 Question 1

0 out of 1 points

A PMHNP is treating a 45-year-old female patient who is upset that her brother has

not been calling since his divorce. When asked to describe her brother and what

prompts him not to call as frequently, she says, “Everything is about him, not me. I

think he’s jealous that I have a good marriage and he wants me to be unhappy, too.

So he doesn’t call to upset me and ruin my relationships.” Based on this information,

the PMHNP can conclude that the patient _________.

Selected

Answer:

B.

has an insistent emphasis on the feelings of others

 Question 2

1 out of 1 points

When a PMHNP is seeing a patient for the first time, what is an important step to

assure that the patient and provider understand the limits of their discussion?

Selected

Answer:

C.

Have a discussion about the confidentiality and its limits

 Question 3

1 out of 1 points

You are seeing a 29-year-old widow whose husband recently died overseas while

serving his country in the military. She has been mourning the loss of her husband

for several months, and continues to grieve. She refuses to go to group grieving

sessions, but reports that she is still able to go to work and her fitness classes

sometimes, and even makes attempts to stay social. She says, “Sometimes it’s like

he’s not even gone. Other times it feels like it’s been an eternity since I’ve seen him.

It’s hard to talk about this type of stuff with my girlfriends, especially since all of their

husbands are still alive.” The PMHNP understands that it is appropriate to employ

which therapeutic principle?

Selected

Answer:

A.

Encouraging catharsis

 Question 4

1 out of 1 points

The PMHNP is treating a 35-year-old male officer in the military. He discloses that

both of his parents are deceased and that he loved them. However, he says that he

had feelings of inadequacy because his parents held him to a standard that he could

never achieve. He went on to say that nothing he did ever felt good enough. The

PMHNP assesses that this patient has perfect creases in his uniform with no strings

or tags out of place; she also notices that he has perfect posture and questions him

about ritualistic behaviors. She suspects that this patient has maladaptive responses

to the expectations placed on him as a teenager and young adult. Which statements

made by the patient would verify the PMHNP’s suspicion?

Selected

Answer:

D.

“I believe in systems; I have to have order and rules in my everyday

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 Question 5

0 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 this patient?

Selected

Answer:

B.

Focus on expressions of

emotion

 Question 6

1 out of 1 points

The PMHNP has been treating a 15-year-old patient with a history of abuse and

neglect. Thirty minutes into their therapy session the patient jumps up and begins to

pace around the room. Utilizing Socratic dialogue (SD) the PMHNP’s best action

would be to:

Selected

Answer:

C.

Say, “I noticed a change. Can you tell me what

happened?”

 Question 7

1 out of 1 points

During cognitive behavioral therapy (CBT), a 64-year-old male patient states, “I get

so frustrated sometimes and I just blow up at everybody!” Which response by the

PMHNP demonstrates translation of Socratic dialogue (SD)?

Selected

Answer:

B.

“When you say blow up, what exactly does blow up mean and how

does it feel to you?”

 Question 8

1 out of 1 points

The PMHNP understands that anxiety and depression are two disorders in which

their symptoms may overlap. When discussing this, you explain that the autonomic

nervous system is activated and further helps distinguish anxiety symptoms by

making the following points:

Selected

Answer:

B.

“You may experience fear, sweating, and muscle tension.”

 Question 9

1 out of 1 points

The PMHNP meets with an adolescent patient who has depression and often

presents with resistance when discussing his parent’s divorce. For the past couple of

sessions, the patient has been quiet, sometimes refusing to speak. To further

support the therapeutic relationship, the PMNHP:

Selected

Answer:

A.

Observes and points out the behavior

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 Question 10

1 out of 1 points

The PMHNP is working with a patient who experiences abreactions when discussing

repressed feelings of his sexual abuse as a child. What can the PMHNP do to

manage the patient’s intense emotional reactions?

Selected

Answer:

C.

Suggest a relaxation technique, such as yoga or meditation

 Question 11

0 out of 1 points

A 35-year-old patient seeks treatment for depression and anxiety after an abusive

relationship. To help empower the patient, the PMHNP wants to teach the safe-place

exercise to create a feeling of calm. In order to walk the patient through the exercise,

the PMHNP first says:

Selected

Answer:

D.

“Picture a beautiful beach and describe to me what you see.”

 Question 12

1 out of 1 points

True or false: A PMHNP may ask his patient to describe her relationship with her

father, both as a child and now, in order to assess interpersonal style.

Selected

Answer:

Fals

e

 Question 13

1 out of 1 points

An initial evaluation reveals that an 11-year-old patient has moved to a new school

after her parents’ recent divorce, and is having trouble making friends. The patient

has normal mental status and exhibits appropriate behavior. What is the most

appropriate scale for the PMHNP to use to get more information?

Selected

Answer:

D.

Impact of Event Scale

 Question 14

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 15

0 out of 1 points

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