4/1/24,c8:52cPM NURSc6640cFinalcExamcTestcBankc300cQuestionscwithcAnswer
s
NURSc6640cFinalcExamcTestcBankc300cQuestionscwithcAnswers
Questionc1
1coutcofc1cpoints
AcPMHNPchascbeenctreatingc ac9-year-oldc patientcwhocwasc referredcbyc hercschool.cStudentscare
askedctoc raisectheirc handscbeforecspeakingcduringc groupcdiscussion,c butc thecpatientcseemsc toc bl
urtcoutcwhatcshecwantsctocsaycwithoutcbeingccalledcon.c Shecalsoc interruptscothercchildrencwhilec
theycarectalkingcinsteadcofcwaitingchercturn.cWhencthecpatientcgetscfrustrated,cshechasctrouble
controllingc herc emotions candc criesc often.c Basedconc thec initialc informationc provided,cthec firstc foc
uscbycPMHNPciscthecchild’s .
Answer:c B.c self-regulation
Questionc2
1coutcofc1cpoints
Thec PMHNPcisccaringc forcacpatientc whocexperiencescdepressionc causedcbycthec traumatic
experiencecofchercdogcpassingcaway.cShecreportscnotcbeingcablectoceatcorcsleep,candcsometim
escdoesn’tcwantctocleavecthechousecatcall.cWhichcstatementciscmostcappropriatecforcthecPMH
NPctocmaximizecthecpatient’scadaptiveccopingcmechanisms?
Answer:cC.c“It’scimportantctocbecmindfulcofchowcyoucfeelcandcthenctocdeterminecwhatccaus
escthosecfeelings.”
Questionc3
1coutcofc1cpoints
AcPMHNPcisc usingcGestaltctherapyctoccommunicatecwithcac50-year-
oldcpatientcwhoc isc goingcthroughcacdivorce.cAsc hec isccalmlycsharingcthecdetailsc ofc hisc divor
ce,cthec PMHNPcnoticescthat
Davec isctappingc hisc fingersconc hisc legs.cWhatc iscancappropriatecresponsec byc thec PMHNPcusingc
thectechniquecofcfocusing?
Answer:cA.c“Ic noticedcthatc yourc fingerscwerectapping.cCanc youc givecac voicectoc yourc fingers?”
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Questionc4
1coutcofc1cpoints
ThecPMHNPcisc meetingcwithcancolder,c femalecadultc patientcandc hercdaughter.cThec patientc has
earlyconsetc dementia.cThecdaughtercexpressescconcern, csaying,c“Icdon’tcwantc youc toc justcstickc
mycmothercincachomecandcgivechercmedicine.cI’mcworriedcthat’scwhatcpeoplecarecgoingctocwant
ctocdo.” cWhatcis cthecbestcresponsecbycthecPMHNPctocthecdaughter?
Answer:c B.c“Thec typecofctreatmentc dependsconc thec stagecofc dementiacandcsafetyc considerations.”
Questionc5
1coutcofc1cpoints
AcPMHNPcisctreatingc ac10-year-
oldcboycwhoc iscexhibitingcsignsc ofcaggressioncandcattentioncproblems.cWhatc typecofc interv
entionc willcthecPMHNPcconsiderc usingc ac commoncelements
approach?
Answer:cD.cAllcofcthecabove
Questionc6
1coutcofc1cpoints
Ac35-year-
oldc malecpatientc iscbeingctreatedc forcalcoholcaddiction. c Hecasksc forcthec PMHNP’sccellcphonecn
umberctocusecinccasecofcancemergency.cWhencthecPMHNPcrespondscthatcgivingchercnumbercw
ouldcbecagainstctherapeutic crules,cthecpatientcthreatenscancactcofcviolencectocthectherapist.cWha
tcwouldcbecthec mostcappropriatecresponsecbycthecPMHNP?
Answer:cA.c Immediatelycreportc thec threatc tocthec localcpolicecdepartment
Questionc7
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s
0 outcofc1cpoints
ThecPMHNPcisccaringcforcancadultc malecpatientcwhosecwifec leftchimcseveralcmonthscago.c Hecre
centlyc learnedcthatc hiscex-
wifec iscdatingcsomeonec muchc younger.cThec manc feelscbelittled,csad,candclonely.cHectalkscaboutc
tryingctoc meetcothercwomen,cbutcsays,c“Iccan’tccompetecwithcthe
youngerc guyscthesecdays,cwithc theccoolcclothescandcthec vegancdiets.cI’mc baldcandcoverweight,ca
ndcwhatcwomanciscgoingctocwantctocbecwithcme?”cHowcdoescthecPMHNPchelpcraisec thecman’scs
elf-
esteem?
SelectedcAnswer:cA.c Correctingc cognitivec distortions
Questionc8
1 outcofc1cpoints
ThecPMHNPcusesctherapeuticccommunicationcskillscwhilecensuringcthatcthecpatientcunderstand
scthatchechascchoices.cThecPMHNPccomprehendscandcpracticescmotivationalcinterviewing. cThis
ciscbestcunderstoodcascwhichcofcthecfollowing?
