Course NURS-6640N-1,Psychotherapy Individ.2018 Fall Quarter
08/27-11/18-PT27
Test Week 11 Final Exam
Started 11/10/18 2:09 PM
Submitted 11/10/18 3:47 PM
Due Date 11/12/18 1:59 AM
Status Completed
Attempt Score 75 out of 75 points 5
Time Elapsed 1 hour, 38 minutes out of 2 hours
Results
Displayed
Submitted Answers
Question 1
1 out of 1 points
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 confesses to the PMHNP that she is having romantic fantasies about him, and
explains the he is one of the few people she trusts. She believes that he is interested
in her as well. What is the most appropriate response by the PMHNP in this
situation?
Selected
Answer:
C.%
Guide the patient to examine her feelings and explore the
underlying meaning
Question 2
1 out of 1 points
The PMHNP has been providing supportive psychodynamic psychotherapy to a
patient and is nearing the termination stage. The PMHNP will use which criteria for
determining that the patient is ready for termination?
Selected
Answer:
B.%
Symptoms have improved.
Question 3
1 out of 1 points
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
Answer:
A.%
Help Linda develop an awareness of triggers in order to have greater
control over physical and emotional responses
Question 4
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected
Answers:
Ye
s
Question 5
1 out of 1 points
The PMHNP has been providing interpersonal psychotherapy (IPT) for a patient who
the PMHNP observes implementing new ways of being, such as interacting more with
peers and being less isolated in social scenarios. The PMHNP understands that the
patient is approaching termination. How does the PMHNP address termination with
this patient?
Selected
Answer:
C.%
Embed the termination into the work of the therapeutic
phase
Question 6
1 out of 1 points
A 13-year-old patient and his parents are meeting with a PMHNP. When the PMHNP
says hello, the boy just nods. His parents tell the PMHNP that he didn’t want to come
to the session, but they insisted. They explain that their son has been moody and
depressed at home, but is still getting good grades at school. Which of the following
would be the best response by the PMHNP?
Selected
Answer:
C.%
Compliment the patient on his academic achievement
Question 7
1 out of 1 points
The PMHNP is caring for an older adult patient who presents with mixed dysphoric
states and whose daughter reports “is becoming more irritable more easily.” When
talking with the patient, the PMHNP also recognizes displays of cognitive dysfunction.
Which treatment options will the PMHNP most likely suggest?
Selected
Answer:
D.%
Combination of CBT and medication
Question 8
1 out of 1 points
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
resistance in order for MI to be successful.
Selected
Answer:
Fals
e
Question 9
1 out of 1 points
A 21-year-old patient is worried about starting a new job. She talks about her fears of
failure and not making friends at the office. Using a person-centered approach, an
appropriate response by the PMHNP is to ______________.
Selected
Answer:
C.%
ask the patient to reflect on and explore what she is
experiencing
Question 10
1 out of 1 points
The PMHNP is assessing an older adult male patient with depression and
comorbidities. According to the medical chart, the patient takes medication to
manage joint and bone pain. The patient reports feeling “forgetful” and complains that
he has a hard time remembering where he puts things. What is the primary action by
the PMHNP?
Selected
Answer:
C.%
Determining if the patient’s medications can be causing memory
problems
Question 11
1 out of 1 points
A 38-year-old patient tells the PMHNP that her father went to jail for selling drugs
when she was a child. The patient is visibly upset when discussing what happened.
Using a humanistic-existential approach to psychotherapy, which of the following is
the most appropriate response by the PMHNP?
Selected
Answer:
B.%
“What are you experiencing now as you share this story?”
Question 12
1 out of 1 points
When preparing to terminate a patient, what does the PMHNP do to organize
thoughts about the patient’s progress made during treatment?
Selected
Answer:
B.%
Reviews the patient’s file to identify issues and important themes that
were highlighted throughout treatment
Question 13
1 out of 1 points
A PMHNP is treating a 10-year-old boy who is exhibiting signs of aggression and
attention problems. What type of intervention will the PMHNP consider using a
common elements approach?
