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• Question 1
0 out of 1 points
A PMHNP is treating a 45-year-old female patient who is upset that her
brother has not been calling since his divorce. When asked to describe
her brother and what prompts him not to call as frequently, she says,
“Everything is about him, not me. I think he’s jealous that I have a good
marriage and he wants me to be unhappy, too. So he doesn’t call to
upset me and ruin my relationships.” Based on this information, the
PMHNP can conclude that the patient .
Selected
B.
Answer:
has an insistent emphasis on the feelings of others
• Question 2
1 out of 1 points
When a PMHNP is seeing a patient for the first time, what is an important
step to assure that the patient and provider understand the limits of their
discussion?
Selected
C.
Answer:
Have a discussion about the confidentiality and its limits
• Question 3
1 out of 1 points
You are seeing a 29-year-old widow whose husband recently died
overseas while serving his country in the military. She has been
mourning the loss of her husband for several months, and continues to
grieve. She refuses to go to group grieving sessions, but reports that she
is still able to go to work and her fitness classes sometimes, and even
makes attempts to stay social. She says, “Sometimes it’s like he’s not
even gone. Other times it feels like it’s been an eternity since I’ve seen
him. It’s hard to talk about this type of stuff with my girlfriends,
especially since all of their husbands are still alive.” The PMHNP
understands that it is appropriate to employ which therapeutic principle?
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Selected A.
Answer: Encouraging catharsis
• Question 4
1 out of 1 points
The PMHNP is treating a 35-year-old male officer in the military. He
discloses that both of his parents are deceased and that he loved them.
However, he says that he had feelings of inadequacy because his parents
held him to a standard that he could never achieve. He went on to say
that nothing he did ever felt good enough. The PMHNP assesses that this
patient has perfect creases in his uniform with no strings or tags out of
place; she also notices that he has perfect posture and questions him
about ritualistic behaviors. She suspects that this patient has maladaptive
responses to the expectations placed on him as a teenager and young
adult. Which statements made by the patient would verify the PMHNP’s
suspicion?
Selected
D.
Answer:
“I believe in systems; I have to have order and rules in my
everyday life. If a task must be completed, I will often
complete it myself versus depending on someone else.”
• Question 5
0 out of 1 points
The PMHNP is working with a patient who experiences anxiety around her
parents that later leads to poor impulse control. What will the PMHNP do
to employ psychodynamic psychotherapy properly for this patient?
Selected
B.
Answer:
Focus on expressions of emotion
• Question 6
1 out of 1 points
The PMHNP has been treating a 15-year-old patient with a history of
abuse and neglect. Thirty minutes into their therapy session the patient
jumps up and begins to pace around the room. Utilizing Socratic dialogue
(SD) the PMHNP’s best action would be to:
Selected
C.
Answer:
Say, “I noticed a change. Can you tell me what happened?”
• Question 7
1 out of 1 points
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During cognitive behavioral therapy (CBT), a 64-year-old male patient
states, “I get so frustrated sometimes and I just blow up at everybody!”
Which response by the PMHNP demonstrates translation of Socratic
dialogue (SD)?
Selected
B.
Answer:
“When you say blow up, what exactly does blow up mean and
how
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does it feel to you?”
• Question 8
1 out of 1 points
The PMHNP understands that anxiety and depression are two disorders in
which their symptoms may overlap. When discussing this, you explain
that the autonomic nervous system is activated and further helps
distinguish anxiety symptoms by making the following points:
Selected
B.
Answer:
“You may experience fear, sweating, and muscle tension.”
• Question 9
1 out of 1 points
The PMHNP meets with an adolescent patient who has depression and
often presents with resistance when discussing his parent’s divorce. For
the past couple of sessions, the patient has been quiet, sometimes
refusing to speak. To further support the therapeutic relationship, the
PMNHP:
Selected
A.
Answer:
Observes and points out the behavior
• Question 10
1 out of 1 points
The PMHNP is working with a patient who experiences abreactions when
discussing repressed feelings of his sexual abuse as a child. What can the
PMHNP do to manage the patient’s intense emotional reactions?
Selected
C.
Answer:
Suggest a relaxation technique, such as yoga or meditation
• Question 11
0 out of 1 points
A 35-year-old patient seeks treatment for depression and anxiety after an
abusive relationship. To help empower the patient, the PMHNP wants to
teach the safe-place exercise to create a feeling of calm. In order to walk
the patient through the exercise, the PMHNP first says:
Selected
D.
Answer:
“Picture a beautiful beach and describe to me what you see.”
• Question 12
1 out of 1 points
True or false: A PMHNP may ask his patient to describe her relationship
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