NURS 6640 FINAL EXAM 7 – QUESTION AND
ANSWERS
Question 1
1 out of 1 points
Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric
facility. After 4 weeks in treatment, he is preparing for discharge. He is beginning to
miss individual and group therapy sessions and has refused medications twice in
the past 2 days. The PMHNP demonstrates understanding in this phase by saying
which of the following statements?
Selected B.
Answer: “Have you thought of how you will continue your treatment
plans?”
Question 2
1 out of 1 points
The PMHNP continues to meet with Gerald, who is the patient with depression and
mood disorder. The PMHNP uses the CBT approach. Gerald is now meeting with
the PMHNP for his fifth session and feels comfortable with how the therapy works.
What does the PMHNP plan to do with Gerald over the course of the next several
sessions?
Selected C.
Answer: Develop cognitive skills to challenge Gerald’s negative thinking
Question 3
1 out of 1 points
A 38-year-old patient tells the PMHNP that her father went to jail for selling drugs
when she was a child. The patient is visibly upset when discussing what happened.
Using a humanistic-existential approach to psychotherapy, which of the following is
the most appropriate response by the PMHNP?
Selected B.
Answer: “What are you experiencing now as you share this story?”
Question 4
1 out of 1 points
A patient’s depression is affecting her relationship with her spouse. What might the
PMHNP ask during the initial sessions of interpersonal psychotherapy treatment?
Selected D.
, Answer: All of the above.
Question 5
1 out of 1 points
A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise
to excess. When asked to describe why she does so much exercise, she says, “I
like the compliments I receive from others on my new level of fitness, and the
excitement of getting more attention.” The PMHNP can use feeling-state therapy to
help Monique ___________.
Selected D.
Answer: all of the above
Question 6
1 out of 1 points
The PMHNP is caring for an adult male patient whose wife left him several months
ago. He recently learned that his ex-wife is dating someone much younger. The
man feels belittled, sad, and lonely. He talks about trying to meet other women, but
says, “I can’t compete with the younger guys these days, with the cool clothes and
the vegan diets. I’m bald and overweight, and what woman is going to want to be
with me?” How does the PMHNP help raise the man’s self-esteem?
Selected D.
Answer: All of the above
Question 7
1 out of 1 points
A 21-year-old patient is worried about starting a new job. She talks about her fears
of failure and not making friends at the office. Using a person-centered approach,
an appropriate response by the PMHNP is to ______________.
Selected C.
Answer: ask the patient to reflect on and explore what she is
experiencing
Question 8
1 out of 1 points
A PMHNP has been treating a 9-year-old patient who was referred by her school.
Students are asked to raise their hands before speaking during group discussion, but
the patient seems to blurt out what she wants to say without being called on. She also
interrupts other children while they are talking instead of waiting her turn. When the
patient gets frustrated, she has trouble controlling her emotions and cries often. Based
on the initial information provided, the first focus by PMHNP is the child’s ____________.
, Selected B.
Answer: self-
regulation
Question 9
1 out of 1 points
The PMHNP is initiating a plan of care for Holly, a 73-year-old female patient who
has late-life bipolar disorder and reports consuming alcoholic beverages four times
per week. What is the focus of Holly’s therapy going to be?
Selected D.
Answer: All of the above
Question 10
1 out of 1 points
The PMHNP is communicating with a middle-aged male patient who has a history of
addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I do
not have a problem with pain pills! I’ve never had an overdose and no one even
knows that I take them unless I tell them.” The PMHNP understands that there are
phases of change and can best demonstrate “focusing” by responding with:
Selected D.
Answer: “I am wondering if your use of pain medication has ever prompted
you to seek medical attention.”
Question 11
1 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 D.
Answer: mental health system of care
Question 12
1 out of 1 points
The PMHNP is meeting with an older, female adult patient and her daughter. The
patient has early onset dementia. The daughter expresses concern, saying, “I don’t
want you to just stick my mother in a home and give her medicine. I’m worried that’s
what people are going to want to do.” What is the best response by the PMHNP to
the daughter?
Selected B.
Answer: “The type of treatment depends on the stage of dementia and
safety considerations.”
Question 13
1 out of 1 points
, Mia is a 75-year-old patient who has completed initial treatment for depression.
What might a PMHNP ask Mia when using a solution-focused therapy approach?
Selected D.
Answer: All of the above.
Question 14
1 out of 1 points
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?
Selected B.
Answer: Affect
modulation
Question 15
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected Ye
Answers: s
Question 16
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 17
1 out of 1 points
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?
