12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAnswers
Questiong1
1goutgofg1gpoints
AgPMHNPghasgbeengtreatinggag9-year-
oldgpatientgwhogwasgreferredgbyghergschool.gStudentsgareg askedgtograisegtheirghandsgbef
oregspeakinggduringggroupgdiscussion,gbutgthegpatientgseemsgtogblurtg outgwhatgshegwant
sgtogsaygwithoutgbeinggcalledgon.gShegalsoginterruptsgothergchildrengwhilegtheyg aregtalk
ingginsteadgofgwaitingghergturn.gWhengthegpatientggetsgfrustrated,gsheghasgtroubleg contro
llingghergemotionsgandgcriesgoften.gBasedgongtheginitialginformationgprovided,gthegfirstgfo
cusg bygPMHNPgisgthegchild’sg .
Answer:gB.gself-regulation
Questiong2
1goutgofg1gpoints
ThegPMHNPgisgcaringgforgagpatientgwhogexperiencesgdepressiongcausedgbygthegtraumatic
g experiencegofghergdoggpassinggaway.gShegreportsgnotgbeinggablegtogeatgorgsleep,gandgs
ometimesg doesn’tgwantgtogleavegtheghousegatgall.gWhichgstatementgisgmostgappropriategf
orgthegPMHNPgtog maximizegthegpatient’sgadaptivegcopinggmechanisms?
Answer:gC.g“It’sgimportantgtogbegmindfulgofghowgyougfeelgandgthengtogdeterminegwhat
gcausesg thosegfeelings.”
Questiong3
1goutgofg1gpoints
AgPMHNPgisgusinggGestaltgtherapygtogcommunicategwithgag50-year-
oldgpatientgwhogisggoingg throughgagdivorce.gAsghegisgcalmlygsharinggthegdetailsgofghis
gdivorce,gthegPMHNPgnoticesgthatg Davegisgtappingghisgfingersgonghisglegs.gWhatgisgang
appropriategresponsegbygthegPMHNPgusinggtheg techniquegofgfocusing?
Answer:gA.g“Ignoticedgthatgyourgfingersgweregtapping.gCangyouggivegagvoicegtogyourgfingers?”
about:blank 1/97
,12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
Questiong4
1goutgofg1gpoints
ThegPMHNPgisgmeetinggwithgangolder,gfemalegadultgpatientgandghergdaughter.gThegpati
entghasg earlygonsetgdementia.gThegdaughtergexpressesgconcern,gsaying,g“Igdon’tgwantgyo
ugtogjustgstickgmyg mothergingaghomegandggiveghergmedicine.gI’mgworriedgthat’sgwhatg
peoplegareggoinggtogwantgtog do.”gWhatgisgthegbestgresponsegbygthegPMHNPgtogthegda
ughter?
Answer:gB.g“Thegtypegofgtreatmentgdependsgongthegstagegofgdementiagandgsafetygconsiderations.”
Questiong5
1goutgofg1gpoints
AgPMHNPgisgtreatinggag10-year-
oldgboygwhogisgexhibitinggsignsgofgaggressiongandgattentiong problems.gWhatgtypegofgint
erventiongwillgthegPMHNPgconsidergusinggagcommongelementsg approach?
Answer:gD.gAllgofgthegabove
Questiong6
1goutgofg1gpoints
Ag35-year-
oldgmalegpatientgisgbeinggtreatedgforgalcoholgaddiction.gHegasksgforgthegPMHNP’sgcell
g phonegnumbergtogusegingcasegofgangemergency.gWhengthegPMHNPgrespondsgthatggiv
inggherg numbergwouldgbegagainstgtherapeuticgrules,gthegpatientgthreatensgangactgofgvio
lencegtogtheg therapist.gWhatgwouldgbegthegmostgappropriategresponsegbygthegPMHNP?
Answer:gA.gImmediatelygreportgthegthreatgtogtheglocalgpolicegdepartment
Questiong7
about:blank 2/97
,12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
0goutgofg1gpoints
ThegPMHNPgisgcaringgforgangadultgmalegpatientgwhosegwifegleftghimgseveralgmonthsgag
o.gHeg recentlyglearnedgthatghisgex-
wifegisgdatinggsomeonegmuchgyounger.gThegmangfeelsgbelittled,gsad,g andglonely.gHegtal
ksgaboutgtryinggtogmeetgothergwomen,gbutgsays,g“Igcan’tgcompetegwithgtheg youngerggu
ysgthesegdays,gwithgthegcoolgclothesgandgthegvegangdiets.gI’mgbaldgandgoverweight,gand
g whatgwomangisggoinggtogwantgtogbegwithgme?”gHowgdoesgthegPMHNPghelpgraisegthe
gman’sgself-g esteem?
SelectedgAnswer:gA.gCorrectinggcognitivegdistortions
Questiong8
1goutgofg1gpoints
ThegPMHNPgusesgtherapeuticgcommunicationgskillsgwhilegensuringgthatgthegpatientgunde
rstandsg thatgheghasgchoices.gThegPMHNPgcomprehendsgandgpracticesgmotivationalginter
viewing.gThisgisg bestgunderstoodgasgwhichgofgthegfollowing?
