Course NUNP-6640N-1,Psychotherapy IIndivid.2020 ISpring I
Test Week I6 IMidterm Iexam
Status Completed
Attempt IScore 72 Iout Iof I75 Ipoints I I
Time IElapsed 1 Ihour, I19 Iminutes Iout Iof I2 Ihours
Results IDisplayed Submitted IAnswers
• Question 1 I
1 Iout Iof I1 Ipoints
A I41-year-old Imale Ipatient Iis Imeeting Iwith Ithe IPMHNP Iand Ireveals Ithat Ihe Iis
Ihomosexual. IHe Ibegins Itelling Ithe IPMHNP Iabout Ihis Ifeelings Ias Ia Ihomosexual,
Imiddle-aged Iman. IThe IPMHNP Inods Iunderstandingly. IBefore Ilong, Ithe Ipatient Iasks,
I“Are Iyou Igay? IAre Iyou Imarried? IDo Iyou Ihave Ikids?” IWhat Iis Ithe Ibest Iresponse Iby Ithe
IPMHNP?
Selected B. I
IAnswer: Mention Ithat Ithe Ipatient Iseems Iquite Icurious, Iand Iask Ihim Ito Idiscuss
Imore Iabout Ihimself
• Question 2 I
1 Iout Iof I1 Ipoints
A I65-year-old Ipatient Ihas Isuffered Ithe Iloss Iof Ihis Iwife. IHe Iis Iin Ia Istate Iof Ihyperarousal
Iwith Iincreased Isympathetic Inervous Isystem Iarousal. IOne Ior Imore Iinterventions Imay
Ihelp Ithe Ipatient Ito Ideal Iwith Ithis Iarousal. ITo Idecrease Isympathetic Inervous Isystem
Iarousal, Ithe IPMHNP’s Itreatment Istrategy Iis I___________.
Selected IAnswer: D. I
all Iof Ithe Iabove
• Question 3 I
1 Iout Iof I1 Ipoints
A IPMHNP Iis Iassessing Iego Ifunctioning Iof Ihis I40-year-old Ipatient Iby Iasking Iwhat Ishe
Ifeels Iis Ithe Icause Iof Iher Iproblems. IShe Iattributes Iher Iproblems Ito Iher Ioverprotective
Iparents Inot Iletting Iher Ihave Ienough Ifreedom Igrowing Iup. IBased Ion Iher Ianswer, Ithe
IPMHNP Iis Itesting I_____________.
Selected IAnswer: C. I
defensive Iand Iinterpersonal Ifunctioning
• Question 4 I
1 Iout Iof I1 Ipoints
During Ia Itherapy Isession Ithe Ipatient Iis Iasked Ihow Ishe Icurrently Ideals Iwith Istress, Iand
Ishe Isays, I“Well, II Idon’t. II Ijust Ilet Iit Ibuild Iand Ibuild.” IThe IPMHNP Iresponds Iby Iasking
Ihow Iwell Ithis Ihas Ibeen Iworking Iout Ifor Iher. IThe Ipatient Istates, I“Well, Ito Ibe Ihonest, Iit
Ijust Ifeels Ilike II’m Idrowning, Iyou Iknow Iwhat II Imean.” IIllustrating Iidiosyncratic Imeaning,
Ithe IPMHNP Iresponds Iwith:
, Selected IAnswer: B. I
“No, II Iam Inot Isure Iwhat Iyou Iare Isaying. ICan Iyou Iplease Iexplain?”
• Question 5 I
1 Iout Iof I1 Ipoints
A IPMHNP’s Ipatients Ihave Ialready Isigned Iconfidentiality Iagreements, Iincluding Ilimits
Ithat Iwill Ibe Iimposed Ion Iconfidentiality. IMonths Ilater, Ithe Istate’s Ilaws Ihave Ichanged
Ithat Iaffect Iconfidentiality Ipromises Ithe IPMHNP Ihas Ialready Imade. IWhat Iis Ian
Iappropriate Istep Ifor Ithe IPMHNP Ito Itake Iafter Ifinding Iout Ithis Iinformation?
Selected IAnswer: D. I
All Iof Ithe Iabove
• Question 6 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwho Ithe IPMHNP Ibelieves Iwould Ibenefit Ifrom Ia
Irelational Ipsychodynamic Iapproach Ito Itherapy. IWhich Iaction Imade Iby Ithe IPMHNP
Idemonstrates Iappropriate Iuse Iand Iunderstanding Iof Ithe Irelationship Ipsychodynamic
Imodel?