Selected
Answer:
D.%
All of the above
Question 14
1 out of 1 points
The PMHNP is initiating a plan of care for a patient who requires comprehensive
psychotherapy to manage his depression and mood disorder. Throughout the initial
sessions, the patient reports feeling as though he cannot be helped. The PMHNP is
concerned about premature termination initiated by the patient. What strategy can the
PMHNP employ to prevent or reduce premature termination?
Selected
Answer:
D.%
All of the above
Question 15
1 out of 1 points
The PMHNP is caring for an older adult patient who is in the acute phase of
schizophrenia. Which therapeutic model will the PMHNP employ with this patient?
Selected
Answer:
D.%
None of the above
Question 16
1 out of 1 points
The PMHNP is assessing a new geriatric patient who reports symptoms of depression. The
PMHNP wants to identify the patient’s symptom severity over time. Which assessment
tool will the PMHNP use to collect this data on the patient?
Selected
Answer:
B.%
Montgomery-Asberg Depression
Rating Scale
Question 17
1 out of 1 points
The PMHNP is working with a patient who describes having a painful and traumatic
childhood experience, which causes her to have anxiety as an adult. When asked
how she manages her anxiety, the patient dismisses it and denies that it is a problem.
Using the supportive psychotherapy approach, the PMHNP will do which of the
following when assessing the patient’s ego strength?
Selected
Answer:
A.%
Identify the primary defenses the patient uses to ward off anxiety
Question 18
1 out of 1 points
A 43-year-old single mother is seeing the PMHNP at the request of her sister. “My
sister thinks I need to come here to talk about my feelings,” the patient reports. The
PMHNP learns that the patient has three children from three different men, but is
unable to collect appropriate child support payments from any of the biological
fathers. Additionally, the woman is barely able to afford her apartment or utilities
payments. What is the appropriate response from the PMHNP when using the
psychodynamic psychotherapy technique?
Selected
Answer:
C.%
Suggesting that the patient seek professional legal help
Question 19
1 out of 1 points
An 8-year-old has been having trouble making friends at school. His parents initiated
treatment when he also started acting out at home. Which is the most appropriate
step that the PMHNP takes during the assessment process when using an integrated
approach?
Selected
Answer:
D.%
All of the above
Question 20
1 out of 1 points
A patient is finishing the active treatment phase of interpersonal psychotherapy (IPT).
After the PMHNP reminds the patient that she has three sessions left, the patient
says nothing, but looks distressed. What would be the best reply by the PMHNP
following IPT protocol?
Selected
Answer:
D.%
“You seem upset. Tell me what seems to be bothering you.”
Question 21
1 out of 1 points
The PMHNP has been treating a patient who is now being transferred to another
provider. What is the appropriate action made by the PMHNP?
Selected
Answer:
D.%
A and C
Question 22
1 out of 1 points
In the planning phase of change, a 42-year-old male client who struggles with
gambling discusses how he plans to abstain from gambling. He tells the PMHNP, “I
am no longer going to carry cash to the casino because you can’t spend what you
don’t have.” The PMHNP uses an affirming communication skill when she states:
Selected
Answer:
A.%
“Not gambling is a tough habit to break; not carrying cash is a big
step in the right direction.”
Question 23
1 out of 1 points
The PMHNP is terminating treatment for a patient who has been receiving eye
movement desensitization and reprocessing (EMDR) therapy. What action does the
PMHNP take at the final session to terminate treatment?
Selected
Answer:
B.%
Discusses all issues that have been addressed
Question 24
1 out of 1 points
The PMHNP who practices motivational interviewing understands its relationship to
patient behaviors and/or outcomes to mean which of the following?
Selected
Answer:
D.%
There is a lower incidence of inconsistent behaviors with motivational
interviewing. This is related to client engagement and better outcomes.
Question 25
1 out of 1 points
The PMHNP continues to meet with Gerald, who is the patient with depression and
mood disorder. The PMHNP uses the CBT approach. Gerald is now meeting with the
PMHNP for his fifth session and feels comfortable with how the therapy works. What
does the PMHNP plan to do with Gerald over the course of the next several
sessions?