Answer:gB.gAgstatementgthatgbothgchallengesgthegpatient’sgresistancegandgoffersgangoppo
rtunitygtog discussgthegissuesgallowsgthegpatientgtogarguegwithghim/herselfgtoghelpgprodu
cegagdesiredgchange.
Questiong9
1goutgofg1gpoints
ThegPMHNPgisgterminatinggtreatmentgforgagpatientgwhoghasgbeengreceivinggeyegmoveme
ntg desensitizationgandgreprocessingg(EMDR)gtherapy.gWhatgactiongdoesgthegPMHNPgtake
gatgthegfinalg sessiongtogterminategtreatment?
Answer:gB.gDiscussesgallgissuesgthatghavegbeengaddressed
Questiong10
about:blank 3/97
, 12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
1goutgofg1gpoints
ThegPMHNPgisgassessinggangoldergadultgmalegpatientgwithgdepressiongandgcomorbidities.
g Accordinggtogthegmedicalgchart,gthegpatientgtakesgmedicationgtogmanagegjointgandgbone
gpain.gTheg patientgreportsgfeelingg“forgetful”gandgcomplainsgthatgheghasgaghardgtimegre
memberinggwheregheg putsgthings.gWhatgisgthegprimarygactiongbygthegPMHNP?
Answer:gC.gDetermininggifgthegpatient’sgmedicationsgcangbegcausinggmemorygproblems
Questiong11
1goutgofg1gpoints
Ag21-year-
oldgpatientghasgbeenghavinggtroublegadjustinggtogcollegeglife.gShegtellsgthegPMHNPgthat
g sheghadgfivegalcoholicgdrinksgatgagpartygthisgpastgweekend.gShegalsogacknowledgesgth
atgshegdrankg thegsamegamountgofgalcoholgatgagpartygthegpreviousgmonth.gBasedgongthi
sginformation,gwhatg wouldgthegPMHNPgmostglikelygrecommend?
Answer:gD.gNonegofgthegabove
Questiong12
0goutgofg1gpoints
ThegPMHNPgisgassessinggagnewggeriatricgpatientgwhogreportsgsymptomsgofgdepression.g
Theg PMHNPgwantsgtogidentifygthegpatient’sgsymptomgseveritygovergtime.gWhichgassessm
entgtoolgwillg thegPMHNPgusegtogcollectgthisgdatagongthegpatient?
SelectedgAnswer:gC.gABgCliniciangDepressiongScreen
Questiong13
about:blank 4/97
M wers
NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAnswers
Questiong1
1goutgofg1gpoints
AgPMHNPghasgbeengtreatinggag9-year-
oldgpatientgwhogwasgreferredgbyghergschool.gStudentsgareg askedgtograisegtheirghandsgbef
oregspeakinggduringggroupgdiscussion,gbutgthegpatientgseemsgtogblurtg outgwhatgshegwant
sgtogsaygwithoutgbeinggcalledgon.gShegalsoginterruptsgothergchildrengwhilegtheyg aregtalk
ingginsteadgofgwaitingghergturn.gWhengthegpatientggetsgfrustrated,gsheghasgtroubleg contro
llingghergemotionsgandgcriesgoften.gBasedgongtheginitialginformationgprovided,gthegfirstgfo
cusg bygPMHNPgisgthegchild’sg .
Answer:gB.gself-regulation
Questiong2
1goutgofg1gpoints
ThegPMHNPgisgcaringgforgagpatientgwhogexperiencesgdepressiongcausedgbygthegtraumatic
g experiencegofghergdoggpassinggaway.gShegreportsgnotgbeinggablegtogeatgorgsleep,gandgs
ometimesg doesn’tgwantgtogleavegtheghousegatgall.gWhichgstatementgisgmostgappropriategf
orgthegPMHNPgtog maximizegthegpatient’sgadaptivegcopinggmechanisms?
Answer:gC.g“It’sgimportantgtogbegmindfulgofghowgyougfeelgandgthengtogdeterminegwhat
gcausesg thosegfeelings.”
Questiong3
1goutgofg1gpoints
AgPMHNPgisgusinggGestaltgtherapygtogcommunicategwithgag50-year-
oldgpatientgwhogisggoingg throughgagdivorce.gAsghegisgcalmlygsharinggthegdetailsgofghis
gdivorce,gthegPMHNPgnoticesgthatg Davegisgtappingghisgfingersgonghisglegs.gWhatgisgang
appropriategresponsegbygthegPMHNPgusinggtheg techniquegofgfocusing?
Answer:gA.g“Ignoticedgthatgyourgfingersgweregtapping.gCangyouggivegagvoicegtogyourgfingers?”
about:blank 1/97
,12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
Questiong4
1goutgofg1gpoints
ThegPMHNPgisgmeetinggwithgangolder,gfemalegadultgpatientgandghergdaughter.gThegpati
entghasg earlygonsetgdementia.gThegdaughtergexpressesgconcern,gsaying,g“Igdon’tgwantgyo
ugtogjustgstickgmyg mothergingaghomegandggiveghergmedicine.gI’mgworriedgthat’sgwhatg
peoplegareggoinggtogwantgtog do.”gWhatgisgthegbestgresponsegbygthegPMHNPgtogthegda
ughter?
