4/1/24,m8:52mP NURSm6640mFinalmExammTestmBankm300mQuestionsmwithmAns
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NURSm6640mFinalmExammTestmBankm300mQuestionsmwithmAnswers
Questionm 1
1moutmofm1mpoints
AmPMHNPmhasm beenm treatingm am 9-year-
oldm patientm whom wasm referredm bym herm school.m Studentsm are
askedm tom raisem theirm handsm beforem speakingm duringm groupm discussion,m butm them patientm see
msm tom blurtmoutm whatm shem wantsm tom saym withoutm beingm calledm on.m Shem alsom interruptsm oth
erm childrenm whilem theymaremtalkingm insteadmofmwaitingm hermturn.mWhenmthempatientm getsm fr
ustrated,mshemhasmtrouble
controllingm herm emotionsm andm criesm often.m Basedm onm them initialm informationm provided,m them
firstm focusmbymPMHNPmismthemchild’s .
Answer:m B.m self-regulation
Questionm 2
1moutmofm1mpoints
Them PMHNPmism caringm form am patientm whom experiencesm depressionm causedm bym them traumatic
experiencemofmhermdogmpassingmaway.mShemreportsmnotmbeingmablemtomeatmormsleep,mand
msometimesmdoesn’tmwantmtom leavemthem housematmall.mWhichmstatementmism mostmappropri
atemformthemPMHNPmtommaximizemthempatient’smadaptivemcopingmmechanisms?
Answer:mC.m“It’smimportantmtombemmindfulmofmhowmyoumfeelmandmthenmtomdeterminemw
hatmcausesmthosemfeelings.”
Questionm 3
1moutmofm1mpoints
AmPMHNPmism usingm Gestaltm therapym tom communicatem withm am 50-year-
oldm patientm whom ism goingmthroughm am divorce.mAsm hem ism calmlym sharingm them detailsm of
m hism divorce,m them PMHNPmnoticesm that
Davem ism tappingm hism fingersm onm hism legs.mWhatm ism anm appropriatem responsem bym them PMHN
Pmusingm themtechniquemofmfocusing?
Answer:mA.m “Im noticedm thatm yourm fingersm werem tapping.m Canm youm givem am voicem tom yourm fingers
?”
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Questionm 4
1moutmofm1mpoints
Them PMHNPmism meetingm withm anm older,m femalem adultm patientm andm herm daughter. mThem patientm h
as
earlym onsetm dementia.mThem daughterm expressesm concern,m saying,m “Im don’tm wantm youm tom jus
tm stickm mymmotherm inmamhomemandmgivemherm medicine.mI’mmworriedmthat’smwhatmpeoplemar
emgoingmtomwantmtomdo.”mWhatmismthembestmresponsembymthemPMHNPmtomthemdaughter?
Answer:m B.m “Them typem ofm treatmentm dependsm onm them stagem ofm dementiam andm safetym considerati
ons.”
Questionm 5
1moutmofm1mpoints
AmPMHNPmism treatingm am 10-year-
oldm boym whom ism exhibitingm signsm ofm aggressionm andm attentionmproblems.mWhatm typemo
fm interventionm willm them PMHNPmconsiderm usingm am commonm elements
approach?
Answer:mD.mAllm ofm them above
Questionm 6
1moutmofm1mpoints
Am35-year-
oldm malem patientm ism beingm treatedm form alcoholm addiction.m Hem asksm form them PMHNP’sm cell
mphonem numberm tom usem inm casem ofm anm emergency.mWhenm them PMHNPmresponds m thatm givi
ngm hermnumbermwouldmbemagainstmtherapeuticmrules,mthempatientmthreatensmanmactmofm viole
ncemtomthemtherapist.mWhatmwouldmbemthem mostmappropriatemresponsembymthemPMHNP?
Answer:mA.m Immediatelym reportm them threatm tom them localm policem department
Questionm 7
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0 outmofm1mpoints
ThemPMHNPmism caringm form anmadultm malem patientmwhosem wifem leftm himm severalm monthsm a
go.m Hemrecentlym learnedm thatm hism ex-
wifem ism datingm someonem muchm younger.mThem manm feelsm belittled,m sad,mandmlonely.mHemtalk
smaboutmtryingmtom meetmothermwomen,mbutmsays,m“Imcan’tmcompetemwithmthe
youngerm guysm thesem days,m withm them coolm clothesm andm them veganm diets.m I’mm baldm andm over
weight,m andmwhatmwomanm ismgoingmtom wantm tombemwithm me?”mHowmdoesm themPMHNPmhel
pmraisem them man’smself-
esteem?
SelectedmAnswer:m A.m Correctingm cognitivem distortions
Questionm 8
1 outmofm1mpoints
ThemPMHNPmusesmtherapeuticmcommunicationmskillsmwhilemensuringmthatmthempatientmunde
rstandsmthatmhemhasmchoices.mThemPMHNPmcomprehendsmandmpracticesmmotivationalminterv
iewing.mThismismbestmunderstoodmasmwhichmofmthemfollowing?
