4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnswers
Questionw1
1woutwofw1wpoints
AwPMHNPwhaswbeenwtreatingwaw9-year-
oldwpatientwwhowwaswreferredwbywherwschool.wStudentswarew askedwtowraisewtheirwhandswbefo
rewspeakingwduringwgroupwdiscussion,wbutwthewpatientwseemswtowblurtw outwwhatwshewwantswt
owsaywwithoutwbeingwcalledwon.wShewalsowinterruptswotherwchildrenwwhilewtheyw arewtalkingwi
nsteadwofwwaitingwherwturn.wWhenwthewpatientwgetswfrustrated, wshewhaswtrouble
controllingwherwemotions wandwcrieswoften.wBasedwonwthewinitialwinformationwprovided,wthewfi
rstwfocusw bywPMHNPwiswthewchild’sw .
Answer:wB.wself-regulation
Questionw2
1woutwofw1wpoints
ThewPMHNPwiswcaringwforwawpatientwwhowexperiences wdepressionwcausedwbywthewtraumatic
experiencewofwherwdogwpassingwaway.wShewreportswnotwbeingwablewtoweatworwsleep,wandws
ometimesw doesn’twwantwtowleavewthewhousewatwall.wWhichwstatementwiswmostwappropriate
wforwthe wPMHNPwtow maximize wthe wpatient’swadaptive wcopingwmechanisms?
Answer:wC.w“It’swimportantwtowbewmindfulwofwhowwyouwfeelwandwthenwtowdeterminewwh
atwcausesw thosewfeelings.”
Questionw3
1woutwofw1wpoints
AwPMHNPwiswusingwGestaltwtherapywtowcommunicatewwithwaw50-year-
oldwpatientwwhowiswgoingw throughwawdivorce.wAswhewiswcalmlywsharingwthewdetailswofwhiswd
ivorce,wthewPMHNPwnotices wthat
Davewiswtappingwhiswfingerswonwhiswlegs.wWhatwiswanwappropriatewresponsewbywthewPMHNPwusing
wthe w technique wofwfocusing?
Answer:wA.w“Iwnoticedwthatwyourwfingerswwerewtapping.wCanwyouwgivewawvoicewtowyourwfingers?”
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,4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
Questionw4
1woutwofw1wpoints
ThewPMHNPwiswmeetingwwithwanwolder,wfemalewadultwpatientwandwherwdaughter.wThewpatie
ntwhasw earlywonsetwdementia.wThewdaughterwexpresseswconcern, wsaying,w“Iwdon’twwantwyou
wtowjustwstickwmyw motherwinwawhome wandwgivewherwmedicine. wI’mwworriedwthat’swwhatwpe
oplewarewgoingwtowwantwto
do.”wWhatwiswthewbestwresponsewbywthewPMHNPwtowthewdaughter?
Answer:wB.w“Thewtypewofwtreatmentwdependswonwthewstagewofwdementiawandwsafetywconsiderations.
”
Questionw5
1woutwofw1wpoints
AwPMHNPwiswtreatingwaw10-year-
oldwboywwhowiswexhibitingwsignswofwaggressionwandwattentionw problems.wWhatwtypewofwinte
rventionwwillwthewPMHNPwconsiderwusingwawcommonwelements
approach?
Answer:wD.wAllwofwthewabove
Questionw6
1woutwofw1wpoints
Aw35-year-
oldwmalewpatientwiswbeingwtreatedwforwalcoholwaddiction. wHewaskswforwthewPMHNP’swcellw
phonewnumberwtowusewinwcasewofwanwemergency.wWhenwthewPMHNPwrespondswthatwgiving
wherw numberwwouldwbe wagainstwtherapeutic wrules,wthe wpatientwthreatens wanwactwofwviolence
wtowthe w therapist. wWhatwwouldwbewthe wmostwappropriate wresponsewbywthe wPMHNP?
