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    Exam Review

    1. Which form of therapy was developed by Virginia Satir?
      A)
      Structural family therapy
      B)
      Strategic therapy
      C)
      Experiential therapy
      D)
      Solution-focused therapy
    2. Aggression can be caused by stimulation of which area of the brain, which also regulates fear and anxiety?
      A)
      Basal ganglia
      B)
      Putamen
      C)
      Anterior cingulate
      D)
      Amygdala
    3. A client states that her fiancé just ended their relationship. The PMHNP says, “Oh no! That is awful! You must be so heartbroken.” This is an example of what?
      A)
      Accurate empathy
      B)
      Sympathy
      C)
      Confrontation
      D)
      Specificity
    4. Which of the following best describes a general approach to trauma-informed care?
      A)
      Due to the pervasiveness of trauma, clinicians must be aware of signs and symptoms of past and present trauma and do their best not to retraumatize clients.
      B)
      Due to the pervasiveness of trauma, clinicians must not diagnose mental illness until trauma has been ruled out.
      C)
      Trauma is widespread and must be assessed at each visit in order to determine an adverse childhood experience (ACE) score.
      D)
      Trauma is widespread, and clinicians must assume everyone has had some form of trauma. Trauma contributes to dysfunctional behavior.
    Page 1 of 25

    Exam Review

    1. A mother sees her 4-year-old boy masturbating. She expresses concern about this to the PMHNP and says she wants to know if he has been sexually abused. What is the most appropriate response?
      A)
      "Yes, this is a clear sign he has been abused. I need to call Child Protective Services."
      B)
      "It's possible he has been abused. Bring him in and let me evaluate him."
      C)
      "This is part of a normal developmental stage for a child his age."
      D)
      "Have you ever left him in a place where he could have been abused?"
    2. A 32-year-old woman was diagnosed with schizophrenia approximately 4 years ago. She has been stable on haloperidol for 1 year, following trials with several atypical antipsychotics. Two weeks ago, she began exhibiting mild pseudo-Parkinson's disease symptoms. Because she did not achieve symptom control on so many medications, the PMHNP is reluctant to discontinue the haloperidol and instead chooses to treat the side effect. Which class of medications is the most appropriate for treating these side effects?
      A)
      Cholinesterase inhibitor
      B)
      Histamine 1 antagonist
      C)
      Alpha 1 adrenergic agonist
      D)
      Muscarinic 1 agonist
    3. In which phase of group therapy are the members concerned about rejection?
      A)
      Forming
      B)
      Storming
      C)
      Norming
      D)
      Performing
    4. A 26-year-old woman with a history of suicide attempts and unstable romantic relationships has tried many forms of medications without success. Which form of therapy will be most effective for her?
      A)
      Cognitive behavioral therapy
      B)
      Solution-focused therapy
      C)
      Humanistic therapy
      D)
      Dialectical behavioral therapy
    Page 2 of 25

    Exam Review

    1. A PMHNP is firm in his Christian beliefs. He has a new client who is an atheist. Which of the following concepts is necessary to ensure the PMHNP can develop a strong therapeutic relationship with this client?
      A)
      Taking copious notes
      B)
      Asking preset questions to guide the discussion
      C)
      Nonjudgment
      D)
      Explain to the client how his personal views will not affect his ability to provide good counsel
    2. A 24-year-old single woman presents to the PMHNP for a psychiatric evaluation after discharge from an inpatient psychiatric unit, where she had been admitted for a suicide attempt. She cut her wrists after her boyfriend of one month broke up with her. She reports a long history of self-mutilation, impulsiveness, and no relationship lasting longer than three months. Which is the most likely diagnosis?
      A)
      Histrionic personality disorder
      B)
      Narcissistic personality disorder
      C)
      Dependent personality disorder
      D)
      Borderline personality disorder
    3. In Piaget's formal operational developmental stage, what is the main characteristic?
      A)
      Self-absorption
      B)
      Circular reaction
      C)
      Hypothetico-deductive thinking
      D)
      Syllogistic reasoning
    4. What is a major benefit of group psychotherapy that individual psychotherapy does not provide?
      A)
      The leader has a less complex role than that of an individual counselor.
      B)
      The group leader nearly always possesses more training than an individual counselor.
      C)
      A group leader can lose control and members could experience emotional harm.
      D)
      Members learn to give help in addition to receiving it, and they develop relational skills.
    Page 3 of 25