Selected
Answer:
C.%
Develop cognitive skills to challenge Gerald’s negative thinking
Question 26
1 out of 1 points
A 35-year-old male patient is being treated for alcohol addiction. He asks for the
PMHNP’s cell phone number to use in case of an emergency. When the PMHNP
responds that giving her number would be against therapeutic rules, the patient
threatens an act of violence to the therapist. What would be the most appropriate
response by the PMHNP?
Selected
Answer:
A.%
Immediately report the threat to the local police department
Question 27
1 out of 1 points
The PMHNP is caring for an adult male patient whose wife left him several months
ago. He recently learned that his ex-wife is dating someone much younger. The man
feels belittled, sad, and lonely. He talks about trying to meet other women, but says,
“I can’t compete with the younger guys these days, with the cool clothes and the
vegan diets. I’m bald and overweight, and what woman is going to want to be with
me?” How does the PMHNP help raise the man’s self-esteem?
Selected
Answer:
D.%
All of the above
Question 28
1 out of 1 points
The PMHNP is assessing a patient who has been receiving months of outpatient
psychotherapy. According to the PMHNP’s assessment, the patient is nearing the
termination phase of their therapeutic relationship because the patient’s symptoms
have improved, and the patient shows progress managing behaviors and decision-
making abilities according to the diagnosis. How does the PMHNP approach
termination with this patient?
Selected
Answer:
B.%
Manage termination issues as part of the treatment
Question 29
1 out of 1 points
A PMHNP is using Gestalt therapy to communicate with a 42-year-old patient who is
upset with her mother. She says, “I want to tell her how hurt I feel when she doesn’t
call me, but I don’t want to upset her.” What technique can the PMHNP use to help
Sasha express herself?
Selected
Answer:
B.%
Empty-chair dialogue
Question 30
1 out of 1 points
The PMHNP is assessing a 30-year-old client who reports feeling stressed out due to
his 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 approach
may best benefit this client. What is the PMHNP’s goal in employing this treatment
approach?
Selected
Answer:
B.%
Help the patient be aware of his anxiety and embrace
it
Question 31
1 out of 1 points
The PMHNP iscommunicating with a middle-aged male patient who has a history of
addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I do
not have a problem with pain pills! I’ve never had an overdose and no one even
knows that I take them unless I tell them.” The PMHNP understands that there are
phases of change and can best demonstrate “focusing” by responding with:
Selected
Answer:
D.%
“I am wondering if your use of pain medication has ever prompted
you to seek medical attention.”
Question 32
1 out of 1 points
The PMHNP is caring for a patient who is histrionic. Using the supportive
psychodynamic therapy model, what is the best statement made by the PMHNP?
Selected
Answer:
B.%
“Let’s not think too much about emotion right now. Let’s focus on what
got you upset in the first place.”
Question 33
1 out of 1 points
A 55-year-old patient recovering from substance abuse tells the PMHNP, “It’s
impossible to meet new people. I really hate being single.” Using existential
psychotherapy, what might the PMHNP say next?
Selected
Answer:
D.%
“What might help you to live a more meaningful
life?”
Question 34
1 out of 1 points
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
Answer:
D.%
All of the above
Question 35
1 out of 1 points
The PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT).
Which of the following statements made by the PMHNP approach the termination
phase for this patient?
Selected
Answer:
A.%
“Although it’s your first session, we will discuss how termination of
your treatment will go.”
Question 36
1 out of 1 points
The PMHNP is meeting with a patient who has been diagnosed with depression. The
patient is having trouble adjusting to her new job and hasn’t made any new friends
there. What would an appropriate response be by the PMHNP using the interpersonal
psychotherapy approach?
Selected
Answer:
C.%
“Tell me more about why you’re having trouble making new friends
at work.”
Question 37
1 out of 1 points
The PMHNP is meeting with an older, female adult patient and her daughter. The
patient has early onset dementia. The daughter expresses concern, saying, “I don’t
want you to just stick my mother in a home and give her medicine. I’m worried that’s
what people are going to want to do.” What is the best response by the PMHNP to
the daughter?
Selected
Answer:
B.%
“The type of treatment depends on the stage of dementia and safety
considerations.”
