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UTAH VALLEY UUNIVERSITY NURSING DISCUSSION PRACTISE QUESTIONS, Quizzes of Nursing

QUESTION 1 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

Typology: Quizzes

2023/2024

Available from 08/21/2023

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UTAH VALLEY UUN IVERSITY
NURSING DISCUSSION PRACTISE
QUESTIONS
QUEST IO N 1
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
QUEST IO N 2
1. 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
QUEST IO N 3
1. 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’?”
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UTAH VALLEY UUNIVERSITY

NURSING DISCUSSION PRACTISE

QUESTIONS

QUESTION 1

  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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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