    Exam Review

    1. The psychiatric-mental health nurse practitioner (PMHNP) meets with a new client for an evaluation. The client recently lost her older sister, and she remarks how much the PMHNP reminds her of her sister. At one point, she even calls the PMHNP by the sister's name. The PMHNP is concerned the new client could have the potential to experience which of the following?
      A)
      Countertransference
      B)
      Transference
      C)
      Projection
      D)
      Repression
    2. A 27-year-old woman with bipolar I disorder presents to the PMHNP for her regular medication management appointment. She announces that she is 12 weeks pregnant with her first child. This pregnancy was unplanned, and the patient is worried about her medications causing harm to her unborn fetus. Which statement is true about bipolar disorder and pregnancy?
      A)
      Divalproex (Depakote) is a safe alternative to lithium (Eskalith).
      B)
      Lithium (Eskalith) is safe during the first and third trimester.
      C)
      Carbamazepine (Tegretol) is a safe alternative to lithium (Eskalith).
      D)
      Clonazepam (Klonopin) does not carry an increased risk of major fetal malformations.
    3. A 49-year-old man presents to the PMHNP for his regular medication management appointment. He has schizophrenia and has been treated with thioridazine (Mellaril) for the past 15 years. The PMHNP decides to switch this patient to a different antipsychotic due to which serious long-term consequence of high-dose thioridazine?
      A)
      Hyperprolactinemia
      B)
      Priapism
      C)
      Tardive dyskinesia
      D)
      Retinal pigmentation
    4. The PMHNP has been working with a 28-year-old unmarried male client who has been late for his last three appointments. At this appointment, the nurse practitioner tells him he will need to reschedule if he runs late again. The client becomes upset and says this is why he has a hard time trusting medical professionals. “It's all about money, you don't really care about your patients.” What is the most appropriate response?
      A)
      “If everyone ran late, I would never get to go home and see my family.”
      B)
      “I must maintain a set schedule so that I can care for all of my patients.”
      C)
      “This all goes back to your issues with being abandoned as a child.”
      D)
      “The next time you are late, I will have to cut your appointment short.”
    Page 4 of 25

    Exam Review

    1. Jason is a 31-year-old man in recovery for substance use disorder for methamphetamines. He states that he can stay sober for a few months but always relapses due to boredom. He finally was able to stay sober after he got involved in extreme sports (e.g., hang gliding, windsurfing, and parachuting). He told his nurse practitioner, “I had to literally get high in order to stop getting high.” This is an example of:
      A)
      Sublimation
      B)
      Suppression
      C)
      Projection
      D)
      Transference
    2. Piaget believed that some adults never reach which stage of development?
      A)
      Sensorimotor
      B)
      Preoperations
      C)
      Concrete operations
      D)
      Formal operations
    3. The PMHNP is discussing a 33-year-old male client's alcohol use disorder and his reasons for possibly wanting to change. Which of the following statements by the PMHNP would be considered summarizing?
      A)
      Would you tell me more about how alcohol feels like fuel added to the fire?
      B)
      It sounds as if you have thought a lot about how alcohol might be contributing to your increasing anxiety issues. I can tell this is very important to you.
      C)
      Here is what I've heard so far. Relaxing and calming down is your main reason for drinking, but you are finding that the more you drink, the more anxious you are in the end. Rather than the alcohol putting out the fire, you are beginning to think it’s like adding fuel to it.
      D)
      So the alcohol used to help ease your anxiety, but now it actually causes anxiety.
    4. An outpatient substance abuse clinic provides vouchers to clients who have a negative urine drug screen. This is an example of which of the following?
      A)
      Contingency management
      B)
      Operant conditioning
      C)
      Cognitive learning
      D)
      Stimulus discrimination
    Page 5 of 25

    Exam Review

    1. A 10-year-old girl demonstrates to her class that water can turn into ice and can also turn back into water. She further explains that water can take the shape of any vessel in which it is poured. These concepts are known as reversibility and conservation, respectively, and are learned in which developmental stage?
      A)
      Freud's urethral
      B)
      Piaget's concrete operational
      C)
      Erikson's initiative vs. guilt
      D)
      Bowlby's clear-cut attachment
    2. Which theorist developed interpersonal theory and the stages of interpersonal development?
      A)
      Jean Piaget
      B)
      Erik Erikson
      C)
      Abraham Maslow
      D)
      Harry Stack Sullivan
    3. According to Freudian theory, a client who has alcohol use disorder and smokes to excess became fixated at which stage?
      A)
      Anal
      B)
      Oral
      C)
      Phallic
      D)
      Latent
    4. Which nursing theorist hypothesized that “carative factors” guide the core of nursing and should be implemented in healthcare?
      A)
      Hildegard Peplau
      B)
      Jean Watson
      C)
      Dorothy Orem
      D)
      Nola Pender
    Page 6 of 25