Question 38
1 out of 1 points
A 38-year-old patient has been having trouble communicating with his teenage
daughter. Using a solution-focused therapy approach, the PMHNP responds by
saying, “When was a time that a communication problem could have occurred, but
did not?” In this case, what type of question is the PMHNP asking?
Selected
Answer:
C.%
Exception question
Question 39
1 out of 1 points
The PMHNP meets with a 31-year-old woman who reports feeling as though she is
“at her breaking point” with work. The PMHNP learns that the woman works 12-hour
days, including one day on the weekend, because she is nervous about company
layoffs. “I feel like I need to work myself to death in order to prove that I am valuable
to the organization,” the woman says. Using the supportive psychodynamic therapy
approach, how does the PMHNP respond?
Selected
Answer:
D.%
“That must be a very tiring work schedule. How do you feel about
working so much?”%%
%
Question 40
1 out of 1 points
A patient’s depression is affecting her relationship with her spouse. What might the
PMHNP ask during the initial sessions of interpersonal psychotherapy treatment?
Selected
Answer:
D.%
All of the above.
Question 41
1 out of 1 points
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 friends
away with this terrible habit. I have no one left. I had more than enough chances and
now my children won’t even talk to me.” Which of the following statements
demonstrate a simple reflection?
Selected
Answer:
D.%
All the above.
Question 42
1 out of 1 points
A PMHNP has been treating a 14-year-old patient using interpersonal psychotherapy.
The patient has been depressed since the death of his grandmother. To help the
patient recover, the PMHNP has told the parents:
Selected
Answer:
B.%
“Modify your expectations at home and school until the depression
lifts.”
Question 43
1 out of 1 points
The PMHNP uses the cognitive behavioral therapy model with Gerald, an older adult
patient who is being treated for depression and mood disorder. What will the PMHNP
do with the patient during the first three sessions?
Selected
Answer:
A.%
Build a therapeutic alliance
Question 44
1 out of 1 points
Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric
facility. After 4 weeks in treatment, he is preparing for discharge. He is beginning to
miss individual and group therapy sessions and has refused medications twice in the
past 2 days. The PMHNP demonstrates understanding in this phase by saying which
of the following statements?
Selected
Answer:
B.%
“Have you thought of how you will continue your treatment
plans?”
Question 45
1 out of 1 points
A 25-year-old female states, “I really need to lose weight. I know I’m the cause of our
problems,% if I could just lose weight he might be more attracted to me. Then we could
start a family and we would be happy. I’m sure of it, right, we would definitely be
happy!” Which statement shows the PMHNP’s ability to apply “summarizing”?
Selected
Answer:
C.%
“You have identified your weight as a problem in your marriage and but
believe that losing weight will gain happiness.”
Question 46
1 out of 1 points
Mia is a 75-year-old patient who has completed initial treatment for depression. What
might a PMHNP ask Mia when using a solution-focused therapy approach?
Selected
Answer:
D.%
All of the above.
Question 47
1 out of 1 points
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:
Selected
Answer:
B.%
The patient already has everything needed and the PMHNP would like
to help him facilitate his own inner coping.
Question 48
1 out of 1 points
The PMHNP is caring for a patient who experiences depression caused by the
traumatic experience of her dog passing away. She reports not being able to eat or
sleep, and sometimes doesn’t want to leave the house at all. Which statement is
most appropriate for the PMHNP to maximize the patient’s adaptive coping
mechanisms?
Selected
Answer:
C.%
“It’s important to be mindful of how you feel and then to determine
what causes those feelings.”
Question 49
1 out of 1 points
While assessing a patient using a humanistic-existential approach, a patient tells the
PMHNP, “For the past few weeks, I’ve felt anxious almost every single day.” What
would be an appropriate next step by the PMHNP?
Selected
Answer:
D.%
Encourage the patient to clarify by asking, “You constantly feel
anxious?”
Question 50
1 out of 1 points
The PMHNP is in the process of terminating treatment with a patient who witnessed
the death of her parent who used to sexually abuse her. What does the PMHNP
understand about terminating this patient?
Selected
Answer:
D.%
The patient may need to have follow-up sessions every few
months.
