• Question 1 i
1 iout iof i1 ipoints
Following ian iattempted isuicide, iMr. iDurham iwas iadmitted ito ian iacute ipsychiatric
ifacility. iAfter i4 iweeks iin itreatment, ihe iis ipreparing ifor idischarge. iHe iis ibeginning ito
imiss iindividual iand igroup itherapy isessions iand ihas irefused imedications itwice iin ithe
ipast i2 idays. iThe iPMHNP idemonstrates iunderstanding iin ithis iphase iby isaying iwhich
iof ithe ifollowing istatements?
Selected B. i
iAnswer: “Have iyou ithought iof ihow iyou iwill icontinue iyour itreatment
iplans?”
• Question 2 i
1 iout iof i1 ipoints
The iPMHNP icontinues ito imeet iwith iGerald, iwho iis ithe ipatient iwith idepression iand
imood idisorder. iThe iPMHNP iuses ithe iCBT iapproach. iGerald iis inow imeeting iwith ithe
iPMHNP ifor ihis ififth isession iand ifeels icomfortable iwith ihow ithe itherapy iworks. iWhat
idoes ithe iPMHNP iplan ito ido iwith iGerald iover ithe icourse iof ithe inext iseveral isessions?
Selected iAnswer: C. i
Develop icognitive iskills ito ichallenge iGerald’s inegative ithinking
• Question 3 i
1 iout iof i1 ipoints
A i38-year-old ipatient itells ithe iPMHNP ithat iher ifather iwent ito ijail ifor iselling idrugs
iwhen ishe iwas ia ichild. iThe ipatient iis ivisibly iupset iwhen idiscussing iwhat ihappened.
iUsing ia ihumanistic-existential iapproach ito ipsychotherapy, iwhich iof ithe ifollowing iis
ithe imost iappropriate iresponse iby ithe iPMHNP?
Selected iAnswer: B. i
“What iare iyou iexperiencing inow ias iyou ishare ithis istory?”
• Question 4 i
1 iout iof i1 ipoints
A ipatient’s idepression iis iaffecting iher irelationship iwith iher ispouse. iWhat imight ithe
iPMHNP iask iduring ithe iinitial isessions iof iinterpersonal ipsychotherapy itreatment?
Selected iAnswer: D. i
All iof ithe iabove.
• Question 5 i
1 iout iof i1 ipoints
, A iPMHNP iis itreating ia i25-year-old ipatient iwho ihas ia icompulsive iurge ito iexercise ito
iexcess. iWhen iasked ito idescribe iwhy ishe idoes iso imuch iexercise, ishe isays, i“I ilike ithe
icompliments iI ireceive ifrom iothers ion imy inew ilevel iof ifitness, iand ithe iexcitement iof
igetting imore iattention.” iThe iPMHNP ican iuse ifeeling-state itherapy ito ihelp iMonique
i___________.
Selected iAnswer: D. i
all iof ithe iabove
• Question 6 i
1 iout iof i1 ipoints
The iPMHNP iis icaring ifor ian iadult imale ipatient iwhose iwife ileft ihim iseveral imonths
iago. iHe irecently ilearned ithat ihis iex-wife iis idating isomeone imuch iyounger. iThe iman
ifeels ibelittled, isad, iand ilonely. iHe italks iabout itrying ito imeet iother iwomen, ibut isays, i“I
ican’t icompete iwith ithe iyounger iguys ithese idays, iwith ithe icool iclothes iand ithe ivegan
idiets. iI’m ibald iand ioverweight, iand iwhat iwoman iis igoing ito iwant ito ibe iwith ime?” iHow
idoes ithe iPMHNP ihelp iraise ithe iman’s iself-esteem?
Selected iAnswer: D. i
All iof ithe iabove
• Question 7 i
1 iout iof i1 ipoints
A i21-year-old ipatient iis iworried iabout istarting ia inew ijob. iShe italks iabout iher ifears iof
ifailure iand inot imaking ifriends iat ithe ioffice. iUsing ia iperson-centered iapproach, ian
iappropriate iresponse iby ithe iPMHNP iis ito i______________.