Selected IAnswer: C. I
Focusing Ithe Iexploration Ion Ihere Iand Inow
• Question 7 I
1 Iout Iof I1 Ipoints
A I16-year-old Ifemale Ipatient Ihas Ihad Ia Istable Itherapeutic Irelationship Iwith Ithe
IPMHNP Ifor Iseveral Imonths. IThe IPMHNP Inotices Iwhat Iappears Ito Ibe Ifresh Icigarette
Iburns Ion Ithe Ipatient’s Iarm. IWhen Iasked, Ithe Ipatient Iadmits Ito Ithis Iself-injurious
Ibehavior. IAlthough Ithe Ipatient Iis Istill Idepressed, Iher Imood Iseems Ito Ibe Isomewhat
Ibetter Ithis Iweek. ITrue Ior Ifalse: IThe IPMHNP Iwould Imost Ilikely Iconsider Ithis Ipatient
Istabilized Iand Iready Ito Imove Ito IStage III.
Selected IAnswer: False
• Question 8 I
1 Iout Iof I1 Ipoints
After Iinforming Ia Iprospective Ipatient Iabout Ilimits Iof Iconfidentiality, Ithe Ipatient
Iconsents Ito Ithe I“conditions” Iof Iconfidentiality Iand Isigns Ian Iinformed Iconsent Iform.
ISeveral Iweeks Ilater, Ia Ilawyer Irepresenting Ithe Ipatient’s Ispouse Ifor Ia Icourt Icase, Iasks
Ithe IPMHNP Ifor Ithe Idisclosure Iof Iinformation Iabout Ithe Ipatient. IThe IPMHNP Ishould:
Selected IAnswer: C. I
Limit Idisclosure Ito Ithe Iextent Ilegally Ipossible
• Question 9 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Itreating Ia Ipatient Iwith Ia Isubstantial Ifear Iof Ifeeling Iclosed Iin
I(claustrophobia). IThus, Ithe Ipatient Iwill Inot Iget Iinto Ian Ielevator. IThe Ioffice Iwhere Ihe
, Iworks Iis Ion Ithe I10th Ifloor Iand Ithis Irequires Ithat Ihe Iwalk Iup Iand Idown Ithe Istairs Iin Ithe
Imorning Iand Ievening Ito Iget Ito Ihis Ioffice. IWith Ipermission Ifrom Ithe Ipatient, Ithe
IPMHNP Iis Ibeginning Isystematic Idesensitization Ito Iaddress Ithe Ipatient’s Ineed Ito Iuse
Ithe Ielevator. IWhat Iis Ithe IPMHNP’s Ibest Iplan Iof Iaction?
Selected A. I
IAnswer: Begin Iby Ihaving Ithe Ipatient Istand Iin Ifront Iof Ithe Ielevator Iand Iwrite
Idown Ihis Ifeelings
• Question 10 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwith Idissociated Iself-state Ithat Ithe IPMHNP
Iidentifies Ias Ibeing Iassociated Iwith Itraumatic Iexperiences Iin Ithe Ipatient’s Ipast. IWhat
Iapproach Idoes Ithe IPMHNP Iuse Iwith Ithe Ipatient Ithat Iis Icrucial Ito Ithe Ipsychodynamic
Itherapy Iprocess?
Selected A. I
IAnswer: Assisting Ithe Ipatient Ito Iexperience Iand Iaccept Ithe Ivarious Idimensions
Iof Ithe Iself Ithrough Ienhanced Iawareness Iof Ithe Itraumatic Istates
• Question 11 I
1 Iout Iof I1 Ipoints
A IPMHNP Iis Icaring Ifor Ia I21-year-old Iwoman Iwho Iis Isuffering Ifrom Ianxiety Iand Iis
Ihaving Idifficulty Imanaging Istress. IWhich Iof Ithe Ifollowing Iwould Ibe Ian Iappropriate Istep
Iby Ithe IPMHNP?
Selected IAnswer: D. I
All Iof Ithe Iabove
• Question 12 I
1 Iout Iof I1 Ipoints
True Ior Ifalse: IA IPMHNP Imay Iask Ihis Ipatient Ito Idescribe Iher Irelationship Iwith Iher
Ifather, Iboth Ias Ia Ichild Iand Inow, Iin Iorder Ito Iassess Iinterpersonal Istyle.
Selected IAnswer: False
• Question 13 I
1 Iout Iof I1 Ipoints
A I35-year-old Ipatient Iseeks Itreatment Ifor Idepression Iand Ianxiety Iafter Ian Iabusive
Irelationship. ITo Ihelp Iempower Ithe Ipatient, Ithe IPMHNP Iwants Ito Iteach Ithe Isafe-place
Iexercise Ito Icreate Ia Ifeeling Iof Icalm. IIn Iorder Ito Iwalk Ithe Ipatient Ithrough Ithe Iexercise,
Ithe IPMHNP Ifirst Isays:
Selected IIAnswer: A. II
“Identify IIan IIimage IIof IIa IIsafe IIplace IIthat IImakes IIyou IIfeel IIcalm.”