Answer:wA.wImmediatelywreportwthewthreatwtowthewlocalwpolicewdepartment
Questionw7
about:blank 2/91
,4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
0woutwofw1wpoints
ThewPMHNPwiswcaringwforwanwadultwmalewpatientwwhosewwifewleftwhimwseveralwmonths wago
.wHew recentlywlearnedwthatwhiswex-
wifewiswdatingwsomeonewmuchwyounger.wThewmanwfeelswbelittled,wsad,w andwlonely. wHewtalks
waboutwtryingwtowmeetwotherwwomen, wbutwsays,w“Iwcan’twcompete wwithwthe w youngerwguys wt
hesewdays,wwithwthewcoolwclotheswandwthewveganwdiets.wI’mwbaldwandwoverweight,wandw wha
twwomanwiswgoingwtowwantwtowbewwithwme?”wHowwdoeswthewPMHNPwhelpwraisewthewman’s
wself-
esteem?
SelectedwAnswer:wA.wCorrectingwcognitivewdistortions
Questionw8
1woutwofw1wpoints
ThewPMHNPwuseswtherapeuticwcommunicationwskillswwhilewensuringwthatwthewpatientwunder
standsw thatwhewhaswchoices.wThewPMHNPwcomprehends wandwpractices wmotivationalwintervi
ewing.wThiswisw bestwunderstoodwaswwhichwofwthewfollowing?
Answer:wB.wAwstatementwthatwbothwchallengeswthewpatient’swresistancewandwofferswanwopport
unitywtow discusswthewissueswallowswthewpatientwtowarguewwithwhim/herselfwtowhelpwproduce
wawdesiredwchange.
Questionw9
1woutwofw1wpoints
ThewPMHNPwiswterminatingwtreatmentwforwawpatientwwhowhaswbeenwreceivingweyewmovemen
tw desensitizationwandwreprocessingw(EMDR)wtherapy. wWhatwactionwdoeswthewPMHNPwtakewa
twthewfinalw sessionwtowterminatewtreatment?
Answer:wB.wDiscusseswallwissueswthatwhavewbeenwaddressed
Questionw10
about:blank 3/91
, 4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
1woutwofw1wpoints
ThewPMHNPwiswassessingwanwolderwadultwmalewpatientwwithwdepressionwandwcomorbidities. w
Accordingwtowthewmedicalwchart,wthewpatientwtakeswmedicationwtowmanagewjointwandwbonewp
ain.wThew patientwreportswfeelingw“forgetful”wandwcomplains wthatwhewhaswawhardwtimewremem
beringwwherewhew putswthings.wWhatwiswthewprimarywactionwbywthewPMHNP?
Answer:wC.wDeterminingwifwthewpatient’swmedications wcanwbewcausingwmemorywproblems
Questionw11
1woutwofw1wpoints
Aw21-year-
oldwpatientwhaswbeenwhavingwtroublewadjustingwtowcollegewlife.wShewtellswthewPMHNPwthatw
shewhadwfivewalcoholicwdrinkswatwawpartywthiswpastwweekend. wShewalsowacknowledges wthatws
hewdrankw thew samew amountw ofw alcoholw atw aw partyw thew previousw month.w Basedw onw thisw i
nformation,w whatw wouldwthewPMHNPwmostwlikelywrecommend?
Answer:wD.wNonewofwthewabove
Questionw12
0woutwofw1wpoints
ThewPMHNPwiswassessingwawnewwgeriatricwpatientwwhowreportswsymptomswofwdepression. wT
hew PMHNPwwantswtowidentifywthewpatient’swsymptomwseveritywoverwtime.wWhichwassessmen
twtoolwwillw thewPMHNPwusewtowcollectwthiswdatawonwthewpatient?
