What is an appropriate response by the PMHNP using the technique of focusing?
July 11, 2019
Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.
July 11, 2019

A 12-year-old girl was referred for treatment after witnessing the physical abuse of her sibling by their mother

Question 14

1. The PMHNP is assessing a patient who has been receiving months of outpatient psychotherapy. According to the PMHNP’s assessment, the patient is nearing the termination phase of their therapeutic relationship because the patient’s symptoms have improved, and the patient shows progress managing behaviors and decision-making abilities according to the diagnosis. How does the PMHNP approach termination with this patient?

A.Address the termination phase with the patient at the last session
B.Manage termination issues as part of the treatment
C.Determine the PMHNP’s readiness to terminate the therapeutic relationship
D.None of the above

1 points  

Question 15

1. The PMHNP is caring for an older adult patient who presents with mixed dysphoric states and whose daughter reports “is becoming more irritable more easily.” When talking with the patient, the PMHNP also recognizes displays of cognitive dysfunction. Which treatment options will the PMHNP most likely suggest?

A.Cognitive behavioral therapy (CBT)
B.Interpersonal psychotherapy (IPT)
C.Combination of CBT and IPT
D.Combination of CBT and medication

1 points  

Question 16

1. The PMHNP is caring for an older patient with major depressive disorder, seasonal pattern. The patient has been resolute about not taking medication to manage the depression brought on by his illness, stating that it is against his yogic lifestyle. In addition to psychotherapy, what can the PMHNP suggest to this patient?

A.“You may want to look into therapeutic oils and aromatherapy as an alternative to medication.”
B.“Some patients have good results with medicine. Are you sure you don’t want to try it?”
C.“You can try taking natural supplements in addition to the medicine I prescribe you.”
D.All of the above.

1 points  

Question 17

1. The PMHNP is caring for an older adult patient who is in the acute phase of schizophrenia. Which therapeutic model will the PMHNP employ with this patient?

A.Individual CBT
B.Group CBT
C.Both A and B
D.None of the above

1 points  

Question 18

1. The PMHNP assesses a 27-year-old patient named Jeff, who was a victim of child abuse and neglect. Jeff says that he remembers a traumatic situation that he wants to share, but is having trouble talking about it. Which statement made by the PMHNP demonstrates the use of emotion-focused therapy?

A.“Let’s see if we can come up with some ideas for you to feel safe telling your story.”
B.“Jeff, it’s okay for you to not talk about your past here; this is a safe space, whether you feel like sharing or not.”
C.“Jeff, can you tell me what was going on during your childhood that caused you to be a victim of neglect and abuse?”
D.None of the above.

1 points  

Question 19

1. The PMHNP is treating an older adult patient who reports symptoms of late-life anxiety. What type of treatment(s) will the PMHNP consider?

A.Employ cognitive behavioral therapy
B.Use relaxation training
C.Initiate modular interventions
D.All of the above

1 points  

Question 20

1. A 12-year-old girl was referred for treatment after witnessing the physical abuse of her sibling by their mother. The patient has been anxious and irritable since the experience. What evidence-based treatment would be most appropriate for the PMHNP to use?

A.Trauma-focused CBT
B.Interpersonal psychotherapy
C.Psychodynamic therapy
D.Behavioral parent training

1 points  

Question 21

1. The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who reports having had a difficult time being separated from his parents during his childhood. He explains that going to school or visiting his relatives without his parents was troublesome. The PMHNP characterizes the patient as unresolved/disorganized, according to his outcomes on the AAI. What does the PMHNP anticipate from the patient?

A.He will have lapses in his memory of his childhood.
B.He will be able to describe his childhood in great detail.
C.He will need less active interventions.
D.None of the above.

1 points  

Question 22

1. The PMHNP is caring for a patient who experiences depression caused by the traumatic experience of her dog passing away. She reports not being able to eat or sleep, and sometimes doesn’t want to leave the house at all. Which statement is most appropriate for the PMHNP to maximize the patient’s adaptive coping mechanisms?

A.“Think of something funny every time you feel sad.”
B.“My cat passed away last year, and it’s been hard to adjust to her being gone.”
C.“It’s important to be mindful of how you feel and then to determine what causes those feelings.”
D.B and C

1 points  

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