Answer:cB.cAcstatementcthatcbothcchallengescthecpatient’scresistancecandcofferscancopportunityct
ocdiscusscthec issuescallowsc thec patientctoc arguecwithc him/herselfctoc helpcproducecac desiredccha
nge.
Questionc9
1coutcofc1cpoints
ThecPMHNPciscterminatingctreatmentcforcacpatientcwhochascbeencreceivingceyec movementcdesen
sitizationcandc reprocessingc(EMDR)c therapy.cWhatcactioncdoesc thec PMHNPctakec atc thec finalcses
sionctocterminatectreatment?
Answer:c B.cDiscussescallc issuescthatc havec beenc addressed
Questionc10
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s
1coutcofc1cpoints
Thec PMHNPcisc assessingc ancolderc adultc malec patientcwithc depressionc andc comorbidities.
Accordingctocthecmedicalcchart,cthecpatientctakescmedicationctocmanagecjointcandcbonecpain.cTh
ecpatientcreportscfeelingc“forgetful”candccomplainscthatchechascachardctimecrememberingcwherec
hecputscthings.cWhatciscthecprimarycactioncbycthecPMHNP?
Answer:cC.cDeterminingc ifc thecpatient’sc medicationsccancbeccausingc memoryc problems
Questionc11
1coutcofc1cpoints
Ac21-year-
oldcpatientchascbeenchavingctroublecadjustingctoccollegeclife.cShectellscthecPMHNPcthatcshechadc
fivecalcoholiccdrinkscatcacpartycthiscpastcweekend.cShecalsocacknowledges cthatcshecdrankcthecsa
mecamountcofcalcoholcatcacpartycthecpreviouscmonth.cBasedconcthiscinformation,cwhat
wouldc thec PMHNPcmostc likelyc recommend?
Answer:cD.cNonecofcthecabove
Questionc12
0 outcofc1cpoints
ThecPMHNPciscassessingcac newcgeriatricc patientcwhocreportscsymptomscofcdepression.cThecP
MHNPcwantsc toc identifyc thec patient’sc symptomcseverityc overc time.cWhichc assessmentc toolcwil
lcthecPMHNPcusectoccollectcthiscdataconcthecpatient?
SelectedcAnswer:c C.cABc Clinicianc Depressionc Screen
Questionc13
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NURSc6640cFinalcExamcTestcBankc300cQuestionscwithcAnswers
Questionc1
1coutcofc1cpoints
AcPMHNPchascbeenctreatingc ac9-year-oldc patientcwhocwasc referredcbyc hercschool.cStudentscare
askedctoc raisectheirc handscbeforecspeakingcduringc groupcdiscussion,c butc thecpatientcseemsc toc bl
urtcoutcwhatcshecwantsctocsaycwithoutcbeingccalledcon.c Shecalsoc interruptscothercchildrencwhilec
theycarectalkingcinsteadcofcwaitingchercturn.cWhencthecpatientcgetscfrustrated,cshechasctrouble
controllingc herc emotions candc criesc often.c Basedconc thec initialc informationc provided,cthec firstc foc
uscbycPMHNPciscthecchild’s .
Answer:c B.c self-regulation
Questionc2
1coutcofc1cpoints
Thec PMHNPcisccaringc forcacpatientc whocexperiencescdepressionc causedcbycthec traumatic
experiencecofchercdogcpassingcaway.cShecreportscnotcbeingcablectoceatcorcsleep,candcsometim
escdoesn’tcwantctocleavecthechousecatcall.cWhichcstatementciscmostcappropriatecforcthecPMH
NPctocmaximizecthecpatient’scadaptiveccopingcmechanisms?
Answer:cC.c“It’scimportantctocbecmindfulcofchowcyoucfeelcandcthenctocdeterminecwhatccaus
escthosecfeelings.”
Questionc3
1coutcofc1cpoints
AcPMHNPcisc usingcGestaltctherapyctoccommunicatecwithcac50-year-
oldcpatientcwhoc isc goingcthroughcacdivorce.cAsc hec isccalmlycsharingcthecdetailsc ofc hisc divor
ce,cthec PMHNPcnoticescthat
Davec isctappingc hisc fingersconc hisc legs.cWhatc iscancappropriatecresponsec byc thec PMHNPcusingc
thectechniquecofcfocusing?
Answer:cA.c“Ic noticedcthatc yourc fingerscwerectapping.cCanc youc givecac voicectoc yourc fingers?”
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s
Questionc4
1coutcofc1cpoints
ThecPMHNPcisc meetingcwithcancolder,c femalecadultc patientcandc hercdaughter.cThec patientc has
earlyconsetc dementia.cThecdaughtercexpressescconcern, csaying,c“Icdon’tcwantc youc toc justcstickc
mycmothercincachomecandcgivechercmedicine.cI’mcworriedcthat’scwhatcpeoplecarecgoingctocwant
ctocdo.” cWhatcis cthecbestcresponsecbycthecPMHNPctocthecdaughter?
