NURS I6640 IFINAL
Question I1 I
1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Iusing Iinterpersonal Ipsychotherapy Iwith Ia I40-year-old Ipatient Ihaving
Irelationship Iproblems Iwith Ihis Iextended Ifamily. IThe Ipatient Ishares Ithat Ihe Ihas Ibeen Iusing Ithe
Istrategies Ithey Iidentified Ito Ireduce Ihis Idistress, Ibut Ithey Ihave Inot Ibeen Ihelping. IHe Iis
Ifrustrated Iand Iis Iconsidering Istopping Itreatment. IWhat Iwould Ibe Ian Iappropriate Istep Iby Ithe
IPMHNP? I
Selected IAnswer: A. I
I
Encourage Ithe Ipatient Ito Icontinue Itreatment Iby Iusing Ialternative
Istrategies I
Question I2 I
0 Iout Iof I1 Ipoints
I
The IPMHNP Ihas Ibeen Iproviding Isupportive Ipsychodynamic Ipsychotherapy Ito Ia Ipatient Iand Iis
Inearing Ithe Itermination Istage. IThe IPMHNP Iwill Iuse Iwhich Icriteria Ifor Idetermining Ithat Ithe
Ipatient Iis Iready Ifor Itermination? I
Selected IAnswer: I D. I
Self-analytic Icapacity Ihas Ibeen Ideveloped. I
Question I3 I
1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Iusing IGestalt Itherapy Ito Icommunicate Iwith Ia I42-year-old Ipatient Iwho Iis Iupset
Iwith Iher Imother. IShe Isays, I“I Iwant Ito Itell Iher Ihow Ihurt II Ifeel Iwhen Ishe Idoesn’t Icall Ime, Ibut II
Idon’t Iwant Ito Iupset Iher.” IWhat Itechnique Ican Ithe IPMHNP Iuse Ito Ihelp ISasha Iexpress Iherself? I
Selected IAnswer: I B. I
Empty-chair Idialogue I
Question I4 I
1 Iout Iof I1 Ipoints
,I
The IPMHNP Iis Icaring Ifor Ian Iolder Ipatient Iwith Imajor Idepressive Idisorder, Iseasonal Ipattern.
IThe Ipatient Ihas Ibeen Iresolute Iabout Inot Itaking Imedication Ito Imanage Ithe Idepression Ibrought
Ion Iby Ihis Iillness, Istating Ithat Iit Iis Iagainst Ihis Iyogic Ilifestyle. IIn Iaddition Ito Ipsychotherapy,
Iwhat Ican Ithe IPMHNP Isuggest Ito Ithis Ipatient? I
Selected A. I
IAnswer: I
“You Imay Iwant Ito Ilook Iinto Itherapeutic Ioils Iand Iaromatherapy Ias Ian
Ialternative Ito Imedication.” I
Question I5 I
0 Iout Iof I1 Ipoints
I
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_________. I
Selected IAnswer: I A. I
primary Ihealth Icare Isetting Iwith Isome Ispecialized Icare I
Question I6 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwho Iis Ihistrionic. IUsing Ithe Isupportive Ipsychodynamic
Itherapy Imodel, Iwhat Iis Ithe Ibest Istatement Imade Iby Ithe IPMHNP? I
Selected B. I
IAnswer: I
“Let’s Inot Ithink Itoo Imuch Iabout Iemotion Iright Inow. ILet’s Ifocus Ion Iwhat
Igot Iyou Iupset Iin Ithe Ifirst Iplace.” I
Question I7 I
1 Iout Iof I1 Ipoints
I
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? I
, Selected C. I
IAnswer: I
“Tell Ime Imore Iabout Iwhy Iyou’re Ihaving Itrouble Imaking Inew Ifriends Iat
Iwork.” I
Question I8 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iinitiating Ia Iplan Iof Icare Ifor Ia Ipatient Iwho Irequires Icomprehensive
Ipsychotherapy Ito Imanage Ihis Idepression Iand Imood Idisorder. IThroughout Ithe Iinitial Isessions,
Ithe Ipatient Ireports Ifeeling Ias Ithough Ihe Icannot Ibe Ihelped. IThe IPMHNP Iis Iconcerned Iabout
Ipremature Itermination Iinitiated Iby Ithe Ipatient. IWhat Istrategy Ican Ithe IPMHNP Iemploy Ito
Iprevent Ior Ireduce Ipremature Itermination? I
Selected IAnswer: I D. I
All Iof Ithe Iabove I
Question I9 I
1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Iassessing Ia I40-year-old Ipatient Inamed ISarah Iwho Ihas Ia Isevere Icocaine
Iaddiction Iand Imild Idepression. IUsing Ithe Ifour-quadrant Imodel, Iwhat Iwould Ibe Ithe Imost
Iappropriate Isetting Ito Ihelp Ithe Ipatient? I
Selected IAnswer: I C. I
Substance Iabuse Itreatment Isystem I
Question I10 I
0 Iout Iof I1 Ipoints
I
A I25-year-old Ifemale Istates, I“I Ireally Ineed Ito Ilose Iweight. II Iknow II’m Ithe Icause Iof Iour
Iproblems, I Iif II Icould Ijust Ilose Iweight Ihe Imight Ibe Imore Iattracted Ito Ime. IThen Iwe Icould Istart Ia
Ifamily Iand Iwe Iwould Ibe Ihappy. II’m Isure Iof Iit, Iright, Iwe Iwould Idefinitely Ibe Ihappy!” IWhich
Istatement Ishows Ithe IPMHNP’s Iability Ito Iapply I“summarizing”? I
Selected IAnswer: I A. I
“You Ibelieve Ithat Iyour Iweight Iis Ia Icause Iof Iyour Imarital Iproblems.” I
