Walden WMBA6681 WEEK 5 Discussion 1

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Walden WMBA6681 WEEK 5 Discussion 1 Qualitative Considerations and Linear Profit Models

NURSE 6640 FINAL

Question 1

1 out of 1 points

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?

Question 2

0 out of 1 points

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 3

1 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 Sasha express herself?

Question 4

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?

Question 5

0 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 6

1 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?

Question 7

1 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?

Question 8

1 out of 1 points

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 9

1 out of 1 points

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 10

0 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”?

Question 11

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?

Question 12

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 13

0 out of 1 points

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 14

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 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 15

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?

Question 16

1 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?

Question
17

0 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?

Question 18

0 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?

Question 19

1 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?

Question 20

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 21

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?

Question 22

0 out of 1 points

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 23

1 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?

Question 24

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 25

1 out of 1 points

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 26

1 out of 1 points

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 27

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 28

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 29

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?

Question 30

1 out of 1 points

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

Question 31

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?

Question 32

1 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?

Question 33

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 34

0 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
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 35

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 PMHNP say next?

Question 36

1 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?

Question 37

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 38

1 out of 1 points

The
PMHNP is communicating with a middle-aged male patient who has a history of
addiction to Percocet (acetaminophen/oxycodone). The patient suddenly yells, “I
do not have a problem with pain pills! I’ve never had an overdose and no one
even knows that I take them unless I tell them.” The PMHNP understands that
there are phases of change and can best demonstrate “focusing” by responding
with:

Question 39

1 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?

Question 40

1 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 to this case?

Question 41

1 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?

Question 42

1 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?

Question 43

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 44

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?

Question 45

0 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?

Question 46

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 does the PMHNP respond?

Question 47

1 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?

Question 48

1 out of 1 points

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?

Question 49

0 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 ___________.

Question 50

1 out of 1 points

When
recalling the phases of change, the PMHNP demonstrates “open questioning” in
the “engagement” phase by making which statement?

Question 51

0 out of 1 points

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 52

1 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 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?

Question 53

0 out of 1 points

How
does the PMHNP approach termination with the patient who has been receiving
intermittent therapy?

Question 54

1 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?

Question 55

1 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?

Question 56

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 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 57

0 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 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 58

1 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:

Question 59

1 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?

Question 60

0 out of 1 points

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 61

1 out of 1 points

The
PMHNP who practices motivational interviewing understands its relationship to
patient behaviors and/or outcomes to mean which of the following?

Question 62

1 out of 1 points

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?

Question 63

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?

Question 64

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 when terminating treatment with this
patient?

Question 65

1 out of 1 points

When
completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?

Question 66

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 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 67

1 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
primary action by the PMHNP?

Question 68

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 69

1 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?

Question 70

0 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?

Question 71

1 out of 1 points

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 72

1 out of 1 points

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?

Question 73

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?

Question 74

1 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 response by the PMHNP using the technique of focusing?

Question 75

1 out of 1 points

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 76

1 out of 1 points

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:

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