Posted: September 24th, 2022

A PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is going through a divorce.

NURS 6640 FINAL EXAM 2: WALDEN UNIVERSITY
NURS 6640 FINAL EXAM 2: WALDEN UNIVERSITY
Question 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 that Dave is tapping his fingers on his legs. What is an appropriate response by the PMHNP using the technique of focusing?

Selected Answer:
A.
“I noticed that your fingers were tapping. Can you give a voice to your fingers?”

Question 2

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”?

Selected Answer:
C.
“You have identified your weight as a problem in your marriage and but believe that losing weight will gain happiness.”

Question 3

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?

Selected Answer:
A.
Focusing too heavily on defenses

Question 4

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.

Selected Answer:
False

Question 5

The PMHNP is actively listening to Ms. Thomas who is detoxing from alcohol. Ms. Thomas is currently discussing with the PMHNP the reasons why she feels guilty about her drinking. Ms. Thomas tearfully states, “I have driven my family and friends away with this terrible habit. I have no one left. I had more than enough chances and now my children won’t even talk to me.” Which of the following statements demonstrate a simple reflection?

Selected Answer:
D.
All the above.

Question 6

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?

Selected Answer:
B.
Empty-chair dialogue

Question 7

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?

Selected Answer:
B.
“The type of treatment depends on the stage of dementia and safety considerations.”

Question 8

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 does the PMHNP respond?

Selected Answer:
D.
“That must be a very tiring work schedule. How do you feel about working so much?”

Question 9

When preparing to terminate a patient, what does the PMHNP do to organize thoughts about the patient’s progress made during treatment?

Selected Answer:
B.
Reviews the patient’s file to identify issues and important themes that were highlighted throughout treatment

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