Question I1 I
1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Iusing Iinterpersonal Ipsychotherapy Iwith Ia I40-year-old Ipatient Ihaving
Irelationship Iproblems Iwith Ihis Iextended Ifamily. IThe Ipatient Ishares Ithat Ihe Ihas Ibeen Iusing Ithe
Istrategies Ithey Iidentified Ito Ireduce Ihis Idistress, Ibut Ithey Ihave Inot Ibeen Ihelping. IHe Iis
Ifrustrated Iand Iis Iconsidering Istopping Itreatment. IWhat Iwould Ibe Ian Iappropriate Istep Iby Ithe
IPMHNP? I
Selected IAnswer: A. I
I
Encourage Ithe Ipatient Ito Icontinue Itreatment Iby Iusing Ialternative
Istrategies I
Question I2 I
0 Iout Iof I1 Ipoints
I
The IPMHNP Ihas Ibeen Iproviding Isupportive Ipsychodynamic Ipsychotherapy Ito Ia Ipatient Iand Iis
Inearing Ithe Itermination Istage. IThe IPMHNP Iwill Iuse Iwhich Icriteria Ifor Idetermining Ithat Ithe
Ipatient Iis Iready Ifor Itermination? I
Selected IAnswer: I D. I
Self-analytic Icapacity Ihas Ibeen Ideveloped. I
Question I3 I
1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Iusing IGestalt Itherapy Ito Icommunicate Iwith Ia I42-year-old Ipatient Iwho Iis Iupset
Iwith Iher Imother. IShe Isays, I“I Iwant Ito Itell Iher Ihow Ihurt II Ifeel Iwhen Ishe Idoesn’t Icall Ime, Ibut II
Idon’t Iwant Ito Iupset Iher.” IWhat Itechnique Ican Ithe IPMHNP Iuse Ito Ihelp ISasha Iexpress Iherself? I
Selected IAnswer: I B. I
Empty-chair Idialogue I
Question I4 I
1 Iout Iof I1 Ipoints
,I
The IPMHNP Iis Icaring Ifor Ian Iolder Ipatient Iwith Imajor Idepressive Idisorder, Iseasonal Ipattern.
IThe Ipatient Ihas Ibeen Iresolute Iabout Inot Itaking Imedication Ito Imanage Ithe Idepression Ibrought
Ion Iby Ihis Iillness, Istating Ithat Iit Iis Iagainst Ihis Iyogic Ilifestyle. IIn Iaddition Ito Ipsychotherapy,
Iwhat Ican Ithe IPMHNP Isuggest Ito Ithis Ipatient? I
Selected A. I
IAnswer: I
“You Imay Iwant Ito Ilook Iinto Itherapeutic Ioils Iand Iaromatherapy Ias Ian
Ialternative Ito Imedication.” I
Question I5 I
0 Iout Iof I1 Ipoints
I
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_________. I
Selected IAnswer: I A. I
primary Ihealth Icare Isetting Iwith Isome Ispecialized Icare I
Question I6 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwho Iis Ihistrionic. IUsing Ithe Isupportive Ipsychodynamic
Itherapy Imodel, Iwhat Iis Ithe Ibest Istatement Imade Iby Ithe IPMHNP? I
Selected B. I
IAnswer: I
“Let’s Inot Ithink Itoo Imuch Iabout Iemotion Iright Inow. ILet’s Ifocus Ion Iwhat
Igot Iyou Iupset Iin Ithe Ifirst Iplace.” I
Question I7 I
1 Iout Iof I1 Ipoints
I
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? I
, Selected C. I
IAnswer: I
“Tell Ime Imore Iabout Iwhy Iyou’re Ihaving Itrouble Imaking Inew Ifriends Iat
Iwork.” I
Question I8 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iinitiating Ia Iplan Iof Icare Ifor Ia Ipatient Iwho Irequires Icomprehensive
Ipsychotherapy Ito Imanage Ihis Idepression Iand Imood Idisorder. IThroughout Ithe Iinitial Isessions,
Ithe Ipatient Ireports Ifeeling Ias Ithough Ihe Icannot Ibe Ihelped. IThe IPMHNP Iis Iconcerned Iabout
Ipremature Itermination Iinitiated Iby Ithe Ipatient. IWhat Istrategy Ican Ithe IPMHNP Iemploy Ito
Iprevent Ior Ireduce Ipremature Itermination? I
Selected IAnswer: I D. I
All Iof Ithe Iabove I
Question I9 I
1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Iassessing Ia I40-year-old Ipatient Inamed ISarah Iwho Ihas Ia Isevere Icocaine
Iaddiction Iand Imild Idepression. IUsing Ithe Ifour-quadrant Imodel, Iwhat Iwould Ibe Ithe Imost
Iappropriate Isetting Ito Ihelp Ithe Ipatient? I
Selected IAnswer: I C. I
Substance Iabuse Itreatment Isystem I
Question I10 I
0 Iout Iof I1 Ipoints
I
A I25-year-old Ifemale Istates, I“I Ireally Ineed Ito Ilose Iweight. II Iknow II’m Ithe Icause Iof Iour
Iproblems, I Iif II Icould Ijust Ilose Iweight Ihe Imight Ibe Imore Iattracted Ito Ime. IThen Iwe Icould Istart Ia
Ifamily Iand Iwe Iwould Ibe Ihappy. II’m Isure Iof Iit, Iright, Iwe Iwould Idefinitely Ibe Ihappy!” IWhich
Istatement Ishows Ithe IPMHNP’s Iability Ito Iapply I“summarizing”? I
Selected IAnswer: I A. I
“You Ibelieve Ithat Iyour Iweight Iis Ia Icause Iof Iyour Imarital Iproblems.” I