NURS 6640 MIDTERM EXAM 4 – QUESTION AND ANSWERS

NURS 6640 MIDTERM EXAM 4 – QUESTION AND
ANSWERS


 Question 1
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:
Selected A.
Answer: “Identify an image of a safe place that makes you feel calm.”
 Question 2
1 out of 1 points
The PMHNP is working with a patient who has dissociative disorder and requests
pharmacological interventions for dealing with her trauma. What education does the
PMHNP provide to the patient regarding medication therapy?
Selected C.
Answer: “The medication may provide symptom relief, but you still need
psychotherapy.”
 Question 3
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 4
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 5
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 6
1 out of 1 points
The PMHNP employs psychodynamic psychotherapy with a patient who experiences
anxiety and depression. As the process enters the psychoanalytic end of the
psychodynamic continuum, the PMNHP will focus on:
Selected A.
Answer: Interpreting unconscious conflict in the patient
 Question 7
1 out of 1 points
The PMHNP is working with a patient who witnessed her father pass away after
suffering for several months from terminal cancer. The PMHNP sees this as a
traumatic event. The patient reports sometimes feeling out of touch with
surroundings; almost as if things feel like a dream. “Sometimes that sensation lingers
for a while,” the patient says, “and other times I snap out of it quickly.” What does the
PMHNP infer about the condition based on psychotherapy concepts for trauma?
Selected B.
Answer: The patient is reporting signs of
dissociation.
 Question 8
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 9
1 out of 1 points
An 11-year-old patient has been exhibiting low self-esteem at school and acting out.
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
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 D.
Answer: All of the above
 Question 11
1 out of 1 points
The patient is a 56-year-old female patient diagnosed with panic disorder and reports
symptoms that include heart palpitations, frequent trembling, and feelings of choking
in stressful situations. What special consideration does the PMHNP make?
Selected D.
Answer: A and B
 Question 12
1 out of 1 points
The PMHNP is working with a veteran who has posttraumatic stress disorder
(PTSD). The PMHNP believes that dual awareness will be beneficial in allowing the
patient to focus on the here and now. What strategies can the PMHNP use to
develop dual awareness in the patient?
Selected D.
Answer: All of the above
 Question 13
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 14
1 out of 1 points
The PMHNP is caring for a patient with borderline personality disorder. Using a
psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the
patient’s transference to enhance emotional processing by:
Selected D.
Answer: Increasing the number of sessions per week
 Question 15
0 out of 0 points