NR606 Week 4 Midterm Exam
Psychiatric Mental Health Nurse Practitioner I
75 Questions | Comprehensive Assessment
QUESTION 1 OF 75
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A client in group therapy who constantly interrupts others was asked by another
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group member to not interrupt as they speak. Which principle of group therapy
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does this exemplify?
■ A. Group cohesiveness
■ B. Altruism
■ C. Existential factors
■ D. Development of socializing techniques
✓ Correct Answer: D. Development of socializing techniques
Rationale: Peers giving feedback about interpersonal behavior exemplifies development of socializing
techniques in group therapy (Yalom's curative factors).
,QUESTION 2 OF 75
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A client presents with difficulties following her divorce from an abusive spouse.
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She is afraid of being alone, can't decide whether to get an apartment or house, is
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living with her sister, and is actively dating through a website to find another
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partner soon. These symptoms are consistent with which diagnosis?
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■ A. Dependent personality disorder
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■ B. Avoidant personality disorder
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■ C. Histrionic personality disorder
■ D. Borderline personality disorder
✓ Correct Answer: A. Dependent personality disorder
Rationale: Fear of being alone, inability to make independent decisions, and urgently seeking a new
relationship after a breakup are hallmarks of dependent personality disorder (DSM-5).
,QUESTION 3 OF 75
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A 12-year-old presents for therapy after being bullied in school. The therapist
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researches the school's policies and available resources. Which assumption of
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therapy is the therapist considering?
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■ A. Resiliency
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■ B. Systems involvement
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■ C. Family involvement
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■ D. Developmental considerations
✓ Correct Answer: B. Systems involvement
Rationale: Looking beyond the individual to the broader school system reflects a systems involvement
approach, considering external environments that affect the client.
, QUESTION 4 OF 75
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A client presents to the emergency department following a nonfatal suicide attempt.
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She states her boyfriend just broke up with her due to her bad temper and constant
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moodiness, and she can't be alone. Her forearms and thighs show thin cuts and
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scars at various stages of healing. What is this client's most likely diagnosis?
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■ A. Narcissistic personality disorder
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■ B. Antisocial personality disorder
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■ C. Borderline personality disorder
■ D. Dependent personality disorder
✓ Correct Answer: C. Borderline personality disorder
Rationale: Self-harm, emotional instability, fear of abandonment, impulsive suicidal behavior, and unstable
relationships are classic DSM-5 criteria for borderline personality disorder.
Psychiatric Mental Health Nurse Practitioner I
75 Questions | Comprehensive Assessment
QUESTION 1 OF 75
i a
uv
St
x-
fe
ht
rig
:B
m
ro
yF
nl
A client in group therapy who constantly interrupts others was asked by another
yO
group member to not interrupt as they speak. Which principle of group therapy
Bu
does this exemplify?
■ A. Group cohesiveness
■ B. Altruism
■ C. Existential factors
■ D. Development of socializing techniques
✓ Correct Answer: D. Development of socializing techniques
Rationale: Peers giving feedback about interpersonal behavior exemplifies development of socializing
techniques in group therapy (Yalom's curative factors).
,QUESTION 2 OF 75
i a
uv
St
x-
fe
ht
rig
A client presents with difficulties following her divorce from an abusive spouse.
:B
She is afraid of being alone, can't decide whether to get an apartment or house, is
m
living with her sister, and is actively dating through a website to find another
ro
partner soon. These symptoms are consistent with which diagnosis?
yF
■ A. Dependent personality disorder
nl
yO
■ B. Avoidant personality disorder
Bu
■ C. Histrionic personality disorder
■ D. Borderline personality disorder
✓ Correct Answer: A. Dependent personality disorder
Rationale: Fear of being alone, inability to make independent decisions, and urgently seeking a new
relationship after a breakup are hallmarks of dependent personality disorder (DSM-5).
,QUESTION 3 OF 75
i a
uv
St
x-
fe
ht
rig
A 12-year-old presents for therapy after being bullied in school. The therapist
:B
researches the school's policies and available resources. Which assumption of
m
therapy is the therapist considering?
ro
yF
■ A. Resiliency
nl
■ B. Systems involvement
yO
■ C. Family involvement
Bu
■ D. Developmental considerations
✓ Correct Answer: B. Systems involvement
Rationale: Looking beyond the individual to the broader school system reflects a systems involvement
approach, considering external environments that affect the client.
, QUESTION 4 OF 75
i a
uv
St
x-
fe
ht
rig
A client presents to the emergency department following a nonfatal suicide attempt.
:B
She states her boyfriend just broke up with her due to her bad temper and constant
m
moodiness, and she can't be alone. Her forearms and thighs show thin cuts and
ro
scars at various stages of healing. What is this client's most likely diagnosis?
yF
■ A. Narcissistic personality disorder
nl
yO
■ B. Antisocial personality disorder
Bu
■ C. Borderline personality disorder
■ D. Dependent personality disorder
✓ Correct Answer: C. Borderline personality disorder
Rationale: Self-harm, emotional instability, fear of abandonment, impulsive suicidal behavior, and unstable
relationships are classic DSM-5 criteria for borderline personality disorder.