Selected iAnswer: C. i
ask ithe ipatient ito ireflect ion iand iexplore iwhat ishe iis iexperiencing
• Question 8 i
1 iout iof i1 ipoints
A iPMHNP ihas ibeen itreating ia i9-year-old ipatient iwho iwas ireferred iby iher ischool. iStudents iare iasked ito
iraise itheir ihands ibefore ispeaking iduring igroup idiscussion, ibut ithe ipatient iseems ito iblurt iout iwhat ishe
iwants ito isay iwithout ibeing icalled ion. iShe ialso iinterrupts iother ichildren iwhile ithey iare italking iinstead
iof iwaiting iher iturn. iWhen ithe ipatient igets ifrustrated, ishe ihas itrouble icontrolling iher iemotions iand
icries ioften. iBased ion ithe iinitial iinformation iprovided, ithe ifirst ifocus iby iPMHNP iis ithe ichild’s i____________.
Selected iAnswer: B. i
self-regulation
• Question 9 i
1 iout iof i1 ipoints
, The iPMHNP iis iinitiating ia iplan iof icare ifor iHolly, ia i73-year-old ifemale ipatient iwho ihas
ilate-life ibipolar idisorder iand ireports iconsuming ialcoholic ibeverages ifour itimes iper
iweek. iWhat iis ithe ifocus iof iHolly’s itherapy igoing ito ibe?
Selected iAnswer: D. i
All iof ithe iabove
• Question 10 i
1 iout iof i1 ipoints
The iPMHNP iis icommunicating iwith ia imiddle-aged imale ipatient iwho ihas ia ihistory iof
iaddiction ito iPercocet i(acetaminophen/oxycodone). iThe ipatient isuddenly iyells, i“I ido
inot ihave ia iproblem iwith ipain ipills! iI’ve inever ihad ian ioverdose iand ino ione ieven iknows
ithat iI itake ithem iunless iI itell ithem.” iThe iPMHNP iunderstands ithat ithere iare iphases iof
ichange iand ican ibest idemonstrate i“focusing” iby iresponding iwith:
Selected D. i
iAnswer: “I iam iwondering iif iyour iuse iof ipain imedication ihas iever iprompted
iyou ito iseek imedical iattention.”
• Question 11 i
1 iout iof i1 ipoints
A iPMHNP iis iassessing ia i60-year-old ipatient inamed iCarlos. iHe ihas isevere iPTSD iand
imild isubstance iabuse iissues. iThe imost iappropriate isetting ito itreat iCarlos iwould ibe ia
i_________.
Selected iAnswer: D. i
mental ihealth isystem iof icare
• Question 12 i
1 iout iof i1 ipoints
The iPMHNP iis imeeting iwith ian iolder, ifemale iadult ipatient iand iher idaughter. iThe
ipatient ihas iearly ionset idementia. iThe idaughter iexpresses iconcern, isaying, i“I idon’t
iwant iyou ito ijust istick imy imother iin ia ihome iand igive iher imedicine. iI’m iworried ithat’s
iwhat ipeople iare igoing ito iwant ito ido.” iWhat iis ithe ibest iresponse iby ithe iPMHNP ito ithe
idaughter?
Selected B. i
iAnswer: “The itype iof itreatment idepends ion ithe istage iof idementia iand
isafety iconsiderations.”
• Question 13 i
1 iout iof i1 ipoints
Mia iis ia i75-year-old ipatient iwho ihas icompleted iinitial itreatment ifor idepression. iWhat
imight ia iPMHNP iask iMia iwhen iusing ia isolution-focused itherapy iapproach?
Selected iAnswer: D. i
All iof ithe iabove.
, • Question 14 i
1 iout iof i1 ipoints
A iPMHNP iis itreating ia i12-year-old igirl iwho iwitnessed ithe iphysical iabuse iof iher isibling. iShe ihas ibeen
ianxious iand iirritable isince ithe iexperience. iAfter ispeaking iwith ithe iPMHNP, ithe ipatient isays ishe ikeeps
ihaving ianxiety-causing ithoughts iabout ithe iexperience. iUsing ithe iPRACTICE itechnique, iwhich iskill iwill
ibest ihelp ithe ipatient iinterrupt ithese inegative ithoughts?
