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NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS 2024 UPDATE, Exams of Nursing

Essex County CollegeNursing

NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS 2024 UPDATE

Typology: Exams

2024/2025

Available from 09/27/2024

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NRNP 6640 FINAL EXAM – QUESTION AND
ANSWERS
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 
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Download NRNP 6640 FINAL EXAM – QUESTION AND ANSWERS 2024 UPDATE and more Exams Nursing in PDF only on Docsity!

NRNP 6640 FINAL EXAM – QUESTION AND

ANSWERS

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

QUESTION 6

  1. A PMHNP is treating a 12-year-old girl who witnessed the physical abuse of her sibling. She has been anxious and irritable since the experience. After speaking with the PMHNP, the patient says she keeps having anxiety-causing thoughts about the experience. Using the PRACTICE technique, which skill will best help the patient interrupt these negative thoughts? A . Relaxation B . Affect modulation C . Enhancing

B

Problem-solving therapy C . Cognitive behavioral therapy D . All of the above 1 points

QUESTION 10

  1. A PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is going through a divorce. As he is calmly sharing the details of his divorce, the PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate response by the PMHNP using the technique of focusing? 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. 1 points

QUESTION 11

  1. 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? A . Group therapy B . Peer support C . Hospitalization D . None of the above 1 points

QUESTION 12

  1. The PMHNP uses therapeutic communication skills while ensuring that the patient understands that he has choices. The PMHNP comprehends and practices motivational interviewing. This is best understood as which of the following? 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. 1 points

QUESTION 13

  1. The PMHNP is caring for an adult male patient whose wife left him several months ago. He recently learned that his ex-wife is dating someone much younger. The man feels belittled, sad, and lonely. He talks 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 to be with me?” How does the PMHNP help raise the man’s self-esteem? A . Correcting cognitive distortions B . Using role-playing techniques C . Unraveling unconscious guilt D . All of the above 1 points

QUESTION 14

  1. The PMHNP assesses a 27-year-old patient named Jeff, who was a victim of child abuse and neglect. Jeff says that he remembers a traumatic situation that he wants to share, but is having trouble talking about it. Which statement made by the PMHNP demonstrates the use of emotion-focused therapy? 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. 1 points

QUESTION 15

  1. A patient is finishing the active treatment phase of interpersonal psychotherapy (IPT). After the PMHNP reminds the patient that she has three sessions left, the patient says
  1. 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 to this patient? A . “You may want to look into therapeutic oils and aromatherapy as an alternative to medication.” B . “Some patients have good results with medicine. Are you sure you don’t want to try it?” C . “You can try taking natural supplements in addition to the medicine I prescribe you.” D . All of the above. 1 points

QUESTION 19

  1. A PMHNP has been treating a 9-year-old patient who was referred by her school. Students are asked to raise their hands before speaking during group discussion, but the patient seems to blurt out what she wants to say without being called on. She also interrupts other children while they are talking instead of waiting her turn. When the patient gets frustrated, she has trouble controlling her emotions and cries often. Based on the initial information provided, the first focus by PMHNP is the child’s ____________. A . memory B . self- regulation C . language skills D . social system 1 points

QUESTION 20

  1. A patient’s depression is affecting her relationship with her spouse. What might the PMHNP ask during the initial sessions of interpersonal psychotherapy treatment? 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. 1 points

QUESTION 21

  1. The PMHNP has been treating a patient who is now being transferred to another provider. What is the appropriate action made by the PMHNP? 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 1 points

QUESTION 23

  1. A 38-year-old patient tells the PMHNP that her father went to jail for selling drugs when she was a child. The patient is visibly upset when discussing what happened. Using a humanistic-existential approach to psychotherapy, which of the following is the most appropriate response by the PMHNP? A . “How were you feeling at the time when that happened?” B . “What are you experiencing now as you share this story?”

