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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.”