Selected iAnswer: B. i
Affect imodulation
• Question 15 i
0 iout iof i0 ipoints
When completing this exam, did you comply with Walden University’s Code of
i i i i i i i i i i i
Conduct including the expectations for academic integrity?
i i i i i i i
Selected iAnswers: Yes
• Question 16 i
1 iout iof i1 ipoints
The iPMHNP iis imeeting iwith ia ipatient iwho ihas ibeen idiagnosed iwith idepression. iThe
ipatient iis ihaving itrouble iadjusting ito iher inew ijob iand ihasn’t imade iany inew ifriends
ithere. iWhat iwould ian iappropriate iresponse ibe iby ithe iPMHNP iusing ithe iinterpersonal
ipsychotherapy iapproach?
Selected C. i
iAnswer: “Tell ime imore iabout iwhy iyou’re ihaving itrouble imaking inew
ifriends iat iwork.”
• Question 17 i
1 iout iof i1 ipoints
The iPMHNP iis iassessing ia i30-year-old iclient iwho ireports ifeeling istressed iout idue ito
ihis icurrent iemployment isituation. iWhen iasked iabout ihow ihe imanages ithis iwork-
related istress, ithe ipatient isays ithat iexercise ihelps ihim ifeel iless ianxious, iso ihe ioften
ispends i2 ior imore ihours iat ithe igym ieach inight. iAfter icompleting ithe ipatient
iassessment, ithe iPMHNP ihas idetermined ithat ian iexistential ipsychotherapy iapproach
imay ibest ibenefit ithis iclient. iWhat iis ithe iPMHNP’s igoal iin iemploying ithis itreatment
iapproach?
Selected iiAnswer: B. ii
Help iithe iipatient iibe iiaware iiof iihis iianxiety iiand iiembrace iiit
• Question 18 i
1 iout iof i1 ipoints
The iPMHNP iassesses ia i27-year-old ipatient inamed iJeff, iwho iwas ia ivictim iof ichild
iabuse iand ineglect. iJeff isays ithat ihe iremembers ia itraumatic isituation ithat ihe iwants ito
1 iout iof i1 ipoints
Following ian iattempted isuicide, iMr. iDurham iwas iadmitted ito ian iacute ipsychiatric
ifacility. iAfter i4 iweeks iin itreatment, ihe iis ipreparing ifor idischarge. iHe iis ibeginning ito
imiss iindividual iand igroup itherapy isessions iand ihas irefused imedications itwice iin ithe
ipast i2 idays. iThe iPMHNP idemonstrates iunderstanding iin ithis iphase iby isaying iwhich
iof ithe ifollowing istatements?
Selected B. i
iAnswer: “Have iyou ithought iof ihow iyou iwill icontinue iyour itreatment
iplans?”
• Question 2 i
1 iout iof i1 ipoints
The iPMHNP icontinues ito imeet iwith iGerald, iwho iis ithe ipatient iwith idepression iand
imood idisorder. iThe iPMHNP iuses ithe iCBT iapproach. iGerald iis inow imeeting iwith ithe
iPMHNP ifor ihis ififth isession iand ifeels icomfortable iwith ihow ithe itherapy iworks. iWhat
idoes ithe iPMHNP iplan ito ido iwith iGerald iover ithe icourse iof ithe inext iseveral isessions?
Selected iAnswer: C. i
Develop icognitive iskills ito ichallenge iGerald’s inegative ithinking
• Question 3 i
1 iout iof i1 ipoints
A i38-year-old ipatient itells ithe iPMHNP ithat iher ifather iwent ito ijail ifor iselling idrugs
iwhen ishe iwas ia ichild. iThe ipatient iis ivisibly iupset iwhen idiscussing iwhat ihappened.
iUsing ia ihumanistic-existential iapproach ito ipsychotherapy, iwhich iof ithe ifollowing iis
ithe imost iappropriate iresponse iby ithe iPMHNP?
Selected iAnswer: B. i
“What iare iyou iexperiencing inow ias iyou ishare ithis istory?”
• Question 4 i
1 iout iof i1 ipoints
A ipatient’s idepression iis iaffecting iher irelationship iwith iher ispouse. iWhat imight ithe
iPMHNP iask iduring ithe iinitial isessions iof iinterpersonal ipsychotherapy itreatment?
