1. The PMHNP is caring for a young adult patient with whom the PMHNP decides to use a dynamic supportive therapy approach in addition to pharmacological intervention. Which therapeutic action will the PMHNP take to employ the strategy of holding and containing the patient? Psychiatric Nursing Questions and Answers

	A.	Encouraging and nurturing the patient
	B.
	C.	Discussing why the patient is not taking the medication as directed
	D.

1 points

Question 42

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 43

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 44

1. Mia is a 75-year-old patient who has completed initial treatment for depression. What might a PMHNP ask Mia when using a solution-focused therapy approach?

	A.	“What specific improvements have you noticed in your mood since you made the call to see me?”
	B.	“On a scale of 1–10 (with 1 being little to no improvement to 10 being a great deal of improvement) how much has your mood changed since we started working together?”
	C.	“What needs to happen today in order for you to feel that is was a productive session?”
	D.	All of the above.

1 points

Question 45

1. A PMHNP has been treating a 14-year-old patient using interpersonal psychotherapy. The patient has been depressed since the death of his grandmother. To help the patient recover, the PMHNP has told the parents:

	A.	“Keep your expectations high to show that you believe in his abilities.”
	B.
	C.	“Don’t put expectations on him while he is showing signs of depression.”
	D.

1 points

Question 46

1. 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 ______________.

	A.	give the patient advice based on the therapist’s experiences
	B.
	C.	ask the patient to reflect on and explore what she is experiencing
	D.	all of the above

1 points

Question 47

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.
	B.
	C.	Hospitalization
	D.	None of the above

1 points

Question 48

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 49

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.
	B.
	C.	Embed the termination into the work of the therapeutic phase
	D.	None of the above

1 points

Question 50

1. 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?

	A.
	B.
	C.	Develop cognitive skills to challenge Gerald’s negative thinking
	D.	None of the above

1 points

Question 51

1. The PMHNP is caring for a geriatric patient who expresses symptoms of gastrointestinal problems, aches and pains, and loss of appetite. The patient reports feeling lonely, as more of his friends have been passing away over the recent months and years. The PMHNP focuses on which therapeutic approach for this patient?

	A.	Supportive therapy
	B.	Problem-solving therapy
	C.	Cognitive behavioral therapy
	D.	All of the above

1 points

Question 52

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.
	B.	The patient already has everything needed and the PMHNP would like to help him facilitate his own inner coping.
	C.
	D.	The patient must evolve and change with the times to successfully change his way of thinking.

1 points

Question 53

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.
	B.	“How is your depression affecting the relationship with your spouse?”
	C.
	D.	All of the above.

1 points

Question 54

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 55

1. The PMHNP is interviewing a patient who is in the process of successfully completing a substance abuse program. During the interview, the patient states, “I wish I was strong enough to keep the same friends I had before I came here for treatment. I’m really afraid of being discharged because I’ll probably run into my old friends again.” The PMHNP offers a complex reflection when she states the following:

	A.	“You feel as though you are weak and you wish that you were strong.”
	B.
	C.	“You’d like to keep your old friends but know being around them may lead you to abuse substances again.”
	D.

1points

Question 56

1. The PMHNP is assessing a patient who requires cognitive behavioral therapy (CBT). Which of the following statements made by the PMHNP approach the termination phase for this patient?

	A.	“Although it’s your first session, we will discuss how termination of your treatment will go.”
	B.	“Now that you are feeling more stable, let’s talk about terminating these sessions.”
	C.	“We will wait to discuss terminating the treatment until you’ve attended at least five sessions.”
	D.	None of the above.

1 points

Question 57

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?

	A.	“You feel that your children have given you many chances.”
	B.
	C.	“You feel that your use of alcohol is a terrible habit.”
	D.	All the above.

1 points

Question 58

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.
	C.	Encourages the patient to check in with the PMHNP about his/her progress
	D.	A and C

1 points

Question 59

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 safety
	D.	Trauma narrative

1 points

Question 60

1. The PMHNP is in the process of terminating treatment with a patient who witnessed the death of her parent who used to sexually abuse her. What does the PMHNP understand about terminating this patient?

	A.	The patient should be made aware that he/she may have trouble managing the trauma.
	B.
	C.	The patient can be weaned off from therapy, but cannot receive treatment indefinitely.
	D.

1 points