NURS 6640 Midterm Exam Test Bank
SCORE: ALL ANSWERS CORRECT
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:
Answer: A. “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?
Answer: C. “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?
Answer: D. 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:
,Answer: C. 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:
Answer: A. 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:
Answer: A. 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?
Answer: B. The patient is reporting signs of dissociation.
Question 23
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?
Answer: A. Begin by having the patient stand in front of the elevator and write down his feelings
Question 24
1 out of 1 points
The PMHNP has a session with a patient who was injured and traumatized from an explosion at
the industrial plant where he used to work. During the session, an outside noise startles the
patient and he experiences a flashback of the loud boom from the explosion. The PMHNP
witnesses the patient present with anxiety and belabored breathing. What is the appropriate
action of the PMHNP?
Answer: D. Have the patient use the relaxation response (take a deep breath, exhale long, and
slow down)
Question 25
1 out of 1 points
When the patient comes into the office, she says, “I just saw a friend of mine out in the waiting
room. What’s wrong with him?” The PMHNP says, “He’ll be fine. He has mild depression.”
Which of the following statement is correct related to confidentiality rights?
Answer: A. The PMHNP was not protecting patient confidentially rights.
Question 26
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?
, Answer: A. Encouraging catharsis
Question 27
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?
Answer: D. All of the above
Question 28
1 out of 1 points
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?
Answer: B. Construct a timeline of the patient’s life
Question 29
1 out of 1 points
The PMHNP meets with a 47-year-old male patient who is fearful of leaving the house after
having witnessed his neighbor getting run over by a car. When the PMHNP asks why he is afraid
to leave his house, the patient replies, “Because another accident might occur.” Which cognitive
behavioral therapy (CBT) strategy does the PMHNP employ?
Answer: B. Stress inoculation therapy
Question 30
1 out of 1 points
The PMHNP is working with a patient who seems dissatisfied with the therapeutic relationship.
The PMHNP invites the patient to discuss her feelings regarding the PMHNP openly and
SCORE: ALL ANSWERS CORRECT
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:
Answer: A. “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?
Answer: C. “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?
Answer: D. 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:
,Answer: C. 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:
Answer: A. 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:
Answer: A. 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?
Answer: B. The patient is reporting signs of dissociation.
Question 23
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?
Answer: A. Begin by having the patient stand in front of the elevator and write down his feelings
Question 24
1 out of 1 points
The PMHNP has a session with a patient who was injured and traumatized from an explosion at
the industrial plant where he used to work. During the session, an outside noise startles the
patient and he experiences a flashback of the loud boom from the explosion. The PMHNP
witnesses the patient present with anxiety and belabored breathing. What is the appropriate
action of the PMHNP?
Answer: D. Have the patient use the relaxation response (take a deep breath, exhale long, and
slow down)
Question 25
1 out of 1 points
When the patient comes into the office, she says, “I just saw a friend of mine out in the waiting
room. What’s wrong with him?” The PMHNP says, “He’ll be fine. He has mild depression.”
Which of the following statement is correct related to confidentiality rights?
Answer: A. The PMHNP was not protecting patient confidentially rights.
Question 26
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?
, Answer: A. Encouraging catharsis
Question 27
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?
Answer: D. All of the above
Question 28
1 out of 1 points
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?
Answer: B. Construct a timeline of the patient’s life
Question 29
1 out of 1 points
The PMHNP meets with a 47-year-old male patient who is fearful of leaving the house after
having witnessed his neighbor getting run over by a car. When the PMHNP asks why he is afraid
to leave his house, the patient replies, “Because another accident might occur.” Which cognitive
behavioral therapy (CBT) strategy does the PMHNP employ?
Answer: B. Stress inoculation therapy
Question 30
1 out of 1 points
The PMHNP is working with a patient who seems dissatisfied with the therapeutic relationship.
The PMHNP invites the patient to discuss her feelings regarding the PMHNP openly and