Selected iAnswer: D. i
All iof ithe iabove.
• Question 5 i
1 iout iof i1 ipoints
, A iPMHNP iis itreating ia i25-year-old ipatient iwho ihas ia icompulsive iurge ito iexercise ito
iexcess. iWhen iasked ito idescribe iwhy ishe idoes iso imuch iexercise, ishe isays, i“I ilike ithe
icompliments iI ireceive ifrom iothers ion imy inew ilevel iof ifitness, iand ithe iexcitement iof
igetting imore iattention.” iThe iPMHNP ican iuse ifeeling-state itherapy ito ihelp iMonique
i___________.
Selected iAnswer: D. i
all iof ithe iabove
• Question 6 i
1 iout iof i1 ipoints
The iPMHNP iis icaring ifor ian iadult imale ipatient iwhose iwife ileft ihim iseveral imonths
iago. iHe irecently ilearned ithat ihis iex-wife iis idating isomeone imuch iyounger. iThe iman
ifeels ibelittled, isad, iand ilonely. iHe italks iabout itrying ito imeet iother iwomen, ibut isays, i“I
ican’t icompete iwith ithe iyounger iguys ithese idays, iwith ithe icool iclothes iand ithe ivegan
idiets. iI’m ibald iand ioverweight, iand iwhat iwoman iis igoing ito iwant ito ibe iwith ime?” iHow
idoes ithe iPMHNP ihelp iraise ithe iman’s iself-esteem?
Selected iAnswer: D. i
All iof ithe iabove
• Question 7 i
1 iout iof i1 ipoints
A i21-year-old ipatient iis iworried iabout istarting ia inew ijob. iShe italks iabout iher ifears iof
ifailure iand inot imaking ifriends iat ithe ioffice. iUsing ia iperson-centered iapproach, ian
iappropriate iresponse iby ithe iPMHNP iis ito i______________.
Selected iAnswer: C. i
ask ithe ipatient ito ireflect ion iand iexplore iwhat ishe iis iexperiencing
• Question 8 i
1 iout iof i1 ipoints
A iPMHNP ihas ibeen itreating ia i9-year-old ipatient iwho iwas ireferred iby iher ischool. iStudents iare iasked ito
iraise itheir ihands ibefore ispeaking iduring igroup idiscussion, ibut ithe ipatient iseems ito iblurt iout iwhat ishe
iwants ito isay iwithout ibeing icalled ion. iShe ialso iinterrupts iother ichildren iwhile ithey iare italking iinstead
iof iwaiting iher iturn. iWhen ithe ipatient igets ifrustrated, ishe ihas itrouble icontrolling iher iemotions iand
icries ioften. iBased ion ithe iinitial iinformation iprovided, ithe ifirst ifocus iby iPMHNP iis ithe ichild’s i____________.
Selected iAnswer: B. i
self-regulation
• Question 9 i
1 iout iof i1 ipoints
, The iPMHNP iis iinitiating ia iplan iof icare ifor iHolly, ia i73-year-old ifemale ipatient iwho ihas
ilate-life ibipolar idisorder iand ireports iconsuming ialcoholic ibeverages ifour itimes iper
iweek. iWhat iis ithe ifocus iof iHolly’s itherapy igoing ito ibe?
Selected iAnswer: D. i
All iof ithe iabove
• Question 10 i
1 iout iof i1 ipoints
The iPMHNP iis icommunicating iwith ia imiddle-aged imale ipatient iwho ihas ia ihistory iof
iaddiction ito iPercocet i(acetaminophen/oxycodone). iThe ipatient isuddenly iyells, i“I ido
inot ihave ia iproblem iwith ipain ipills! iI’ve inever ihad ian ioverdose iand ino ione ieven iknows
ithat iI itake ithem iunless iI itell ithem.” iThe iPMHNP iunderstands ithat ithere iare iphases iof
ichange iand ican ibest idemonstrate i“focusing” iby iresponding iwith:
Selected D. i
iAnswer: “I iam iwondering iif iyour iuse iof ipain imedication ihas iever iprompted
iyou ito iseek imedical iattention.”