Answer:c B.c“Thec typecofctreatmentc dependsconc thec stagecofc dementiacandcsafetyc considerations.”
Questionc5
1coutcofc1cpoints
AcPMHNPcisctreatingc ac10-year-
oldcboycwhoc iscexhibitingcsignsc ofcaggressioncandcattentioncproblems.cWhatc typecofc interv
entionc willcthecPMHNPcconsiderc usingc ac commoncelements
approach?
Answer:cD.cAllcofcthecabove
Questionc6
1coutcofc1cpoints
Ac35-year-
oldc malecpatientc iscbeingctreatedc forcalcoholcaddiction. c Hecasksc forcthec PMHNP’sccellcphonecn
umberctocusecinccasecofcancemergency.cWhencthecPMHNPcrespondscthatcgivingchercnumbercw
ouldcbecagainstctherapeutic crules,cthecpatientcthreatenscancactcofcviolencectocthectherapist.cWha
tcwouldcbecthec mostcappropriatecresponsecbycthecPMHNP?
Answer:cA.c Immediatelycreportc thec threatc tocthec localcpolicecdepartment
Questionc7
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,4/1/24,c8:52cPM NURSc6640cFinalcExamcTestcBankc300cQuestionscwithcAnswer
s
0 outcofc1cpoints
ThecPMHNPcisccaringcforcancadultc malecpatientcwhosecwifec leftchimcseveralcmonthscago.c Hecre
centlyc learnedcthatc hiscex-
wifec iscdatingcsomeonec muchc younger.cThec manc feelscbelittled,csad,candclonely.cHectalkscaboutc
tryingctoc meetcothercwomen,cbutcsays,c“Iccan’tccompetecwithcthe
youngerc guyscthesecdays,cwithc theccoolcclothescandcthec vegancdiets.cI’mc baldcandcoverweight,ca
ndcwhatcwomanciscgoingctocwantctocbecwithcme?”cHowcdoescthecPMHNPchelpcraisec thecman’scs
elf-
esteem?
SelectedcAnswer:cA.c Correctingc cognitivec distortions
Questionc8
1 outcofc1cpoints
ThecPMHNPcusesctherapeuticccommunicationcskillscwhilecensuringcthatcthecpatientcunderstand
scthatchechascchoices.cThecPMHNPccomprehendscandcpracticescmotivationalcinterviewing. cThis
ciscbestcunderstoodcascwhichcofcthecfollowing?
Answer:cB.cAcstatementcthatcbothcchallengescthecpatient’scresistancecandcofferscancopportunityct
ocdiscusscthec issuescallowsc thec patientctoc arguecwithc him/herselfctoc helpcproducecac desiredccha
nge.
Questionc9
1coutcofc1cpoints
ThecPMHNPciscterminatingctreatmentcforcacpatientcwhochascbeencreceivingceyec movementcdesen
sitizationcandc reprocessingc(EMDR)c therapy.cWhatcactioncdoesc thec PMHNPctakec atc thec finalcses
sionctocterminatectreatment?
Answer:c B.cDiscussescallc issuescthatc havec beenc addressed
Questionc10
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, 4/1/24,c8:52cPM NURSc6640cFinalcExamcTestcBankc300cQuestionscwithcAnswer
s
1coutcofc1cpoints
Thec PMHNPcisc assessingc ancolderc adultc malec patientcwithc depressionc andc comorbidities.
Accordingctocthecmedicalcchart,cthecpatientctakescmedicationctocmanagecjointcandcbonecpain.cTh
ecpatientcreportscfeelingc“forgetful”candccomplainscthatchechascachardctimecrememberingcwherec
hecputscthings.cWhatciscthecprimarycactioncbycthecPMHNP?
Answer:cC.cDeterminingc ifc thecpatient’sc medicationsccancbeccausingc memoryc problems
Questionc11
1coutcofc1cpoints
Ac21-year-
oldcpatientchascbeenchavingctroublecadjustingctoccollegeclife.cShectellscthecPMHNPcthatcshechadc
fivecalcoholiccdrinkscatcacpartycthiscpastcweekend.cShecalsocacknowledges cthatcshecdrankcthecsa
mecamountcofcalcoholcatcacpartycthecpreviouscmonth.cBasedconcthiscinformation,cwhat
wouldc thec PMHNPcmostc likelyc recommend?
Answer:cD.cNonecofcthecabove
Questionc12
0 outcofc1cpoints
ThecPMHNPciscassessingcac newcgeriatricc patientcwhocreportscsymptomscofcdepression.cThecP
MHNPcwantsc toc identifyc thec patient’sc symptomcseverityc overc time.cWhichc assessmentc toolcwil
lcthecPMHNPcusectoccollectcthiscdataconcthecpatient?
SelectedcAnswer:c C.cABc Clinicianc Depressionc Screen
Questionc13
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