D

“What do you want do you want be different?” 1 points

QUESTION 27

  1. 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 during the session? A . “What can you tell me about this room?” B . “You might benefit from a sleep aid.” C . “Let’s talk about what kinds of things are triggering you now.” D . “Do I have your permission to advocate for you with your primary care physician?” 1 points

QUESTION 28

  1. The PMHNP is caring for an older adult patient who presents with mixed dysphoric states and whose daughter reports “is becoming more irritable more easily.” When talking with the patient, the PMHNP also recognizes displays of cognitive dysfunction. Which treatment options will the PMHNP most likely suggest? A . Cognitive behavioral therapy (CBT) B . Interpersonal psychotherapy (IPT) C . Combination of CBT and IPT D . Combination of CBT and medication 1 points

QUESTION 29

  1. As part of the PMHNP’s role in the clinic, the PMHNP oversees students that gain clinical experience at the agency. The student is instructed to use the supportive psychodynamic therapy approach with the patient. Which action made by the student causes the PMHNP to intervene, after observing the student interacting with the patient? A . Focusing too heavily on defenses B Talking to the patient about the use of problem-solving strategies

C

Inviting the patient to emote about thoughts and fantasies D . Asking the patient about the patient’s work stress 1 points

QUESTION 30

  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

. those feelings.” D . B and C 1 points

QUESTION 36

  1. A PMHNP is assessing a 60-year-old patient named Carlos. He has severe PTSD and mild substance abuse issues. The most appropriate setting to treat Carlos would be a _________. A . primary health care setting with some specialized care B . state psychiatric hospital and/or emergency room C . substance abuse treatment system D . mental health system of care 1 points

QUESTION 37

  1. How does the PMHNP approach termination with the patient who has been receiving intermittent therapy? A . Uses the word “interrupt” instead of “terminate” with the patient B . Requires the therapy be resumed in several months C . Encourages the patient to check in with the PMHNP about his/her progress D . A and C 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

A

Behavioral B . Cognitive C . Pyschoeducational D . All of the above 1 points

QUESTION 45

  1. The PMHNP is meeting with an older, female adult patient and her daughter. The patient 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? A . “Most of the time, institutionalization cannot be prevented.” 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.” 1 points

QUESTION 46

  1. A 38-year-old patient has been having trouble communicating with his teenage daughter. Using a solution-focused therapy approach, the PMHNP responds by saying, “When was a time that a communication problem could have occurred, but did not?” In this case, what type of question is the PMHNP asking? A . Coping question B . Joining question C . Exception question D . Miracle question 1 points

QUESTION 47

  1. A PMHNP has been working with a 50-year-old patient who has a stressful job and goes to the casino on weekends to play poker with his friends, which he says relieves

his stress. Tim admits that he sometimes misses work on Monday when he stays out too late at the casino on Sunday nights. In addition, he once was an avid runner, and has given up running to spend more time gambling. True or false: According to the PMHNP, the desired goal after treatment is not complete abstinence from gambling, but reaching a healthy level of the behavior. True False 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.”

B

Give the patient some possible solutions they might use for feeling less anxious C . Use traditional assessment procedures, such as giving a psychometric test D . Encourage the patient to clarify by asking, “You constantly feel anxious?” 1 points

QUESTION 54

  1. The PMHNP is initiating a plan of care for a patient who requires comprehensive psychotherapy 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 employ to prevent or reduce premature termination? A . Incorporate patient preferences as to the type of therapy used B . Educate the patient about the duration and pattern of change C . Foster a therapeutic alliance with the patient D . All of the above 1 points

QUESTION 55

  1. The PMHNP uses the cognitive behavioral therapy model with Gerald, an older adult patient who is being treated for depression and mood disorder. What will the PMHNP do with the patient during the first three sessions? A . Build a therapeutic alliance B . Build behavioral skills to increase pleasant activities C . Build cognitive skills to challenge negative thinking D . Build social skills to improve problem solving 1 points

QUESTION 56

  1. A 35-year-old male patient is being treated for alcohol addiction. He asks for the PMHNP’s cell phone number to use in case of an emergency. When the PMHNP responds that giving her number would be against therapeutic rules, the patient

threatens an act of violence to the therapist. What would be the most appropriate response by the PMHNP? A . Immediately report the threat to the local police department B . Allow the patient to explore his feelings C . Review the therapeutic treatment frame D . Call the patient the next day to follow up 1 points

QUESTION 57

  1. An 8-year-old has been having trouble making friends at school. His parents initiated 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? 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 1 points

QUESTION 58

  1. Linda is a 65-year-old patient who has completed initial treatment for alcohol addiction and anxiety problems. She is motivated to continue her treatment gains and have a healthy lifestyle. How would the PMHNP apply a mindfulness approach to this case? 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 1 points

QUESTION 59