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1.
Question:
During a session, the PMHNP asks a patient with a history of sexual
abuse to recall the relationship she had as a child with her parents. The patient
responds by saying she has a headache and her stomach hurts, and starts talking
about her physical ailments. What is the appropriate response by the PMHNP?
2.
Question:
A PMHNP is assessing ego functioning of his 40-year-old patient by
asking what she feels is the cause of her problems. She attributes her problems to
her overprotective parents not letting her have enough freedom growing up. Based
on her answer, the PMHNP is testing _____________.
3.
Question:
A 28-year-old male patient is experiencing distress related to the
workplace. What might the PMHNP ask to assess affective development?
4.
Question:
The PMHNP has been treating a 15-year-old patient with a history of
abuse and neglect. Thirty minutes into their therapy session the patient jumps up
and begins to pace around the room. Utilizing Socratic dialogue (SD) the PMHNP’s
best action would be to:
5.
Question:
The PMHNP understands that anxiety and depression are two
disorders in which their symptoms may overlap. When discussing this, you explain
that the autonomic nervous system is activated and further helps distinguish anxiety
symptoms by making the following points:
6.
Question:
A PMHNP is taking a history and wants to assess how the patient
copes with adversity. To do so, the therapist asks questions about the patient’s belief
system. What would be an appropriate question to ask?
7.
Question:
A PMHNP is caring for a 21-year-old woman who is suffering from
anxiety and is having difficulty managing stress. Which of the following would be an
appropriate step by the PMHNP?
8.
Question:
Your patient is a 65-year-old male who has a strained relationship with
his son and daughter. His children refuse to participate in a family session. The
PMHNP asks the patient to draw his family genogram as a next step to
_______________.
9.
Question:
A new patient has been … of the limits of confidentiality, and has …
consent forms. No consent, however, has been obtained for voluntary “Release of
Information.” The patient is 20 years old and still lives at home with his parents. He
is being … for depression, which he attributes to the trouble he’s had finding
employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to see
how he is doing, the therapist is required to protect patient confidentiality and not
disclose information.
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10.
Question:
The PMHNP is working with an adult patient who has somatic
complaints … by a history of childhood abuse. As part of the therapeutic process,
what does the PMHNP do to assess and organize a trauma history?
11.
Question:
The PMHNP is caring for a patient who has acute stress disorder after
experiencing a traumatic event 1 week prior. The PMHNP wants to begin with a
therapeutic framework that follows the adaptive information processing (AIP) model.
What is the priority action for the PMHNP to take?
12.
Question:
A patient who has borderline personality disorder is meeting with the
PMHNP. When asked about future goals, the patient responds, “I’d like to go back to
school to do what
you
You know, talk to people all day about their problems. It
seems pretty easy.” How does the PHMNP respond to the client in a way that is free
from any stigmatizing beliefs or judgments?
13.
Question:
The PMHNP is treating a 35-year-old male officer in the military. He
discloses that both of his parents are deceased and that he loved them. However, he
says that he had feelings of inadequacy because his parents held him to a standard
that he could never achieve. He went on to say that nothing he did ever felt good
enough. The PMHNP assesses that this patient has perfect creases in his uniform
with no strings or tags out of place; she also notices that he has perfect posture and
questions him about ritualistic behaviors. She suspects that this patient has
maladaptive responses to the expectations placed on him as a teenager and young
adult. Which statements made by the patient would verify the PMHNP’s suspicion?
14.
Question:
During a therapy session with an 18-year-old female the PMHNP
learns that she has lived in six different foster homes in the last 24 months. She
states that her mother is in a correctional facility for drug abuse and prostitution.
During the assessment, the PMHNP notices multiple superficial cuts to each wrist.
The patient appears tearful, withdrawn, and never makes direct eye contact. The
PMHNP believes that this patient may have feelings of insecurities as well as
abandonment issues and is aware that which diagnosis is likely possible?
15.
Question:
An 11-year-old patient has been exhibiting low self-esteem at school
and acting out. According to Maslow’s hierarchy of needs, which of the following
questions would best be addressed first by the PMHNP?
16.
Question:
When completing this exam, did you comply with Walden University’s
Code of Conduct including the expectations for academic integrity?
17.
Question:
The PMHNP has a session with a patient who was injured and
traumatized from an explosion at the industrial plant where he used to work. During
the session, an outside noise startles the patient and he experiences a flashback of
the loud
boom
from the explosion. The PMHNP witnesses the patient present with
anxiety and belabored breathing. What is the appropriate action of the PMHNP?
