NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS

NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS QUESTION 1 1. When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment? A. Interviews the patient’s family, caregiver, or friends regarding the patient’s progress outside of the sessions B. Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment C. Requests a peer to review the patient’s file to double check that the PMHNP has not overlooked anything D. All of the above 1 points QUESTION 2 1. The PMHNP is caring for an older adult patient who is in the acute phase of schizophrenia. Which therapeutic model will the PMHNP employ with this patient? A. Individual CBT B. Group CBT C. Both A and B D. None of the above 1 points QUESTION 3 1. A 55-year-old patient recovering from substance abuse tells the PMHNP, “It’s impossible to meet new people. I really hate being single.” Using existential psychotherapy, what might the PMHNP say next? A. “Where are you experiencing unhappiness in your body? B. “So you feel frustrated and unhappy being single. Is that right?” C. “Are you willing to say, ‘I’m having a hard time meeting people’?” D. “What might help you to live a more meaningful life?” 1 points QUESTION 4 1. The PMHNP has been providing interpersonal psychotherapy (IPT) for a patient who the PMHNP observes implementing new ways of being, such as interacting more with peers and being less isolated in social scenarios. The PMHNP understands that the patient is approaching termination. How does the PMHNP address termination with this patient? A. Give the patient an option about terminating the therapy B. Allow the patient to bring up termination on his/her own C. Embed the termination into the work of the therapeutic phase D. None of the above 1 points QUESTION 5 1. 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? A. “Express your emotion, and do not hold anything back.” B. “Let’s not think too much about emotion right now. Let’s focus on what got you upset in the first place.” C. A and B D. None of the above 1 points QUESTION 6 1. A PMHNP is treating a 12-year-old girl who witnessed the physical abuse of her sibling. She has been anxious and irritable since the experience. After speaking with the PMHNP, the patient says she keeps having anxiety-causing thoughts about the experience. Using the PRACTICE technique, which skill will best help the patient interrupt these negative thoughts? A. Relaxation B. Affect modulation C. Enhancing safety D. Trauma narrative 1 points QUESTION 7 1. A PMHNP has been treating a 14-year-old patient using interpersonal psychotherapy. The patient has been depressed since the death of his grandmother. To help the patient recover, the PMHNP has told the parents: A. “Keep your expectations high to show that you believe in his abilities.” B. “Modify your expectations at home and school until the depression lifts.” C. “Don’t put expectations on him while he is showing signs of depression.” D. “Allow him to be an active participant by setting his own expectations.” 1 points QUESTION 8 1. 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? A. Encourage the patient to continue treatment by using alternative strategies B. Restart the process at the assessment phase to formulate a new treatment plan C. Explain how the originally identified strategies will address the focus problem D. None of the above 1 points QUESTION 9 1. The PMHNP is caring for a geriatric patient who expresses symptoms of gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling lonely, as more of his friends have been passing away over the recent months and years. The PMHNP focuses on which therapeutic approach for this patient? A. Supportive therapy B. Problem-solving therapy C. Cognitive behavioral therapy D. All of the above 1 points QUESTION 10 1. A PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is going through a divorce. As he is calmly sharing the details of his divorce, the PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate response by the PMHNP using the technique of focusing? A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?” B. “I’m going to ask you to exaggerate the movement of tapping your fingers.” C. “Explore what is emerging in your body now. What are you experiencing right now?” D. None of the above.