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The PMHNP has been assisting a shy and timid 23-year-old male patient struggling with
esteem and self-concept issues. Over the weekend, this patient was given the task of
completing an exercise that would usually cause him distress and shame, also called a
shame-attacking exercise. The PMHNP determines that this task has successfully been
achieved when the patient states: (" t“
t" A. “I was able to eat in public yesterday despite how loudly I chew.” B.
C. D. “I confessed all of my infidelities to my ex—spouse yesterday.” “I calmly sat through a conversation with my spouse in which she confessed all
of her infidelities to me.” “I journaled the shame and guilt that I’ve been feeling from my past that has
been holding me back.”

 
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1. The PMHNP employs psychodynarnic psychotherapy with a patient who experiences
anxiety and depression. As the process enters the psychoanalytic end of the psychodynarnic continuum, the PMNHP will focus on: A. Interpreting unconscious conflict in the patient
B. Restoring the patient’s functioning and stabilization C. Reducing the patient’s anxiety 1’3")? D. Strengthening the patient’s defenses

 
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The PMHNP meets with an adolescent patient who has depression and often presents
with resistance when discussing his parent’s divorce. For the past couple of sessions, the patient has been quiet, sometimes refusing to speak. To further support the therapeutic
relationship, the PMNHP: A. Observes and points out the behavior
B. Stays quiet until the patient is ready to speak C. Brings in a colleague to help get the patient to talk
D

 
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Why does the PMHNP avoid treating a patient with cyclothymia,

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 Why does the PMHNP avoid treating a patient with cyclothymia, and has major depressive episodes, with

antidepressant monotherapy?

A.

The patient may experience paranoid avoidant behavior.

B.

The patient may experience severe depression.

C.

The patient may experience auditory hallucinations.

D.

The patient may experience increased mood cycling.

1 points

 
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