Question 51
1 out of 1 points
A PMHNP has been working with a 50-year-old patient who has a stressful job and
goes to the casino on weekends to play poker with his friends, which he says relieves
his stress. Tim admits that he sometimes misses work on Monday when he stays out
too late at the casino on Sunday nights. In addition, he once was an avid runner, and
has given up running to spend more time gambling.%
True or false: According to the PMHNP, the desired goal after treatment is not
complete abstinence from gambling, but reaching a healthy level of the behavior.
Selected
Answer:
Tru
e
Question 52
1 out of 1 points
The PMHNP assesses a 27-year-old patient named Jeff, who was a victim of child
abuse and neglect. Jeff says that he remembers a traumatic situation that he wants
to share, but is having trouble talking about it. Which statement made by the PMHNP
demonstrates the use of emotion-focused therapy?
Selected
Answer:
A.%
“Let’s see if we can come up with some ideas for you to feel safe
telling your story.”
Question 53
1 out of 1 points
A cocaine-addicted female patient is entering residential treatment for substance
abuse. Using the 10 guiding principles of recovery, an appropriate step by the
PMHNP is to ______________.
Selected
Answer:
B.%
integrate services that encompass mind, body, spirit, and
community
Question 54
1 out of 1 points
The PMHNP is treating an older adult patient who reports symptoms of late-life
anxiety. What type of treatment(s) will the PMHNP consider?
Selected
Answer:
A.%
Employ cognitive behavioral therapy
Question 55
1 out of 1 points
The PMHNP is terminating treatment with a patient who is aggressive and has a
history of anger. What does the PMHNP do when terminating treatment with this
patient?
Selected
Answer:
C.%
Emphasizes and validates the patient’s feelings of anger that may
emerge
Question 56
1 out of 1 points
A PMHNP has been treating a 9-year-old patient who was referred by her school. Students
are asked to raise their hands before speaking during group discussion, but the patient
seems to blurt out what she wants to say without being called on. She also interrupts
other children while they are talking instead of waiting her turn. When the patient gets
frustrated, she has trouble controlling her emotions and cries often. Based on the initial
information provided, the first focus by PMHNP is the child’s ____________.
Selected
Answer:
B.%
self-
regulation
Question 57
1 out of 1 points
A PMHNP is treating a 25-year-old patient who has a compulsive urge to exercise to
excess. When asked to describe why she does so much exercise, she says, “I like
the compliments I receive from others on my new level of fitness, and the excitement
of getting more attention.” The PMHNP can use feeling-state therapy to help Monique
___________.
Selected
Answer:
D.%
all of the above
Question 58
1 out of 1 points
When recalling the phases of change, the PMHNP demonstrates “open questioning”
in the “engagement” phase by making which statement?
Selected
Answer:
B.%
“What occurred to cause you to seek treatment?”
Question 59
1 out of 1 points
The PMHNP is initiating a plan of care for Holly, a 73-year-old female patient who has
late-life bipolar disorder and reports consuming alcoholic beverages four times per
week. What is the focus of Holly’s therapy going to be?
Selected
Answer:
D.%
All of the above
Question 60
1 out of 1 points
A PMHNP is using interpersonal psychotherapy with a 40-year-old patient having
relationship problems with his extended family. The patient shares that he has been
using the strategies they identified to reduce his distress, but they have not been
helping. He is frustrated and is considering stopping treatment. What would be an
appropriate step by the PMHNP?
Selected
Answer:
A.%
Encourage the patient to continue treatment by using alternative
strategies
Question 61
1 out of 1 points
The PMHNP is caring for a young adult patient with whom the PMHNP decides to
use a dynamic supportive therapy approach in addition to pharmacological
intervention. Which therapeutic action will the PMHNP take to employ the strategy of
holding and containing the patient?
Selected
Answer:
B.%
Asking the patient how the patient feels
Question 62
1 out of 1 points
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
Answer:
D.%
mental health system of care
Question 63
1 out of 1 points
A PMHNP is treating a 12-year-old girl who witnessed the physical abuse of her sibling.