Answer:mB.mAmstatementmthatmbothmchallengesmthempatient’smresistancemandmoffersmanmoppo
rtunitymtomdiscussm them issuesm allowsm them patientm tom arguem withm him/herselfm tom helpm produ
cem am desiredm change.
Questionm 9
1moutmofm1mpoints
ThemPMHNPmismterminatingmtreatmentm formampatientmwhom hasmbeenmreceivingmeyem moveme
ntmdesensitizationm andm reprocessingm (EMDR)m therapy.mWhatm actionm doesm them PMHNPmtake
m atm them finalmsessionmtomterminatemtreatment?
Answer:m B.m Discussesm allm issuesm thatm havem beenm addressed
Questionm 10
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1moutmofm1mpoints
Them PMHNPmism assessingm anm olderm adultm malem patientm withm depressionm andm comorbidities.
Accordingmtomthemmedicalmchart,mthempatientmtakesmmedicationmtommanagemjointmandmbonem
pain.mThempatientmreportsmfeelingm“forgetful”mandmcomplainsmthatmhemhasmamhardmtimemrem
emberingmwheremhemputsmthings.mWhatmismthemprimarymactionmbymthemPMHNP?
Answer:m C.m Determiningm ifm them patient’sm medicationsm canm bem causingm memorym problems
Questionm11
1moutmofm1mpoints
Am21-year-
oldmpatientmhasmbeenmhavingmtroublemadjustingmtomcollegemlife.mShemtellsmthemPMHNPmthatm
shemhadmfivemalcoholicmdrinksmatmampartymthismpastmweekend.mShemalsomacknowledgesmthatm
shemdrankmthemsamemamountmofmalcoholmatmampartymthempreviousm month.mBasedmonmthism in
formation,mwhat
wouldm them PMHNPmmostm likelym recommend?
Answer:m D.m Nonem ofm them above
Questionm 12
0 outmofm1mpoints
ThemPMHNPmism assessingmam newm geriatricm patientm whom reportsm symptomsm ofmdepression.m
ThemPMHNPmwantsm tom identifym them patient’sm symptomm severitym overm time.mWhichm assess
mentm toolm willmthemPMHNPmusemtomcollectmthismdatamonmthempatient?
SelectedmAnswer:m C.mABm Clinicianm Depressionm Screen
Questionm 13
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NURSm6640mFinalmExammTestmBankm300mQuestionsmwithmAnswers
Questionm 1
1moutmofm1mpoints
AmPMHNPmhasm beenm treatingm am 9-year-
oldm patientm whom wasm referredm bym herm school.m Studentsm are
askedm tom raisem theirm handsm beforem speakingm duringm groupm discussion,m butm them patientm see
msm tom blurtmoutm whatm shem wantsm tom saym withoutm beingm calledm on.m Shem alsom interruptsm oth
erm childrenm whilem theymaremtalkingm insteadmofmwaitingm hermturn.mWhenmthempatientm getsm fr
ustrated,mshemhasmtrouble
controllingm herm emotionsm andm criesm often.m Basedm onm them initialm informationm provided,m them
firstm focusmbymPMHNPmismthemchild’s .
Answer:m B.m self-regulation
Questionm 2
1moutmofm1mpoints
Them PMHNPmism caringm form am patientm whom experiencesm depressionm causedm bym them traumatic
experiencemofmhermdogmpassingmaway.mShemreportsmnotmbeingmablemtomeatmormsleep,mand
msometimesmdoesn’tmwantmtom leavemthem housematmall.mWhichmstatementmism mostmappropri
atemformthemPMHNPmtommaximizemthempatient’smadaptivemcopingmmechanisms?
Answer:mC.m“It’smimportantmtombemmindfulmofmhowmyoumfeelmandmthenmtomdeterminemw
hatmcausesmthosemfeelings.”
Questionm 3
1moutmofm1mpoints
AmPMHNPmism usingm Gestaltm therapym tom communicatem withm am 50-year-
oldm patientm whom ism goingmthroughm am divorce.mAsm hem ism calmlym sharingm them detailsm of
m hism divorce,m them PMHNPmnoticesm that
Davem ism tappingm hism fingersm onm hism legs.mWhatm ism anm appropriatem responsem bym them PMHN
Pmusingm themtechniquemofmfocusing?
Answer:mA.m “Im noticedm thatm yourm fingersm werem tapping.m Canm youm givem am voicem tom yourm fingers
?”
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Questionm 4
1moutmofm1mpoints
Them PMHNPmism meetingm withm anm older,m femalem adultm patientm andm herm daughter. mThem patientm h
as
earlym onsetm dementia.mThem daughterm expressesm concern,m saying,m “Im don’tm wantm youm tom jus
tm stickm mymmotherm inmamhomemandmgivemherm medicine.mI’mmworriedmthat’smwhatmpeoplemar
emgoingmtomwantmtomdo.”mWhatmismthembestmresponsembymthemPMHNPmtomthemdaughter?
