An outpatient substance abuse clinic provides vouchers to clients who have a negative urine drug screen. This is an example of which of the following?

A 44-year-old woman presents to the psychiatric nurse practitioner at the urging of, and accompanied by, her older sister. The patient identifies her sister as her “best friend.” Her chief complaint, according to the sister, is “lifelong social anxiety.” The client has a constricted affect and speaks in mostly one- or two-word answers. Her clothes are mismatched and are too large for her. The sister says, “All she wants to do is sit at home and watch Ancient Aliens.” The PMHNP asks the woman if she has ever seen a UFO, and she suspiciously says “Yes, but my sister doesn't believe me. I have had ESP ever since I saw the UFO when I was 6 years old.” Of the following, which most closely represents this clinical scenario?

A 23-year-old pregnant woman has been referred to the PMHNP by her OB/GYN for management of bipolar disorder. Lithium should be avoided in the first trimester due to which potential teratogenic risk?

The psychiatric-mental health nurse practitioner discusses with a colleague her feelings about a new client. "I am having unsettling feelings of anger toward this client, whom I just met. I think she reminds me of my mother." This is an example of which defense mechanism?

In dialectical behavior therapy (DBT), which of the following is not one of the three primary states of mind presented during mindfulness skills training?

A 22-year-old woman is seeing the PMHNP for the second time this week. At her last visit, she told the nurse practitioner she was the "best therapist in the whole world!" This week, however, the client says the PMHNP is "seriously the most horrible therapist in the universe." The patient talks in extremes and seems to see the world in black and white. Which modality helps clients understand that two opposing ideas can both be true?

Which of the following behaviors indicates transference that is affecting the therapeutic relationship between the patient and the nurse practitioner?

A 24-year-old single woman presents to the PMHNP for a psychiatric evaluation after discharge from an inpatient psychiatric unit, where she had been admitted for a suicide attempt. She cut her wrists after her boyfriend of one month broke up with her. She reports a long history of self-mutilation, impulsiveness, and no relationship lasting longer than three months. Which is the most likely diagnosis?

A client states that her fiancé just ended their relationship. The PMHNP says, “Oh no! That is awful! You must be so heartbroken.” This is an example of what?

The PMHNP is treating a 26-year-old woman who has borderline personality disorder (BPD). Today, the client says her most recent breakup has left her "completely devastated" and she is thinking about cutting herself. The PMHNP knows dialectical behavioral therapy (DBT) is the most effective form of therapy for patients with BPD. In this case, which of the following would be a goal of DBT?

A married couple brings their two children to counseling for behavioral problems. The 13-year-old son is smoking and skipping school, and the 16-year-old daughter is staying out past her curfew and sneaking out at night. According to family systems theory, who is the identified patient?