Points: 300
Assignment 2: Job Analysis and Design
Criteria
Unacceptable
Below 70% F
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Examine at least three (3) approaches that you can take as the HR manager to conduct a job analysis of the Customer Service Representative position. Suggest the major pros and cons of each selected approach. Recommend the approach that would be most effective in conducting the job analysis for this organization. Justify your recommendation.
Weight: 25%
Did not submit or incompletely examined at least three (3) approaches that you can take as the HR manager to conduct a job analysis of the Customer Service Representative position. Did not submit or incompletely suggested the major pros and cons of each selected approach. Did not submit or incompletely recommended the approach that would be most effective in conducting the job analysis for this organization. Did not submit or incompletely justified your recommendation.
Partially examined at least three (3) approaches that you can take as the HR manager to conduct a job analysis of the Customer Service Representative position. Partially suggested the major pros and cons of each selected approach. Partially recommended the approach that would be most effective in conducting the job analysis for this organization. Partially justified your recommendation.
Satisfactorily examined at least three (3) approaches that you can take as the HR manager to conduct a job analysis of the Customer Service Representative position. Satisfactorily suggested the major pros and cons of each selected approach. Satisfactorily recommended the approach that would be most effective in conducting the job analysis for this organization. Satisfactorily justified your recommendation.
Thoroughly examined at least three (3) approaches that you can take as the HR manager to conduct a job analysis of the Customer Service Representative position. Thoroughly suggested the major pros and cons of each selected approach. Thoroughly recommended the approach that would be most effective in conducting the job analysis for this organization. Thoroughly justified your recommendation.
2. Select two (2) out of the four (4) approaches to job design that are the most important for you to consider. Suggest two (2) challenges that you may encounter when designing a job using each of the selected approaches. Support your response with specific examples to illustrate the potential advantages and disadvantages of using each approach.
Weight: 20%
Did not submit or incompletely selected two (2) out of the four (4) approaches to job design that are the most important for you to consider. Did not submit or incompletely suggested two (2) challenges that you may encounter when designing a job using each of the selected approaches. Did not submit or incompletely supported your response with specific examples to illustrate the potential advantages and disadvantages of using each approach.
Partially selected two (2) .
Points 300Assignment 2 Job Analysis and DesignCriteriaUnac.docx
1. Points: 300
Assignment 2: Job Analysis and Design
Criteria
Unacceptable
Below 70% F
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Examine at least three (3) approaches that you can take as the
HR manager to conduct a job analysis of the Customer Service
Representative position. Suggest the major pros and cons of
each selected approach. Recommend the approach that would be
most effective in conducting the job analysis for this
organization. Justify your recommendation.
Weight: 25%
Did not submit or incompletely examined at least three (3)
approaches that you can take as the HR manager to conduct a
job analysis of the Customer Service Representative position.
Did not submit or incompletely suggested the major pros and
cons of each selected approach. Did not submit or incompletely
recommended the approach that would be most effective in
conducting the job analysis for this organization. Did not
submit or incompletely justified your recommendation.
Partially examined at least three (3) approaches that you can
take as the HR manager to conduct a job analysis of the
Customer Service Representative position. Partially suggested
the major pros and cons of each selected approach. Partially
recommended the approach that would be most effective in
conducting the job analysis for this organization. Partially
justified your recommendation.
Satisfactorily examined at least three (3) approaches that you
2. can take as the HR manager to conduct a job analysis of the
Customer Service Representative position. Satisfactorily
suggested the major pros and cons of each selected approach.
Satisfactorily recommended the approach that would be most
effective in conducting the job analysis for this organization.
Satisfactorily justified your recommendation.
Thoroughly examined at least three (3) approaches that you can
take as the HR manager to conduct a job analysis of the
Customer Service Representative position. Thoroughly
suggested the major pros and cons of each selected approach.
Thoroughly recommended the approach that would be most
effective in conducting the job analysis for this organization.
Thoroughly justified your recommendation.
2. Select two (2) out of the four (4) approaches to job design
that are the most important for you to consider. Suggest two (2)
challenges that you may encounter when designing a job using
each of the selected approaches. Support your response with
specific examples to illustrate the potential advantages and
disadvantages of using each approach.
Weight: 20%
Did not submit or incompletely selected two (2) out of the four
(4) approaches to job design that are the most important for you
to consider. Did not submit or incompletely suggested two (2)
challenges that you may encounter when designing a job using
each of the selected approaches. Did not submit or incompletely
supported your response with specific examples to illustrate the
potential advantages and disadvantages of using each approach.
Partially selected two (2) out of the four (4) approaches to job
design that are the most important for you to consider. Partially
suggested two (2) challenges that you may encounter when
designing a job using each of the selected approaches. Partially
supported your response with specific examples to illustrate the
potential advantages and disadvantages of using each approach.
Satisfactorily selected two (2) out of the four (4) approaches to
job design that are the most important for you to consider.
Partially suggested two (2) challenges that you may encounter
3. when designing a job using each of the selected approaches.
Partially supported your response with specific examples to
illustrate the potential advantages and disadvantages of using
each approach.
Thoroughly selected two (2) out of the four (4) approaches to
job design that are the most important for you to consider.
Thoroughly suggested two (2) challenges that you may
encounter when designing a job using each of the selected
approaches. Thoroughly supported your response with specific
examples to illustrate the potential advantages and
disadvantages of using each approach.
3. Using the four (4) approaches to job design, create two (2)
strategies that the organization can implement to attract and
select qualified applicants for the Customer Service
Representative position. Justify the main reasons that the
selected strategies would be effective.
Weight:20%
Did not submit or incompletely created two (2) strategies that
the organization can implement to attract and select qualified
applicants for the Customer Service Representative position
using the four (4) approaches to job design. Did not submit or
incompletely justified the main reasons that the selected
strategies would be effective.
Partially created two (2) strategies that the organization can
implement to attract and select qualified applicants for the
Customer Service Representative position using the four (4)
approaches to job design. Partially justified the main reasons
that the selected strategies would be effective.
Satisfactorily created two (2) strategies that the organization
can implement to attract and select qualified applicants for the
Customer Service Representative position using the four (4)
approaches to job design. Satisfactorily justified the main
reasons that the selected strategies would be effective.
Thoroughly created two (2) strategies that the organization can
implement to attract and select qualified applicants for the
Customer Service Representative position using the four (4)
4. approaches to job design. Thoroughly justified the main reasons
that the selected strategies would be effective.
4. Propose three (3) ways that you can use the information
obtained from a job analysis to measure the performance of
Customer Service Representatives. Provide a rationale for your
response.
Weight: 20%
Did not submit or incompletely proposed three (3) ways that
you can use the information obtained from a job analysis to
measure the performance of Customer Service Representatives.
Did not submit or incompletely provided a rationale for your
response.
Partially proposed three (3) ways that you can use the
information obtained from a job analysis to measure the
performance of Customer Service Representatives. Partially
provided a rationale for your response.
Satisfactorily proposed three (3) ways that you can use the
information obtained from a job analysis to measure the
performance of Customer Service Representatives.
Satisfactorily provided a rationale for your response.
Thoroughly proposed three (3) ways that you can use the
information obtained from a job analysis to measure the
performance of Customer Service Representatives. Thoroughly
provided a rationale for your response.
5. 4 references
Weight: 5%
No references provided
Does not meet the required number of references; some or all
references poor quality choices.
Meets number of required references; all references high quality
choices.
Exceeds number of required references; all references high
quality choices.
6. Clarity, writing mechanics, and formatting requirements
Weight: 10%
More than 6 errors present
5. 5-6 errors present
3-4 errors present
0-2 errors present
Quiz: Final Exam
This exam will cover the following topics from the Wheeler
textbook, which relate to psychotherapy of individuals:
· Supportive and Psychodynamic Psychotherapy
· Interpersonal Psychotherapy
· Humanistic-Existential and
Solution
-Focused Approaches to Psychotherapy
· Psychotherapy With Children
· Psychotherapy With Older Adults
· Termination and Outcome Evaluation
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced
practice psychiatric nurse: A how-to guide for evidence-based
6. practice (2nd ed.). New York, NY: Springer Publishing
Company.
1. A PMHNP is treating a 25-year-old patient who has a
compulsive urge to exercise to excess. When asked to describe
why she does so much exercise, she says, “I like the
compliments I receive from others on my new level of fitness,
and the excitement of getting more attention.” The PMHNP can
use feeling-state therapy to help Monique ___________.
A.
return to a normal system of functioning
B.
break the feeling/behavior connection
C.
use more appropriate ways to satisfy needs
D.
all of the above
7. 1 points
Question 2
1. A 43-year-old single mother is seeing the PMHNP at the
request of her sister. “My sister thinks I need to come here to
talk about my feelings,” the patient reports. The PMHNP learns
that the patient has three children from three different men, but
is unable to collect appropriate child support payments from any
of the biological fathers. Additionally, the woman is barely able
to afford her apartment or utilities payments. What is the
appropriate response from the PMHNP when using the
psychodynamic psychotherapy technique?