18.
Question:
The PMHNP is working with a veteran who has posttraumatic stress
disorder (PTSD). The PMHNP believes that dual awareness will be beneficial in
allowing the patient to focus on the here and now. What strategies can the PMHNP
use to develop dual awareness in the patient?
19.
Question:
A patient named Steve is seeking therapy to get help with his home
situation, stating that he has been stressed since his mother-in-law moved into the
house. What can the PMHNP do to assist the patient in constructing a narrative?
20.
Question:
The PMHNP is meeting with a 38-year-old … , single mother who has
been seeing the PMHNP for anxiety and anger management. During one of the
sessions, the patient tells the PMHNP that she is having a problem getting her child
support payments from her ex-husband, which is triggering increased anxiety and
anger, which she admittedly takes out on her children. How does the PMHNP
respond in a way that upholds the supportive psychodynamic psychotherapy
approach?
21.
Question:
When a PMHNP is seeing a patient for the first time, what is an
important step to assure that the patient and provider understand the limits of their
discussion?
22.
Question:
During cognitive behavioral therapy (CBT), a 64-year-old male patient
states, “I get so frustrated sometimes and I just blow up at everybody!” Which
response by the PMHNP demonstrates translation of Socratic dialogue (SD)?
23.
Question:
During a therapy session the patient is … how she currently deals
with stress, and she says, “Well, I don’t. I just let it build and build.” The PMHNP
responds by asking how well this has been working out for her. The patient states,
“Well, to be honest, it just feels like I’m drowning, you know what I mean.”
Illustrating idiosyncratic meaning, the PMHNP responds with:
24.
Question:
The PMHNP is working with a school-aged child who has been … with
depression. The child has attended several sessions with the PMNHP, but recently
presents with avoidant behavior by showing increased distress and being late to
sessions. What approach does the PMHNP need to employ with the child to continue
making therapeutic progress?
25.
Question:
The PMHNP is working with a patient who is living in poverty and
abusing substances. According to the treatment hierarchy framework, what needs
does the PMHNP need to attend to first?
26.
Question:
During cognitive behavioral therapy (CBT), a 64-year-old male
patient, states, “My wife hates me! She’s just waiting for me to die.” Using Socratic
dialogue (SD) the PMHNP demonstrates understanding of analysis when she
responds:
27.
Question:
The patient is a 56-year-old female patient … with panic disorder and
reports symptoms that include heart palpitations, frequent trembling, and feelings of
choking in stressful situations. What special consideration does the PMHNP make?
28.
Question:
A 62-year-old patient has been … with borderline personality disorder.
Upon assessment, the PMHNP learns that he
participates in spending sprees and
occasional binge eating, accompanied by rapid changes in self-image. Which
evidence-based psychotherapeutic model does the PMHNP identify as effective and
beneficial?
29.
Question:
The PMHNP is meeting with a new patient who is a young veteran
back from serving two tours overseas. When reviewing the patient’s health history
file that was sent from the VA, the PMHNP learns that several months ago, the
patient was … with PTSD, but never followed up with treatment for it. After a
comprehensive mental health assessment, the PMHNP confirms the PTSD diagnosis
and understands that which therapeutic approach will be the most effective as a
first-line treatment modality?
30.
Question:
The PMHNP is working with a patient who experiences anxiety around
her parents that later leads to poor impulse control. What will the PMHNP do to
employ psychodynamic psychotherapy properly for this patient?
31.
Question:
The PMHNP is treating a patient with a substantial fear of feeling … in
(claustrophobia). Thus, the patient will not get into an elevator. The office where he
works is on the 10th floor and this requires that he walk up and down the stairs in
the morning and evening to get to his office. With permission from the patient, the
PMHNP is beginning systematic desensitization to address the patient’s need to use
the elevator. What is the PMHNP’s best plan of action?
32.
Question:
True or false: If after a third round of processing … by stabilization, a
patient has increased anxiety that requires further interventions aimed at
stabilization, the therapeutic relationship can no longer successfully provide
therapeutic change.
33.
Question:
One of the strategies the PMHNP wants to try includes sleep
restriction. What will the PMHNP suggest to follow sleep restriction therapy?
teach the safe-place exercise to create a feeling of calm. In order to walk the patient
through the exercise, the PMHNP first says:
47.
