2026 NEW VERSION PASSED PRE-ASSESSMENT FOR D344 The Assessment and Diagnostic Process of Psychiatric Nurse Practitioner Practice Western Governors
University 1 A patient is referred to a nurse practitioner (NP) by their primary care provider after scoring 13 on the Patient Health Questionnaire-9, indicating moderate depression. What should be the first action by the NP? Prescribe psychotherapy Prescribe an antidepressant CorrectPerform a comprehensive psychiatric evaluation Perform routine laboratory diagnostic tests 2 A 25-year-old patient participates in a comprehensive psychiatric evaluation with a nurse practitioner (NP). The NP uses the 5As framework as a counseling method for tobacco use cessation. What should the NP do first? Arrange support to quit Advise to quit tobacco use CorrectAsk about tobacco use Assess willingness to quit 3 A 23-year-old presents to a local emergency department with new-onset paralysis of lower extremities. The patient denies any trauma or pain. A neurological workup including imaging is negative. No etiology of the patient's paralysis is determined. The nurse practitioner (NP) conducts a holistic assessment and evaluation, including a focused physical assessment. The evaluation includes an in-depth interview to discuss any stressors, trauma, or recent life changes. After the evaluation, the patient is diagnosed with a somatic symptom disorder (SSD). The NP recognizes that this diagnosis is often associated with depression, anxiety, and the risk of suicide. After treatment is started, the paralysis resolves. Which modality of treatment should be recommended to help prevent relapses in this patient? Integrative therapy Psychodynamic therapy CorrectCognitive behavioral therapy Humanistic therapy 4 A patient distressed from a recent breakup with a significant other and job loss due to an alcohol use disorder is in the precontemplation stage of change. The nurse practitioner (NP) wants to use a therapeutic modality based on a short-term therapeutic relationship. Which form of therapy should the NP use to stabilize the patient?