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NURSING DISCUSSION PRACTISE QUESTIONS and more Quizzes Nursing in PDF only on Docsity!
UTAH VALLEY UUNIVERSITY
NURSING DISCUSSION PRACTISE
QUESTIONS
QUESTION 1
- When preparing to terminate a patient, what does the PMHNP
do to organize thoughts about the patient’s progress made during
treatment?
A Interviews the patient’s family, caregiver, or friends regarding the
patient’s
. progress outside of the sessions
B Reviews the patient’s file to identify issues and important themes
that were
. highlighted throughout treatment
C Requests a peer to review the patient’s file to double check that
the PMHNP has
. not overlooked anything
D All of the above
1 points
QUESTION 2
- 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?
A Individual CBT
B Group CBT
C Both A and B
D None of the above
1 points
QUESTION 3
- 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?
A “Where are you experiencing unhappiness in your body?
B “So you feel frustrated and unhappy being single. Is that right?”
C “Are you willing to say, ‘I’m having a hard time meeting people’?”
D “What might help you to live a more meaningful life?”
1 points
QUESTION 4
- 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?
A Give the patient an option about terminating the therapy
B Allow the patient to bring up termination on his/her own
C Embed the termination into the work of the therapeutic
. phase D None of the above
1 points
QUESTION 5
- 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?
A “Express your emotion, and do not hold anything back.”
B “Let’s not think too much about emotion right now. Let’s focus on
what got you
. upset in the first place.”
C A and B
D None of the above
1 points
D None of the above
A Supportive therapy
B Problem-solving therapy
C Cognitive behavioral
. therapy
D All of the above
A “I noticed that your fingers were tapping. Can you give a voice to
your fingers?”
B “I’m going to ask you to exaggerate the movement of tapping
your fingers.”
C “Explore what is emerging in your body now. What are you
experiencing right
. now?”
D None of the above.
A Group therapy
B Peer support
C Hospitalization
D None of the above
A Give the patient as much time needed to respond to questions and
comments.
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. C You must give full attention to the patient because nonverbal and
verbal reactions
. are equally important.
D The PMHNP should be ready with a response when
communicating with the
. patient. She understands that silence is also a therapeutic response.
A Correcting cognitive distortions
B Using role-playing techniques
C Unraveling unconscious guilt
D All of the above
A “Let’s see if we can come up with some ideas for you to feel safe
telling your
. story.”
B “Jeff, it’s okay for you to not talk about your past here; this is a
safe space,
. whether you feel like sharing or not.”
C “Jeff, can you tell me what was going on during your childhood
that caused you to
. be a victim of neglect and abuse?”
D None of the above.
A “Maybe we should extend your active treatment phase.”
B “Remember that the end of treatment is not a time to grieve.”
C “Don’t worry. Finishing therapy means you’ve met your goals.”
D “You seem upset. Tell me what seems to be bothering you.”
A Identify the primary defenses the patient uses to ward off anxiety
B Focus on the patient’s attachment to the anxiety and memories of
her childhood
C Identify whether the patient has an unresolved or disorganized
attachment style
. system
A “What expectations do you have of your spouse?”
B “How is your depression affecting the relationship with your
spouse?”
C “What changes would you and your spouse like to see in the
. relationship?”
D All of the above.
A Introducing the patient to the new provider
B Leaving the door open for the patient to return at any time
C Having the new provider come to a few sessions
D A and C
1 points
QUESTION 22
- 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?
A Mood Disorder Questionnaire
B Montgomery-Asberg Depression
. Rating Scale
C AB Clinician Depression Screen
D Brief Psychiatric Rating Scale
A “How were you feeling at the time when that happened?”
B “What are you experiencing now as you share this story?”
C “Did you allow yourself to feel anger when your father left?”
D “Are able to let go of the painful emotions you felt as a
. child?”
there. What would an appropriate response be by the PMHNP using the
interpersonal psychotherapy approach?
A “For homework, please write a list of qualities you’d find in a good
friend.”
B “Describe the friendships you had growing up, both as a child and
teenager.”
C “Tell me more about why you’re having trouble making new
friends at work.”
D All of the above.
1 points
QUESTION 25
- 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?
A “What specific improvements have you noticed in your mood
since you made the
. call to see me?”
B “On a scale of 1–10 (with 1 being little to no improvement to 10
being a great
. deal of improvement) how much has your mood changed since
we started working together?” C “What needs to happen today in order for you to feel that is was a
productive
. session?”
D All of the above.
1 points
QUESTION 26
- When recalling the phases of change, the PMHNP
demonstrates “open questioning” in the “engagement” phase by
making which statement?
D Asking the patient about the patient’s work stress
- 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?
A Makes a list of all the positive things the patient gained from
treatment
B Does not recognize the patient’s emotions so as to not encourage
the onset of
. anger
C Emphasizes and validates the patient’s feelings of anger that may
emerge
D Avoids upsetting the patient by keeping an open door policy
1 points
QUESTION 31
- 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?
A Primary health care settings with some specialized care
B State psychiatric hospitals and emergency rooms
C Substance abuse treatment system
D The mental health system of care
1 points
QUESTION 32
- 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.