Answer:gB.g“Thegtypegofgtreatmentgdependsgongthegstagegofgdementiagandgsafetygconsiderations.”
Questiong5
1goutgofg1gpoints
AgPMHNPgisgtreatinggag10-year-
oldgboygwhogisgexhibitinggsignsgofgaggressiongandgattentiong problems.gWhatgtypegofgint
erventiongwillgthegPMHNPgconsidergusinggagcommongelementsg approach?
Answer:gD.gAllgofgthegabove
Questiong6
1goutgofg1gpoints
Ag35-year-
oldgmalegpatientgisgbeinggtreatedgforgalcoholgaddiction.gHegasksgforgthegPMHNP’sgcell
g phonegnumbergtogusegingcasegofgangemergency.gWhengthegPMHNPgrespondsgthatggiv
inggherg numbergwouldgbegagainstgtherapeuticgrules,gthegpatientgthreatensgangactgofgvio
lencegtogtheg therapist.gWhatgwouldgbegthegmostgappropriategresponsegbygthegPMHNP?
Answer:gA.gImmediatelygreportgthegthreatgtogtheglocalgpolicegdepartment
Questiong7
about:blank 2/97
,12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
0goutgofg1gpoints
ThegPMHNPgisgcaringgforgangadultgmalegpatientgwhosegwifegleftghimgseveralgmonthsgag
o.gHeg recentlyglearnedgthatghisgex-
wifegisgdatinggsomeonegmuchgyounger.gThegmangfeelsgbelittled,gsad,g andglonely.gHegtal
ksgaboutgtryinggtogmeetgothergwomen,gbutgsays,g“Igcan’tgcompetegwithgtheg youngerggu
ysgthesegdays,gwithgthegcoolgclothesgandgthegvegangdiets.gI’mgbaldgandgoverweight,gand
g whatgwomangisggoinggtogwantgtogbegwithgme?”gHowgdoesgthegPMHNPghelpgraisegthe
gman’sgself-g esteem?
SelectedgAnswer:gA.gCorrectinggcognitivegdistortions
Questiong8
1goutgofg1gpoints
ThegPMHNPgusesgtherapeuticgcommunicationgskillsgwhilegensuringgthatgthegpatientgunde
rstandsg thatgheghasgchoices.gThegPMHNPgcomprehendsgandgpracticesgmotivationalginter
viewing.gThisgisg bestgunderstoodgasgwhichgofgthegfollowing?
Answer:gB.gAgstatementgthatgbothgchallengesgthegpatient’sgresistancegandgoffersgangoppo
rtunitygtog discussgthegissuesgallowsgthegpatientgtogarguegwithghim/herselfgtoghelpgprodu
cegagdesiredgchange.
Questiong9
1goutgofg1gpoints
ThegPMHNPgisgterminatinggtreatmentgforgagpatientgwhoghasgbeengreceivinggeyegmoveme
ntg desensitizationgandgreprocessingg(EMDR)gtherapy.gWhatgactiongdoesgthegPMHNPgtake
gatgthegfinalg sessiongtogterminategtreatment?
Answer:gB.gDiscussesgallgissuesgthatghavegbeengaddressed
Questiong10
about:blank 3/97
, 12/23/23,g8:30gP NURSg6640gFinalgExamgTestgBankg300gQuestionsgwithgAns
M wers
1goutgofg1gpoints
ThegPMHNPgisgassessinggangoldergadultgmalegpatientgwithgdepressiongandgcomorbidities.
g Accordinggtogthegmedicalgchart,gthegpatientgtakesgmedicationgtogmanagegjointgandgbone
gpain.gTheg patientgreportsgfeelingg“forgetful”gandgcomplainsgthatgheghasgaghardgtimegre
memberinggwheregheg putsgthings.gWhatgisgthegprimarygactiongbygthegPMHNP?
Answer:gC.gDetermininggifgthegpatient’sgmedicationsgcangbegcausinggmemorygproblems
Questiong11
1goutgofg1gpoints
Ag21-year-
oldgpatientghasgbeenghavinggtroublegadjustinggtogcollegeglife.gShegtellsgthegPMHNPgthat
g sheghadgfivegalcoholicgdrinksgatgagpartygthisgpastgweekend.gShegalsogacknowledgesgth
atgshegdrankg thegsamegamountgofgalcoholgatgagpartygthegpreviousgmonth.gBasedgongthi
sginformation,gwhatg wouldgthegPMHNPgmostglikelygrecommend?
Answer:gD.gNonegofgthegabove
Questiong12
0goutgofg1gpoints
ThegPMHNPgisgassessinggagnewggeriatricgpatientgwhogreportsgsymptomsgofgdepression.g
Theg PMHNPgwantsgtogidentifygthegpatient’sgsymptomgseveritygovergtime.gWhichgassessm
entgtoolgwillg thegPMHNPgusegtogcollectgthisgdatagongthegpatient?
SelectedgAnswer:gC.gABgCliniciangDepressiongScreen
Questiong13
about:blank 4/97