• Question 11 i
1 iout iof i1 ipoints
A iPMHNP iis iassessing ia i60-year-old ipatient inamed iCarlos. iHe ihas isevere iPTSD iand
imild isubstance iabuse iissues. iThe imost iappropriate isetting ito itreat iCarlos iwould ibe ia
i_________.
Selected iAnswer: D. i
mental ihealth isystem iof icare
• Question 12 i
1 iout iof i1 ipoints
The iPMHNP iis imeeting iwith ian iolder, ifemale iadult ipatient iand iher idaughter. iThe
ipatient ihas iearly ionset idementia. iThe idaughter iexpresses iconcern, isaying, i“I idon’t
iwant iyou ito ijust istick imy imother iin ia ihome iand igive iher imedicine. iI’m iworried ithat’s
iwhat ipeople iare igoing ito iwant ito ido.” iWhat iis ithe ibest iresponse iby ithe iPMHNP ito ithe
idaughter?
Selected B. i
iAnswer: “The itype iof itreatment idepends ion ithe istage iof idementia iand
isafety iconsiderations.”
• Question 13 i
1 iout iof i1 ipoints
Mia iis ia i75-year-old ipatient iwho ihas icompleted iinitial itreatment ifor idepression. iWhat
imight ia iPMHNP iask iMia iwhen iusing ia isolution-focused itherapy iapproach?
Selected iAnswer: D. i
All iof ithe iabove.
, • Question 14 i
1 iout iof i1 ipoints
A iPMHNP iis itreating ia i12-year-old igirl iwho iwitnessed ithe iphysical iabuse iof iher isibling. iShe ihas ibeen
ianxious iand iirritable isince ithe iexperience. iAfter ispeaking iwith ithe iPMHNP, ithe ipatient isays ishe ikeeps
ihaving ianxiety-causing ithoughts iabout ithe iexperience. iUsing ithe iPRACTICE itechnique, iwhich iskill iwill
ibest ihelp ithe ipatient iinterrupt ithese inegative ithoughts?
Selected iAnswer: B. i
Affect imodulation
• Question 15 i
0 iout iof i0 ipoints
When completing this exam, did you comply with Walden University’s Code of
i i i i i i i i i i i
Conduct including the expectations for academic integrity?
i i i i i i i
Selected iAnswers: Yes
• Question 16 i
1 iout iof i1 ipoints
The iPMHNP iis imeeting iwith ia ipatient iwho ihas ibeen idiagnosed iwith idepression. iThe
ipatient iis ihaving itrouble iadjusting ito iher inew ijob iand ihasn’t imade iany inew ifriends
ithere. iWhat iwould ian iappropriate iresponse ibe iby ithe iPMHNP iusing ithe iinterpersonal
ipsychotherapy iapproach?
Selected C. i
iAnswer: “Tell ime imore iabout iwhy iyou’re ihaving itrouble imaking inew
ifriends iat iwork.”
• Question 17 i
1 iout iof i1 ipoints
The iPMHNP iis iassessing ia i30-year-old iclient iwho ireports ifeeling istressed iout idue ito
ihis icurrent iemployment isituation. iWhen iasked iabout ihow ihe imanages ithis iwork-
related istress, ithe ipatient isays ithat iexercise ihelps ihim ifeel iless ianxious, iso ihe ioften
ispends i2 ior imore ihours iat ithe igym ieach inight. iAfter icompleting ithe ipatient
iassessment, ithe iPMHNP ihas idetermined ithat ian iexistential ipsychotherapy iapproach
imay ibest ibenefit ithis iclient. iWhat iis ithe iPMHNP’s igoal iin iemploying ithis itreatment
iapproach?
Selected iiAnswer: B. ii
Help iithe iipatient iibe iiaware iiof iihis iianxiety iiand iiembrace iiit
• Question 18 i
1 iout iof i1 ipoints
The iPMHNP iassesses ia i27-year-old ipatient inamed iJeff, iwho iwas ia ivictim iof ichild
iabuse iand ineglect. iJeff isays ithat ihe iremembers ia itraumatic isituation ithat ihe iwants ito
