2020}
Answers
• Question 1
1 out of 1 points
The PMHNP is working with a 43-year-old male patient who develops idiosyncratic
transference over weeks of therapy. The best way for the PMHNP to respond to this
patient is to :
Selected B.
Answer: use empathy
• Question 2
1 out of 1 points
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
• Question 3
1 out of 1 points
The PMHNP is caring for a patient with dissociated self-state that the PMHNP
identifies as being associated with traumatic experiences in the patient’s past. What
approach does the PMHNP use with the patient that is crucial to the psychodynamic
therapy process?
Selected A.
Answer: Assisting the patient to experience and accept the various dimensions
of the self through enhanced awareness of the traumatic states
• Question 4
1 out of 1 points
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
,NURS 6640 Final Exam Week 11 NURS-6640 Psychotherapy Individ{LATEST VERSION
2020}
step by the PMHNP?
Selected D.
Answer: All of the above
• Question 5
1 out of 1 points
One of the strategies the PMHNP wants to try includes sleep restriction. What will
the PMHNP suggest to follow sleep restriction therapy?
Selected B.
Answer: “Restrict the amount of time you spend in bed.”
• Question 6
1 out of 1 points
The PMHNP is working with a patient who is living in poverty and abusing
substances. According to the treatment hierarchy framework, what needs does the
PMHNP need to attend to first?
Selected A.
Answer: Provide safety through case management
strategies
• Question 7
1 out of 1 points
The PMHNP is meeting with a 42-year-old man with depression brought on by the
recent passing of his wife. As he describes the circumstances surrounding his late
wife’s death, the PMHNP begins to feel sad. The sadness lingers for several hours,
and the PMHNP finds it difficult to focus on other patients for the rest of the day.
What is the most appropriate explanation for the reaction that the PMHNP is
experiencing?
Selected C.
Answer: Concordant identification
• Question 8
1 out of 1 points
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 C.
Answer: Limit disclosure to the extent legally
possible
• Question 9
1 out of 1 points
An 11-year-old patient has been exhibiting low self-esteem at school and acting out.
, NURS 6640 Final Exam Week 11 NURS-6640 Psychotherapy Individ{LATEST VERSION
2020}
According to Maslow’s hierarchy of needs, which of the following questions would
best be addressed first by the PMHNP?
Selected C.
Answer: “Is Joel getting enough sleep at home?”
• Question 10
1 out of 1 points
Your patient is a 65-year-old male who has a strained relationship with his son and
daughter. His children refuse to participate in a family session. The PMHNP asks the
patient to draw his family genogram as a next step to .
Selected C.
Answer: provide background information for the patient’s family structure
• Question 11
1 out of 1 points
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 know what I mean.” Illustrating
idiosyncratic meaning, the PMHNP responds with:
Selected B.
Answer: “No, I am not sure what you are saying. Can you please
explain?”
• Question 12
1 out of 1 points
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 13
1 out of 1 points
A PMHNP has been working with a young female patient who suffers from
depression to change self-defeating behaviors. By creating a presence of
acceptance and using good listening skills, the PMHNP’s overall goal is to
.
Selected A.
Answer: deepen the patient’s understanding of herself in order to cultivate
empowerment
• Question 14
1 out of 1 points
You are seeing a 29-year-old widow whose husband recently died overseas while