Question:
A 41-year-old male patient is meeting with the PMHNP and reveals
that he is homosexual. He begins telling the PMHNP about his feelings as a
homosexual, middle-aged man. The PMHNP nods understandingly. Before long, the
patient asks, “Are you gay? Are you married? Do you have kids?” What is the best
response by the PMHNP?
48.
Question:
In your office, you see a 58-year-old patient with PTSD who reports
having nightmares, making it impossible for her to sleep. What recommendations
based on principles of sleep hygiene will the PMHNP make?
49.
Question:
The PMHNP is caring for a patient with borderline personality disorder.
Using a psychoanalytic psychotherapy approach, the PMHNP attempts to intensify
the patient’s transference to enhance emotional processing by:
50.
Question:
The PMHNP is working with a patient who seems … with the
therapeutic relationship. The PMHNP invites the patient to discuss her feelings
regarding the PMHNP openly and honestly. It becomes clear to the PMHNP that they
are experiencing an alliance rupture. How does the PMHNP repair the therapeutic
alliance?
51.
Question:
The PMHNP has been assisting a shy and timid 23-year-old male
patient struggling with esteem and self-concept issues. Over the weekend, this
patient was given the task of completing an exercise that would usually cause him
distress and shame, also called a shame-attacking exercise. The PMHNP determines
that this task has successfully been achieved when the patient states:
52.
Question:
The PMHNP is working with a 43-year-old male patient who develops
idiosyncratic transference over weeks of therapy. The best way for the PMHNP to
respond to this patient is to ___________
:
53.
Question:
A PMHNP is treating a 50-year-old patient who suffers from
depression. When he was growing up, he was often responsible for taking care of his
three younger siblings. Since then, the patient puts other people’s needs before his
own. Based on this information, the PMHNP would conclude that his interpersonal
style is __________.
54.
Question:
The PMHNP is working with a patient who has insomnia and battles
going to sleep. The patient reports consistent self-defeating behaviors, and hates
trying to go to sleep. Which action made by the PMHNP demonstrates the use of a
paradoxical intervention?
55.
Question:
During a clinical assessment of a 15-year-old patient, the PMHNP
asks, “How can I help you?” The patient answers by saying, “Honestly, I don’t really
think I need any help.” Which of the following is the most appropriate response by
the PMHNP?
56.
Question:
The PMHNP is meeting with a 42-year-old man with depression
brought on by the recent passing of his wife. As he describes the circumstances
surrounding his late wife’s death, the PMHNP begins to feel sad. The sadness lingers
for several hours, and the PMHNP finds it difficult to focus on other patients for the
rest of the day. What is the most appropriate explanation for the reaction that the
PMHNP is experiencing?
57.
Question:
You are seeing a 29-year-old widow whose husband recently died
overseas while serving his country in the military. She has been mourning the loss of
her husband for several months, and continues to grieve. She refuses to go to group
grieving sessions, but reports that she is still able to go to work and her fitness
classes sometimes, and even makes attempts to stay social. She says, “Sometimes
it’s like he’s not even gone. Other times it feels like it’s been an eternity since I’ve
seen him. It’s hard to talk about this type of stuff with my girlfriends, especially
since all of their husbands are still alive.” The PMHNP understands that it is
appropriate to employ which therapeutic principle?
58.
Question:
A PMHNP’s patients have already … confidentiality agreements,
including limits that will be imposed on confidentiality. Months later, the state’s laws
have changed that affect confidentiality promises the PMHNP has already made.
What is an appropriate step for the PMHNP to take after finding out this information?
59.
Question:
A 35-year-old patient has been seeking treatment for depression for
several months. The PMHNP does an assessment to see if processing has led to
adaptive change. The patient’s self-references are positive in relation to past events,
work is productive, relationships are adaptive, and there is congruence between
behavior, thoughts, and affect. Based on this information, the PMHNP decides the
patient ____________.
60.
Question:
The PMHNP meets with a 47-year-old male patient who is fearful of
leaving the house after having witnessed his neighbor getting run over by a car.
When the PMHNP asks why he is afraid to leave his house, the patient replies,
“Because another accident might occur.” Which cognitive behavioral therapy (CBT)
strategy does the PMHNP employ?
61.
Question:
The PMHNP is working with a patient who experiences abreactions
when discussing …feelings of his sexual abuse as a child. What can the PMHNP do to
manage the patient’s intense emotional reactions?
62.
