Psychiatric Nursing Questions STUDY GUIDE<\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 4<\/strong><\/p>\n\n\n\nThe PMHNP is conducting a peer review of another PMHNP\u2019s medical charts. Upon review, the PMHNP notes that the peer often begins patient sessions late, as well as ends them later than scheduled. The PMHNP also found a comment in the chart regarding the patient sending text messages while in the middle of the session. Based on these findings, the feedback that the PMHNP will provide to the peer involves which therapeutic principle?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Assessing safety<\/td><\/tr> <\/td> B.<\/td> Applying therapeutic communication<\/td><\/tr> <\/td> C.<\/td> Using empathy<\/td><\/tr> <\/td> D.<\/td> Maintaining the frame32.The PMHNP is mentoring a student. After working with a patient during a session, the student laments about all the things she should have, or could have, said to the patient. \u201cI feel guilty that I didn\u2019t speak up more about the patient\u2019s concern toward her son,\u201d says the student. The PMHNP understands that the student is exhibiting signs of which therapeutic concept?<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 5<\/strong><\/p>\n\n\n\nTrue or false: If after a third round of processing followed by stabilization, a patient has increased anxiety that requires further interventions aimed at stabilization, the therapeutic relationship can no longer successfully provide therapeutic change.<\/li><\/ol>\n\n\n\nTrue<\/p>\n\n\n\n
False<\/p>\n\n\n\n
1 points<\/p>\n\n\n\n
Question 6<\/strong><\/p>\n\n\n\nThe 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\u2019s best action would be to:<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Allow the patient time to process before speaking.<\/td><\/tr> <\/td> B.<\/td> Ask, \u201cWhy don\u2019t you come have a seat beside me?\u201d while tapping the table.<\/td><\/tr> <\/td> C.<\/td> Say, \u201cI noticed a change. Can you tell me what happened?\u201d<\/td><\/tr> <\/td> D.<\/td> Say, \u201cWe can continue this session later if you prefer.\u201d <\/strong><\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 7<\/strong><\/p>\n\n\n\nThe PMHNP is caring for a patient who the PMHNP believes would benefit from a relational psychodynamic approach to therapy. Which action made by the PMHNP demonstrates appropriate use and understanding of the relationship psychodynamic model?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Focusing the exploration on making the unconscious conscious<\/td><\/tr> <\/td> B.<\/td> Focusing the exploration on the genetic roots of the patient\u2019s problem<\/td><\/tr> <\/td> C.<\/td> Focusing the exploration on here and now<\/td><\/tr> <\/td> D.<\/td> None of the above<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 8<\/strong><\/p>\n\n\n\nThe PMHNP is caring for a patient with borderline personality disorder. Using a psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the patient\u2019s transference to enhance emotional processing by:<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Developing increased boundaries<\/td><\/tr> <\/td> B.<\/td> Decreasing supportive psychotherapy<\/td><\/tr> <\/td> C.<\/td> Scaling back contact with the patient<\/td><\/tr> <\/td> D.<\/td> Increasing the number of sessions per week<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 9<\/strong><\/p>\n\n\n\nAn 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<\/p>\n\n\n\n
False<\/p>\n\n\n\n
1 points<\/p>\n\n\n\n
Question 10<\/strong><\/p>\n\n\n\nA middle-aged man who works over 50 hours a week is being seen for depression and anger management. He states, \u201cI am even more frustrated when I come home and my wife wants to argue about stupid stuff. All I want to do is come home, take a shower, and eat. Is that too much to ask?\u201d The PMHNP explains that people can be assertive, aggressive, and passive. She encourages the patient to be more assertive and begins role-play with assertive training. The PMHNP determines that the patient is beginning to understand when he states:<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> \u201cI am tired, I work very hard all day to support you and this family!\u201d<\/td><\/tr> <\/td> B.<\/td> \u201cI come home and all you do is argue, but I don\u2019t care.\u201d<\/td><\/tr> <\/td> C.