NURS-6640 Midterm Final Exam Question and Answers(98% Verified)

QUESTION 1 1. A PMHNP is caring for a 21-year-old woman who is suffering from anxiety and is having difficulty managing stress. Which of the following would be an appropriate step by the PMHNP? A .Asking the patient what she does to relieve anxiety B. Giving the patient basic stress management activities C. Developing a plan together that is not overwhelming D. All of the above QUESTION 2 1. The PMHNP is working with a 56-year-old man who is being seen because of his anxiety and depression. During the therapy sessions, the PMHNP assists the patient in discussing his experiences and expanding on his thoughts and feelings. He tells the PMHNP stories about how he used to be teased by his coworkers at the office for becoming too anxious in large conference rooms. The PMHNP listens to the patient and helps focus on his strengths to promote self-understanding. Which principle best accounts for the PMHNP‟s interactions with the patient? A. Therapeutic communication B .Maintaining the frame C. Working with resistance D. None of the above QUESTION 3 1. The 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? A. Interview the patient's family members B. Construct a timeline of the patient's life C .Review the patient's current stressors D .Debrief with the patient QUESTION 4 1. One of the strategies the PMHNP wants to try includes sleep restriction. What will the PMHNP suggest to follow sleep restriction therapy? A .“Restrict sleep for 24 hours.” B. “Restrict the amount of time you spend in bed.” C .“Restrict the amount of exercise you do prior to going to bed.” D. “Restrict the amount of food you eat before bedtime QUESTION 5 1. 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. True False True 1 points QUESTION 6 1. 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? A. Young Mania Rating Scale B. Hamilton Anxiety Rating Scale C .Dissociative Experiences Scale D. Impact of Event Scale