Explore the meaning of significant adverse life experiences.Explore the meaning of significant adverse life experiences D. Process all dimensions of memory associated with the trauma1 points Question 58 1.
Explore the meaning of significant adverse life experiences D. Process all dimensions of memory associated with the trauma1 points Question 58 1. Your patient is a 65-year-old male who has a strained relationship with his son and daughter. His children refuse to participate in a family session. The PMHNP asks the patient to draw his family genogram as a next step to _______________. A. assess the patient’s mental health status and functioning B. explore the interpersonal styles of each family member C. provide background information for the patient’s family structure D. measure the patient’s quality of well-being and productivity1 points Question 59 1. During cognitive behavioral therapy (CBT), a 64-year-old male patient, states, “My wife hates me! She’s just waiting for me to die.” Using Socratic dialogue (SD) the PMHNP demonstrates understanding of analysis when she responds: A. “Now, I’m sure your wife doesn’t hate you.” B. “Where is the evidence that your wife hates you?” C. “You seem convinced that your wife hates you.” D. “What has your wife done to make you believe this?” 1 points Question 60 1. The PMHNP is working with a patient who has insomnia and battles going to sleep. The patient reports consistent self-defeating behaviors, and hates trying to go to sleep. Which action made by the PMHNP demonstrates the use of a paradoxical intervention? A. Telling the patient to start trying to go to sleep earlier, since it takes long to fall asleep B. Telling the patient to resist sleep and stay awake C. Having the patient perform a relaxing ritual before bedtime D. Instructing the patient to avoid stimulants and sugars for 3 hours before falling asleep1 points Question 61 1. The PMHNP is working with a patient who seems dissatisfied with the therapeutic relationship. The PMHNP invites the patient to discuss her feelings regarding the PMHNP openly and honestly. It becomes clear to the PMHNP that they are experiencing an alliance rupture. How does the PMHNP repair the therapeutic alliance? A. Responding to the patient in a nondefensive manner and accepting responsibility for the PMHNP’s part in the tension B. Emphasizing with the patient’s experiences and validating the patient for bringing it up C. Considering changing the goals of the patient’s treatment D. All of the above1 points Question 62 1. The patient attempts the PMHNP’s sleep hygiene recommendations for 2 weeks, but does not make any progress mitigating nightmares and hyperarousal. Which behavioral strategy does the PMHNP suggest next? A. Progressive muscle relaxation exercises B. Paradoxical interventions C. Biofeedback D. All of the above1 points Question 63 1. A PMHNP is taking a history and wants to assess how the patient copes with adversity. To do so, the therapist asks questions about the patient’s belief system. What would be an appropriate question to ask? A. “What are your beliefs about therapy and seeking help?” B. “To what extent do your religious beliefs give you comfort?” C. “What gives you a sense of meaning and purpose in life?” D. All of the above.1 points Question 64 1. An 11-year-old patient has been exhibiting low self-esteem at school and acting out. According to Maslow’s hierarchy of needs, which of the following questions would best be addressed first by the PMHNP? A. “Are Joel’s peers including him at recess?” B. “Does Joel feel safe and secure at school?” C. “Is Joel getting enough sleep at home?” D. “How can Joel feel that he is loved?”1 points Question 65 1. The PMHNP is treating a 35-year-old male officer in the military. He discloses that both of his parents are deceased and that he loved them. However, he says that he had feelings of inadequacy because his parents held him to a standard that he could never achieve. He went on to say that nothing he did ever felt good enough. The PMHNP assesses that this patient has perfect creases in his uniform with no strings or tags out of place;
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