<\/td> \u201cI don\u2019t know what I did. Why are you acting like this?!\u201d<\/td><\/tr> <\/td> D.<\/td> \u201cI feel frustrated when I come home and we argue.\u201d <\/strong><\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 11<\/strong><\/p>\n\n\n\nThe PMHNP is treating a patient with a substantial fear of feeling closed in (claustrophobia). Thus, the patient will not get into an elevator. The office where he works is on the 10th floor and this requires that he walk up and down the stairs in the morning and evening to get to his office. With permission from the patient, the PMHNP is beginning systematic desensitization to address the patient\u2019s need to use the elevator. What is the PMHNP\u2019s best plan of action?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Begin by having the patient stand in front of the elevator and write down his feelings<\/td><\/tr> <\/td> B.<\/td> Complete a 30-minute therapy session in an elevator<\/td><\/tr> <\/td> C.<\/td> Allow the patient to watch an elevator go up and down<\/td><\/tr> <\/td> D.<\/td> Allow the patient to see the PMHNP getting into an elevator<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 12<\/strong><\/p>\n\n\n\nA PMHNP is assessing ego functioning of his 40-year-old patient by asking what she feels is the cause of her problems. She attributes her problems to her overprotective parents not letting her have enough freedom growing up. Based on her answer, the PMHNP is testing _____________.<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> adaptive regression in the service of the ego<\/td><\/tr> <\/td> B.<\/td> regulation and control of affects and impulses<\/td><\/tr> <\/td> C.<\/td> defensive and interpersonal functioning<\/td><\/tr> <\/td> D.<\/td> sense of reality of the world and of the self<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 13<\/strong><\/p>\n\n\n\nThe PMHNP meets with a 47-year-old male patient who is fearful of leaving the house after having witnessed his neighbor getting run over by a car. When the PMHNP asks why he is afraid to leave his house, the patient replies, \u201cBecause another accident might occur.\u201d Which cognitive behavioral therapy (CBT) strategy does the PMHNP employ?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Pharmacological therapy<\/td><\/tr> <\/td> B.<\/td> Stress inoculation therapy<\/td><\/tr> <\/td> C.<\/td> Dialectical behavior therapy<\/td><\/tr> <\/td> D.<\/td> All of the above<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 14<\/strong><\/p>\n\n\n\nA 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?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Cognitive behavioral therapy<\/td><\/tr> <\/td> B.<\/td> Supportive therapy<\/td><\/tr> <\/td> C.<\/td> Dialectical behavior therapy<\/td><\/tr> <\/td> D.<\/td> Expressive therapy<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\nAs you continue, thestudycorp.com<\/a> has the top and most qualified writers to help with any of your assignments. All you need to do is place an order <\/a>with us. (Psychiatric Nursing Questions STUDY GUIDE)<\/p>\n\n\n\nPsychiatric Nursing Questions STUDY GUIDE<\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 15<\/strong><\/p>\n\n\n\nThe PMHNP is working with a patient who witnessed her father pass away after suffering for several months from terminal cancer. The PMHNP sees this as a traumatic event. The patient reports sometimes feeling out of touch with surroundings; almost as if things feel like a dream. \u201cSometimes that sensation lingers for a while,\u201d the patient says, \u201cand other times I snap out of it quickly.\u201d What does the PMHNP infer about the condition based on psychotherapy concepts for trauma?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> The patient is having a balanced response to the trauma.<\/td><\/tr> <\/td> B.<\/td> The patient is reporting signs of dissociation.<\/td><\/tr> <\/td> C.<\/td> The patient is becoming unresponsive to the environment.<\/td><\/tr> <\/td> D.<\/td> All of the above.<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 16<\/strong><\/p>\n\n\n\nThe patient is a 56-year-old female patient diagnosed with panic disorder and reports symptoms that include heart palpitations, frequent trembling, and feelings of choking in stressful situations. What special consideration does the PMHNP make?