Answer:m B.m “Them typem ofm treatmentm dependsm onm them stagem ofm dementiam andm safetym considerati
ons.”
Questionm 5
1moutmofm1mpoints
AmPMHNPmism treatingm am 10-year-
oldm boym whom ism exhibitingm signsm ofm aggressionm andm attentionmproblems.mWhatm typemo
fm interventionm willm them PMHNPmconsiderm usingm am commonm elements
approach?
Answer:mD.mAllm ofm them above
Questionm 6
1moutmofm1mpoints
Am35-year-
oldm malem patientm ism beingm treatedm form alcoholm addiction.m Hem asksm form them PMHNP’sm cell
mphonem numberm tom usem inm casem ofm anm emergency.mWhenm them PMHNPmresponds m thatm givi
ngm hermnumbermwouldmbemagainstmtherapeuticmrules,mthempatientmthreatensmanmactmofm viole
ncemtomthemtherapist.mWhatmwouldmbemthem mostmappropriatemresponsembymthemPMHNP?
Answer:mA.m Immediatelym reportm them threatm tom them localm policem department
Questionm 7
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0 outmofm1mpoints
ThemPMHNPmism caringm form anmadultm malem patientmwhosem wifem leftm himm severalm monthsm a
go.m Hemrecentlym learnedm thatm hism ex-
wifem ism datingm someonem muchm younger.mThem manm feelsm belittled,m sad,mandmlonely.mHemtalk
smaboutmtryingmtom meetmothermwomen,mbutmsays,m“Imcan’tmcompetemwithmthe
youngerm guysm thesem days,m withm them coolm clothesm andm them veganm diets.m I’mm baldm andm over
weight,m andmwhatmwomanm ismgoingmtom wantm tombemwithm me?”mHowmdoesm themPMHNPmhel
pmraisem them man’smself-
esteem?
SelectedmAnswer:m A.m Correctingm cognitivem distortions
Questionm 8
1 outmofm1mpoints
ThemPMHNPmusesmtherapeuticmcommunicationmskillsmwhilemensuringmthatmthempatientmunde
rstandsmthatmhemhasmchoices.mThemPMHNPmcomprehendsmandmpracticesmmotivationalminterv
iewing.mThismismbestmunderstoodmasmwhichmofmthemfollowing?
Answer:mB.mAmstatementmthatmbothmchallengesmthempatient’smresistancemandmoffersmanmoppo
rtunitymtomdiscussm them issuesm allowsm them patientm tom arguem withm him/herselfm tom helpm produ
cem am desiredm change.
Questionm 9
1moutmofm1mpoints
ThemPMHNPmismterminatingmtreatmentm formampatientmwhom hasmbeenmreceivingmeyem moveme
ntmdesensitizationm andm reprocessingm (EMDR)m therapy.mWhatm actionm doesm them PMHNPmtake
m atm them finalmsessionmtomterminatemtreatment?
Answer:m B.m Discussesm allm issuesm thatm havem beenm addressed
Questionm 10
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M wers
1moutmofm1mpoints
Them PMHNPmism assessingm anm olderm adultm malem patientm withm depressionm andm comorbidities.
Accordingmtomthemmedicalmchart,mthempatientmtakesmmedicationmtommanagemjointmandmbonem
pain.mThempatientmreportsmfeelingm“forgetful”mandmcomplainsmthatmhemhasmamhardmtimemrem
emberingmwheremhemputsmthings.mWhatmismthemprimarymactionmbymthemPMHNP?
Answer:m C.m Determiningm ifm them patient’sm medicationsm canm bem causingm memorym problems
Questionm11
1moutmofm1mpoints
Am21-year-
oldmpatientmhasmbeenmhavingmtroublemadjustingmtomcollegemlife.mShemtellsmthemPMHNPmthatm
shemhadmfivemalcoholicmdrinksmatmampartymthismpastmweekend.mShemalsomacknowledgesmthatm
shemdrankmthemsamemamountmofmalcoholmatmampartymthempreviousm month.mBasedmonmthism in
formation,mwhat
wouldm them PMHNPmmostm likelym recommend?
Answer:m D.m Nonem ofm them above
Questionm 12
0 outmofm1mpoints
ThemPMHNPmism assessingmam newm geriatricm patientm whom reportsm symptomsm ofmdepression.m
ThemPMHNPmwantsm tom identifym them patient’sm symptomm severitym overm time.mWhichm assess
mentm toolm willmthemPMHNPmusemtomcollectmthismdatamonmthempatient?
SelectedmAnswer:m C.mABm Clinicianm Depressionm Screen
Questionm 13
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