• Question 14 I
1 Iout Iof I1 Ipoints
Test Week I6 IMidterm Iexam
Status Completed
Attempt IScore 72 Iout Iof I75 Ipoints I I
Time IElapsed 1 Ihour, I19 Iminutes Iout Iof I2 Ihours
Results IDisplayed Submitted IAnswers
• Question 1 I
1 Iout Iof I1 Ipoints
A I41-year-old Imale Ipatient Iis Imeeting Iwith Ithe IPMHNP Iand Ireveals Ithat Ihe Iis
Ihomosexual. IHe Ibegins Itelling Ithe IPMHNP Iabout Ihis Ifeelings Ias Ia Ihomosexual,
Imiddle-aged Iman. IThe IPMHNP Inods Iunderstandingly. IBefore Ilong, Ithe Ipatient Iasks,
I“Are Iyou Igay? IAre Iyou Imarried? IDo Iyou Ihave Ikids?” IWhat Iis Ithe Ibest Iresponse Iby Ithe
IPMHNP?
Selected B. I
IAnswer: Mention Ithat Ithe Ipatient Iseems Iquite Icurious, Iand Iask Ihim Ito Idiscuss
Imore Iabout Ihimself
• Question 2 I
1 Iout Iof I1 Ipoints
A I65-year-old Ipatient Ihas Isuffered Ithe Iloss Iof Ihis Iwife. IHe Iis Iin Ia Istate Iof Ihyperarousal
Iwith Iincreased Isympathetic Inervous Isystem Iarousal. IOne Ior Imore Iinterventions Imay
Ihelp Ithe Ipatient Ito Ideal Iwith Ithis Iarousal. ITo Idecrease Isympathetic Inervous Isystem
Iarousal, Ithe IPMHNP’s Itreatment Istrategy Iis I___________.
Selected IAnswer: D. I
all Iof Ithe Iabove
• Question 3 I
1 Iout Iof I1 Ipoints
A IPMHNP Iis Iassessing Iego Ifunctioning Iof Ihis I40-year-old Ipatient Iby Iasking Iwhat Ishe
Ifeels Iis Ithe Icause Iof Iher Iproblems. IShe Iattributes Iher Iproblems Ito Iher Ioverprotective
Iparents Inot Iletting Iher Ihave Ienough Ifreedom Igrowing Iup. IBased Ion Iher Ianswer, Ithe
IPMHNP Iis Itesting I_____________.
Selected IAnswer: C. I
defensive Iand Iinterpersonal Ifunctioning
• Question 4 I
1 Iout Iof I1 Ipoints
During Ia Itherapy Isession Ithe Ipatient Iis Iasked Ihow Ishe Icurrently Ideals Iwith Istress, Iand
Ishe Isays, I“Well, II Idon’t. II Ijust Ilet Iit Ibuild Iand Ibuild.” IThe IPMHNP Iresponds Iby Iasking
Ihow Iwell Ithis Ihas Ibeen Iworking Iout Ifor Iher. IThe Ipatient Istates, I“Well, Ito Ibe Ihonest, Iit
Ijust Ifeels Ilike II’m Idrowning, Iyou Iknow Iwhat II Imean.” IIllustrating Iidiosyncratic Imeaning,
Ithe IPMHNP Iresponds Iwith:
, Selected IAnswer: B. I
“No, II Iam Inot Isure Iwhat Iyou Iare Isaying. ICan Iyou Iplease Iexplain?”
• Question 5 I
1 Iout Iof I1 Ipoints
A IPMHNP’s Ipatients Ihave Ialready Isigned Iconfidentiality Iagreements, Iincluding Ilimits
Ithat Iwill Ibe Iimposed Ion Iconfidentiality. IMonths Ilater, Ithe Istate’s Ilaws Ihave Ichanged
Ithat Iaffect Iconfidentiality Ipromises Ithe IPMHNP Ihas Ialready Imade. IWhat Iis Ian
Iappropriate Istep Ifor Ithe IPMHNP Ito Itake Iafter Ifinding Iout Ithis Iinformation?
Selected IAnswer: D. I
All Iof Ithe Iabove
• Question 6 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwho Ithe IPMHNP Ibelieves Iwould Ibenefit Ifrom Ia
Irelational Ipsychodynamic Iapproach Ito Itherapy. IWhich Iaction Imade Iby Ithe IPMHNP
Idemonstrates Iappropriate Iuse Iand Iunderstanding Iof Ithe Irelationship Ipsychodynamic
Imodel?
