Managing Patient Concerns and Developmental Stages
11. A 60-year-old man with alcohol use disorder in remission presents to the
psychiatric ED and is very distraught. ,He tells the PMHNP that he was at
his daughter’s wedding and called upon to make a toast. The waiter had
handed him the champagne glass, and he took a sip of alcohol for the
first time in 10 years. He tells the PMHNP that he is concerned he may
relapse and go back to his old ways. What is the best response by the
PMHNP?
A. “Don’t worry; it was only one drink.”
B. “How have you been able to maintain your sobriety for so long?”
C. Tell the patient he will be admitted to inpatient rehab.
D. Start the patient on naltrexone 50 mg daily for alcohol use disorder
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Managing Patient Concerns and Developmental Stages
12. A 25-year-old female, admitted to an extended observation psychiatric unit,
observes that another patient is placed on 1:1 observation status after
expressing suicidal ideations to her psychiatrist. During her meeting with
the PMHNP, the patient tells him that she would like to have 1:1
observation because she too is feeling suicidal. What is the best response
by the PMHNP?
A. “What is your plan to commit suicide?”
B. “I will place you on 1:1 status, your safety is very important to us.”
C. Order Haldol 5 mg, and Ativan 2 mg PO X 1 now.
D. Put the patient in therapeutic seclusion to prevent self-harm.
13. A middle-school girl who is timid to take any risks, prefers solitary
activities, and does not ask questions of her teachers for fear that she is
bothering them likely did not master which developmental stage?
A. Trust versus mistrust
B. Autonomy versus shame and doubt
C. Industry versus inferiority
D. Initiative versus guilt
14. A 66-year-old registered nurse, who retired from psychiatry 3 years ago,
spends much of her time watching television. She is easily irritated by
those interrupting her shows and has no desire to engage in any activities
or identify with a broader community. Which developmental stage did
she fail to master?
A. Generativity versus stagnation
B. Ego integrity versus despair
C. Industry versus inferiority
D. Initiative versus guilt APA