Description
NR548 Week 4 Exam Guide

Question 1
Which interview phase is critical for alliance building?
A. body
B. follow up
C. opening
D. closing
Question 2
Which is the mental health diagnosis with the highest lifetime relative risk if a first-degree relative has the disorder?
A. bipolar I-II disorders
B. schizophrenia
C. bulimia nervosa
D. panic disorder
Question 3
A client who was recently engaged just learned that her fiancé had cheated on her. The PMHNP responds, “I am so sorry.” What technique is the PMHNP using?
A. providing direction
B. false reassurance
C. providing sympathy
D. summarizing
Question 4
Which question is essential when exploring the history of the present illness?
A. Why do you think your symptoms are a mental health issue?
B. Do you think you need to be here? You don’t look like you are depressed!
C. Have you tried hard enough to cope with this alone?
D. Have there been any events that you think have caused your problem?
Question 5
What is the time frame for the PMHNP to assess the history of present illness (HPI)?
A. 2 weeks
B. 2 days
C. 6 weeks
D. 2 months
Question 6
What is the definition of transference?
A. A client’s displacement or projection of feelings or wishes towards important individuals in the client’s past, such as parents, onto the therapist.
B. An individual’s need to deny accountability and place blame for their actions on others.
C. A therapist’s conscious or unconscious reactions to a client based on the therapist’s psychological needs or conflicts.
D. A therapist’s need to transfer their concerns for the client onto other clients in their practice.
Question 7
Which technique(s) would be useful when approaching threatening or sensitive topics?
1.) Normalization
2.) Symptom expectation
3.) Use of nonjudgmental terminology
A. 2 and 3
B. 1
C. 1 and 2
D. 1, 2, and 3
Question 8
Which interview phase is critical for establishing trust?
A. body
B. resource development
C. opening
D. closing
Question 9
What information pertaining to the psychiatric diagnosis is best obtained through a thorough medical history?
A. previous surgeries and hospitalizations
B. compliance with past therapeutic regimens
C. previous history of legal problems
D. medical causes of symptoms
Question 10
What will obtaining a medical and psychiatric review of systems enable the PMHNP to differentiate?
A. psychosomatic illness from actual physical health problems
B. malingering from real physical diagnoses
C. psychiatric diagnosis from psychiatric symptoms caused by medical problems
D. a long-term physical health problem from a short-term problem
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