NRNP6640 Psychotherapy Final Exam With Answers (76 Solved Questions)

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NRNP 6640 Final EXAMwritten bysolution

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Question 11 out of 1 pointsA PMHNP has been treating a 9-year-old patient who was referred by her school. Students are asked toraise their hands before speaking during group discussion, but the patient seems to blurt out what shewants to say without being called on. She also interrupts other children while they are talking instead ofwaiting her turn. When the patient gets frustrated, she has trouble controlling her emotions and criesoften. Based on the initial information provided, the first focus by PMHNP is the child’s ____________.Selected Answer:B.self-regulationQuestion 21 out of 1 pointsThe PMHNP is caring for a patient who experiences depression caused by the traumatic experience ofher dog passing away. She reports not being able to eat or sleep, and sometimes doesn’t want to leavethe house at all. Which statement is most appropriate for the PMHNP to maximize the patient’s adaptivecoping mechanisms?Selected Answer:C. “It’s important to be mindful of how you feel and then to determine what causes those feelings.”Question 31 out of 1 pointsA PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is going through adivorce. As he is calmly sharing the details of his divorce, the PMHNP notices that Dave is tapping hisfingers on his legs. What is an appropriate response by the PMHNP using the technique of focusing?Selected Answer:A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?”Question 41 out of 1 points

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The PMHNP is meeting with an older, female adult patient and her daughter. The patient has early onsetdementia. The daughter expresses concern, saying, “I don’t want you to just stick my mother in a homeand give her medicine. I’m worried that’s what people are going to want to do.” What is the bestresponse by the PMHNP to the daughter?Selected Answer:B. “The type of treatment depends on the stage of dementia and safety considerations.”Question 51 out of 1 pointsA 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 aboveQuestion 61 out of 1 pointsA 35-year-old male patient is being treated for alcohol addiction. He asks for the PMHNP’s cell phonenumber to use in case of an emergency. When the PMHNP responds that giving her number would beagainst therapeutic rules, the patient threatens an act of violence to the therapist. What would be themost appropriate response by the PMHNP?Selected Answer:A. Immediately report the threat to the local police departmentQuestion 70 out of 1 pointsThe PMHNP is caring for an adult male patient whose wife left him several months ago. He recentlylearned that his ex-wife is dating someone much younger. The man feels belittled, sad, and lonely. Hetalks 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 tobe with me?” How does the PMHNP help raise the man’s self-esteem?Selected Answer:A. Correcting cognitive distortions

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Question 81 out of 1 pointsThe PMHNP uses therapeutic communication skills while ensuring that the patient understands that hehas choices. The PMHNP comprehends and practices motivational interviewing. This is best understoodas which of the following?Selected Answer:B. A statement that both challenges the patient’s resistance and offers an opportunity to discuss theissues allows the patient to argue with him/herself to help produce a desired change.Question 91 out of 1 pointsThe PMHNP is terminating treatment for a patient who has been receiving eye movementdesensitization and reprocessing (EMDR) therapy. What action does the PMHNP take at the final sessionto terminate treatment?Selected Answer:B. Discusses all issues that have been addressedQuestion 101 out of 1 pointsThe PMHNP is assessing an older adult male patient with depression and comorbidities. According to themedical 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 theprimary action by the PMHNP?Selected Answer:C. Determining if the patient’s medications can be causing memory problemsQuestion 111 out of 1 pointsA 21-year-old patient has been having trouble adjusting to college life. She tells the PMHNP that she hadfive alcoholic drinks at a party this past weekend. She also acknowledges that she drank the sameamount of alcohol at a party the previous month. Based on this information, what would the PMHNPmost likely recommend?

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Selected Answer:D. None of the aboveQuestion 120 out of 1 pointsThe PMHNP is assessing a new geriatric patient who reports symptoms of depression. The PMHNP wantsto identify the patient’s symptom severity over time. Which assessment tool will the PMHNP use tocollect this data on the patient?Selected Answer:C.AB Clinician Depression ScreenQuestion 131 out of 1 pointsHow does the PMHNP approach termination with the patient who has been receiving intermittenttherapy?Selected Answer:D. A and CQuestion 140 out of 1 pointsA 55-year-old patient recovering from substance abuse tells the PMHNP, “It’s impossible to meet newpeople. I really hate being single.” Using existential psychotherapy, what might the PMHNP say next?Selected Answer:B. “So you feel frustrated and unhappy being single. Is that right?”Question 151 out of 1 points

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The PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT). Which of thefollowing 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 161 out of 1 pointsThe 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 firstplace.”Question 171 out of 1 pointsThe PMHNP uses the cognitive behavioral therapy model with Gerald, an older adult patient who isbeing treated for depression and mood disorder. What will the PMHNP do with the patient during thefirst three sessions?Selected Answer:A. Build a therapeutic allianceQuestion 181 out of 1 pointsA PMHNP is using emotion-focused therapy to help a 38-year-old patient who says, “I’ve been feelingangry 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 191 out of 1 points

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