NRNP 6640 Midterm Exam
Question and Answers
,• 6640 Midterm 10/5/2019
•
• 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
Question and Answers
,• 6640 Midterm 10/5/2019
•
• 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
