NURS 6640 MIDTERM EXAM 2 – QUESTION AND ANSWERS

NURS 6640 MIDTERM EXAM 2 – QUESTION AND
ANSWERS
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Course NURS-6640 Psychotherapy
Individ
Test Week 6 Midterm exam
Status Completed
Attempt Score 84%
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 Question 1
0 out of 1 points
A PMHNP is treating a 45-year-old female patient who is upset that her brother has
not been calling since his divorce. When asked to describe her brother and what
prompts him not to call as frequently, she says, “Everything is about him, not me. I
think he’s jealous that I have a good marriage and he wants me to be unhappy, too.
So he doesn’t call to upset me and ruin my relationships.” Based on this information,
the PMHNP can conclude that the patient _________.
Selected B.
Answer: has an insistent emphasis on the feelings of
others
 Question 2
1 out of 1 points
When a PMHNP is seeing a patient for the first time, what is an important step to
assure that the patient and provider understand the limits of their discussion?
Selected C.
Answer: Have a discussion about the confidentiality and its limits
 Question 3
1 out of 1 points
You are seeing a 29-year-old widow whose husband recently died overseas while
serving his country in the military. She has been mourning the loss of her husband
for several months, and continues to grieve. She refuses to go to group grieving
sessions, but reports that she is still able to go to work and her fitness classes
sometimes, and even makes attempts to stay social. She says, “Sometimes it’s like
he’s not even gone. Other times it feels like it’s been an eternity since I’ve seen him.
It’s hard to talk about this type of stuff with my girlfriends, especially since all of their
husbands are still alive.” The PMHNP understands that it is appropriate to employ
which therapeutic principle?
Selected A.

, Answer: Encouraging catharsis
 Question 4
1 out of 1 points
The PMHNP is treating a 35-year-old male officer in the military. He discloses that
both of his parents are deceased and that he loved them. However, he says that he
had feelings of inadequacy because his parents held him to a standard that he could
never achieve. He went on to say that nothing he did ever felt good enough. The
PMHNP assesses that this patient has perfect creases in his uniform with no strings
or tags out of place; she also notices that he has perfect posture and questions him
about ritualistic behaviors. She suspects that this patient has maladaptive responses
to the expectations placed on him as a teenager and young adult. Which statements
made by the patient would verify the PMHNP’s suspicion?
Selected D.
Answer: “I believe in systems; I have to have order and rules in my everyday
life. If a task must be completed, I will often complete it myself versus
depending on someone else.”

 Question 5
0 out of 1 points
The PMHNP is working with a patient who experiences anxiety around her parents
that later leads to poor impulse control. What will the PMHNP do to employ
psychodynamic psychotherapy properly for this patient?
Selected B.
Answer: Focus on expressions of
emotion
 Question 6
1 out of 1 points
The PMHNP has been treating a 15-year-old patient with a history of abuse and
neglect. Thirty minutes into their therapy session the patient jumps up and begins to
pace around the room. Utilizing Socratic dialogue (SD) the PMHNP’s best action
would be to:
Selected C.
Answer: Say, “I noticed a change. Can you tell me what
happened?”
 Question 7
1 out of 1 points
During cognitive behavioral therapy (CBT), a 64-year-old male patient states, “I get
so frustrated sometimes and I just blow up at everybody!” Which response by the
PMHNP demonstrates translation of Socratic dialogue (SD)?
Selected B.
Answer: “When you say blow up, what exactly does blow up mean and how

, does it feel to you?”
 Question 8
1 out of 1 points
The PMHNP understands that anxiety and depression are two disorders in which
their symptoms may overlap. When discussing this, you explain that the autonomic
nervous system is activated and further helps distinguish anxiety symptoms by
making the following points:
Selected B.
Answer: “You may experience fear, sweating, and muscle
tension.”
 Question 9
1 out of 1 points
The PMHNP meets with an adolescent patient who has depression and often
presents with resistance when discussing his parent’s divorce. For the past couple of
sessions, the patient has been quiet, sometimes refusing to speak. To further
support the therapeutic relationship, the PMNHP:
Selected A.
Answer: Observes and points out the behavior
 Question 10
1 out of 1 points
The PMHNP is working with a patient who experiences abreactions when discussing
repressed feelings of his sexual abuse as a child. What can the PMHNP do to
manage the patient’s intense emotional reactions?
Selected C.
Answer: Suggest a relaxation technique, such as yoga or meditation
 Question 11
0 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:
Selected D.
Answer: “Picture a beautiful beach and describe to me what you see.”
 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