A.
Suggesting that the patient goes to church to pray for God’s
help
B.
Telling the patient to write letters to the biological fathers
requesting money
C.
Suggesting that the patient seek professional legal help
8. D.
Asking the patient why she thinks it is so hard to get the money
she deserves
1 points
Question 3
1. A 35-year-old male patient is being treated for alcohol
addiction. He asks for the PMHNP’s cell phone number to use
in case of an emergency. When the PMHNP responds that giving
her number would be against therapeutic rules, the patient
threatens an act of violence to the therapist. What would be the
most appropriate response by the PMHNP?
A.
Immediately report the threat to the local police department
B.
Allow the patient to explore his feelings
C.
Review the therapeutic treatment frame
D.
Call the patient the next day to follow up
9. 1 points
Question 4
1. The PMHNP is caring for a patient who is histrionic. Using
the supportive psychodynamic therapy model, what is the best
statement made by the PMHNP?
A.
“Express your emotion, and do not hold anything back.”
B.
“Let’s not think too much about emotion right now. Let’s focus
on what got you upset in the first place.”
C.
A and B
D.
None of the above
1 points
Question 5
1. A 38-year-old patient tells the PMHNP that her father went to
jail for selling drugs when she was a child. The patient is
10. visibly upset when discussing what happened. Using a
humanistic-existential approach to psychotherapy, which of the
following is the most appropriate response by the PMHNP?
A.
“How were you feeling at the time when that happened?”
B.
“What are you experiencing now as you share this story?”
C.
“Did you allow yourself to feel anger when your father left?”
D.
“Are able to let go of the painful emotions you felt as a child?”
1 points
Question 6
1. The PMHNP uses therapeutic communication skills while
ensuring that the patient understands that he has choices. The
PMHNP comprehends and practices motivational interviewing.
This is best understood as which of the following?
A.
Give the patient as much time needed to respond to questions
and comments.
11. B.
A statement that both challenges the patient’s resistance and
offers an opportunity to discuss the issues allows the patient to
argue with him/herself to help produce a desired change.
C.
You must give full attention to the patient because nonverbal
and verbal reactions are equally important.
D.
The PMHNP should be ready with a response when
communicating with the patient. She understands that silence is
also a therapeutic response.
1 points
Question 7
1. The PMHNP who practices motivational interviewing
understands its relationship to patient behaviors and/or
outcomes to mean which of the following?
A.
An increased use of motivational interviewing is linked to
inconsistent behaviors in the patient. This is related to
decreased client engagement and poor outcomes.
12. B.
A decreased use of motivational interviewing is linked to more
consistent behaviors in the patient. This is related to decreased
client engagement and poor outcomes.
C.
There is a higher incidence of inconsistent behaviors with
motivational interviewing. This is related to client engagement
and better outcomes.
D.
There is a lower incidence of inconsistent behaviors with
motivational interviewing. This is related to client engagement
and better outcomes.
1 points
Question 8
1. The PMHNP is assessing a new geriatric patient who reports
symptoms of depression. The PMHNP wants to identify the
patient’s symptom severity over time. Which assessment tool
will the PMHNP use to collect this data on the patient?
A.
Mood Disorder Questionnaire
B.
13. Montgomery-Asberg Depression Rating Scale
C.
AB Clinician Depression Screen
D.
Brief Psychiatric Rating Scale
1 points
Question 9
1. A PMHNP is assessing a 60-year-old patient named Carlos.
He has severe PTSD and mild substance abuse issues. The most
appropriate setting to treat Carlos would be a _________.
A.
primary health care setting with some specialized care
B.
state psychiatric hospital and/or emergency room
C.
substance abuse treatment system
D.
mental health system of care
1 points
14. Question 10
1. A cocaine-addicted female patient is entering residential
treatment for substance abuse. Using the 10 guiding principles
of recovery, an appropriate step by the PMHNP is to
______________.
A.
focus on the substance abuse problem before addressing any
trauma
B.
integrate services that encompass mind, body, spirit, and
community
C.
help the patient use fear of relapse to provide motivation for
recovery
D.
none of the above
1 points
Question 11
1. A PMHNP is using Gestalt therapy to communicate with a
50-year-old patient who is going through a divorce. As he is
calmly sharing the details of his divorce, the PMHNP notices
15. that Dave is tapping his fingers on his legs. What is an
appropriate response by the PMHNP using the technique of
focusing?
A.
“I noticed that your fingers were tapping. Can you give a voice
to your fingers?”
B.
“I’m going to ask you to exaggerate the movement of tapping
your fingers.”
C.
“Explore what is emerging in your body now. What are you
experiencing right now?”
D.
None of the above.
1 points
Question 12
1. The PMHNP iscommunicating 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
16. 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.”
1 points
Question 13
1. A PMHNP is treating a 10-year-old boy who is exhibiting
signs of aggression and attention problems. What type of
intervention will the PMHNP consider using a common
elements approach?
17. A.
Behavioral
B.
Cognitive
C.
Pyschoeducational
D.
All of the above
1 points
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
18. 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.
19. 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.”
20. 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
21. 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
22. 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
23. 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
24. 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
Question 23
1. A 25-year-old female states, “I really need to lose weight. I
know I’m the cause of our problems, if I could just lose weight
he might be more attracted to me. Then we could start a family
25. and we would be happy. I’m sure of it, right, we would
definitely be happy!” Which statement shows the PMHNP’s
ability to apply “summarizing”?
A.
“You believe that your weight is a cause of your marital
problems.”
B.
“How would starting a family contribute to your overall
happiness?
C.
“You have identified your weight as a problem in your marriage
and but believe that losing weight will gain happiness.”
D.
“Part of you believes that losing weight will bring you
happiness, while the other part believes that may not be true.”
1 points
Question 24
1. The PMHNP is initiating a plan of care for Holly, a 73-year-
old female patient who has late-life bipolar disorder and reports
consuming alcoholic beverages four times per week. What is the
focus of Holly’s therapy going to be?
26. A.
Managing health and substance abuse
B.
Maintaining meaningful relationships
C.
Skills for daily living
D.
All of the above
1 points
Question 25
1. A PMHNP is using interpersonal psychotherapy with a 40-
year-old patient having relationship problems with his extended
family. The patient shares that he has been using the strategies
they identified to reduce his distress, but they have not been
helping. He is frustrated and is considering stopping treatment.
What would be an appropriate step by the PMHNP?
A.
Encourage the patient to continue treatment by using alternative
strategies
27. B.
Restart the process at the assessment phase to formulate a new
treatment plan
C.
Explain how the originally identified strategies will address the
focus problem
D.
None of the above
1 points
Question 26
1. 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
28. D.
Build social skills to improve problem solving
1 points
Question 27
1. When preparing to terminate a patient, what does the PMHNP
do to organize thoughts about the patient’s progress made
during treatment?
A.
Interviews the patient’s family, caregiver, or friends regarding
the patient’s progress outside of the sessions
B.
Reviews the patient’s file to identify issues and important
themes that were highlighted throughout treatment
C.
Requests a peer to review the patient’s file to double check that
the PMHNP has not overlooked anything
D.
All of the above
1 points
Question 28
29. 1. A 55-year-old patient recovering from substance abuse tells
the PMHNP, “It’s impossible to meet new people. I really hate
being single.” Using existential psychotherapy, what might the
PMHNP say next?
A.
“Where are you experiencing unhappiness in your body?
B.
“So you feel frustrated and unhappy being single. Is that right?”
C.
“Are you willing to say, ‘I’m having a hard time meeting
people’?”
D.
“What might help you to live a more meaningful life?”
1 points
Question 29
1. The PMHNP is assessing a 30-year-old client who reports
feeling stressed out due to his current employment situation.
When asked about how he manages this work-related stress, the
patient says that exercise helps him feel less anxious, so he
often spends 2 or more hours at the gym each night. After
completing the patient assessment, the PMHNP has determined
30. that an existential psychotherapy approach may best benefit this
client. What is the PMHNP’s goal in employing this treatment
approach?
A.
Help the patient eliminate anxiety from his life
B.
Help the patient be aware of his anxiety and embrace it
C.
Help the patient find alternative ways to de-stress
D.
None of the above
1 points
Question 30
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?
31. 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
1 points
Question 31
1. The PMHNP is terminating treatment with a patient who is
aggressive and has a history of anger. What does the PMHNP do
when terminating treatment with this patient?
A.
Makes a list of all the positive things the patient gained from
treatment
B.
Does not recognize the patient’s emotions so as to not
encourage the onset of anger
32. C.
Emphasizes and validates the patient’s feelings of anger that
may emerge
D.
Avoids upsetting the patient by keeping an open door policy
1 points
Question 32
1. A 13-year-old patient and his parents are meeting with a
PMHNP. When the PMHNP says hello, the boy just nods. His
parents tell the PMHNP that he didn’t want to come to the
session, but they insisted. They explain that their son has been
moody and depressed at home, but is still getting good grades at
school. Which of the following would be the best response by
the PMHNP?
A.