She has been anxious and irritable since the experience. After speaking with the PMHNP,
the patient says she keeps having anxiety-causing thoughts about the experience. Using
the PRACTICE technique, which skill will best help the patient interrupt these negative
thoughts?
Selected
Answer:
B.%
Affect
modulation
Question 64
1 out of 1 points
The PMHNP is caring for an older patient with major depressive disorder, seasonal
pattern. The patient has been resolute about not taking medication to manage the
depression brought on by his illness, stating that it is against his yogic lifestyle. In
addition to psychotherapy, what can the PMHNP suggest to this patient?
Selected
Answer:
A.%
“You may want to look into therapeutic oils and aromatherapy as an
alternative to medication.”
Question 65
1 out of 1 points
A 21-year-old patient has been having trouble adjusting to college life. She tells the
PMHNP that she had five alcoholic drinks at a party this past weekend. She also
acknowledges that she drank the same amount of alcohol at a party the previous
month. Based on this information, what would the PMHNP most likely recommend?
Selected
Answer:
D.%
None of the above
Question 66
1 out of 1 points
A PMHNP is assessing a 40-year-old patient named Sarah who has a severe cocaine
addiction and mild depression. Using the four-quadrant model, what would be the
most appropriate setting to help the patient?
Selected
Answer:
C.%
Substance abuse treatment
system
Question 67
1 out of 1 points
How does the PMHNP approach termination with the patient who has been receiving
intermittent therapy?
Selected
Answer:
D.%
A and C
Question 68
1 out of 1 points
A 12-year-old girl was referred for treatment after witnessing the physical abuse of
her sibling by their mother. The patient has been anxious and irritable since the
experience. What evidence-based treatment would be most appropriate for the
PMHNP to use?
Selected
Answer:
A.%
Trauma-focused CBT
Question 69
1 out of 1 points
The PMHNP uses therapeutic communication skills while ensuring that the patient
understands that he has choices. The PMHNP comprehends and practices
motivational interviewing. This is best understood as which of the following?
Selected
Answer:
B.
A statement that both challenges the patient’s resistance and offers an
opportunity to discuss the issues allows the patient to argue with
him/herself to help produce a desired change.
Question 70
1 out of 1 points
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 parents
was troublesome. The PMHNP characterizes the patient as unresolved/disorganized,
according to his outcomes on the AAI. What does the PMHNP anticipate from the
patient?
Selected
Answer:
A.%
He will have lapses in his memory of his childhood.
Question 71
1 out of 1 points
A PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is
going through a divorce. As he is calmly sharing the details of his divorce, the
PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate
response by the PMHNP using the technique of focusing?
Selected A.%
Answer: “I noticed that your fingers were tapping. Can you give a voice to
your fingers?”
Question 72
1 out of 1 points
The PMHNP is interviewing a patient who is in the process of successfully completing
a substance abuse program. During the interview, the patient states, “I wish I was
strong enough to keep the same friends I had before I came here for treatment. I’m
really afraid of being discharged because I’ll probably run into my old friends again.”
The PMHNP offers a complex reflection when she states the following:
Selected
Answer:
C.%
“You’d like to keep your old friends but know being around them may
lead you to abuse substances again.”
Question 73
1 out of 1 points
As part of the PMHNP’s role in the clinic, the PMHNP oversees students that gain
clinical experience at the agency. The student is instructed to use the supportive
psychodynamic therapy approach with the patient. Which action made by the student
causes the PMHNP to intervene, after observing the student interacting with the
patient?
Selected
Answer:
A.%
Focusing too heavily on defenses
Question 74
1 out of 1 points
The PMHNP is treating an older adult patient who reports experiencing nightmares
associated with an automobile accident he was in 20 years ago. As the PMHNP
formulates the case using the dynamic supportive therapy model, what questions will
the PMHNP use during the session?
Selected
Answer:
C.%
“Let’s talk about what kinds of things are triggering you
now.”
Question 75
1 out of 1 points
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 PMHNP
is to say:
Selected
Answer:
A.%
“Focus on your anger, take a deep breath, and allow an image to
emerge.”
Question 76
1 out of 1 points
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
Answer:
C.%
Locate and identify any physical sensations created by the positive
feelings