Selected B.
ANSWERS
Question 1
1 out of 1 points
Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric
facility. After 4 weeks in treatment, he is preparing for discharge. He is beginning to
miss individual and group therapy sessions and has refused medications twice in
the past 2 days. The PMHNP demonstrates understanding in this phase by saying
which of the following statements?
Selected B.
Answer: “Have you thought of how you will continue your treatment
plans?”
Question 2
1 out of 1 points
The PMHNP continues to meet with Gerald, who is the patient with depression and
mood disorder. The PMHNP uses the CBT approach. Gerald is now meeting with
the PMHNP for his fifth session and feels comfortable with how the therapy works.
What does the PMHNP plan to do with Gerald over the course of the next several
sessions?
Selected C.
Answer: Develop cognitive skills to challenge Gerald’s negative thinking
Question 3
1 out of 1 points
A 38-year-old patient tells the PMHNP that her father went to jail for selling drugs
when she was a child. The patient is visibly upset when discussing what happened.
Using a humanistic-existential approach to psychotherapy, which of the following is
the most appropriate response by the PMHNP?
Selected B.
Answer: “What are you experiencing now as you share this story?”
Question 4
1 out of 1 points
A patient’s depression is affecting her relationship with her spouse. What might the
PMHNP ask during the initial sessions of interpersonal psychotherapy treatment?
Selected D.
, Answer: All of the above.
Question 5
1 out of 1 points
A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise
to excess. When asked to describe why she does so much exercise, she says, “I
like the compliments I receive from others on my new level of fitness, and the
excitement of getting more attention.” The PMHNP can use feeling-state therapy to
help Monique ___________.
Selected D.
Answer: all of the above
Question 6
1 out of 1 points
The PMHNP is caring for an adult male patient whose wife left him several months
ago. He recently learned that his ex-wife is dating someone much younger. The
man feels belittled, sad, and lonely. He talks about trying to meet other women, but
says, “I can’t compete with the younger guys these days, with the cool clothes and
the vegan diets. I’m bald and overweight, and what woman is going to want to be
with me?” How does the PMHNP help raise the man’s self-esteem?
Selected D.
Answer: All of the above
Question 7
1 out of 1 points
A 21-year-old patient is worried about starting a new job. She talks about her fears
of failure and not making friends at the office. Using a person-centered approach,
an appropriate response by the PMHNP is to ______________.
Selected C.
Answer: ask the patient to reflect on and explore what she is
experiencing
Question 8
1 out of 1 points
A PMHNP has been treating a 9-year-old patient who was referred by her school.
Students are asked to raise their hands before speaking during group discussion, but
the patient seems to blurt out what she wants to say without being called on. She also
interrupts other children while they are talking instead of waiting her turn. When the
patient gets frustrated, she has trouble controlling her emotions and cries often. Based
on the initial information provided, the first focus by PMHNP is the child’s ____________.
, Selected B.
Answer: self-
regulation
Question 9
1 out of 1 points
The PMHNP is initiating a plan of care for Holly, a 73-year-old female patient who
has late-life bipolar disorder and reports consuming alcoholic beverages four times
per week. What is the focus of Holly’s therapy going to be?
Selected D.
Answer: All of the above
Question 10
1 out of 1 points
The PMHNP is communicating with a middle-aged male patient who has a history of
addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I do
not have a problem with pain pills! I’ve never had an overdose and no one even
knows that I take them unless I tell them.” The PMHNP understands that there are
phases of change and can best demonstrate “focusing” by responding with:
Selected D.
Answer: “I am wondering if your use of pain medication has ever prompted
you to seek medical attention.”
Question 11
1 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 D.
Answer: mental health system of care
Question 12
1 out of 1 points
The PMHNP is meeting with an older, female adult patient and her daughter. The
patient has early onset dementia. The daughter expresses concern, saying, “I don’t
want you to just stick my mother in a home and give her medicine. I’m worried that’s
what people are going to want to do.” What is the best response by the PMHNP to
the daughter?
Selected B.
Answer: “The type of treatment depends on the stage of dementia and
safety considerations.”
Question 13
1 out of 1 points
, Mia is a 75-year-old patient who has completed initial treatment for depression.
What might a PMHNP ask Mia when using a solution-focused therapy approach?
Selected D.
Answer: All of the above.
Question 14
1 out of 1 points
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?
Selected B.
Answer: Affect
modulation
Question 15
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected Ye
Answers: s
Question 16
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 17
1 out of 1 points
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?
Selected B.