Ask the patient to leave the room to speak with his parents
B.
Tell the patient that he shouldn’t be upset at his parents
C.
Compliment the patient on his academic achievement
33. D.
All of the above
1 points
Question 33
1. The PMHNP is meeting with a patient who has been
diagnosed with depression. The patient is having trouble
adjusting to her new job and hasn’t made any new friends there.
What would an appropriate response be by the PMHNP using
the interpersonal psychotherapy approach?
A.
“For homework, please write a list of qualities you’d find in a
good friend.”
B.
“Describe the friendships you had growing up, both as a child
and teenager.”
C.
“Tell me more about why you’re having trouble making new
friends at work.”
D.
All of the above.
1 points
34. Question 34
1. The PMHNP initiates feeling-state therapy to help a 25-year-
old patient named Monique who has a compulsive urge to
exercise. Using the Feeling-State Addiction Protocol, what is an
appropriate next step the PMHNP should take after identifying
the specific positive feeling linked with the addictive behavior
and its Positive Feeling Score level?
A.
Evaluate the patient for having the coping skills to manage
feelings
B.
Perform eye movement sets until the Positive Feeling Score
level drops
C.
Locate and identify any physical sensations created by the
positive feelings
D.
Have the patient visualize performing the addictive behavior
1 points
Question 35
1. A PMHNP has been working with a 50-year-old patient who
35. has a stressful job and goes to the casino on weekends to play
poker with his friends, which he says relieves his stress. Tim
admits that he sometimes misses work on Monday when he stays
out too late at the casino on Sunday nights. In addition, he once
was an avid runner, and has given up running to spend more
time gambling.
True or false: According to the PMHNP, the desired goal after
treatment is not complete abstinence from gambling, but
reaching a healthy level of the behavior.
True
False
1 points
Question 36
1. When recalling the phases of change, the PMHNP
demonstrates “open questioning” in the “engagement” phase by
making which statement?
A.
“What plans have you made to make this change?”
B.
“What occurred to cause you to seek treatment?”
C.
“What concerns you the most about these subjects?”
36. D.
“What do you want do you want be different?”
1 points
Question 37
1. A PMHNP is using emotion-focused therapy to help a 38-
year-old patient who says, “I’ve been feeling angry lately, but
I’m not sure why.” The first attempt by the PMHNP is to say:
A.
“Focus on your anger, take a deep breath, and allow an image to
emerge.”
B.
“Sit in these two chairs to have a conversation with your
anger.”
C.
“Please tell me in detail about your anger and confusion.”
D.
“Your experience of anger and confusion is normal.”
1 points
Question 38
1. A 38-year-old patient has been having trouble communicating
37. with his teenage daughter. Using a solution-focused therapy
approach, the PMHNP responds by saying, “When was a time
that a communication problem could have occurred, but did
not?” In this case, what type of question is the PMHNP asking?
A.
Coping question
B.
Joining question
C.
Exception question
D.
Miracle question
1 points
Question 39
1. The PMHNP has been providing supportive psychodynamic
psychotherapy to a patient and is nearing the termination stage.
The PMHNP will use which criteria for determining that the
patient is ready for termination?
A.
Transference neurosis has been resolved.
38. B.
Symptoms have improved.
C.
Core conflicts have been reduced.
D.
Self-analytic capacity has been developed.
1 points
Question 40
1. The PMHNP is assessing an older adult male patient with
depression and comorbidities. According to the medical chart,
the patient takes medication to manage joint and bone pain. The
patient reports feeling “forgetful” and complains that he has a
hard time remembering where he puts things. What is the
primary action by the PMHNP?
A.
Collaborating with the patient’s caregiver to discuss a treatment
approach
B.
Prescribing an antidepressant to address the patient’s symptoms
39. C.
Determining if the patient’s medications can be causing memory
problems
D.
All of the above
1 points
Question 41
1. The PMHNP is caring for a young adult patient with whom
the PMHNP decides to use a dynamic supportive therapy
approach in addition to pharmacological intervention. Which
therapeutic action will the PMHNP take to employ the strategy
of holding and containing the patient?
A.
Encouraging and nurturing the patient
B.
Asking the patient how the patient feels
C.
Discussing why the patient is not taking the medication as
directed
D.
40. Teaching the patient about medication side effects
1 points
Question 42
1. A PMHNP is using motivational interviewing (MI) with a 50-
year-old patient named Dave to commit to a healthy drug-free
lifestyle. By using “change talk,” the PMHNP hopes to help the
patient build self-esteem and hope.
True or false: If Dave is resisting change, the PMHNP should
challenge his resistance in order for MI to be successful.
True
False
1 points
Question 43
1. The PMHNP is meeting with an older, female adult patient
and her daughter. The patient has early onset dementia. The
daughter expresses concern, saying, “I don’t want you to just
stick my mother in a home and give her medicine. I’m worried
that’s what people are going to want to do.” What is the best
response by the PMHNP to the daughter?
A.
“Most of the time, institutionalization cannot be prevented.”
B.
“The type of treatment depends on the stage of dementia and
41. safety considerations.”
C.
“Don’t worry; I do not believe in hospitalizing my patients.”
D.
“The treatment decision will be up to your mother and what she
wants.”
1 points
Question 44
1. Mia is a 75-year-old patient who has completed initial
treatment for depression. What might a PMHNP ask Mia when
using a solution-focused therapy approach?
A.
“What specific improvements have you noticed in your mood
since you made the call to see me?”
B.
“On a scale of 1–10 (with 1 being little to no improvement to 10
being a great deal of improvement) how much has your mood
changed since we started working together?”
C.
“What needs to happen today in order for you to feel that is was
42. a productive session?”
D.
All of the above.
1 points
Question 45
1. A PMHNP has been treating a 14-year-old patient using
interpersonal psychotherapy. The patient has been depressed
since the death of his grandmother. To help the patient recover,
the PMHNP has told the parents:
A.
“Keep your expectations high to show that you believe in his
abilities.”
B.
“Modify your expectations at home and school until the
depression lifts.”
C.
“Don’t put expectations on him while he is showing signs of
depression.”
D.
“Allow him to be an active participant by setting his own
43. expectations.”
1 points
Question 46
1. A 21-year-old patient is worried about starting a new job. She
talks about her fears of failure and not making friends at the
office. Using a person-centered approach, an appropriate
response by the PMHNP is to ______________.
A.
give the patient advice based on the therapist’s experiences
B.
persuade the patient to release her unfounded fears and worries
C.
ask the patient to reflect on and explore what she is
experiencing
D.
all of the above
1 points
Question 47
1. A 21-year-old patient has been having trouble adjusting to
college life. She tells the PMHNP that she had five alcoholic
drinks at a party this past weekend. She also acknowledges that
44. she drank the same amount of alcohol at a party the previous
month. Based on this information, what would the PMHNP most
likely recommend?
A.
Group therapy
B.
Peer support
C.
Hospitalization
D.
None of the above
1 points
Question 48
1. The PMHNP is treating an older adult patient who reports
experiencing nightmares associated with an automobile accident
he was in 20 years ago. As the PMHNP formulates the case
using the dynamic supportive therapy model, what questions
will the PMHNP use during the session?
A.
“What can you tell me about this room?”
45. B.
“You might benefit from a sleep aid.”
C.
“Let’s talk about what kinds of things are triggering you now.”
D.
“Do I have your permission to advocate for you with your
primary care physician?”
1 points
Question 49
1. The PMHNP has been providing interpersonal psychotherapy
(IPT) for a patient who the PMHNP observes implementing new
ways of being, such as interacting more with peers and being
less isolated in social scenarios. The PMHNP understands that
the patient is approaching termination. How does the PMHNP
address termination with this patient?
A.
Give the patient an option about terminating the therapy
B.
Allow the patient to bring up termination on his/her own
46. C.
Embed the termination into the work of the therapeutic phase
D.
None of the above
1 points
Question 50
1. The PMHNP continues to meet with Gerald, who is the
patient with depression and mood disorder. The PMHNP uses
the CBT approach. Gerald is now meeting with the PMHNP for
his fifth session and feels comfortable with how the therapy
works. What does the PMHNP plan to do with Gerald over the
course of the next several sessions?
A.
Set treatment goals with Gerald
B.
Identify barriers to treatment
C.
Develop cognitive skills to challenge Gerald’s negative thinking
D.
47. None of the above
1 points
Question 51
1. The PMHNP is caring for a geriatric patient who expresses
symptoms of gastrointestinal problems, aches and pains, and
loss of appetite. The patient reports feeling lonely, as more of
his friends have been passing away over the recent months and
years. The PMHNP focuses on which therapeutic approach for
this patient?
A.
Supportive therapy
B.
Problem-solving therapy
C.
Cognitive behavioral therapy
D.
All of the above
1 points
Question 52
1. The PMHNP is interviewing a patient with a history of
substance abuse. He has attempted to stop abusing drugs three
48. times before. He states to the PMHNP, “I just cannot change.
How can you help me?!” As it applies to change, the PMHNP
understands the principle of evocation to mean:
A.
