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According to the treatment hierarchy framework, what needs does the PMHNP need to attend to first? The PMHNP is working with a patient who is living in poverty and abusing substances. According to the treatment hierarchy framework, what needs does the PMHNP need to attend to first?   A. Provide safety through case management strategies […]

The patients self-references are positive in relation to past events, work is productive, relationships are adaptive, and there is congruence between behavior, thoughts, and affect. Based on this information, the PMHNP decides the patient? A 35-year-old patient has been seeking treatment for depression for several months. The PMHNP does an assessment to see if processing

What recommendations based on principles of sleep hygiene will the PMHNP make? In your office, you see a 58-year-old patient with PTSD who reports having nightmares, making it impossible for her to sleep. What recommendations based on principles of sleep hygiene will the PMHNP make?   A. Eat a heavy meal before bedtime to induce

The PMHNP witnesses the patient present with anxiety and belabored breathing. What is the appropriate action of the PMHNP? The PMHNP has a session with a patient who was injured and traumatized from an explosion at the industrial plant where he used to work. During the session, an outside noise startles the patient and he

To further support the therapeutic relationship, the PMNHP: 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

Based on this information, the PMHNP would conclude that his interpersonal style is? A PMHNP is treating a 50-year-old patient who suffers from depression. When he was growing up, he was often responsible for taking care of his three younger siblings. Since then, the patient puts other people’s needs before his own. Based on this

To decrease sympathetic nervous system arousal, the PMHNP’s treatment strategy is? A 65-year-old patient has suffered the loss of his wife. He is in a state of hyperarousal with increased sympathetic nervous system arousal. One or more interventions may help the patient to deal with this arousal. To decrease sympathetic nervous system arousal, the PMHNP’s

What is an appropriate step for the PMHNP to take after finding out this information? A PMHNP’s patients have already signed confidentiality agreements, including limits that will be imposed on confidentiality. Months later, the state’s laws have changed that affect confidentiality promises the PMHNP has already made. What is an appropriate step for the PMHNP

True or false: An appropriate response that the PMHNP might tell the patient is, “I understand that you are upset. [Summarizes diagnosis, treatment recommendations, and follow-up plan.] We can continue the conversation next week. How does this time next Monday work for you?” When conducting an initial assessment, a PMHNP has finished conducting a mental

In order to walk the patient through the exercise, the PMHNP first says: A 35-year-old patient seeks treatment for depression and anxiety after an abusive relationship. To help empower the patient, the PMHNP wants to teach the safe-place exercise to create a feeling of calm. In order to walk the patient through the exercise, the