NRNP 6640 final exam Q & AS ALL ANSWERS
100% CORRECTLY VERIFIED LATEST UPDATE
RATED A+ for 2025-2026
Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction
and anxiety problems. She is motivated to continue her treatment gains and have a
healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case?
Selected A.
Answer: Help Linda develop an awareness of triggers in order to have greater
control over physical and emotional responses
A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and
mild substance abuse issues. The most appropriate setting to treat Carlos would be a
.
Selected D.
Answer: mental health system of care
The PMHNP is interviewing a patient with a history of substance abuse. He has
attempted to stop abusing drugs three times before. He states to the PMHNP, “I just
cannot change. How can you help me?!” As it applies to change, the PMHNP
understands the principle of evocation to mean:
pg. 1
, SelectedAnswer:B.
The patient already has everything needed and the PMHNP would liketo help him
facilitate his own inner coping.
The PMHNP is assessing a 30-year-old client who reports feeling stressed out due tohis
current employment situation. When asked about how he manages this work- related
stress, the patient says that exercise helps him feel less anxious, so he often spends 2 or
more hours at the gym each night. After completing the patient assessment, the PMHNP
has determined that an existential psychotherapy approachmay best benefit this client.
What is the PMHNP’s goal in employing this treatment approach?
Selected B.
Answer: Help the patient be aware of his anxiety and embraceit
The PMHNP initiates feeling-state therapy to help a 25-year-old patient named
Monique who has a compulsive urge to exercise. Using the Feeling-State Addiction
Protocol, what is an appropriate next step the PMHNP should take after identifying the
specific positive feeling linked with the addictive behavior and its Positive Feeling Score
level?
Selected C.
Answer: Locate and identify any physical sensations created by the positive
feelings
The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who
reports having had a difficult time being separated from his parents during his
childhood. He explains that going to school or visiting his relatives without his parentswas
troublesome. The PMHNP characterizes the patient as unresolved/disorganized,
pg. 2
, according to his outcomes on the AAI. What does the PMHNP anticipate from the
patient?
Selected A.
Answer: He will have lapses in his memory of his childhood.
A PMHNP is using motivational interviewing (MI) with a 50-year-old patient named
Dave to commit to a healthy drug-free lifestyle. By using “change talk,” the PMHNP
hopes to help the patient build self-esteem and hope.
True or false: If Dave is resisting change, the PMHNP should challenge his resistancein
order for MI to be successful.
Selected Tr
Answer: ue
A PMHNP is using emotion-focused therapy to help a 38-year-old patient who says,
“I’ve been feeling angry lately, but I’m not sure why.” The first attempt by the PMHNPis
to say:
pg. 3
, Selected A.
Answer: “Focus on your anger, take a deep breath, and allow an image to
emerge.”
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 friendsaway
with this terrible habit. I have no one left. I had more than enough chances andnow my
children won’t even talk to me.” Which of the following statements demonstrate a simple
reflection?
Selected D.
Answer: All the above.
The PMHNP is caring for a geriatric patient who expresses symptoms of
gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling
lonely, as more of his friends have been passing away over the recent months and years. The
PMHNP focuses on which therapeutic approach for this patient?
Selected D.
Answer: All of the above
A 19-year-old female patient named Anna, who was the victim of child abuse and
neglect, is also in treatment for substance abuse. At her most recent appointment, Anna
pg. 4
100% CORRECTLY VERIFIED LATEST UPDATE
RATED A+ for 2025-2026
Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction
and anxiety problems. She is motivated to continue her treatment gains and have a
healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case?
Selected A.
Answer: Help Linda develop an awareness of triggers in order to have greater
control over physical and emotional responses
A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and
mild substance abuse issues. The most appropriate setting to treat Carlos would be a
.
Selected D.
Answer: mental health system of care
The PMHNP is interviewing a patient with a history of substance abuse. He has
attempted to stop abusing drugs three times before. He states to the PMHNP, “I just
cannot change. How can you help me?!” As it applies to change, the PMHNP
understands the principle of evocation to mean:
pg. 1
, SelectedAnswer:B.
The patient already has everything needed and the PMHNP would liketo help him
facilitate his own inner coping.
The PMHNP is assessing a 30-year-old client who reports feeling stressed out due tohis
current employment situation. When asked about how he manages this work- related
stress, the patient says that exercise helps him feel less anxious, so he often spends 2 or
more hours at the gym each night. After completing the patient assessment, the PMHNP
has determined that an existential psychotherapy approachmay best benefit this client.
What is the PMHNP’s goal in employing this treatment approach?
Selected B.
Answer: Help the patient be aware of his anxiety and embraceit
The PMHNP initiates feeling-state therapy to help a 25-year-old patient named
Monique who has a compulsive urge to exercise. Using the Feeling-State Addiction
Protocol, what is an appropriate next step the PMHNP should take after identifying the
specific positive feeling linked with the addictive behavior and its Positive Feeling Score
level?
Selected C.
Answer: Locate and identify any physical sensations created by the positive
feelings
The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who
reports having had a difficult time being separated from his parents during his
childhood. He explains that going to school or visiting his relatives without his parentswas
troublesome. The PMHNP characterizes the patient as unresolved/disorganized,
pg. 2
, according to his outcomes on the AAI. What does the PMHNP anticipate from the
patient?
Selected A.
Answer: He will have lapses in his memory of his childhood.
A PMHNP is using motivational interviewing (MI) with a 50-year-old patient named
Dave to commit to a healthy drug-free lifestyle. By using “change talk,” the PMHNP
hopes to help the patient build self-esteem and hope.
True or false: If Dave is resisting change, the PMHNP should challenge his resistancein
order for MI to be successful.
Selected Tr
Answer: ue
A PMHNP is using emotion-focused therapy to help a 38-year-old patient who says,
“I’ve been feeling angry lately, but I’m not sure why.” The first attempt by the PMHNPis
to say:
pg. 3
, Selected A.
Answer: “Focus on your anger, take a deep breath, and allow an image to
emerge.”
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 friendsaway
with this terrible habit. I have no one left. I had more than enough chances andnow my
children won’t even talk to me.” Which of the following statements demonstrate a simple
reflection?
Selected D.
Answer: All the above.
The PMHNP is caring for a geriatric patient who expresses symptoms of
gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling
lonely, as more of his friends have been passing away over the recent months and years. The
PMHNP focuses on which therapeutic approach for this patient?
Selected D.
Answer: All of the above
A 19-year-old female patient named Anna, who was the victim of child abuse and
neglect, is also in treatment for substance abuse. At her most recent appointment, Anna
pg. 4