The patient can choose to leave the program whenever he wants
because changing is his choice.
B.
The patient already has everything needed and the PMHNP
would like to help him facilitate his own inner coping.
C.
If the patient tries, he will one day become successful; he must
not give up.
D.
The patient must evolve and change with the times to
successfully change his way of thinking.
1 points
Question 53
1. A patient’s depression is affecting her relationship with her
spouse. What might the PMHNP ask during the initial sessions
of interpersonal psychotherapy treatment?
49. A.
“What expectations do you have of your spouse?”
B.
“How is your depression affecting the relationship with your
spouse?”
C.
“What changes would you and your spouse like to see in the
relationship?”
D.
All of the above.
1 points
Question 54
1. The PMHNP is terminating treatment for a patient who has
been receiving eye movement desensitization and reprocessing
(EMDR) therapy. What action does the PMHNP take at the final
session to terminate treatment?
A.
Helps the patient create a future template
B.
Discusses all issues that have been addressed
50. C.
Asks the patient to take a new assessment
D.
All of the above
1 points
Question 55
1. The PMHNP is interviewing a patient who is in the process of
successfully completing a substance abuse program. During the
interview, the patient states, “I wish I was strong enough to
keep the same friends I had before I came here for treatment.
I’m really afraid of being discharged because I’ll probably run
into my old friends again.” The PMHNP offers a complex
reflection when she states the following:
A.
“You feel as though you are weak and you wish that you were
strong.”
B.
“The thought of being discharged scares you because you don’t
feel strong enough.”
C.
51. “You’d like to keep your old friends but know being around
them may lead you to abuse substances again.”
D.
“You believe that you’ll run into your old friends if you’re
discharged.”
1points
Question 56
1. The PMHNP is assessing a patient who requires cognitive
behavioral therapy (CBT). Which of the following statements
made by the PMHNP approach the termination phase for this
patient?
A.
“Although it’s your first session, we will discuss how
termination of your treatment will go.”
B.
“Now that you are feeling more stable, let’s talk about
terminating these sessions.”
C.
“We will wait to discuss terminating the treatment until you’ve
attended at least five sessions.”
52. D.
None of the above.
1 points
Question 57
1. 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.
1 points
53. Question 58
1. How does the PMHNP approach termination with the patient
who has been receiving intermittent therapy?
A.
Uses the word “interrupt” instead of “terminate” with the
patient
B.
Requires the therapy be resumed in several months
C.
Encourages the patient to check in with the PMHNP about
his/her progress
D.
A and C
1 points
Question 59
1. A PMHNP is treating a 12-year-old girl who witnessed the
physical abuse of her sibling. She has been anxious and irritable
since the experience. After speaking with the PMHNP, the
patient says she keeps having anxiety-causing thoughts about
the experience. Using the PRACTICE technique, which skill
will best help the patient interrupt these negative thoughts?
54. A.
Relaxation
B.
Affect modulation
C.
Enhancing safety
D.
Trauma narrative
1 points
Question 60
1. The PMHNP is in the process of terminating treatment with a
patient who witnessed the death of her parent who used to
sexually abuse her. What does the PMHNP understand about
terminating this patient?
A.
The patient should be made aware that he/she may have trouble
managing the trauma.
B.
The patient will have to resume treatment with a different
55. provider for further treatment.
C.
The patient can be weaned off from therapy, but cannot receive
treatment indefinitely.
D.
The patient may need to have follow-up sessions every few
months.
1 points
Question 61
1. A 19-year-old female patient named Anna, who was the
victim of child abuse and neglect, is also in treatment for
substance abuse. At her most recent appointment, Anna
confesses to the PMHNP that she is having romantic fantasies
about him, and explains the he is one of the few people she
trusts. She believes that he is interested in her as well. What is
the most appropriate response by the PMHNP in this situation?
A.
Encourage her to focus on therapy and keep the conversation
professional
B.
Explain that he must terminate counseling because of the
56. therapeutic frame
C.
Guide the patient to examine her feelings and explore the
underlying meaning
D.
None of the above
1 points
Question 62
1. Linda is a 65-year-old patient who has completed initial
treatment for alcohol addiction and anxiety problems. She is
motivated to continue her treatment gains and have a healthy
lifestyle. How would the PMHNP apply a mindfulness approach
to this case?
A.
Help Linda develop an awareness of triggers in order to have
greater control over physical and emotional responses
B.
Encourage Linda to have her husband and children participate in
family therapy to facilitate her integration into the community
C.
57. Ask Linda to do homework to elicit any other feelings related to
her addictive behavior and evaluate her progress
D.
All of the above
1 points
Question 63
1. As part of the PMHNP’s role in the clinic, the PMHNP
oversees students that gain clinical experience at the agency.
The student is instructed to use the supportive psychodynamic
therapy approach with the patient. Which action made by the
student causes the PMHNP to intervene, after observing the
student interacting with the patient?
A.
Focusing too heavily on defenses
B.
Talking to the patient about the use of problem-solving
strategies
C.
Inviting the patient to emote about thoughts and fantasies
D.
58. Asking the patient about the patient’s work stress
1 points
Question 64
1. A PMHNP has been treating a 9-year-old patient who was
referred by her school. Students are asked to raise their hands
before speaking during group discussion, but the patient seems
to blurt out what she wants to say without being called on. She
also interrupts other children while they are talking instead of
waiting her turn. When the patient gets frustrated, she has
trouble controlling her emotions and cries often. Based on the
initial information provided, the first focus by PMHNP is the
child’s ____________.
A.
memory
B.
self-regulation
C.
language skills
D.
social system
1 points
59. Question 65
1. The PMHNP is caring for an adult male patient whose wife
left him several months ago. He recently learned that his ex-
wife is dating someone much younger. The man feels belittled,
sad, and lonely. He talks about trying to meet other women, but
says, “I can’t compete with the younger guys these days, with
the cool clothes and the vegan diets. I’m bald and overweight,
and what woman is going to want to be with me?” How does the
PMHNP help raise the man’s self-esteem?
A.
Correcting cognitive distortions
B.
Using role-playing techniques
C.
Unraveling unconscious guilt
D.
All of the above
1 points
Question 66
1. The PMHNP meets with a 31-year-old woman who reports
feeling as though she is “at her breaking point” with work. The
60. PMHNP learns that the woman works 12-hour days, including
one day on the weekend, because she is nervous about company
layoffs. “I feel like I need to work myself to death in order to
prove that I am valuable to the organization,” the woman says.
Using the supportive psychodynamic therapy approach, how
does the PMHNP respond?
A.
“You need to find a new place to work.”
B.
“Who cares about getting laid off? Then you can collect
unemployment benefits.”
C.
“I’m sure you have parents or a husband to take care of you if
you lose your job.”
D.
“That must be a very tiring work schedule. How do you feel
about working so much?”
61. 1 points
Question 67
1. The PMHNP has been treating a patient who is now being
transferred to another provider. What is the appropriate action
made by the PMHNP?
A.
Introducing the patient to the new provider
B.
Leaving the door open for the patient to return at any time
C.
Having the new provider come to a few sessions
D.
A and C
1 points
Question 68
1. A patient is finishing the active treatment phase of
interpersonal psychotherapy (IPT). After the PMHNP reminds
the patient that she has three sessions left, the patient says
nothing, but looks distressed. What would be the best reply by
the PMHNP following IPT protocol?
62. A.
“Maybe we should extend your active treatment phase.”
B.
“Remember that the end of treatment is not a time to grieve.”
C.
“Don’t worry. Finishing therapy means you’ve met your goals.”
D.
“You seem upset. Tell me what seems to be bothering you.”
1 points
Question 69
1. In the planning phase of change, a 42-year-old male client
who struggles with gambling discusses how he plans to abstain
from gambling. He tells the PMHNP, “I am no longer going to
carry cash to the casino because you can’t spend what you don’t
have.” The PMHNP uses an affirming communication skill when
she states:
A.
“Not gambling is a tough habit to break; not carrying cash is a
big step in the right direction.”
B.
63. “Are you saying that you will still go to a casino: however, you
will only have a debit card in terms of funds?”
C.
“This is a great technique, though it may not work if there is an
ATM in the casino you go to.”
D.
“Why don’t we try to deal with your addiction to gambling
before you go into a casino to decrease your temptation?”
1 points
Question 70
1. A PMHNP is using Gestalt therapy to communicate with a
42-year-old patient who is upset with her mother. She says, “I
want to tell her how hurt I feel when she doesn’t call me, but I
don’t want to upset her.” What technique can the PMHNP use to
help Sasha express herself?
A.
Language of responsibility
B.
Empty-chair dialogue
C.
64. Dreamwork
D.
Focusing
1 points
Question 71
1. A PMHNP is assessing a 40-year-old patient named Sarah
who has a severe cocaine addiction and mild depression. Using
the four-quadrant model, what would be the most appropriate
setting to help the patient?
A.
Primary health care settings with some specialized care
B.
State psychiatric hospitals and emergency rooms
C.
Substance abuse treatment system
D.
