NURS 6640 Midterm Exam questions and answers

A. Asking the patient what she does to relieve anxiety B. Giving the patient basic stress management activities C. Developing a plan together that is not overwhelming D. All of the above D 1 points QUESTION 2 1. The PMHNP is working with a 56-year-old man who is being seen because of his anxiety and depression. During the therapy sessions, the PMHNP assists the patient in discussing his experiences and expanding on his thoughts and feelings. He tells the PMHNP stories about how he used to be teased by his coworkers at the office for becoming too anxious in large conference rooms. The PMHNP listens to the patient and helps focus on his strengths to promote self-understanding. Which principle best accounts for the PMHNP‟s interactions with the patient? A. Therapeutic communication B. Maintaining the frame C. Working with resistance D. None of the above A 1 points QUESTION 3 1. The PMHNP is working with an adult patient who has somatic complaints caused by a history of childhood abuse. As part of the therapeutic process, what does the PMHNP do to assess and organize a trauma history? A. Interview the patient‟s family members B. Construct a timeline of the patient‟s life C. Review the patient‟s current stressors D. Debrief with the patient B 1 points QUESTION 4 1. One of the strategies the PMHNP wants to try includes sleep restriction. What will the PMHNP suggest to follow sleep restriction therapy? A. “Restrict sleep for 24 hours.” B. “Restrict the amount of time you spend in bed.” C. “Restrict the amount of exercise you do prior to going to bed.” D. “Restrict the amount of food you eat before bedtime.” B True False True A. Young Mania Rating Scale B. Hamilton Anxiety Rating Scale C. Dissociative Experiences Scale D. Impact of Event Scale D A. Group therapy B. Controlled confrontation C. A safe-place exercise D. Body and energy work C QUESTION 8 A. adaptive regression in the service of the ego B. regulation and control of affects and impulses C. defensive and interpersonal functioning D. sense of reality of the world and of the self C 1 points QUESTION 9 1. 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: A. “Identify an image of a safe place that makes you feel calm.” B. “Think about the things that cause you anxiety and let them go.” C. “Take a deep breath and start to relax with each new breath.” D. “Picture a beautiful beach and describe to me what you see.” A 1 points QUESTION 10 1. 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? A. Revise intake forms to align with state laws B. Review confidentiality revisions with patients C. Have patients give informed consent again D. All of the above 1 points QUESTION 11 1. 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? A. Remaining quiet until the child is ready to talk B. Using communication techniques that are expressive C. Inviting the child‟s parents to speak on behalf of the child D. All of the above A. “I typically don‟t listen to anyone. I take care of my own wants and needs so I feel like no one can judge me or criticize me, period.” B. “I don‟t mean to hurt other people‟s feelings. When people cry or say that I have made them upset in some way, that‟s not my fault; some people are just sensitive.” C. “I like to listen to the beat of my own drum; I don‟t mind spending most of my days alone. I don‟t need recognition or praise; I would just like to be left alone.” D. “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.”