Question 1  The PMHNP is initiating a plan of care for a patient who requires co

Question 1 
The PMHNP is initiating a plan of care for a patient who requires comprehensive psychotherapy to manage his depression and mood disorder. Throughout the initial sessions, the patient reports feeling as though he cannot be helped. The PMHNP is concerned about premature termination initiated by the patient. What strategy can the PMHNP employ to prevent or reduce premature termination?
A. Incorporate patient preferences as to the type of therapy used
B. Educate the patient about the duration and pattern of change
C. Foster a therapeutic alliance with the patient
D. All of the above
Question 2 
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
Question 3 
The PMHNP is communicating with a middle-aged male patient who has a history of addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I do not have a problem with pain pills! I’ve never had an overdose and no one even knows that I take them unless I tell them.” The PMHNP understands that there are phases of change and can best demonstrate “focusing” by responding with:
A. “I sincerely commend you for being here and seeking treatment; this is a great first step.”
B. “If no one knows about your substance usage, why are you here?”
C. “Just because no one knows about your drug usage does not mean you do not have a problem.”
D. “I am wondering if your use of pain medication has ever prompted you to seek medical attention.”
Question 4 
The PMHNP uses the cognitive behavioral therapy model with Gerald, an older adult patient who is being treated for depression and mood disorder. What will the PMHNP do with the patient during the first three sessions?
A. Build a therapeutic alliance
B. Build behavioral skills to increase pleasant activities
C. Build cognitive skills to challenge negative thinking
D. Build social skills to improve problem solving
Question 5 
The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms. Thomas is currently discussing with the PMHNP the reasons why she feels guilty about her drinking. Ms. Thomas tearfully states, “I have driven my family and friends away with this terrible habit. I have no one left. I had more than enough chances and now my children won’t even talk to me.” Which of the following statements demonstrate a simple reflection?
A.“You feel that your children have given you many chances.”
B.“You believe that you have no one to support you through this.”
C.“You feel that your use of alcohol is a terrible habit.”
D. All the above.

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