The mental health system of care
1 points
Question 72
1. An 8-year-old has been having trouble making friends at
65. school. His parents initiated treatment when he also started
acting out at home. Which is the most appropriate step that the
PMHNP takes during the assessment process when using an
integrated approach?
A.
Collect information from the patient, his parents, and school
B.
Rule out medical issues that may affect behavior
C.
Get a measure of the patient’s developmental level
D.
All of the above
1 points
Question 73
1. Following an attempted suicide, Mr. Durham was admitted to
an acute psychiatric facility. After 4 weeks in treatment, he is
preparing for discharge. He is beginning to miss individual and
group therapy sessions and has refused medications twice in the
past 2 days. The PMHNP demonstrates understanding in this
phase by saying which of the following statements?
66. A.
“It is your choice whether to continue to take your
medications.”
B.
“Have you thought of how you will continue your treatment
plans?”
C.
“Are you upset with someone here? Tell me more about this.”
D.
“Are you sure you no longer want to go to therapy?”
1 points
Question 74
1. The PMHNP is working with a patient who describes having
a painful and traumatic childhood experience, which causes her
to have anxiety as an adult. When asked how she manages her
anxiety, the patient dismisses it and denies that it is a problem.
Using the supportive psychotherapy approach, the PMHNP will
do which of the following when assessing the patient’s ego
strength?
A.
Identify the primary defenses the patient uses to ward off
67. anxiety
B.
Focus on the patient’s attachment to the anxiety and memories
of her childhood
C.
Identify whether the patient has an unresolved or disorganized
attachment style
D.
All of the above
1 points
Question 75
1. While assessing a patient using a humanistic-existential
approach, a patient tells the PMHNP, “For the past few weeks,
I’ve felt anxious almost every single day.” What would be an
appropriate next step by the PMHNP?
A.
Try to provide a diagnosis based on the patient’s description of
daily anxiety
B.
Give the patient some possible solutions they might use for
68. feeling less anxious
C.
Use traditional assessment procedures, such as giving a
psychometric test
D.
Encourage the patient to clarify by asking, “You constantly feel
anxious?”
· 1 out of 1 points
A PMHNP is treating a 25-year-old patient who has a
compulsive urge to exercise to excess. When asked to describe
why she does so much exercise, she says, “I like the
compliments I receive from others on my new level of fitness,
and the excitement of getting more attention.” The PMHNP can
use feeling-state therapy to help Monique ___________.
69. · Question 2
1 out of 1 points
A 43-year-old single mother is seeing the PMHNP at the request
of her sister. “My sister thinks I need to come here to talk about
my feelings,” the patient reports. The PMHNP learns that the
patient has three children from three different men, but is
unable to collect appropriate child support payments from any
of the biological fathers. Additionally, the woman is barely able
to afford her apartment or utilities payments. What is the
appropriate response from the PMHNP when using the
psychodynamic psychotherapy technique?
70. · Question 3
0 out of 1 points
A 35-year-old male patient is being treated for alcohol
addiction. He asks for the PMHNP’s cell phone number to use
in case of an emergency. When the PMHNP responds that giving
her number would be against therapeutic rules, the patient
threatens an act of violence to the therapist. What would be the
most appropriate response by the PMHNP?
Response Feedback:
“A” is the correct answer. According to the therapeutic frame,
counseling is terminated if “threats are made or acts of violence
are committed against the counselor,” but the immediate threat
calls for notification of the police. The safety of the PMHNP is
essential. “B,” “C,” and “D,” are incorrect—the patient has
made threats to the PMHNP, so the most appropriate response
71. would be reporting the threat to the local police.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 16 pages 587-588 for further information.
· Question 4
0 out of 1 points
The PMHNP is caring for a patient who is histrionic. Using the
supportive psychodynamic therapy model, what is the best
statement made by the PMHNP?
Response Feedback:
The correct answer is “B.” For patients who are histrionic or
overly emotional, the PMHNP contains the emotion rather than
72. allowing it to be expressed freely. For histrionic patients, affect
regulation strategies may need to be employed.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 5 page 242 for further information.
· Question 5
1 out of 1 points
A 38-year-old patient tells the PMHNP that her father went to
jail for selling drugs when she was a child. The patient is
visibly upset when discussing what happened. Using a
humanistic-existential approach to psychotherapy, which of the
following is the most appropriate response by the PMHNP?
73. · Question 6
1 out of 1 points
The PMHNP uses therapeutic communication skills while
ensuring that the patient understands that he has choices. The
PMHNP comprehends and practices motivational interviewing.
This is best understood as which of the following?
· Question 7
1 out of 1 points
74. The PMHNP who practices motivational interviewing
understands its relationship to patient behaviors and/or
outcomes to mean which of the following?
· Question 8
1 out of 1 points
The PMHNP is assessing a new geriatric patient who reports
symptoms of depression. The PMHNP wants to identify the
patient’s symptom severity over time. Which assessment tool
will the PMHNP use to collect this data on the patient?
75. · Question 9
1 out of 1 points
A PMHNP is assessing a 60-year-old patient named Carlos. He
has severe PTSD and mild substance abuse issues. The most
appropriate setting to treat Carlos would be a _________.
· Question 10
1 out of 1 points
76. A cocaine-addicted female patient is entering residential
treatment for substance abuse. Using the 10 guiding principles
of recovery, an appropriate step by the PMHNP is to
______________.
· Question 11
0 out of 1 points
A PMHNP is using Gestalt therapy to communicate with a 50-
year-old patient who is going through a divorce. As he is calmly
sharing the details of his divorce, the PMHNP notices that Dave
is tapping his fingers on his legs. What is an appropriate
77. response by the PMHNP using the technique of focusing?
Response Feedback:
“A” is the correct answer. “Focusing” is a Gestalt therapy
technique used to deepen contact with alienated aspects of self.
“B” is incorrect—exaggerating body movements is part of the
“body awareness” technique. “C” is incorrect—asking Dave
what his is experiencing in his body is also part of body
awareness. “D” is incorrect because “A” is the correct answer.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 10 page 382 for further information.
· Question 12
0 out of 1 points
78. The PMHNP iscommunicating 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:
Response Feedback:
“D” is the correct answer—this is a way to diffuse resistance by
means of using reflection. It allows the PMHNP to help focus
and/or guide the patient in a direction for change. “A” is
incorrect—this is a statement that may be made to a patient in
the initial phase of change (engagement). “B” is incorrect—this
can be viewed as confrontational and nontherapeutic. “C” is
incorrect—this is a confrontational statement and goes against
the principles of motivational interviewing.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
79. Chapter 7 pages 303-304 for further information.
· Question 13
1 out of 1 points
A PMHNP is treating a 10-year-old boy who is exhibiting signs
of aggression and attention problems. What type of intervention
will the PMHNP consider using a common elements approach?
· Question 14
1 out of 1 points
80. 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?
· Question 15
1 out of 1 points
The PMHNP is caring for an older adult patient who presents
with mixed dysphoric states and whose daughter reports “is
81. 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?
· Question 16
1 out of 1 points
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?
82. · Question 17
0 out of 1 points
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?
Response Feedback:
“D” is the correct answer. Cognitive behavioral therapy,
including individual and group CBT, can be an effective
83. treatment approach for geriatric patients with schizophrenia
who are at a stable point in their illness, but CBT is not a good
option for patients at recent onset of symptoms, or who are in
an acute phase of their symptoms, such as the patient in this
scenario. Therefore, neither individual nor group CBT would be
appropriate for this patient.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 18 page 635 for further information.
· Question 18
0 out of 1 points
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?
84. Response Feedback:
“A” is the correct answer. According to emotion-focused
therapy, trauma narrative is an in-session marker; it’s when the
patient has internal pressure to tell a traumatic life story, but
has difficulty doing so. The PMHNP’s intervention is to assist
the patient to retell the trauma narrative. “B” and “C” are
incorrect, as these statements do not support the use of emotion-
focused therapy since they do not encourage the patient to retell
the traumatic narrative.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 10 page 392 for further information.
· Question 19
0 out of 1 points
85. The PMHNP is treating an older adult patient who reports
symptoms of late-life anxiety. What type of treatment(s) will
the PMHNP consider?
Response Feedback:
“A” is the correct answer. Cognitive behavioral therapy (CBT)
is the only treatment based on evidence-based practices. “B,”
“C,” and “D” are incorrect because relaxation training and
modular interventions are suggestions, but not evidence-based
practices.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 18 page 634 for further information.
· Question 20
1 out of 1 points
86. 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?
· Question 21
0 out of 1 points
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
87. 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?
Response Feedback:
“A” is the correct answer. For persons with
unresolved/disorganized attachment styles, they are often
unable to form a coherent narrative about their lives due to
lapses in memory because they are flooded with emotion.
Therefore, the PMHNP anticipates the patient will have lapses
in his memory of his childhood. “B” is incorrect, as this is the
opposite of what the PMHNP anticipates. “C” is incorrect, as
this patient will likely need more active interventions. “D” is
incorrect because there is clearly a correct answer.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 5 page 239 for further information.
