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- Question^1 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:
- Question^2 1 out of 1 points - Question^3 1 out of 1 points - Question^4 1 out of 1 points
B.
Help the patient be aware of his anxiety and embrace it 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 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: Tru e
- Question^7 0 out of 1 points - Question^8 1 out of 1 points 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. 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. 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:
- Question^9 1 out of 1 points
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A+
Select ed Answ er:
A.
“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 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? Select ed Answ er:
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A+
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? Selec ted Answ er:
C.
Guide the patient to examine her feelings and explore the underlying meaning The PMHNP is assessing a patient who requires cognitive
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- Question^11 1 out of 1 points - Question^12 1 out of 1 points
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A+
behavioral therapy (CBT). Which of the following statements made by the PMHNP approach the termination phase for this patient? Selec ted Answ er:
A.
“Although it’s your first session, we will discuss how termination of your treatment will go.” 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
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- Question^13 1 out of 1 points
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A+
D. “You seem upset. Tell me what seems to be bothering you.” 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? Selec ted Answ er:
A.
“You may want to look into therapeutic oils and aromatherapy as an alternative to medication.”
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- Question^15 1 out of 1 points
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A+
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? Select ed Answ er:
B.
Montgomery- Asberg Depression Rating Scale The PMHNP uses therapeutic communication skills while ensuring that the patient
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- Question^16 1 out of 1 points - Question^17 1 out of 1 points
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A+
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? Select ed Answ er:
D.
Combination of CBT and medication The PMHNP is treating an older adult patient who reports symptoms of late-life anxiety. What type of treatment(s) will the PMHNP consider? Select ed Answer:
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- Question^19 1 out of 1 points 1 out of 1 points
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A+
A. Employ cognitive behavioral therapy 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
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- Question^20 1 out of 1 points
- Question^22 1 out of 1 points - Question^23 1 out of 1 points
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A+
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: Selec ted Answ er:
C.
“You’d like to keep your old friends but know being around them may lead you to abuse substances again.” The PMHNP continues to meet with Gerald, who is the patient with depression and
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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
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- Question^26 1 out of 1 points
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A+
does the PMHNP do when terminating treatment with this patient? Select ed Answ er:
C.
Emphasizes and validates the patient’s feelings of anger that may emerge 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? Selec ted Answ er:
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- Question^27 1 out of 1 points
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A+
B. “The type of treatment depends on the stage of dementia and safety considerations.” 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? Selec ted Answ er:
D.
“That must be a very tiring work schedule. How do you feel about working so much?”
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