Question: An elderly patient in a nursing home has been losing interest in activities and now refuses to leave his room. After a physical exam, he is referred to a PMHNP for an initial assessment.
True or false: After speaking with the patient, an appropriate screening tool for the PMHNP to use w...
An elderly patient in a nursing home has been losing interest in activities and now refuses to leave
his room. After a physical exam, he is referred to a PMHNP for an initial assessment.
True or false: After speaking with the patient, an appropriate screening tool for the PMHNP to use
would be the Geriatric Depression Scale.
Selected Answer: True
Question 2
1 out of 1 points
The PMHNP is working with a school-aged child who has been diagnosed with depression. The child
has attended several sessions with the PMNHP, but recently presents with avoidant behavior by
showing increased distress and being late to sessions. What approach does the PMHNP need to
employ with the child to continue making therapeutic progress?
Selected Answer: B.
Using communication techniques that are expressive
Question 3
0 out of 1 points
,During a session, the PMHNP asks a patient with a history of sexual abuse to recall the relationship
she had as a child with her parents. The patient responds by saying she has a headache and her
stomach hurts, and starts talking about her physical ailments. What is the appropriate response by
the PMHNP?
Selected Answer: B.
Explain why it is important for the patient to discuss these memories openly
Question 4
A PMHNP is taking a history and wants to assess how the patient copes with adversity. To do so, the
therapist asks questions about the patient’s belief system. What would be an appropriate question
to ask?
Selected Answer: D.
All of the above.
Question 5
1 out of 1 points
A 62-year-old patient has been diagnosed with borderline personality disorder. Upon assessment,
the PMHNP learns that he participates in spending sprees and occasional binge eating, accompanied
by rapid changes in self-image. Which evidence-based psychotherapeutic model does the PMHNP
identify as effective and beneficial?
,Selected Answer: C.
Dialectical behavior therapy
Question 6
1 out of 1 points
The PMHNP is working with a patient who seems dissatisfied with the therapeutic relationship. The
PMHNP invites the patient to discuss her feelings regarding the PMHNP openly and honestly. It
becomes clear to the PMHNP that they are experiencing an alliance rupture. How does the PMHNP
repair the therapeutic alliance?
Selected Answer: D.
All of the above
Question 7
1 out of 1 points
The PMHNP is working with a patient who experiences anxiety around her parents that later leads to
poor impulse control. What will the PMHNP do to employ psychodynamic psychotherapy properly
for
Selected Answer: D.
All of the above
Question 8
1 out of 1 points
, During a therapy session the patient is asked how she currently deals with stress, and she says,
“Well, I don’t. I just let it build and build.” The PMHNP responds by asking how well this has been
working out for her. The patient states, “Well, to be honest, it just feels like I’m drowning, you know
what I mean.” Illustrating idiosyncratic meaning, the PMHNP responds with:
Selected Answer: B.
“No, I am not sure what you are saying. Can you please explain?”
Question 9
1 out of 1 points
The PMHNP is meeting with a 38-year-old divorced, single mother who has been seeing the PMHNP
for anxiety and anger management. During one of the sessions, the patient tells the PMHNP that she
is having a problem getting her child support payments from her ex-husband, which is triggering
increased anxiety and anger, which she admittedly takes out on her children. How does the PMHNP
respond in a way that upholds the supportive psychodynamic psychotherapy approach?
Selected Answer: B.
Suggesting that she seek legal help
Question 10
1 out of 1 points
The PMHNP is working with a patient who has dissociative disorder and requests pharmacological
interventions for dealing with her trauma. What education does the PMHNP provide to the patient
regarding medication therapy?
Selected Answer: C.
“The medication may provide symptom relief, but you still need psychotherapy.”
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