88. · Question 22
0 out of 1 points
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?
Response Feedback:
The correct answer is “C.” The most appropriate action is for
the PMHNP to teach the patient about developing mindfulness
in order to maximize adaptive coping mechanisms. Encouraging
the patient to use humor as a way to deny her sadness is not
therapeutic, so “A” is incorrect. Using self-disclosure to discuss
how the PMHNP lost a pet recently is not therapeutic in this
89. instance, so “B” is incorrect. Therefore, “D” is incorrect.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 5 pages 240-241 for further information.
· Question 23
1 out of 1 points
A 25-year-old female states, “I really need to lose weight. I
know I’m the cause of our problems, if I could just lose weight
he might be more attracted to me. Then we could start a family
and we would be happy. I’m sure of it, right, we would
definitely be happy!” Which statement shows the PMHNP’s
ability to apply “summarizing”?
90. · Question 24
1 out of 1 points
The PMHNP is initiating a plan of care for Holly, a 73-year-old
female patient who has late-life bipolar disorder and reports
consuming alcoholic beverages four times per week. What is the
focus of Holly’s therapy going to be?
· Question 25
0 out of 1 points
91. A PMHNP is using interpersonal psychotherapy with a 40-year-
old patient having relationship problems with his extended
family. The patient shares that he has been using the strategies
they identified to reduce his distress, but they have not been
helping. He is frustrated and is considering stopping treatment.
What would be an appropriate step by the PMHNP?
Response Feedback:
“A” is the correct answer. During the active treatment phase of
interpersonal psychotherapy, the patient is encouraged to use
alternative strategies in the case that originally identified
strategies are not helping to reduce the distress surrounding the
focus problem. “B” is incorrect—the PMHNP does not need to
restart the assessment phase to treat a patient. “C” is incorrect—
if a strategy is not successful, it does not need to be adhered to.
“D” is incorrect because “A” is the correct answer.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 9 page 360 for further information.
92. · Question 26
0 out of 1 points
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?
Response Feedback:
The correct answer is “A.” When using the CBT approach with
geriatric patients, there are three phases for which the sessions
take place. The first three sessions are the first phase, and focus
on building a therapeutic alliance and getting the patient
familiar with psychotherapy. Answers “B,” “C,” and “D” are
93. incorrect, as these actions come during the second phase of
CBT, which is after the first three sessions.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 18 page 641 for further information.
· Question 27
0 out of 1 points
When preparing to terminate a patient, what does the PMHNP
do to organize thoughts about the patient’s progress made
during treatment?
Response Feedback:
The correct answer is “B.” The PMHNP organizes thoughts
94. about the patient’s progress that was made during treatment, by
reviewing the patient’s file to identify issues and important
themes that were highlighted throughout treatment. The PMHNP
also reflects and reminisces with the patient regarding how the
patient is functioning better. “A” is incorrect, as the PMHNP
does not interview the patient’s family, friends, or caregiver as
part of organizing thoughts about the patient’s progress. “C” is
incorrect, as the PMHNP does not request a peer to evaluate the
decision to terminate by reviewing the patient’s file. Therefore,
“D” is incorrect.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 20 page 699 for further information.
· Question 28
1 out of 1 points
A 55-year-old patient recovering from substance abuse tells the
PMHNP, “It’s impossible to meet new people. I really hate
being single.” Using existential psychotherapy, what might the
95. PMHNP say next?
· Question 29
0 out of 1 points
The PMHNP is assessing a 30-year-old client who reports
feeling stressed out due to his current employment situation.
When asked about how he manages this work-related stress, the
patient says that exercise helps him feel less anxious, so he
often spends 2 or more hours at the gym each night. After
completing the patient assessment, the PMHNP has determined
that an existential psychotherapy approach may best benefit this
client. What is the PMHNP’s goal in employing this treatment
approach?
96. Response Feedback:
“B” is the correct answer. The goal of existential psychotherapy
is to be aware of anxiety and embrace it, not to eliminate it.
Therefore, “A” is incorrect, as the PMHNP does not aim to help
the patient eliminate anxiety from his life completely, as this is
not the goal of existential psychotherapy. “C” is incorrect,
because although it is helpful for patients to have multiple
outlets for coping with stress, this is not the primary goal of
employing existential psychotherapy. “D” is incorrect because
there is clearly a correct answer here.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 10 page 386 for further information.
· Question 30
1 out of 1 points
97. 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?
· Question 31
1 out of 1 points
The PMHNP is terminating treatment with a patient who is
aggressive and has a history of anger. What does the PMHNP do
98. when terminating treatment with this patient?
· Question 32
1 out of 1 points
A 13-year-old patient and his parents are meeting with a
PMHNP. When the PMHNP says hello, the boy just nods. His
parents tell the PMHNP that he didn’t want to come to the
session, but they insisted. They explain that their son has been
moody and depressed at home, but is still getting good grades at
school. Which of the following would be the best response by
the PMHNP?
99. · Question 33
0 out of 1 points
The PMHNP is meeting with a patient who has been diagnosed
with depression. The patient is having trouble adjusting to her
new job and hasn’t made any new friends there. What would an
appropriate response be by the PMHNP using the interpersonal
psychotherapy approach?
Response Feedback:
“C” is the correct answer. Interpersonal psychotherapy (IPT)
focuses on the patient’s current life. “A” is incorrect—specific
100. homework is not part of IPT. “B” is incorrect—IPT focuses on
the present, not the past causes of problems. “D” is incorrect
because “C” is the only correct answer.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 9 page 354 for further information.
· Question 34
0 out of 1 points
The PMHNP initiates feeling-state therapy to help a 25-year-old
patient named Monique who has a compulsive urge to exercise.
Using the Feeling-State Addiction Protocol, what is an
appropriate next step the PMHNP should take after identifying
the specific positive feeling linked with the addictive behavior
and its Positive Feeling Score level?
101. Response Feedback:
“C” is the correct answer. Using the Feeling-State Addiction
Protocol, after identifying the specific positive feeling linked
with the addictive behavior and its Positive Feeling Score level,
the PMHNP should have the patient locate and identify any
physical sensations created by the positive feelings. “A” is
incorrect—that step comes before “identifying the specific
positive feeling linked with the addictive behavior and its
Positive Feeling Score level.” “B” and “D” are incorrect—those
steps come after the patient locates and identifies any physical
sensations created by the positive feelings.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 16 page 585 for further information.
· Question 35
1 out of 1 points
102. A PMHNP has been working with a 50-year-old patient who has
a stressful job and goes to the casino on weekends to play poker
with his friends, which he says relieves his stress. Tim admits
that he sometimes misses work on Monday when he stays out
too late at the casino on Sunday nights. In addition, he once was
an avid runner, and has given up running to spend more time
gambling.
True or false: According to the PMHNP, the desired goal after
treatment is not complete abstinence from gambling, but
reaching a healthy level of the behavior.
· Question 36
0 out of 1 points
When recalling the phases of change, the PMHNP demonstrates
103. “open questioning” in the “engagement” phase by making which
statement?
Response Feedback:
“B” is correct—this is an example of open questioning in the
engagement phase. The engagement phase is the introductory
phase and is meant to establish a relationship as well as trust.
“A” is incorrect—this is an example of open questioning in the
planning phase. “C” is incorrect—this is an example of open
questioning in in the focusing phase. “D” is incorrect—this is
an example of open questioning in the evoking phase.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 7 pages 303-305 for further information.
· Question 37
1 out of 1 points
104. A PMHNP is using emotion-focused therapy to help a 38-year-
old patient who says, “I’ve been feeling angry lately, but I’m
not sure why.” The first attempt by the PMHNP is to say:
· Question 38
0 out of 1 points
A 38-year-old patient has been having trouble communicating
with his teenage daughter. Using a solution-focused therapy
approach, the PMHNP responds by saying, “When was a time
that a communication problem could have occurred, but did
not?” In this case, what type of question is the PMHNP asking?
105. Response Feedback:
“C” is the correct answer. An exception question encourages the
patient to describe what has worked in the past to make future
improvements. “A” is incorrect—a coping question includes a
validating statement and question about the patient’s coping
skills that have gone unnoticed. “B” is incorrect—a joining
question’s purpose is to connect and accommodate to the
patient’s world. “D” is incorrect—a miracle question asks the
patient to imagine a future if the problem were solved.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 10 page 395 for further information.
· Question 39
1 out of 1 points
106. The PMHNP has been providing supportive psychodynamic
psychotherapy to a patient and is nearing the termination stage.
The PMHNP will use which criteria for determining that the
patient is ready for termination?
· Question 40
0 out of 1 points
The PMHNP is assessing an older adult male patient with
depression and comorbidities. According to the medical chart,
the patient takes medication to manage joint and bone pain. The
patient reports feeling “forgetful” and complains that he has a
hard time remembering where he puts things. What is the
107. primary action by the PMHNP?