SelectedwAnswer:w C.wABwClinicianwDepressionwScreen
Questionw13
about:blank 4/91
M ers
NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnswers
Questionw1
1woutwofw1wpoints
AwPMHNPwhaswbeenwtreatingwaw9-year-
oldwpatientwwhowwaswreferredwbywherwschool.wStudentswarew askedwtowraisewtheirwhandswbefo
rewspeakingwduringwgroupwdiscussion,wbutwthewpatientwseemswtowblurtw outwwhatwshewwantswt
owsaywwithoutwbeingwcalledwon.wShewalsowinterruptswotherwchildrenwwhilewtheyw arewtalkingwi
nsteadwofwwaitingwherwturn.wWhenwthewpatientwgetswfrustrated, wshewhaswtrouble
controllingwherwemotions wandwcrieswoften.wBasedwonwthewinitialwinformationwprovided,wthewfi
rstwfocusw bywPMHNPwiswthewchild’sw .
Answer:wB.wself-regulation
Questionw2
1woutwofw1wpoints
ThewPMHNPwiswcaringwforwawpatientwwhowexperiences wdepressionwcausedwbywthewtraumatic
experiencewofwherwdogwpassingwaway.wShewreportswnotwbeingwablewtoweatworwsleep,wandws
ometimesw doesn’twwantwtowleavewthewhousewatwall.wWhichwstatementwiswmostwappropriate
wforwthe wPMHNPwtow maximize wthe wpatient’swadaptive wcopingwmechanisms?
Answer:wC.w“It’swimportantwtowbewmindfulwofwhowwyouwfeelwandwthenwtowdeterminewwh
atwcausesw thosewfeelings.”
Questionw3
1woutwofw1wpoints
AwPMHNPwiswusingwGestaltwtherapywtowcommunicatewwithwaw50-year-
oldwpatientwwhowiswgoingw throughwawdivorce.wAswhewiswcalmlywsharingwthewdetailswofwhiswd
ivorce,wthewPMHNPwnotices wthat
Davewiswtappingwhiswfingerswonwhiswlegs.wWhatwiswanwappropriatewresponsewbywthewPMHNPwusing
wthe w technique wofwfocusing?
Answer:wA.w“Iwnoticedwthatwyourwfingerswwerewtapping.wCanwyouwgivewawvoicewtowyourwfingers?”
about:blank 1/91
,4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
Questionw4
1woutwofw1wpoints
ThewPMHNPwiswmeetingwwithwanwolder,wfemalewadultwpatientwandwherwdaughter.wThewpatie
ntwhasw earlywonsetwdementia.wThewdaughterwexpresseswconcern, wsaying,w“Iwdon’twwantwyou
wtowjustwstickwmyw motherwinwawhome wandwgivewherwmedicine. wI’mwworriedwthat’swwhatwpe
oplewarewgoingwtowwantwto
do.”wWhatwiswthewbestwresponsewbywthewPMHNPwtowthewdaughter?
Answer:wB.w“Thewtypewofwtreatmentwdependswonwthewstagewofwdementiawandwsafetywconsiderations.
”
Questionw5
1woutwofw1wpoints
AwPMHNPwiswtreatingwaw10-year-
oldwboywwhowiswexhibitingwsignswofwaggressionwandwattentionw problems.wWhatwtypewofwinte
rventionwwillwthewPMHNPwconsiderwusingwawcommonwelements
approach?
Answer:wD.wAllwofwthewabove
Questionw6
1woutwofw1wpoints
Aw35-year-
oldwmalewpatientwiswbeingwtreatedwforwalcoholwaddiction. wHewaskswforwthewPMHNP’swcellw
phonewnumberwtowusewinwcasewofwanwemergency.wWhenwthewPMHNPwrespondswthatwgiving
wherw numberwwouldwbe wagainstwtherapeutic wrules,wthe wpatientwthreatens wanwactwofwviolence
wtowthe w therapist. wWhatwwouldwbewthe wmostwappropriate wresponsewbywthe wPMHNP?
