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NURS-6640 Midterm Exam Latest Update

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NURS-6640 Midterm.

QUESTION 1
1. A PMHNP is caring for a 21-year-old woman who is suffering from anxiety and
is having difficulty managing stress. Which of the following would be an
appropriate step by the PMHNP?
A. Asking the patient what she does to relieve
anxiety
B. Giving the patient basic stress management
activities
C. Developing a plan together that is not
overwhelming
D. All of the above

D
1 points
QUESTION 2
1. The PMHNP is working with a 56-year-old man who is being seen because of
his anxiety and depression. During the therapy sessions, the PMHNP assists
the patient in discussing his experiences and expanding on his thoughts and
feelings. He tells the PMHNP stories about how he used to be teased by his
coworkers at the office for becoming too anxious in large conference rooms.
The PMHNP listens to the patient and helps focus on his strengths to
promote self-understanding. Which principle best accounts for the PMHNP‟s
interactions with the patient?
A. Therapeutic
communication
B. Maintaining the frame
C. Working with resistance
D. None of the above

A
1 points
QUESTION 3
1. The PMHNP is working with an adult patient who has somatic complaints
caused by a history of childhood abuse. As part of the therapeutic process,
what does the PMHNP do to assess and organize a trauma history?
A. Interview the patient‟s family
members
B. Construct a timeline of the
patient‟s life
C. Review the patient‟s current
stressors
D. Debrief with the patient

B

1

,NURS-6640 Midterm.

1 points
QUESTION 4
1. One of the strategies the PMHNP wants to try includes sleep restriction. What
will the PMHNP suggest to follow sleep restriction therapy?
A. “Restrict sleep for 24
hours.”




2

,NURS-6640 Midterm.




B. “Restrict the amount of time you spend in bed.”
C. “Restrict the amount of exercise you do prior to going
to bed.”
D. “Restrict the amount of food you eat before bedtime.”

B

QUESTION 5 1 points
1. True or false: A PMHNP may ask his patient to describe her relationship with
her father, both as a child and now, in order to assess interpersonal style.

True
False

True

1 points
QUESTION 6
1. An initial evaluation reveals that an 11-year-old patient has moved to a new
school after her parents‟ recent divorce, and is having trouble making
friends. The patient has normal mental status and exhibits appropriate
behavior. What is the most appropriate scale for the PMHNP to use to get
A. Young Mania Rating Scale
B. Hamilton Anxiety Rating
Scale
C. Dissociative Experiences
Scale
D. Impact of Event Scale

D
QUESTION 7
1. The PMHNP is caring for a patient who seems to seek affection and attention
1 points
from the PMHNP and others in the clinic, as well as displays heightened
emotional responses to feelings of being excluded. What therapeutic
approach does the PMHNP use to decrease autonomic arousal in the


A. Group therapy
B. Controlled
confrontation
C. A safe-place exercise
D. Body and energy work

C

1 points

3

, NURS-6640 Midterm.




QUESTION 8




4

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