Response Feedback:
“C” is the correct answer. Because many older adult patients
have comorbidities, it is important for the PMHNP to
distinguish between physical and emotional manifestations of
symptoms, and determine if certain symptoms can be caused by
other medications the patient is taking. The PMHNP must
consult guidelines and reference materials to help identify the
information needed, but this is the primary action so that the
PMHNP knows how to go about treating the patient properly
and safely. “A” is incorrect—collaboration is an important part
of the PMHNP’s role with older adult patients, but this is not
the primary action for the scenario. “B” is incorrect—this
patient should not be prescribed antidepressants until the
PMHNP has a better understanding of what could be causing the
memory loss. Therefore, “D” is incorrect.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 18 page 638 for further information.
108. · Question 41
0 out of 1 points
The PMHNP is caring for a young adult patient with whom the
PMHNP decides to use a dynamic supportive therapy approach
in addition to pharmacological intervention. Which therapeutic
action will the PMHNP take to employ the strategy of holding
and containing the patient?
Response Feedback:
“B” is the correct answer. For dynamic supportive therapy, the
PMHNP allows the patient to emote by asking the patient how
the patient feels as part of the holding and containing strategy.
For the holding and containing approach, the PMHNP provides
109. empathy and understanding, as well as by restricting the patient
when the patient becomes impulsive or acts out. “A” is
incorrect—encouraging and nurturing the patient is assuming a
parental role and is part of the “be a good parent” strategy. “C”
is incorrect—discussing why the patient is not taking the
medication as directed is addressing treatment noncompliance,
which is part of focusing on the here and now. “D” is
incorrect—teaching the patient about medication side effects is
part of educating the patient and family, which is not part of
holding and containing the patient.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 5 pages 240-241 for further information.
· Question 42
1 out of 1 points
A PMHNP is using motivational interviewing (MI) with a 50-
year-old patient named Dave to commit to a healthy drug-free
lifestyle. By using “change talk,” the PMHNP hopes to help the
110. patient build self-esteem and hope.
True or false: If Dave is resisting change, the PMHNP should
challenge his resistance in order for MI to be successful.
· Question 43
1 out of 1 points
The PMHNP is meeting with an older, female adult patient and
her daughter. The patient has early onset dementia. The
daughter expresses concern, saying, “I don’t want you to just
stick my mother in a home and give her medicine. I’m worried
that’s what people are going to want to do.” What is the best
response by the PMHNP to the daughter?
111. · Question 44
1 out of 1 points
Mia is a 75-year-old patient who has completed initial treatment
for depression. What might a PMHNP ask Mia when using a
solution-focused therapy approach?
112. · Question 45
0 out of 1 points
A PMHNP has been treating a 14-year-old patient using
interpersonal psychotherapy. The patient has been depressed
since the death of his grandmother. To help the patient recover,
the PMHNP has told the parents:
Response Feedback:
“B” is the correct answer. For treating adolescent depression
with interpersonal psychotherapy (IPT), parents are encouraged
to modify home and school expectations while depression is
active. “A” is incorrect—expectations should be modified until
the depression lifts. “C” and “D” are incorrect—the IPT model
does not recommend eliminating expectations or having
adolescents set their own expectations.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
113. Chapter 9 page 357 for further information.
· Question 46
1 out of 1 points
A 21-year-old patient is worried about starting a new job. She
talks about her fears of failure and not making friends at the
office. Using a person-centered approach, an appropriate
response by the PMHNP is to ______________.
· Question 47
0 out of 1 points
114. A 21-year-old patient has been having trouble adjusting to
college life. She tells the PMHNP that she had five alcoholic
drinks at a party this past weekend. She also acknowledges that
she drank the same amount of alcohol at a party the previous
month. Based on this information, what would the PMHNP most
likely recommend?
Response Feedback:
“D” is the correct answer. The patient has been binge drinking,
which is when a person consumes five or more drinks on one
occasion at least one time during the past month. Binge drinking
twice over a period of 2 months is not enough to be considered
a maladaptive pattern of substance abuse. Therefore, though the
patient might need individual therapy to help her adjust to
college life, the PMHNP would not recommend group therapy,
peer support, or hospitalization for an alcohol-related problem.
See Wheeler, K., Psychotherapy for the advanced practice
115. psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 16 pages 567 and 569 for further information.
· Question 48
1 out of 1 points
The PMHNP is treating an older adult patient who reports
experiencing nightmares associated with an automobile accident
he was in 20 years ago. As the PMHNP formulates the case
using the dynamic supportive therapy model, what questions
will the PMHNP use during the session?
116. · Question 49
1 out of 1 points
The PMHNP has been providing interpersonal psychotherapy
(IPT) for a patient who the PMHNP observes implementing new
ways of being, such as interacting more with peers and being
less isolated in social scenarios. The PMHNP understands that
the patient is approaching termination. How does the PMHNP
address termination with this patient?
· Question 50
0 out of 1 points
117. The PMHNP continues to meet with Gerald, who is the patient
with depression and mood disorder. The PMHNP uses the CBT
approach. Gerald is now meeting with the PMHNP for his fifth
session and feels comfortable with how the therapy works. What
does the PMHNP plan to do with Gerald over the course of the
next several sessions?
Response Feedback:
The correct answer is “C.” Once patients are comfortable with
how the therapy works, it is appropriate to move into the second
phase of CBT, in which the PMHNP will focus on developing
cognitive skills to challenge the patient’s negative thinking.
“A” and “B” are incorrect, as these are actions the PMHNP
takes during the first phase of CBT.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 18 page 641 for further information.
118. · Question 51
1 out of 1 points
The PMHNP is caring for a geriatric patient who expresses
symptoms of gastrointestinal problems, aches and pains, and
loss of appetite. The patient reports feeling lonely, as more of
his friends have been passing away over the recent months and
years. The PMHNP focuses on which therapeutic approach for
this patient?
· Question 52
0 out of 1 points
119. The PMHNP is interviewing a patient with a history of
substance abuse. He has attempted to stop abusing drugs three
times before. He states to the PMHNP, “I just cannot change.
How can you help me?!” As it applies to change, the PMHNP
understands the principle of evocation to mean:
Response Feedback:
“B” is correct—the principle of evocation suggests that the
patient has all the tools needed to change and the PMHNP just
needs to “draw it out” of the patient. “A” is incorrect—this is
the patient’s right; however, it does not apply to the principle of
evocation. “C” is incorrect—this is not the principle of
evocation and it also a form of nontherapeutic communication
because it offers false reassurance. “D” is incorrect—this is not
the principle of evocation.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 7 page 299 for further information.
120. · Question 53
1 out of 1 points
A patient’s depression is affecting her relationship with her
spouse. What might the PMHNP ask during the initial sessions
of interpersonal psychotherapy treatment?
· Question 54
0 out of 1 points
121. The PMHNP is terminating treatment for a patient who has been
receiving eye movement desensitization and reprocessing
(EMDR) therapy. What action does the PMHNP take at the final
session to terminate treatment?
Response Feedback:
“B” is the correct answer. For patients receiving EMDR, the
PMHNP discusses all issues that have been addressed
throughout the treatment at the final session to prepare for
termination. “A” is incorrect, as the future template is
developed during therapy prior to the final session. “C” is
incorrect, as the patient is not asked to take a new assessment.
Rather, during the final session, the patient is asked to retake
assessment measures that were taken at the beginning of
therapy. Therefore, “D” is also incorrect.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 20 page 695 for further information.
122. · Question 55
1 out of 1 points
The PMHNP is interviewing a patient who is in the process of
successfully completing a substance abuse program. During the
interview, the patient states, “I wish I was strong enough to
keep the same friends I had before I came here for treatment.
I’m really afraid of being discharged because I’ll probably run
into my old friends again.” The PMHNP offers a complex
reflection when she states the following:
· Question 56
1 out of 1 points
123. The PMHNP is assessing a patient who requires cognitive
behavioral therapy (CBT). Which of the following statements
made by the PMHNP approach the termination phase for this
patient?
· Question 57
1 out of 1 points
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
124. 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?
· Question 58
1 out of 1 points
How does the PMHNP approach termination with the patient
who has been receiving intermittent therapy?
125. · Question 59
0 out of 1 points
A PMHNP is treating a 12-year-old girl who witnessed the
physical abuse of her sibling. She has been anxious and irritable
since the experience. After speaking with the PMHNP, the
patient says she keeps having anxiety-causing thoughts about
the experience. Using the PRACTICE technique, which skill
will best help the patient interrupt these negative thoughts?
Response Feedback:
“B” is the correct answer. Affect modulation provides the
patient with skills to control thoughts related to anxious
feelings. “A” is incorrect—relaxation skills help the patient
126. learn to feel calm, but do not directly teach how to interrupt
anxiety-causing thoughts. “C” is incorrect—enhancing safety
teaches the patient safety skills. “D” is incorrect—trauma
narrative helps the patient correct inaccuracies about the trauma
experience.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 17 page 609 for further information.
· Question 60
1 out of 1 points
The PMHNP is in the process of terminating treatment with a
patient who witnessed the death of her parent who used to
sexually abuse her. What does the PMHNP understand about
terminating this patient?
