NRNP 6640 Final Exam 8 Summer 2021.
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Review Test Submission: Week 11 Final Exam
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Test Week 11 Final Exam
Status Completed
Attempt Score 74 out of 75 points
Time Elapsed 1 hour, 22 minutes out of 2 hours
Results Displayed Submitted Answers
Question 1 I
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Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction
and anxiety problems. She is motivated to continue her treatment gains and have a
healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case?
Selected A.
Answer: Help Linda develop an awareness of triggers in order to have greater
control over physical and emotional responses
Question 2 I
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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: D.
mental health system of care
Question 3 I
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The PMHNP is interviewing a patient with a history of substance abuse. He has
attempted to stop abusing drugs three times before. He states to the PMHNP, “I just
cannot change. How can you help me?!” As it applies to change, the PMHNP
understands the principle of evocation to mean:
Selected B.
Answer: The patient already has everything needed and the PMHNP would like to
help him facilitate his own inner coping.
Question 4 I
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The PMHNP is assessing a 30-year-old client who reports feeling stressed out due to
his current employment situation. When asked about how he manages this work-
related stress, the patient says that exercise helps him feel less anxious, so he often
spends 2 or more hours at the gym each night. After completing the patient
assessment, the PMHNP has determined that an existential psychotherapy approach
may best benefit this client. What is the PMHNP’s goal in employing this treatment
approach?
,NRNP 6640 Final Exam 8 Summer 2021.
Selected Answer: B.
Help the patient be aware of his anxiety and embrace it
, NRNP 6640 Final Exam 8 Summer 2021.
Question 5 I
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The PMHNP initiates feeling-state therapy to help a 25-year-old patient named
Monique who has a compulsive urge to exercise. Using the Feeling-State Addiction
Protocol, what is an appropriate next step the PMHNP should take after identifying the
specific positive feeling linked with the addictive behavior and its Positive Feeling Score
level?
Selected C.
Answer: Locate and identify any physical sensations created by the positive
feelings
Question 6 I
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The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who reports
having had a difficult time being separated from his parents during his childhood. He
explains that going to school or visiting his relatives without his parents was
troublesome. The PMHNP characterizes the patient as unresolved/disorganized,
according to his outcomes on the AAI. What does the PMHNP anticipate from the
patient?
Selected Answer: A.
He will have lapses in his memory of his childhood.
Question 7 I
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A PMHNP is using motivational interviewing (MI) with a 50-year-old patient named
Dave to commit to a healthy drug-free lifestyle. By using “change talk,” the PMHNP
hopes to help the patient build self-esteem and hope.
True or false: If Dave is resisting change, the PMHNP should challenge his resistance
in order for MI to be successful.
Selected Answer: True
Question 8 I
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A PMHNP is using emotion-focused therapy to help a 38-year-old patient who says,
“I’ve been feeling angry lately, but I’m not sure why.” The first attempt by the PMHNP is
to say:
Selected A.
Answer: “Focus on your anger, take a deep breath, and allow an image to
emerge.”
Question 9 I
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The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms.
Thomas is currently discussing with the PMHNP the reasons why she feels guilty about
her drinking. Ms. Thomas tearfully states, “I have driven my family and friends away
with this terrible habit. I have no one left. I had more than enough chances and now my