NUNP 6640N Midterm Exam – Psychotherapy Individ.Spring 2021

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Course NUNP-6640N-1,Psychotherapy Individ.2020 Spring
Test Week 6 Midterm exam
Status Completed
Attempt Score 72 out of 75 points
Time Elapsed 1 hour, 19 minutes out of 2 hours
Results Displayed Submitted Answers
 Question 1 I

1 Iout Iof I1 Ipoints
A 41-year-old male patient is meeting with the PMHNP and reveals that
he is homosexual. He begins telling the PMHNP about his feelings as a
homosexual, middle-aged man. The PMHNP nods understandingly. Before
long, the patient asks, “Are you gay? Are you married? Do you have
kids?” What is the best response by the PMHNP?
Selected B.
Answer: Mention that the patient seems quite curious, and ask him
to discuss more about himself
 Question 2 I

1 Iout Iof I1 Ipoints
A 65-year-old patient has suffered the loss of his wife. He is in a state of
hyperarousal with increased sympathetic nervous system arousal. One or
more interventions may help the patient to deal with this arousal. To
decrease sympathetic nervous system arousal, the PMHNP’s treatment
strategy is .
Selected Answer: D.
all of the
above
 Question 3 I

1 Iout Iof I1 Ipoints
A PMHNP is assessing ego functioning of his 40-year-old patient by
asking what she feels is the cause of her problems. She attributes her
problems to her overprotective parents not letting her have enough
freedom growing up. Based on her answer, the PMHNP is testing .
Selected Answer: C.
defensive and interpersonal
functioning
 Question 4 I

1 Iout Iof I1 Ipoints
During a therapy session the patient is asked how she currently deals with
stress, and she says, “Well, I don’t. I just let it build and build.” The PMHNP
responds by asking how well this has been working out for her. The
patient states, “Well, to be honest, it just feels like I’m drowning, you
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know what I mean.” Illustrating idiosyncratic meaning, the PMHNP
responds with:




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Selected Answer: B.
“No, I am not sure what you are saying. Can you please
explain?”
 Question 5I

1 Iout Iof I1 Ipoints
A PMHNP’s patients have already signed confidentiality agreements,
including limits that will be imposed on confidentiality. Months later, the
state’s laws have changed that affect confidentiality promises the PMHNP
has already made. What is an appropriate step for the PMHNP to take
after finding out this information?
Selected Answer: D.
All of the
above
 Question 6I

1 Iout Iof I1 Ipoints
The PMHNP is caring for a patient who the PMHNP believes would benefit
from a relational psychodynamic approach to therapy. Which action
made by the PMHNP demonstrates appropriate use and understanding of
the relationship psychodynamic model?
Selected Answer: C.
Focusing the exploration on here and
now
 Question 7I

1 Iout Iof I1 Ipoints
A 16-year-old female patient has had a stable therapeutic relationship
with the PMHNP for several months. The PMHNP notices what appears to
be fresh cigarette burns on the patient’s arm. When asked, the patient
admits to this self-injurious behavior. Although the patient is still
depressed, her mood seems to be somewhat better this week. True or
false: The PMHNP would most likely consider this patient stabilized and
ready to move to Stage II.
Selected Answer: False
 Question 8I

1 Iout Iof I1 Ipoints
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
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 Question 9I

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The PMHNP is treating a patient with a substantial fear of feeling closed in
(claustrophobia). Thus, the patient will not get into an elevator. The office
where he




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