NURS 6640 FINAL EXAM 2 – QUESTION AND
ANSWERS
Question 1
1. 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
children won‟t even talk to me.” Which of the following statements demonstrate a simple
reflection?
A. “You feel that your children have given you many chances.”
B. “You believe that you have no one to support you through this.”
C. “You feel that your use of alcohol is a terrible habit.”
D. All the above.
D
1 points
Question 2
1. A 13-year-old patient and his parents are meeting with a PMHNP. When the PMHNP
says hello, the boy just nods. His parents tell the PMHNP that he didn‟t want to come
to the session, but they insisted. They explain that their son has been moody and
depressed at home, but is still getting good grades at school. Which of the following
would be the best response by the PMHNP?
A. Ask the patient to leave the room to speak with his parents
B. Tell the patient that he shouldn‟t be upset at his parents
C. Compliment the patient on his academic achievement
D. All of the above
C
1 points
Question 3
Page 1 of 30
, 1. The PMHNP is caring for an older patient with major depressive disorder,
seasonal pattern. The patient has been resolute about not taking medication to
manage the
Page 2 of 30
, depression brought on by his illness, stating that it is against his yogic lifestyle. In
addition to psychotherapy, what can the PMHNP suggest to this patient?
A. “You may want to look into therapeutic oils and aromatherapy as an alternative to
medication.”
B. “Some patients have good results with medicine. Are you sure you don‟t want to
try it?”
C. “You can try taking natural supplements in addition to the medicine I prescribe
you.”
D. All of the above.
A
1 points
Question 4
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
A
1 points
Question 5
1. 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?
A. “It is your choice whether to continue to take your medications.”
B. “Have you thought of how you will continue your treatment plans?”
Page 3 of 30
, C. “Are you upset with someone here? Tell me more about this.”
D. “Are you sure you no longer want to go to therapy?”
B
1 points
Question 6
1. The PMHNP is terminating treatment for a patient who has been receiving eye movement
desensitization and reprocessing (EMDR) therapy. What action does the PMHNP take at
the final session to terminate treatment?
A. Helps the patient create a future template
B. Discusses all issues that have been addressed
C. Asks the patient to take a new assessment
D. All of the above
B
1 points
Question 7
1. 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?
A. Encouraging and nurturing the patient
B. Asking the patient how the patient feels
C. Discussing why the patient is not taking the medication as directed
D. Teaching the patient about medication side effects
B
1 points
Question 8
Page 4 of 30
ANSWERS
Question 1
1. 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
children won‟t even talk to me.” Which of the following statements demonstrate a simple
reflection?
A. “You feel that your children have given you many chances.”
B. “You believe that you have no one to support you through this.”
C. “You feel that your use of alcohol is a terrible habit.”
D. All the above.
D
1 points
Question 2
1. A 13-year-old patient and his parents are meeting with a PMHNP. When the PMHNP
says hello, the boy just nods. His parents tell the PMHNP that he didn‟t want to come
to the session, but they insisted. They explain that their son has been moody and
depressed at home, but is still getting good grades at school. Which of the following
would be the best response by the PMHNP?
A. Ask the patient to leave the room to speak with his parents
B. Tell the patient that he shouldn‟t be upset at his parents
C. Compliment the patient on his academic achievement
D. All of the above
C
1 points
Question 3
Page 1 of 30
, 1. The PMHNP is caring for an older patient with major depressive disorder,
seasonal pattern. The patient has been resolute about not taking medication to
manage the
Page 2 of 30
, depression brought on by his illness, stating that it is against his yogic lifestyle. In
addition to psychotherapy, what can the PMHNP suggest to this patient?
A. “You may want to look into therapeutic oils and aromatherapy as an alternative to
medication.”
B. “Some patients have good results with medicine. Are you sure you don‟t want to
try it?”
C. “You can try taking natural supplements in addition to the medicine I prescribe
you.”
D. All of the above.
A
1 points
Question 4
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
A
1 points
Question 5
1. 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?
A. “It is your choice whether to continue to take your medications.”
B. “Have you thought of how you will continue your treatment plans?”
Page 3 of 30
, C. “Are you upset with someone here? Tell me more about this.”
D. “Are you sure you no longer want to go to therapy?”
B
1 points
Question 6
1. The PMHNP is terminating treatment for a patient who has been receiving eye movement
desensitization and reprocessing (EMDR) therapy. What action does the PMHNP take at
the final session to terminate treatment?
A. Helps the patient create a future template
B. Discusses all issues that have been addressed
C. Asks the patient to take a new assessment
D. All of the above
B
1 points
Question 7
1. 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?
A. Encouraging and nurturing the patient
B. Asking the patient how the patient feels
C. Discussing why the patient is not taking the medication as directed
D. Teaching the patient about medication side effects
B
1 points
Question 8
Page 4 of 30
