Patient Engagement in Treatment
6. The PMHNP is explaining the risks and benefits of long-acting injectable
antipsychotics to a patient with a history of medication nonadherence.
The patient is asking logical questions that demonstrate he can
understand the facts. Which process of changing represents the patient’s
position?
A. Social liberation
B. Reinforcement management
C. Self-liberation
D. Consciousness raising
Patient Engagement in Treatment
7. The PMHNP has prescribed a patient naltrexone and bupropion for binge
eating disorder. The patient has lost 4 lbs. since her last visit 1 month
ago. The patient states that sometimes she finds it very difficult to not
binge eat when her emotions are intense, and expresses doubt in her
ability to make a lasting change. Which of the following is the best
response?
A. “I can increase your dose of medication or augment you with another
medication.”
B. “On a scale of 1 to 10 how important is this change for you to
make?”
C. “Give me an example of something in your life that you are most
proud of achieving.”
D. “Would you like a referral to a dietician?”
Patient Engagement in Treatment
8. A 35-year-old female with personality disorder not otherwise specified
takes quetiapine 50 mg qhs for sleep, and 12.5 mg q6h PRN for anxiety.
She tells the PMHNP that no one seems to understand how much stress
she is under and would like to change providers. Which of the following
would be the best response?
A. “Do you think you need your medication adjusted?”
B. “It sounds to me like you are frustrated and do not feel listened to.”
C. “I can give you a list of three psychiatrists whom you can choose
from to give you the care you want.”
D. “It will take some time for the medication to reach full effect before
you are feeling better.”
9. Which of the following is a therapeutic technique to facilitate a health
behavior change in a 28-year-old male with substance use disorder
who is in denial regarding the severity of his habit?
A. Solution-focused therapy
B. Strategic therapy
C. Psychopharmacology with naltrexone 50 mg daily APA
