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NURS 6640 MIDTERM EXAM 2
(ALL ANSWERS ARE IN LAST PAGE)
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NURS 6640 MIDTERM EXAM 2
(ALL ANSWERS ARE IN LAST PAGE)
QUESTION 1
1. The PMHNP understands that anxiety and depression are two disorders in which
their symptoms may overlap. When discussing this, you explain that the autonomic
nervous system is activated and further helps distinguish anxiety symptoms by
making the following points:
2. A. “You may experience an elevated heart rate, constant worrying, and diarrhea.”
B. “You may experience fear, sweating, and muscle tension.”
C. “You may experience an elevated heart rate, the need to urinate, and fear.”
D. “You may experience sleepiness, decreased blood pressure, and fear.”
QUESTION 2
1. The PMHNP is working with a school-aged child who has been diagnosed with
depression. The child has attended several sessions with the PMNHP, but recently
presents with avoidant behavior by showing increased distress and being late to
sessions. What approach does the PMHNP need to employ with the child to
continue making therapeutic progress?
D. All of the above
QUESTION 3
1. After informing a prospective patient about limits of confidentiality, the patient
consents to the “conditions” of confidentiality and signs an informed consent form.
Several weeks later, a lawyer representing the patient’s spouse for a court case,
asks the PMHNP for the disclosure of information about the patient. The PMHNP
should:
2.
C. Limit disclosure to the extent legally
possible
QUESTION 4
, 3
1. In your office, you see a 58-year-old patient with PTSD who reports having
nightmares, making it impossible for her to sleep. What recommendations based on
principles of sleep hygiene will the PMHNP make?
C. Avoid watching television or reading in bed
QUESTION 5
1. An 11-year-old patient has been exhibiting low self-esteem at school and acting
out. According to Maslow’s hierarchy of needs, which of the following questions
would best be addressed first by the PMHNP?
2.
C “Is Joel getting enough sleep at
. home?”
QUESTION 6
1. A patient named Steve is seeking therapy to get help with his home situation,
stating that he has been stressed since his mother-in-law moved into the house.
What can the PMHNP do to assist the patient in constructing a narrative?
2.
B. Elicit details so Steve becomes more self-disclosing and self-examining
QUESTION 7
1. A new patient has been informed of the limits of confidentiality, and has signed
informed consent forms. No consent, however, has been obtained for voluntary
“Release of Information.” The patient is 20 years old and still lives at home with
his parents. He is being treated for depression, which he attributes to the trouble
he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to
see how he is doing, the therapist is required to protect patient confidentiality and
not disclose information.
True
QUESTION 8
1. The PMHNP is caring for a patient with borderline personality disorder. Using a
psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the
patient’s transference to enhance emotional processing by:
2. A Developing increased boundaries
.
B. Decreasing supportive psychotherapy
NURS 6640 MIDTERM EXAM 2
(ALL ANSWERS ARE IN LAST PAGE)
, 2
NURS 6640 MIDTERM EXAM 2
(ALL ANSWERS ARE IN LAST PAGE)
QUESTION 1
1. The PMHNP understands that anxiety and depression are two disorders in which
their symptoms may overlap. When discussing this, you explain that the autonomic
nervous system is activated and further helps distinguish anxiety symptoms by
making the following points:
2. A. “You may experience an elevated heart rate, constant worrying, and diarrhea.”
B. “You may experience fear, sweating, and muscle tension.”
C. “You may experience an elevated heart rate, the need to urinate, and fear.”
D. “You may experience sleepiness, decreased blood pressure, and fear.”
QUESTION 2
1. The PMHNP is working with a school-aged child who has been diagnosed with
depression. The child has attended several sessions with the PMNHP, but recently
presents with avoidant behavior by showing increased distress and being late to
sessions. What approach does the PMHNP need to employ with the child to
continue making therapeutic progress?
D. All of the above
QUESTION 3
1. After informing a prospective patient about limits of confidentiality, the patient
consents to the “conditions” of confidentiality and signs an informed consent form.
Several weeks later, a lawyer representing the patient’s spouse for a court case,
asks the PMHNP for the disclosure of information about the patient. The PMHNP
should:
2.
C. Limit disclosure to the extent legally
possible
QUESTION 4
, 3
1. In your office, you see a 58-year-old patient with PTSD who reports having
nightmares, making it impossible for her to sleep. What recommendations based on
principles of sleep hygiene will the PMHNP make?
C. Avoid watching television or reading in bed
QUESTION 5
1. An 11-year-old patient has been exhibiting low self-esteem at school and acting
out. According to Maslow’s hierarchy of needs, which of the following questions
would best be addressed first by the PMHNP?
2.
C “Is Joel getting enough sleep at
. home?”
QUESTION 6
1. A patient named Steve is seeking therapy to get help with his home situation,
stating that he has been stressed since his mother-in-law moved into the house.
What can the PMHNP do to assist the patient in constructing a narrative?
2.
B. Elicit details so Steve becomes more self-disclosing and self-examining
QUESTION 7
1. A new patient has been informed of the limits of confidentiality, and has signed
informed consent forms. No consent, however, has been obtained for voluntary
“Release of Information.” The patient is 20 years old and still lives at home with
his parents. He is being treated for depression, which he attributes to the trouble
he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to
see how he is doing, the therapist is required to protect patient confidentiality and
not disclose information.
True
QUESTION 8
1. The PMHNP is caring for a patient with borderline personality disorder. Using a
psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the
patient’s transference to enhance emotional processing by:
2. A Developing increased boundaries
.
B. Decreasing supportive psychotherapy