Selected IAnswer: C. I
Focusing Ithe Iexploration Ion Ihere Iand Inow
• Question 7 I
1 Iout Iof I1 Ipoints
A I16-year-old Ifemale Ipatient Ihas Ihad Ia Istable Itherapeutic Irelationship Iwith Ithe
IPMHNP Ifor Iseveral Imonths. IThe IPMHNP Inotices Iwhat Iappears Ito Ibe Ifresh Icigarette
Iburns Ion Ithe Ipatient’s Iarm. IWhen Iasked, Ithe Ipatient Iadmits Ito Ithis Iself-injurious
Ibehavior. IAlthough Ithe Ipatient Iis Istill Idepressed, Iher Imood Iseems Ito Ibe Isomewhat
Ibetter Ithis Iweek. ITrue Ior Ifalse: IThe IPMHNP Iwould Imost Ilikely Iconsider Ithis Ipatient
Istabilized Iand Iready Ito Imove Ito IStage III.
Selected IAnswer: False
• Question 8 I
1 Iout Iof I1 Ipoints
After Iinforming Ia Iprospective Ipatient Iabout Ilimits Iof Iconfidentiality, Ithe Ipatient
Iconsents Ito Ithe I“conditions” Iof Iconfidentiality Iand Isigns Ian Iinformed Iconsent Iform.
ISeveral Iweeks Ilater, Ia Ilawyer Irepresenting Ithe Ipatient’s Ispouse Ifor Ia Icourt Icase, Iasks
Ithe IPMHNP Ifor Ithe Idisclosure Iof Iinformation Iabout Ithe Ipatient. IThe IPMHNP Ishould:
Selected IAnswer: C. I
Limit Idisclosure Ito Ithe Iextent Ilegally Ipossible
• Question 9 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Itreating Ia Ipatient Iwith Ia Isubstantial Ifear Iof Ifeeling Iclosed Iin
I(claustrophobia). IThus, Ithe Ipatient Iwill Inot Iget Iinto Ian Ielevator. IThe Ioffice Iwhere Ihe
, Iworks Iis Ion Ithe I10th Ifloor Iand Ithis Irequires Ithat Ihe Iwalk Iup Iand Idown Ithe Istairs Iin Ithe
Imorning Iand Ievening Ito Iget Ito Ihis Ioffice. IWith Ipermission Ifrom Ithe Ipatient, Ithe
IPMHNP Iis Ibeginning Isystematic Idesensitization Ito Iaddress Ithe Ipatient’s Ineed Ito Iuse
Ithe Ielevator. IWhat Iis Ithe IPMHNP’s Ibest Iplan Iof Iaction?
Selected A. I
IAnswer: Begin Iby Ihaving Ithe Ipatient Istand Iin Ifront Iof Ithe Ielevator Iand Iwrite
Idown Ihis Ifeelings
• Question 10 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Icaring Ifor Ia Ipatient Iwith Idissociated Iself-state Ithat Ithe IPMHNP
Iidentifies Ias Ibeing Iassociated Iwith Itraumatic Iexperiences Iin Ithe Ipatient’s Ipast. IWhat
Iapproach Idoes Ithe IPMHNP Iuse Iwith Ithe Ipatient Ithat Iis Icrucial Ito Ithe Ipsychodynamic
Itherapy Iprocess?
Selected A. I
IAnswer: Assisting Ithe Ipatient Ito Iexperience Iand Iaccept Ithe Ivarious Idimensions
Iof Ithe Iself Ithrough Ienhanced Iawareness Iof Ithe Itraumatic Istates
• Question 11 I
1 Iout Iof I1 Ipoints
A IPMHNP Iis Icaring Ifor Ia I21-year-old Iwoman Iwho Iis Isuffering Ifrom Ianxiety Iand Iis
Ihaving Idifficulty Imanaging Istress. IWhich Iof Ithe Ifollowing Iwould Ibe Ian Iappropriate Istep
Iby Ithe IPMHNP?
Selected IAnswer: D. I
All Iof Ithe Iabove
• Question 12 I
1 Iout Iof I1 Ipoints
True Ior Ifalse: IA IPMHNP Imay Iask Ihis Ipatient Ito Idescribe Iher Irelationship Iwith Iher
Ifather, Iboth Ias Ia Ichild Iand Inow, Iin Iorder Ito Iassess Iinterpersonal Istyle.
Selected IAnswer: False
• Question 13 I
1 Iout Iof I1 Ipoints
A I35-year-old Ipatient Iseeks Itreatment Ifor Idepression Iand Ianxiety Iafter Ian Iabusive
Irelationship. ITo Ihelp Iempower Ithe Ipatient, Ithe IPMHNP Iwants Ito Iteach Ithe Isafe-place
Iexercise Ito Icreate Ia Ifeeling Iof Icalm. IIn Iorder Ito Iwalk Ithe Ipatient Ithrough Ithe Iexercise,
Ithe IPMHNP Ifirst Isays:
Selected IIAnswer: A. II
“Identify IIan IIimage IIof IIa IIsafe IIplace IIthat IImakes IIyou IIfeel IIcalm.”
• Question 14 I
1 Iout Iof I1 Ipoints
