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NURS 6640 FINAL EXAM 3
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NURS 6640 FINAL EXAM 3
Question 1
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 ____________.
B.
self-regulation
Question 2
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
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
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PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate
response by the PMHNP using the technique of focusing?
A. “I noticed that your fingers were tapping. Can you give a voice to your
fingers?”
Question 4
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?
B. “The type of treatment depends on the stage of dementia and safety
considerations.”
Question 5
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?
D. All of the above
Question 6
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
NURS 6640 FINAL EXAM 3
, 2
NURS 6640 FINAL EXAM 3
Question 1
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 ____________.
B.
self-regulation
Question 2
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
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
, 3
PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate
response by the PMHNP using the technique of focusing?
A. “I noticed that your fingers were tapping. Can you give a voice to your
fingers?”
Question 4
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?
B. “The type of treatment depends on the stage of dementia and safety
considerations.”
Question 5
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?
D. All of the above
Question 6
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
