NURS 6640 FINAL EXAM 5- QUESTION AND
ANSWERS
Question 1
1 out of 1 points
A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship
problems with his extended family. The patient shares that he has been using the strategies they
identified to reduce his distress, but they have not been helping. He is frustrated and is considering
stopping treatment. What would be an appropriate step by the PMHNP?
Selected Answer: A.
Encourage the patient to continue treatment by using alternative strategies
Question 2
0 out of 1 points
The PMHNP has been providing supportive psychodynamic psychotherapy to a patient and is
nearing the termination stage. The PMHNP will use which criteria for determining that the patient is
ready for termination?
Selected D.
Answer:
Self-analytic capacity has been developed.
Question 3
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 4
1 out of 1 points
The PMHNP is caring for an older patient with major depressive disorder, seasonal pattern. The
patient has been resolute about not taking medication to manage the depression brought on by his
illness, stating that it is against his yogic lifestyle. In addition to psychotherapy, what can the PMHNP
suggest to this patient?
Selected A.
Answer:
“You may want to look into therapeutic oils and aromatherapy as an alternative
to medication.”
Question 5
0 out of 1 points
A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and mild substance
abuse issues. The most appropriate setting to treat Carlos would be a _________.
Selected Answer: A.
primary health care setting with some specialized care
Question 6
1 out of 1 points
The PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamic therapy
model, what is the best statement made by the PMHNP?
Selected B.
Answer:
“Let’s not think too much about emotion right now. Let’s focus on what got you
upset in the first place.”
Question 7
, 1 out of 1 points
The PMHNP is meeting with a patient who has been diagnosed with depression. The patient is
having trouble adjusting to her new job and hasn’t made any new friends there. What would an
appropriate response be by the PMHNP using the interpersonal psychotherapy approach?
Selected C.
Answer:
“Tell me more about why you’re having trouble making new friends at work.”
Question 8
1 out of 1 points
The PMHNP is initiating a plan of care for a patient who requires comprehensive psychotherapy to
manage his depression and mood disorder. Throughout the initial sessions, the patient reports
feeling as though he cannot be helped. The PMHNP is concerned about premature termination
initiated by the patient. What strategy can the PMHNP employ to prevent or reduce premature
termination?
Selected D.
Answer:
All of the above
Question 9
1 out of 1 points
A PMHNP is assessing a 40-year-old patient named Sarah who has a severe cocaine addiction and
mild depression. Using the four-quadrant model, what would be the most appropriate setting to
help the patient?
Selected C.
Answer:
Substance abuse treatment system
Question 10
0 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
ANSWERS
Question 1
1 out of 1 points
A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having relationship
problems with his extended family. The patient shares that he has been using the strategies they
identified to reduce his distress, but they have not been helping. He is frustrated and is considering
stopping treatment. What would be an appropriate step by the PMHNP?
Selected Answer: A.
Encourage the patient to continue treatment by using alternative strategies
Question 2
0 out of 1 points
The PMHNP has been providing supportive psychodynamic psychotherapy to a patient and is
nearing the termination stage. The PMHNP will use which criteria for determining that the patient is
ready for termination?
Selected D.
Answer:
Self-analytic capacity has been developed.
Question 3
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 4
1 out of 1 points
The PMHNP is caring for an older patient with major depressive disorder, seasonal pattern. The
patient has been resolute about not taking medication to manage the depression brought on by his
illness, stating that it is against his yogic lifestyle. In addition to psychotherapy, what can the PMHNP
suggest to this patient?
Selected A.
Answer:
“You may want to look into therapeutic oils and aromatherapy as an alternative
to medication.”
Question 5
0 out of 1 points
A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and mild substance
abuse issues. The most appropriate setting to treat Carlos would be a _________.
Selected Answer: A.
primary health care setting with some specialized care
Question 6
1 out of 1 points
The PMHNP is caring for a patient who is histrionic. Using the supportive psychodynamic therapy
model, what is the best statement made by the PMHNP?
Selected B.
Answer:
“Let’s not think too much about emotion right now. Let’s focus on what got you
upset in the first place.”
Question 7
, 1 out of 1 points
The PMHNP is meeting with a patient who has been diagnosed with depression. The patient is
having trouble adjusting to her new job and hasn’t made any new friends there. What would an
appropriate response be by the PMHNP using the interpersonal psychotherapy approach?
Selected C.
Answer:
“Tell me more about why you’re having trouble making new friends at work.”
Question 8
1 out of 1 points
The PMHNP is initiating a plan of care for a patient who requires comprehensive psychotherapy to
manage his depression and mood disorder. Throughout the initial sessions, the patient reports
feeling as though he cannot be helped. The PMHNP is concerned about premature termination
initiated by the patient. What strategy can the PMHNP employ to prevent or reduce premature
termination?
Selected D.
Answer:
All of the above
Question 9
1 out of 1 points
A PMHNP is assessing a 40-year-old patient named Sarah who has a severe cocaine addiction and
mild depression. Using the four-quadrant model, what would be the most appropriate setting to
help the patient?
Selected C.
Answer:
Substance abuse treatment system
Question 10
0 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
