring 13 on the Patient Health Questionnaire-9, indicating moderate depression.
What should be the first action by the NP?
Prescribe psychotherapy
Prescribe an antidepressant
CorrectPerform a comprehensive psychiatric evaluation
Perform routine laboratory diagnostic tests
2
A 25-year-old patient participates in a comprehensive psychiatric evaluation with a
nurse practitioner (NP). The NP uses the 5As framework as a counseling method for
tobacco use cessation.
What should the NP do first?
Arrange support to quit
Advise to quit tobacco use
CorrectAsk about tobacco use
Assess willingness to quit
3
A 23-year-old presents to a local emergency department with new-onset paralysis of
lower extremities. The patient denies any trauma or pain. A neurological workup
including imaging is negative. No etiology of the patient's paralysis is determined. The
nurse practitioner (NP) conducts a holistic assessment and evaluation, including a
focused physical assessment. The evaluation includes an in-depth interview to discuss
any stressors, trauma, or recent life changes. After the evaluation, the patient is
diagnosed with a somatic symptom disorder (SSD). The NP recognizes that this
diagnosis is often associated with depression, anxiety, and the risk of suicide. After
treatment is started, the paralysis resolves.
Which modality of treatment should be recommended to help prevent relapses in this
patient?
Integrative therapy
Psychodynamic therapy
CorrectCognitive behavioral therapy
Humanistic therapy
4
A patient distressed from a recent breakup with a significant other and job loss due to
an alcohol use disorder is in the precontemplation stage of change. The nurse
practitioner (NP) wants to use a therapeutic modality based on a short-term therapeutic
relationship.
Which form of therapy should the NP use to stabilize the patient?
Relational
, Correct Supportive
Psychoanalytic
Expressive
5
A nurse practitioner (NP) sees a patient for a follow-up visit for dual diagnosis of major
depressive disorder and substance use disorder. At the previous visit, the NP discussed
the impact the patient's substance use has on their treatment for depression. At today’s
visit, the patient states, "I have thought about how my drug use is holding me back, but
I’m not sure what to do about it.”
Which stage of change is this patient in according to Prochaska and DiClemente’s
transtheoretical stages of change?
Preparation
Precontemplation
Action
Correct Contemplation
6
A Japanese patient is admitted for postpartum depression after giving birth two months
ago. A nurse practitioner (NP) evaluates the patient. The patient's spouse accompanies
her, and during the intake evaluation, the NP notices the patient would not make any
eye contact.
Which question by the NP demonstrates cultural competence in the interactions noted
during the evaluation?
"Could you limit visitors you have coming between the hours of 8 a.m. and 9
p.m., per policy?"
"Can you share your depression symptoms with me so I know what you are
going through?"
"May I ask you to look at me so we can understand one another better?"
Correct"Would you like to have a family member stay with you to feel more
comfortable?"
7
A pregnant, Hispanic, Catholic 15-year-old patient is seen by a nurse practitioner (NP)
at the health department. The patient’s partner wants her to get an abortion, but she
does not feel it is the right thing to do because of her faith. The NP is completing a
domestic violence screening with the patient. During the screening, the patient reports
that she sometimes feels unsafe around her partner and is thinking about getting an
abortion so that her partner will not be angry with her. The NP wants to prevent
domestic violence while providing culturally informed care.
How should the NP respond to this patient?
Correct Which type of support system, like family, do you have available to help
you?
I can provide resources for women and children shelters so you can be safe.
Update | 100% Correct.
1
A patient is referred to a nurse practitioner (NP) by their primary care provider after
scoring 13 on the Patient Health Questionnaire-9, indicating moderate depression.
What should be the first action by the NP?
Prescribe psychotherapy
Prescribe an antidepressant
CorrectPerform a comprehensive psychiatric evaluation
Perform routine laboratory diagnostic tests
2
A 25-year-old patient participates in a comprehensive psychiatric evaluation with a
nurse practitioner (NP). The NP uses the 5As framework as a counseling method for
tobacco use cessation.
What should the NP do first?
Arrange support to quit
Advise to quit tobacco use
CorrectAsk about tobacco use
Assess willingness to quit
3
A 23-year-old presents to a local emergency department with new-onset paralysis of
lower extremities. The patient denies any trauma or pain. A neurological workup
including imaging is negative. No etiology of the patient's paralysis is determined. The
nurse practitioner (NP) conducts a holistic assessment and evaluation, including a
focused physical assessment. The evaluation includes an in-depth interview to discuss
any stressors, trauma, or recent life changes. After the evaluation, the patient is
diagnosed with a somatic symptom disorder (SSD). The NP recognizes that this
diagnosis is often associated with depression, anxiety, and the risk of suicide. After
treatment is started, the paralysis resolves.
Which modality of treatment should be recommended to help prevent relapses in this
patient?
Integrative therapy
Psychodynamic therapy
CorrectCognitive behavioral therapy
Humanistic therapy
4
A patient distressed from a recent breakup with a significant other and job loss due to
an alcohol use disorder is in the precontemplation stage of change. The nurse
practitioner (NP) wants to use a therapeutic modality based on a short-term therapeutic
relationship.
Which form of therapy should the NP use to stabilize the patient?
Relational
, Correct Supportive
Psychoanalytic
Expressive
5
A nurse practitioner (NP) sees a patient for a follow-up visit for dual diagnosis of major
depressive disorder and substance use disorder. At the previous visit, the NP discussed
the impact the patient's substance use has on their treatment for depression. At today’s
visit, the patient states, "I have thought about how my drug use is holding me back, but
I’m not sure what to do about it.”
Which stage of change is this patient in according to Prochaska and DiClemente’s
transtheoretical stages of change?
Preparation
Precontemplation
Action
Correct Contemplation
6
A Japanese patient is admitted for postpartum depression after giving birth two months
ago. A nurse practitioner (NP) evaluates the patient. The patient's spouse accompanies
her, and during the intake evaluation, the NP notices the patient would not make any
eye contact.
Which question by the NP demonstrates cultural competence in the interactions noted
during the evaluation?
"Could you limit visitors you have coming between the hours of 8 a.m. and 9
p.m., per policy?"
"Can you share your depression symptoms with me so I know what you are
going through?"
"May I ask you to look at me so we can understand one another better?"
Correct"Would you like to have a family member stay with you to feel more
comfortable?"
7
A pregnant, Hispanic, Catholic 15-year-old patient is seen by a nurse practitioner (NP)
at the health department. The patient’s partner wants her to get an abortion, but she
does not feel it is the right thing to do because of her faith. The NP is completing a
domestic violence screening with the patient. During the screening, the patient reports
that she sometimes feels unsafe around her partner and is thinking about getting an
abortion so that her partner will not be angry with her. The NP wants to prevent
domestic violence while providing culturally informed care.
How should the NP respond to this patient?
Correct Which type of support system, like family, do you have available to help
you?
I can provide resources for women and children shelters so you can be safe.