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Using a special focus on transference as the agent promoting change<\/td><\/tr> <\/td> B.<\/td> Confronting the emotional significance of the patient\u2019s symptoms<\/td><\/tr> <\/td> C.<\/td> Employing psychodynamic therapy combined with pharmacotherapy<\/td><\/tr> <\/td> D.<\/td> A and B<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 17<\/strong><\/p>\n\n\n\nThe 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?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Telling the patient to take a vacation to get away and relax<\/td><\/tr> <\/td> B.<\/td> Suggesting that she seek legal help<\/td><\/tr> <\/td> C.<\/td> Giving her advice about men and how to get them to pay child support<\/td><\/tr> <\/td> D.<\/td> Suggesting that the patient start going to church to help find more solace.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 18<\/strong><\/p>\n\n\n\nDuring 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?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Assure the patient that she does not have to discuss these memories<\/td><\/tr> <\/td> B.<\/td> Explain why it is important for the patient to discuss these memories openly<\/td><\/tr> <\/td> C.<\/td> Tell the patient that she may not get better if she does not face her fears<\/td><\/tr> <\/td> D.<\/td> Let the patient know that plenty of other people have similar painful memories, too<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 19<\/strong><\/p>\n\n\n\nThe PMHNP is working with an adult patient who has somatic complaints caused by a history of childhood abuse. As part of the therapeutic process, what does the PMHNP do to assess and organize a trauma history?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Interview the patient\u2019s family members<\/td><\/tr> <\/td> B.<\/td> Construct a timeline of the patient\u2019s life<\/td><\/tr> <\/td> C.<\/td> Review the patient\u2019s current stressors<\/td><\/tr> <\/td> D.<\/td> Debrief with the patient<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 20<\/strong><\/p>\n\n\n\nDuring a therapy session with an 18-year-old female the PMHNP learns that she has lived in six different foster homes in the last 24 months. She states that her mother is in a correctional facility for drug abuse and prostitution. During the assessment, the PMHNP notices multiple superficial cuts to each wrist. The patient appears tearful, withdrawn, and never makes direct eye contact. The PMHNP believes that this patient may have feelings of insecurities as well as abandonment issues and is aware that which diagnosis is likely possible?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Narcissistic personality disorder<\/td><\/tr> <\/td> B.<\/td> Obsessive-compulsive personality disorder<\/td><\/tr> <\/td> C.<\/td> Borderline personality disorder<\/td><\/tr> <\/td> D.<\/td> Paranoid personality disorder<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 21<\/strong><\/p>\n\n\n\nA patient named Steve is seeking therapy to get help with his home situation, stating that he has been stressed since his mother-in-law moved into the house. What can the PMHNP do to assist the patient in constructing a narrative?<\/li><\/ol>\n\n\n\n<\/td> A.<\/td> Share a personal story about her home situation and family members<\/td><\/tr> <\/td> B.<\/td> Elicit details so Steve becomes more self-disclosing and self-examining<\/td><\/tr> <\/td> C.<\/td> Guide Steve through imagery exercises so he can decrease his stress<\/td><\/tr> <\/td> D.<\/td> None of the above<\/td><\/tr><\/tbody><\/table>Psychiatric Nursing Questions STUDY GUIDE<\/strong><\/figcaption><\/figure>\n\n\n\n1 points<\/p>\n\n\n\n
Question 22<\/strong><\/p>\n\n\n\nA 16-year-old female patient has had a stable therapeutic relationship with the PMHNP for several months. The PMHNP notices what appears to be fresh cigarette burns on the patient\u2019s arm. When asked, the patient admits to this self-injurious behavior. Although the patient is still depressed, her mood seems to be somewhat better this week. True or false: The PMHNP would most likely consider this patient stabilized and ready to move to Stage II.<\/li><\/ol>\n\n\n\nTrue<\/p>\n\n\n\n
False<\/p>\n\n\n\n
1 points<\/p>\n\n\n\n
Question 23<\/strong><\/p>\n\n\n\nThe 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\u2019s intense emotional reactions?<\/li><\/ol>\n\n\n\n
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