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NURS6640 Mental Health Final Exam With Answers (75 Solved Questions)

Nursing
Walden University
25 pages
Shared May 2025

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NURS 6640 FINAL Question 1 1 out of 1 points A PMHNP is using interpersonal psychotherapy with a 40 - year - old patient having relationship problems with his extended family. The patient shares that he has been using the strategies they identified to reduce his distress, but they have not been helping. He is frustrated and is considering stopping treatment. What would be an appropriate step by the PMHNP? Selected Answer: A. Encourage the patient to continue treatment by using alternative strategies Question 2 0 out of 1 points The PMHNP has been providing supportive psychodynamic psychotherapy to a patient an d is nearing the termination stage. The PMHNP will use which criteria for determining that the patient is ready for termination? Selected Answer: D. Self - analytic capacity has been developed. Question 3 1 out of 1 points A PMHNP is using Gestalt therapy to communicate with a 42 - year - old patient who is u pset with her mother. She says, “I want to tell her how hurt I feel when she doesn’t call me, but I don’t want to upset her.” What technique can the PMHNP use to help Sasha express herself? Selected Answer: B. Empty - chair dialogue Question 4
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1 out of 1 points 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 t o this patient? Selected Answer: A. “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” Question 5 0 out of 1 points A PMHNP is assessing a 60 - year - old patient named Carlos. He has severe PTSD and mil d substance abuse issues. The most appropriate setting to treat Carlos would be a _________. Selected Answer: A. primary health care setting with some specialized care Question 6 1 out of 1 points The PMHNP is caring for a patient who is histrionic. Using the supportive psychodyn amic 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 first place.” Question 7 1 out of 1 points
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The PMHNP is meeting with a patient who has been diagnosed with depression. The pat ient is having trouble adjusting to her new job and hasn’t made any new friends there. What would an appropriate response be by the PMHNP using the interpersonal psychotherapy approach? Selected Answer: C. “Tell me more about why you’re having trouble making new friends at work.” Question 8 1 out of 1 points The PMHNP is initiating a plan of care for a patient who requires comprehensive psy chotherapy to manage his depression and mood disorder. Throughout the initial sessions, the patient reports feeling as though he cannot be helped. The PMHNP is concerned about premature termination initiated by the patient. What strategy can the PMHNP empl oy to prevent or reduce premature termination? Selected Answer: D. All of the above Question 9 1 out of 1 points A PMHNP is assessing a 40 - year - old patient named Sarah who has a severe cocaine add iction and mild depression. Using the four - quadrant model, what would be the most appropriate setting to help the patient? Selected Answer: C. Substance abuse treatment system Question 10 0 out of 1 points 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
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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”? Selected Answer: A. “You believe that your weight is a cause of your marital problems.” Question 11 1 out of 1 points An 8 - year - old has been having trouble making friends at school. His parents initiat ed treatment when he also started acting out at home. Which is the most appropriate step that the PMHNP takes during the assessment process when using an integrated approach? Selected Answer: D. All of the above Question 12 1 out of 1 points A 21 - year - old patient is worried about starting a new job. She talks about her fears of failure and not making friends at the office. Using a person - centered approach, an appropriate response by the PMHNP is to ______________. Selected Answer: C. ask the patient to reflect on and explore what she is experiencing Question 13 0 out of 1 points 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: Selected Answer: C. “Please tell me in detail about your anger and confusion.”
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Question 14 1 out of 1 points A PMHNP is using motivational interviewing (MI) with a 50 - year - old patient named D ave 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: False Question 15 1 out of 1 points The PMHNP is treating an older adult patient who reports experiencing nightmares associated with an automobile accident he was in 20 years ago. As the PMHNP formulates the case using the dynamic supportive therapy model, what questions will the PMHNP use d uring the session? Selected Answer: C. “Let’s talk about what kinds of things are triggering you now.” Question 16 1 out of 1 points The PMHNP is caring for an older adult patient who is in the acute phase of schizop hrenia. Which therapeutic model will the PMHNP employ with this patient? Selected Answer: D. None of the above Question 17 0 out of 1 points
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A 43 - year - old single mother is seeing the PMHNP at the request of her sister. “My s ister thinks I need to come here to talk about my feelings,” the patient reports. The PMHNP learns that the patient has three children from three different men, but is unable to collect appropriate child support payments from any of the biological fathers. Additionally, the woman is barely able to afford her apartment or utilities payments. What is the appropriate response from the PMHNP when using the psychodynamic psychotherapy technique? Selected Answer: D. Asking the patient why she thinks it is so hard to get the money she deserves Question 18 0 out of 1 points Following an attempted suicide, Mr. Durham was admitted to an acute psychiatric facility. After 4 weeks in treatment, he is preparing for discharge. He is beginning to miss individual and group therapy sessions and has refused medications twice in the past 2 days. The PMHNP demonstrates understanding in this phase by saying which of the following statements? Selected Answer: C. “Are you upset with someone here? Tell me more about this.” Question 19 1 out of 1 points When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment? Selected Answer: B. Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment Question 20 1 out of 1 points
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The PMHNP uses therapeutic communication skills while ensuring that the patient und erstands that he has choices. The PMHNP comprehends and practices motivational interviewing. This is best understood as which of the following? Selected Answer: 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. Question 21 1 out of 1 points The PMHNP is meeting with an older, female adult patient and her daughter. The pati ent 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 ? Selected Answer: B. “The type of treatment depends on the stage of dementia and safety considerations.” Question 22 0 out of 1 points The PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT). W hich of the following statements made by the PMHNP approach the termination phase for this patient? Selected Answer: B. “Now that you are feeling more stable, let’s talk about terminating these sessions.” Question 23 1 out of 1 points