NP Exam Coach

82. Section 1 – TMC
A PMHNP is conducting a Motivational Interviewing (MI) session with a patient who has been struggling with medication adherence for a psychiatric condition. The patient consistently expresses a lack of belief in the effectiveness of their medications. Which MI principle should the PMHNP employ to address this issue?
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A. Emphasize the importance of medication adherence and the consequences of non-adherence
B. Provide the patient with educational materials on the benefits of the prescribed medications
C. Elicit and explore the patient’s own beliefs and concerns about their medications
D. Suggest switching the patient to alternative medications without further discussion

84. Section 1 – TMC
A PMHNP is using Motivational Interviewing with a patient who is reluctant to engage in therapy for an anxiety disorder. The patient expresses concerns about the cost of therapy and the time commitment required. Which MI strategy should the PMHNP use to address these barriers?
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A. Provide financial assistance or offer to cover therapy costs
B. Suggest the patient try therapy for a few sessions to see if it helps
C. Elicit the patient’s concerns about cost and time commitment and explore their values and priorities
D. Recommend group therapy as a more cost-effective alternative

83. Section 1 – TMC
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A PMHNP is conducting a Motivational Interviewing session with a patient who has a history of self-harm and is ambivalent about seeking help for underlying emotional issues. The patient states that they often feel overwhelmed and unsure how to cope. How should the PMHNP respond based on MI principles?

A. Offer immediate solutions and referrals for therapy
B. Express concern and urge the patient to seek help immediately
C. Reflect the patient’s feelings of overwhelm and explore their reasons for considering change
D. Recommend inpatient psychiatric hospitalization to ensure safety

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79. Section 1 – TMC
You are a psychiatric mental health nurse practitioner (PMHNP) working in a pediatric clinic. A concerned parent has brought their 3-year-old child, Emma, for an evaluation due to developmental concerns. The parent is looking for guidance on whether further assessment for Autism Spectrum Disorder (ASD) is warranted. You decide to use a screening tool to assess Emma’s risk of ASD. Which of the following screening tools is specifically designed to identify potential signs of Autism Spectrum Disorder (ASD) in young children, and what is the rationale for this choice?
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A. Hamilton Anxiety Rating Scale (HAM-A)
B. Modified Checklist for Autism in Toddlers (M-CHAT)
C. Beck Depression Inventory (BDI-II)
D. Vanderbilt ADHD Diagnostic Parent and Teacher Rating Scales

80. Section 1 – TMC
A patient with a history of alcohol use disorder has been attending Motivational Interviewing sessions regularly but seems ambivalent about making changes. During a session, the patient mentions that they have recently experienced several alcohol-related health issues. How should the PMHNP respond, considering the principles of Motivational Interviewing?
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A. Advise the patient to quit drinking immediately due to the health risks
B. Reflect on the patient’s health concerns and explore their thoughts about changing drinking behavior
C. Confront the patient about their continued alcohol use and its consequences
D. Suggest medication-assisted treatment without further discussion

81. Section 1 – TMC
During a Motivational Interviewing session, a patient consistently expresses reluctance to change their substance use habits. The PMHNP notices that the patient becomes defensive and agitated when discussing the topic. Which Motivational Interviewing technique can help in this situation?
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A. Confront the patient’s resistance directly to break through their defenses
B. Offer the patient a reward or incentive for changing their behavior
C. Use reflective listening and empathetic responses to explore the patient’s feelings and ambivalence
D. Shift the conversation to a different topic to avoid confrontation