NURS 6640 FINAL EXAM 1

NURS 6640 FINAL EXAM 1
Question 1
The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms. Thomas is currently discussing with the PMHNP the reasons why she feels guilty about her drinking. Ms. Thomas tearfully states, “I have driven my family and friends away with this terrible habit. I have no one left. I had more than enough chances and now my children won’t even talk to me.” Which of the following statements demonstrate a simple reflection?
Selected Answer:
D.
All the above.
Question 2
The PMHNP continues to meet with Gerald, who is the patient with depression and mood disorder. The PMHNP uses the CBT approach. Gerald is now meeting with the PMHNP for his fifth session and feels comfortable with how the therapy works. What does the PMHNP plan to do with Gerald over the course of the next several sessions?
Selected Answer:
C.
Develop cognitive skills to challenge Gerald’s negative thinking
Question 3
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?
Selected Answer:
B.
Montgomery-Asberg Depression Rating Scale
Question 4
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 ______________.
Selected Answer:
B.
integrate services that encompass mind, body, spirit, and community
Question 5
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?
Selected Answer:
A.
He will have lapses in his memory of his childhood.
Question 6
A 21-year-old patient has been having trouble adjusting to college life. She tells the PMHNP that she had five alcoholic drinks at a party this past weekend. She also acknowledges that she drank the same amount of alcohol at a party the previous month. Based on this information, what would the PMHNP most likely recommend?
Selected Answer:
D.
None of the above
Question 7
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:
B.
“Have you thought of how you will continue your treatment plans?”
Question 8
While assessing a patient using a humanistic-existential approach, a patient tells the PMHNP, “For the past few weeks, I’ve felt anxious almost every single day.” What would be an appropriate next step by the PMHNP?
Selected Answer:
D.
Encourage the patient to clarify by asking, “You constantly feel anxious?”
Question 9
A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask during the initial sessions of interpersonal psychotherapy treatment?
Selected Answer:
D.
All of the above.
Question 10
How does the PMHNP approach termination with the patient who has been receiving intermittent therapy?
Selected Answer:
D.
A and C