NURS 6640 MIDTERM EXAM (2020)
, NURS 6640 MIDTERM EXAM (2020)
.Question 1
A 35-year-old patient seeks treatment for depression and anxiety after an
abusive relationship. To help empower the patient, the PMHNP wants to teach
the safe-place exercise to create a feeling of calm. In order to walk the patient
through the exercise, the PMHNP first says:
Selected A.
Answer: “Identify an image of a safe place that makes you feel
calm.”
Question 2
The PMHNP is working with a patient who has dissociative disorder and
requests pharmacological interventions for dealing with her trauma. What
education does the PMHNP provide to the patient regarding medication
therapy?
Selected C.
Answer: “The medication may provide symptom relief, but you still
need psychotherapy.”
Question 3
The patient attempts the PMHNP’s sleep hygiene recommendations for 2
weeks, but does not make any progress mitigating nightmares and hyperarousal.
Which behavioral strategy does the PMHNP suggest next?
Selected D.
Answer: All of the above
Question 4
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:
Selected Answer: C.
Limit disclosure to the extent legally
possible
, Question 5
The PMHNP meets with an adolescent patient who has depression and often
presents with resistance when discussing his parent’s divorce. For the past
couple of sessions, the patient has been quiet, sometimes refusing to speak. To
further support the therapeutic relationship, the PMNHP:
Selected Answer: A.
Observes and points out the behavior
Question 6
The PMHNP employs psychodynamic psychotherapy with a patient who
experiences anxiety and depression. As the process enters the psychoanalytic
end of the psychodynamic continuum, the PMNHP will focus on:
Selected Answer: A.
Interpreting unconscious conflict in the
patient
Question 7
The PMHNP is working with a patient who witnessed her father pass away after
suffering for several months from terminal cancer. The PMHNP sees this as a
traumatic event. The patient reports sometimes feeling out of touch with
surroundings; almost as if things feel like a dream. “Sometimes that sensation
lingers for a while,” the patient says, “and other times I snap out of it quickly.”
What does the PMHNP infer about the condition based on psychotherapy
concepts for trauma?
Selected B.
Answer: The patient is reporting signs of dissociation.
Question 8
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?
Selected B.
Answer: Using communication techniques that are expressive
, NURS 6640 MIDTERM EXAM (2020)
.Question 1
A 35-year-old patient seeks treatment for depression and anxiety after an
abusive relationship. To help empower the patient, the PMHNP wants to teach
the safe-place exercise to create a feeling of calm. In order to walk the patient
through the exercise, the PMHNP first says:
Selected A.
Answer: “Identify an image of a safe place that makes you feel
calm.”
Question 2
The PMHNP is working with a patient who has dissociative disorder and
requests pharmacological interventions for dealing with her trauma. What
education does the PMHNP provide to the patient regarding medication
therapy?
Selected C.
Answer: “The medication may provide symptom relief, but you still
need psychotherapy.”
Question 3
The patient attempts the PMHNP’s sleep hygiene recommendations for 2
weeks, but does not make any progress mitigating nightmares and hyperarousal.
Which behavioral strategy does the PMHNP suggest next?
Selected D.
Answer: All of the above
Question 4
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:
Selected Answer: C.
Limit disclosure to the extent legally
possible
, Question 5
The PMHNP meets with an adolescent patient who has depression and often
presents with resistance when discussing his parent’s divorce. For the past
couple of sessions, the patient has been quiet, sometimes refusing to speak. To
further support the therapeutic relationship, the PMNHP:
Selected Answer: A.
Observes and points out the behavior
Question 6
The PMHNP employs psychodynamic psychotherapy with a patient who
experiences anxiety and depression. As the process enters the psychoanalytic
end of the psychodynamic continuum, the PMNHP will focus on:
Selected Answer: A.
Interpreting unconscious conflict in the
patient
Question 7
The PMHNP is working with a patient who witnessed her father pass away after
suffering for several months from terminal cancer. The PMHNP sees this as a
traumatic event. The patient reports sometimes feeling out of touch with
surroundings; almost as if things feel like a dream. “Sometimes that sensation
lingers for a while,” the patient says, “and other times I snap out of it quickly.”
What does the PMHNP infer about the condition based on psychotherapy
concepts for trauma?
Selected B.
Answer: The patient is reporting signs of dissociation.
Question 8
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?
Selected B.
Answer: Using communication techniques that are expressive