Question:
A 16-year-old female patient has had a stable therapeutic relationship
with the PMHNP for several months. The PMHNP notices what appears to be fresh
cigarette burns on the patient’s arm. When asked, the patient admits to this self-
injurious behavior. Although the patient is still depressed, her mood seems to be
somewhat better this week. True or false: The PMHNP would most likely consider this
patient stabilized and ready to move to Stage II.
63.
Question:
The PMHNP is assessing a patient who grew up in a foster home
because she was … and abused by her birth parents at a young age. The patient
admits to having difficulty forming and maintaining relationships throughout her life.
Understanding maladaptive schemas, which statement does the PMHNP predict that
the patient is likely to make?
64.
Question:
The PMHNP is caring for a patient with dissociated self-state that the
PMHNP identifies as being associated with traumatic experiences in the patient’s
past. What approach does the PMHNP use with the patient that is crucial to the
psychodynamic therapy process?
65.
Question:
When conducting an initial assessment, a PMHNP has finished
conducting a mental status examination with 10 minutes left in the session. The
patient is distressed and would like to continue sharing her personal history.
True or false: An appropriate response that the PMHNP might tell the patient is, “I
understand that you are upset. [Summarizes … , treatment recommendations, and
follow-up plan.] We can continue the conversation next week. How does this time
next Monday work for you?”
66.
Question:
True or false: A PMHNP may ask his patient to describe her
relationship with her father, both as a child and now, in order to assess interpersonal
style.
67.
Question:
The PMHNP is working with a patient who … her father pass away
after suffering for several months from terminal cancer. The PMHNP sees this as a
traumatic event. The patient reports sometimes feeling out of touch with
surroundings; almost as if things feel like a dream. “Sometimes that sensation
lingers for a while,” the patient says, “and other times I snap out of it quickly.” What
does the PMHNP infer about the condition based on psychotherapy concepts for
trauma?
View answer and explanation
68.
Question:
A PMHNP has been working with a young female patient who suffers
from depression to change self-defeating behaviors. By creating a presence of
acceptance and using good listening skills, the PMHNP’s overall goal is to __________.
69.
Question:
An initial evaluation reveals that an 11-year-old patient has moved to
a new school after her parents’ recent divorce, and is having trouble making friends.
The patient has normal mental status and exhibits appropriate behavior. What is the
most appropriate scale for the PMHNP
to use to get more information?
70.
Question:
When the patient comes into the office, she says, “I just saw a friend
of mine out in the waiting room. What’s wrong with him?” The PMHNP says, “He’ll be
fine. He has mild depression.” Which of the following statement is correct … to
confidentiality rights?
71.
Question:
An elderly patient in a nursing home has been losing interest in
activities and now refuses to leave his room. After a physical exam, he is … to a
PMHNP for an initial assessment.
True or false: After speaking with the patient, an appropriate screening tool for the
PMHNP
to use would be the Geriatric Depression Scale.
72.
Question:
A middle-aged man who works over 50 hours a week is being for
depression and anger management. He states, “I am even more… when I come
home and my wife wants to argue about stupid stuff. All I want to do is come home,
take a shower, and eat. Is that too much to ask?” The PMHNP explains that people
can be assertive, aggressive, and passive. She encourages the patient to be more
assertive and begins role-play with assertive training. The PMHNP determines that
the patient is beginning to understand when he states:
73.
Question:
At the initial interview with a patient, the PMHNP reviews the
condition of receiving services, including limits that will be imposed on
confidentiality. During the discussion, the patient shares information that the PMHNP
is legally … to report.
True or false: If the PMHNP does not report information that s/he is legally required to
report, state laws govern the consequences which include penalties for not
reporting, especially child and elder abuse.
74.
Question:
The PMHNP is working with a patient who has dissociative disorder
and requests pharmacological interventions for dealing with her trauma. What
education does the PMHNP provide to the patient regarding medication therapy?
75.
Question:
The PMHNP is having a therapy session with Charlotte, a 20-year-old
victim of date rape. The patient states, “I shouldn’t have been there; I should have
just gone home. This was all my fault; how could I have been so stupid?” Using the
Socratic method, what is the PMHNP’s best response?
76.
Question:
The PMHNP is caring for a patient who the PMHNP believes would
benefit from a relational psychodynamic approach to therapy. Which action made by
the PMHNP demonstrates appropriate use and understanding of the relationship
psychodynamic model?
Please help me the answers. Thank you.

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