Answer:wA.wImmediatelywreportwthewthreatwtowthewlocalwpolicewdepartment
Questionw7
about:blank 2/91
,4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
0woutwofw1wpoints
ThewPMHNPwiswcaringwforwanwadultwmalewpatientwwhosewwifewleftwhimwseveralwmonths wago
.wHew recentlywlearnedwthatwhiswex-
wifewiswdatingwsomeonewmuchwyounger.wThewmanwfeelswbelittled,wsad,w andwlonely. wHewtalks
waboutwtryingwtowmeetwotherwwomen, wbutwsays,w“Iwcan’twcompete wwithwthe w youngerwguys wt
hesewdays,wwithwthewcoolwclotheswandwthewveganwdiets.wI’mwbaldwandwoverweight,wandw wha
twwomanwiswgoingwtowwantwtowbewwithwme?”wHowwdoeswthewPMHNPwhelpwraisewthewman’s
wself-
esteem?
SelectedwAnswer:wA.wCorrectingwcognitivewdistortions
Questionw8
1woutwofw1wpoints
ThewPMHNPwuseswtherapeuticwcommunicationwskillswwhilewensuringwthatwthewpatientwunder
standsw thatwhewhaswchoices.wThewPMHNPwcomprehends wandwpractices wmotivationalwintervi
ewing.wThiswisw bestwunderstoodwaswwhichwofwthewfollowing?
Answer:wB.wAwstatementwthatwbothwchallengeswthewpatient’swresistancewandwofferswanwopport
unitywtow discusswthewissueswallowswthewpatientwtowarguewwithwhim/herselfwtowhelpwproduce
wawdesiredwchange.
Questionw9
1woutwofw1wpoints
ThewPMHNPwiswterminatingwtreatmentwforwawpatientwwhowhaswbeenwreceivingweyewmovemen
tw desensitizationwandwreprocessingw(EMDR)wtherapy. wWhatwactionwdoeswthewPMHNPwtakewa
twthewfinalw sessionwtowterminatewtreatment?
Answer:wB.wDiscusseswallwissueswthatwhavewbeenwaddressed
Questionw10
about:blank 3/91
, 4/1/24,w8:52wP NURSw6640wFinalwExamwTestwBankw300wQuestionswwithwAnsw
M ers
1woutwofw1wpoints
ThewPMHNPwiswassessingwanwolderwadultwmalewpatientwwithwdepressionwandwcomorbidities. w
Accordingwtowthewmedicalwchart,wthewpatientwtakeswmedicationwtowmanagewjointwandwbonewp
ain.wThew patientwreportswfeelingw“forgetful”wandwcomplains wthatwhewhaswawhardwtimewremem
beringwwherewhew putswthings.wWhatwiswthewprimarywactionwbywthewPMHNP?
Answer:wC.wDeterminingwifwthewpatient’swmedications wcanwbewcausingwmemorywproblems
Questionw11
1woutwofw1wpoints
Aw21-year-
oldwpatientwhaswbeenwhavingwtroublewadjustingwtowcollegewlife.wShewtellswthewPMHNPwthatw
shewhadwfivewalcoholicwdrinkswatwawpartywthiswpastwweekend. wShewalsowacknowledges wthatws
hewdrankw thew samew amountw ofw alcoholw atw aw partyw thew previousw month.w Basedw onw thisw i
nformation,w whatw wouldwthewPMHNPwmostwlikelywrecommend?
Answer:wD.wNonewofwthewabove
Questionw12
0woutwofw1wpoints
ThewPMHNPwiswassessingwawnewwgeriatricwpatientwwhowreportswsymptomswofwdepression. wT
hew PMHNPwwantswtowidentifywthewpatient’swsymptomwseveritywoverwtime.wWhichwassessmen
twtoolwwillw thewPMHNPwusewtowcollectwthiswdatawonwthewpatient?
SelectedwAnswer:w C.wABwClinicianwDepressionwScreen
Questionw13
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