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1 WGU D344 DIAGNOSTIC PROCESSES ASSESSMENT (PMHNP) EXAM &
STUDY GUIDE COMPLETE 500+ QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST UPDATE THIS YEAR - JUST RELEASED
One day Jon is holding a brightly wrapped gift box that he presents to the PMHNP. "For you," he says, "for being so patient with me." The PMHNP says, "This is very thoughtful and generous, but our agency usually does not allow us to accept gifts" "Open it, at least, "and see what it is." Said Jon. The gift is a gold keychain. "That's 14-karat gold," Jon states proudly."Jon, this is a lovely gift and so thoughtful of you to think of me. However, I cannot accept such an expensive piece from a client. Further, the agency does not allow us to accept any gifts."Jon looks crestfallen, and then annoyed. "See, this is how it always is. Anytime I try to show appreciation to someone, I get rejected. My mother did the same thing every time I tried to make her happy. Nothing I do is ever good enough for any of you!"Which dynamic is occurring in this exchange?
-Countertransference
-Rejection
-Transference
-Termination -Transference 1 / 4
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2 Why do clients employ "testing behaviors" such as forgetting an appointment or arriving late?
-To end the therapeutic relationship
-To assert dominance in the therapeutic relationship
-To see if the nurse will really accept them
-To passively express anger about their nursing care -To see if the nurse will really accept them Jon has been meeting regularly with the PMHNP. He feels comfortable talking with him about his relationship with his partner and her child, his family of origin, his struggles at work, and his concerns and worries. Over time, he has become more open to looking at challenges differently and trying new strategies instead of withdrawing and becoming more depressed.He has not thought about suicide for several weeks.Jon's behavior best describes which stage of the nurse-client relationship?
-Orientation
-Resolution
-Working
-Maintenance 2 / 4
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3 -Working The PMHNP goes on vacation and has a colleague provide coverage for his clients. Upon his return, one of his clients does not call or keep three appointments in a row. According to the reading in Carlat (2017), which type of defense mechanism is this most likely an example of?
-Psychotic
-Mature
-Immature
-Neurotic -Immature A client gets upset with the PMHNP after they disagree on the treatment plan. The client gets up, punches the wall, and leaves the room, slamming the office door. Which defense mechanism is the client using?
-Displacement
-Omnipotence
-Projection
-Dissociation 3 / 4
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4 -Displacement
Which clinician behavior can foster a therapeutic alliance?-Educating the client about the nature of the interview -Protecting one's own time -Starting the interview with questions about sensitive topics -Doing the majority of the talking while the client does the majority of the listening -Educating the client about the nature of the interview What could be a primary reason the PMHNP would ask a patient to talk a little about himself/herself?-To fill an uncomfortable silence -To get to know the patient better -Because the PMHNP is not sure what to ask the patient first -To make small talk -To get to know the patient better During an initial meeting, the client asks the PMHNP what city he lives in, whether he is married, and whether he has any children. Which of the following would be the best response by the PMHNP?-"You are asking intrusive questions that are not any of your business." -"I'm going to ignore those questions because this interview is about you, not me." -"Let's talk about you right now."
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