A focus on the substance abuse problem before addressing any
. trauma
B integrate services that encompass mind, body, spirit, and
community
C help the patient use fear of relapse to provide motivation for
recovery
D none of the above
1 points
QUESTION 33
- 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?
A He will have lapses in his memory of his childhood.
B He will be able to describe his childhood in great detail.
C He will need less active interventions.
D None of the above.
1 points
QUESTION 34
- The PMHNP is treating an older adult patient who reports symptoms
of late-life anxiety. What type of treatment(s) will the PMHNP consider?
A Employ cognitive behavioral therapy
B Use relaxation training
C Initiate modular interventions
D All of the above
1 points
QUESTION 35
- The PMHNP is caring for a patient who experiences depression
caused by the traumatic experience of her dog passing away. She reports
1 points
QUESTION 38
- 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?
A Address the termination phase with the patient at the last session
B Manage termination issues as part of the treatment
C Determine the PMHNP’s readiness to terminate the therapeutic
relationship
D None of the above
1 points
QUESTION 39
- 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”?
A “You believe that your weight is a cause of your marital
problems.”
B “How would starting a family contribute to your overall
happiness?
C “You have identified your weight as a problem in your marriage
and but believe
. that losing weight will gain happiness.”
D “Part of you believes that losing weight will bring you happiness,
while the other
. part believes that may not be true.”
1 points
QUESTION 40
- 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?
A Helps the patient create a future template
B Discusses all issues that have been addressed
C Asks the patient to take a new assessment
D All of the above
1 points
QUESTION 41
- 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:
A “Not gambling is a tough habit to break; not carrying cash is a big
step in the right
. direction.”
B “Are you saying that you will still go to a casino: however, you will
only have a
. debit card in terms of funds?”
C “This is a great technique, though it may not work if there is an
ATM in the casino
. you go to.”
D “Why don’t we try to deal with your addiction to gambling before
you go into a
. casino to decrease your temptation?”
1 points
QUESTION 42
- 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?
A “You need to find a new place to work.”
B “Who cares about getting laid off? Then you can collect
unemployment benefits.”
B “The type of treatment depends on the stage of dementia and
safety
. considerations.”
C “Don’t worry; I do not believe in hospitalizing my patients.”
D “The treatment decision will be up to your mother and what she
wants.”
A Coping question
B Joining question
C Exception question
D Miracle question
1 points
QUESTION 48
- 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.
True
False
1 points
QUESTION 49
- 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:
A The patient can choose to leave the program whenever he wants
because
. changing is his choice.
B The patient already has everything needed and the PMHNP would
like to help
. him facilitate his own inner coping. C If the patient tries, he will one day become successful; he must
not give up.
D The patient must evolve and change with the times to
successfully change his
. way of thinking.
1 points
QUESTION 50
- 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:
A “Focus on your anger, take a deep breath, and allow an image to
emerge.”
B “Sit in these two chairs to have a conversation with your anger.”
C “Please tell me in detail about your anger and confusion.”
D “Your experience of anger and confusion is normal.”
A “I sincerely commend you for being here and seeking treatment;
this is a great
. first step.”
B “If no one knows about your substance usage, why are you here?”
C “Just because no one knows about your drug usage does not
mean you do not
. have a problem.”
D “I am wondering if your use of pain medication has ever
prompted you to seek
. medical attention.”
A Ask the patient to leave the room to speak with his
. parents
B Tell the patient that he shouldn’t be upset at his parents
C Compliment the patient on his academic achievement
D All of the above
A Collect information from the patient, his parents, and school
B Rule out medical issues that may affect behavior
C Get a measure of the patient’s developmental level
D All of the above
A Help Linda develop an awareness of triggers in order to have
greater control over
. physical and emotional responses
B Encourage Linda to have her husband and children participate in
family therapy
. to facilitate her integration into the community
C Ask Linda to do homework to elicit any other feelings related to
her addictive
. behavior and evaluate her progress
D All of the above
A Transference neurosis has been resolved.
B Symptoms have improved.
C Core conflicts have been reduced.
D Self-analytic capacity has been developed.
A Managing health and substance abuse
B Maintaining meaningful relationships
C Skills for daily living
D All of the above
A Encourage her to focus on therapy and keep the conversation
professional
B Explain that he must terminate counseling because of the
therapeutic frame
C Guide the patient to examine her feelings and explore the
underlying
. meaning
D None of the above
A Help the patient eliminate anxiety from his life
B Help the patient be aware of his anxiety and embrace
. it
C Help the patient find alternative ways to de-stress
D None of the above
A The patient should be made aware that he/she may have trouble
managing the
. trauma.
B The patient will have to resume treatment with a different
provider for further
. treatment.
C The patient can be weaned off from therapy, but cannot receive
treatment
. indefinitely.
D The patient may need to have follow-up sessions every few
months.
A An increased use of motivational interviewing is linked to
inconsistent behaviors
. in the patient. This is related to decreased client engagement
and poor outcomes.
B A decreased use of motivational interviewing is linked to more
consistent
. behaviors in the patient. This is related to decreased client
engagement and poor outcomes. C There is a higher incidence of inconsistent behaviors with
motivational