127. · Question 61
0 out of 1 points
A 19-year-old female patient named Anna, who was the victim
of child abuse and neglect, is also in treatment for substance
abuse. At her most recent appointment, Anna confesses to the
PMHNP that she is having romantic fantasies about him, and
explains the he is one of the few people she trusts. She believes
that he is interested in her as well. What is the most appropriate
response by the PMHNP in this situation?
Response Feedback:
“C” is the correct answer. Because the patient is a victim of
128. child abuse/neglect, she is most likely misinterpreting cues from
the PMHNP and is using a romantic fantasy to reduce tension
from her substance abuse recovery. By maintaining professional
boundaries, the therapist can help guide the patient to examine
her feelings and explore the underlying meaning. “A” is
incorrect—the PMHNP can use the conversation as a teachable
moment to help the patient. “B” is incorrect—terminating
counseling is not necessary. “D” is incorrect because “C” is
correct.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 16 page 588 for further information.
· Question 62
0 out of 1 points
Linda is a 65-year-old patient who has completed initial
treatment for alcohol addiction and anxiety problems. She is
motivated to continue her treatment gains and have a healthy
lifestyle. How would the PMHNP apply a mindfulness approach
129. to this case?
Response Feedback:
“A” is the correct answer. A mindfulness approach helps the
patient develop an awareness of triggers in order to have greater
control over physical and emotional responses. “B” is
incorrect—though family therapy can be integrated with other
therapies, it is not a part of the mindfulness approach. “C” is
incorrect—it is part of the feeling-state addiction therapy, not
the mindfulness approach. “D” is incorrect because “A” is
correct.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 16 page 587 for further information.
· Question 63
1 out of 1 points
130. As part of the PMHNP’s role in the clinic, the PMHNP oversees
students that gain clinical experience at the agency. The student
is instructed to use the supportive psychodynamic therapy
approach with the patient. Which action made by the student
causes the PMHNP to intervene, after observing the student
interacting with the patient?
· Question 64
1 out of 1 points
A PMHNP has been treating a 9-year-old patient who was
referred by her school. Students are asked to raise their hands
131. before speaking during group discussion, but the patient seems
to blurt out what she wants to say without being called on. She
also interrupts other children while they are talking instead of
waiting her turn. When the patient gets frustrated, she has
trouble controlling her emotions and cries often. Based on the
initial information provided, the first focus by PMHNP is the
child’s ____________.
· Question 65
1 out of 1 points
The PMHNP is caring for an adult male patient whose wife left
him several months ago. He recently learned that his ex-wife is
dating someone much younger. The man feels belittled, sad, and
lonely. He talks about trying to meet other women, but says, “I
132. can’t compete with the younger guys these days, with the cool
clothes and the vegan diets. I’m bald and overweight, and what
woman is going to want to be with me?” How does the PMHNP
help raise the man’s self-esteem?
· Question 66
1 out of 1 points
The PMHNP meets with a 31-year-old woman who reports
feeling as though she is “at her breaking point” with work. The
PMHNP learns that the woman works 12-hour days, including
one day on the weekend, because she is nervous about company
layoffs. “I feel like I need to work myself to death in order to
prove that I am valuable to the organization,” the woman says.
Using the supportive psychodynamic therapy approach, how
133. does the PMHNP respond?
· Question 67
1 out of 1 points
The PMHNP has been treating a patient who is now being
transferred to another provider. What is the appropriate action
made by the PMHNP?
134. · Question 68
1 out of 1 points
A patient is finishing the active treatment phase of interpersonal
psychotherapy (IPT). After the PMHNP reminds the patient that
she has three sessions left, the patient says nothing, but looks
distressed. What would be the best reply by the PMHNP
following IPT protocol?
· Question 69
1 out of 1 points
135. In the planning phase of change, a 42-year-old male client who
struggles with gambling discusses how he plans to abstain from
gambling. He tells the PMHNP, “I am no longer going to carry
cash to the casino because you can’t spend what you don’t
have.” The PMHNP uses an affirming communication skill when
she states:
· Question 70
0 out of 1 points
A PMHNP is using Gestalt therapy to communicate with a 42-
year-old patient who is upset with her mother. She says, “I want
to tell her how hurt I feel when she doesn’t call me, but I don’t
want to upset her.” What technique can the PMHNP use to help
136. Sasha express herself?
Response Feedback:
“B” is the correct answer. Empty-chair dialogue is a Gestalt
therapy technique used to help a person who is having trouble
expressing feelings to another person. “A” is incorrect—the
language of responsibility technique is used to help increase
awareness. “C” is incorrect—dreamwork is a technique used to
focus on dreams. “D” is incorrect—focusing is a technique used
to deepen contact with alienated aspects of self.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 10 page 382 for further information.
· Question 71
1 out of 1 points
137. A PMHNP is assessing a 40-year-old patient named Sarah who
has a severe cocaine addiction and mild depression. Using the
four-quadrant model, what would be the most appropriate
setting to help the patient?
· Question 72
1 out of 1 points
An 8-year-old has been having trouble making friends at school.
His parents initiated treatment when he also started acting out at
home. Which is the most appropriate step that the PMHNP takes
during the assessment process when using an integrated
approach?
138. · Question 73
1 out of 1 points
Following an attempted suicide, Mr. Durham was admitted to an
acute psychiatric facility. After 4 weeks in treatment, he is
preparing for discharge. He is beginning to miss individual and
group therapy sessions and has refused medications twice in the
past 2 days. The PMHNP demonstrates understanding in this
phase by saying which of the following statements?
139. · Question 74
0 out of 1 points
The PMHNP is working with a patient who describes having a
painful and traumatic childhood experience, which causes her to
have anxiety as an adult. When asked how she manages her
anxiety, the patient dismisses it and denies that it is a problem.
Using the supportive psychotherapy approach, the PMHNP will
do which of the following when assessing the patient’s ego
strength?
Response Feedback:
“A” is the correct answer. When assessing the strength of the
ego, the PMHNP will identify the primary defenses the patient
140. uses to ward off anxiety. “B” and “C” are incorrect, as
attachment style has to do with the person’s fear of rejection,
intimacy, and interpersonal distance in relationships, and is not
involved in assessing the strength of the patient’s ego.
See Wheeler, K., Psychotherapy for the advanced practice
psychiatric nurse: A how-to guide for evidence-based practice,
Chapter 5 page 239 for further information.
· Question 75
1 out of 1 points
While assessing a patient using a humanistic-existential
approach, a patient tells the PMHNP, “For the past few weeks,
I’ve felt anxious almost every single day.” What would be an
appropriate next step by the PMHNP?
141. Sunday, August 13, 2017 10:37:23 PM EDT
Assignment 2: Organizational Structure
You are the HR manager for a small retail company that sells a
high volume of products over the Internet. Your company is
growing rapidly due to increased Internet sales. Your company
prides itself on providing high-quality products and services.
The Customer Service department is integral to the success of
the company. Over the past few months, the Customer Service
department has been unable to fill its openings for Customer
Service Representative positions. You suspect there could be a
number of reasons for this, but you know you first need to look
at the job, the work flow, the knowledge, skills, abilities, and
experience the company is seeking to ensure the job reflects the
current workload and expectations.
Write a six to eight (6-8) page paper in which you:
1. Examine at least three (3) approaches that you can take as the
HR manager to conduct a job analysis of the Customer Service
Representative position. Suggest the major pros and cons of
each selected approach. Recommend the approach that would be
142. most effective in conducting the job analysis for this
organization. Justify your recommendation.
2. Select two (2) out of the four (4) approaches to job design
that are the most important for you to consider. Suggest two (2)
challenges that you may encounter when designing a job using
each of the selected approaches. Support your response with
specific examples to illustrate the potential advantages and
disadvantages of using each approach.
3. Using the four (4) approaches to job design, create two (2)
strategies that the organization can implement to attract and
select qualified applicants for the Customer Service
Representative position. Justify the main reasons that the
selected strategies would be effective.
4. Propose three (3) ways that you can use the information
obtained from a job analysis to measure the performance of
Customer Service Representatives. Provide a rationale for your
response.
5. Use at least four (4) quality academic (peer-reviewed)
resources in this assignment. Note: Wikipedia and other
Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
· Be typed, double spaced, using Times New Roman font (size
12), with one-inch margins on all sides; citations and references
must follow APA or school-specific format. Check with your
professor for any additional instructions.
143. · Include a cover page containing the title of the assignment, the
student’s name, the professor’s name, the course title, and the
date. The cover page and the reference page are not included in
the required assignment page length.
The specific course learning outcomes associated with this
assignment are:
· Analyze issues involved in job design, resource planning, and
recruitment.
· Evaluate an organization’s approaches to and procedures for
training employees to meet organizational goals.
· Examine performance management issues and processes.
· Use technology and information resources to research issues in
human resource management foundations.
· Write clearly and concisely about human resource management
foundations using proper writing mechanics.
Grading for this assignment will be based on answer quality,
logic / organization of the paper, and language and writing
skills. Click here to access the rubric for this assignment.