NUNP 6640 FINAL EXAM 6 – QUESTION AND ANSWERS

NUNP 6640 FINAL EXAM 6 – QUESTION AND
ANSWERS
 Question 1
1 out of 1 points
The PMHNP is caring for a young adult patient with whom the PMHNP decides to
use a dynamic supportive therapy approach in addition to pharmacological
intervention. Which therapeutic action will the PMHNP take to employ the strategy of
holding and containing the patient?
Selected B.
Answer: Asking the patient how the patient feels
 Question 2
1 out of 1 points
A 21-year-old patient has been having trouble adjusting to college life. She tells the
PMHNP that she had five alcoholic drinks at a party this past weekend. She also
acknowledges that she drank the same amount of alcohol at a party the previous
month. Based on this information, what would the PMHNP most likely recommend?
Selected D.
Answer: None of the above
 Question 3
1 out of 1 points
A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and
attention problems. What type of intervention will the PMHNP consider using a
common elements approach?
Selected D.
Answer: All of the above
 Question 4
1 out of 1 points
As part of the PMHNP’s role in the clinic, the PMHNP oversees students that gain
clinical experience at the agency. The student is instructed to use the supportive
psychodynamic therapy approach with the patient. Which action made by the student
causes the PMHNP to intervene, after observing the student interacting with the
patient?
Selected A.
Answer: Focusing too heavily on defenses
 Question 5
1 out of 1 points
A 43-year-old single mother is seeing the PMHNP at the request of her sister. “My
sister thinks I need to come here to talk about my feelings,” the patient reports. The

,PMHNP learns that the patient has three children from three different men, but is
unable to collect appropriate child support payments from any of the biological
fathers. Additionally, the woman is barely able to afford her apartment or utilities
payments. What is the appropriate response from the PMHNP when using the
psychodynamic psychotherapy technique?
Selected C.
Answer: Suggesting that the patient seek professional legal help
 Question 6
1 out of 1 points
An 8-year-old has been having trouble making friends at school. His parents initiated
treatment when he also started acting out at home. Which is the most appropriate
step that the PMHNP takes during the assessment process when using an integrated
approach?
Selected D.
Answer: All of the above
 Question 7
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 8
1 out of 1 points
A cocaine-addicted female patient is entering residential treatment for substance
abuse. Using the 10 guiding principles of recovery, an appropriate step by the
PMHNP is to ______________.
Selected B.
Answer: integrate services that encompass mind, body, spirit, and
community
 Question 9
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 10
1 out of 1 points
While assessing a patient using a humanistic-existential approach, a patient tells the
PMHNP, “For the past few weeks, I’ve felt anxious almost every single day.” What
would be an appropriate next step by the PMHNP?
Selected D.
Answer: Encourage the patient to clarify by asking, “You constantly feel
anxious?”
 Question 11
1 out of 1 points
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?
Selected A.
Answer: Encourage the patient to continue treatment by using alternative
strategies
 Question 12
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 13
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 14
1 out of 1 points