6640_Midterm.docx

Eva Tee


Course NUNP-6640N-1,Psychotherapy Individ.2020 Spring Qtr
02/24-05/17-PT27
Test Week 6 Midterm exam
Started 4/4/20 6:50 PM
Submitted 4/4/20 8:10 PM
Due Date 4/6/20 1:59 AM
Status Completed
Attempt Score 72 out of 75 points
Time Elapsed 1 hour, 19 minutes out of 2 hours
Results Submitted Answers
Displayed
 Question 1
1 out of 1 points
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
1 out of 1 points
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 D.
Answer: all of the above
 Question 3
1 out of 1 points
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 C.
Answer: defensive and interpersonal functioning
 Question 4
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 5
1 out of 1 points
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 D.
Answer: All of the above
 Question 6
1 out of 1 points
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 C.
Answer: Focusing the exploration on here and now
 Question 7
1 out of 1 points
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 Fals
Answer: e
 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
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
works is on the 10th floor and this requires that he walk up and down the stairs in the
morning and evening to get to his office. With permission from the patient, the
PMHNP is beginning systematic desensitization to address the patient’s need to use
the elevator. What is the PMHNP’s best plan of action?
Selected A.
Answer: Begin by having the patient stand in front of the elevator and write
down his feelings
 Question 10
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 11
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
step by the PMHNP?
Selected D.
Answer: All of the above
 Question 12
1 out of 1 points
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.
Selected Fals
Answer: e
 Question 13
1 out of 1 points
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: