NURS 6640 Exam - Week 6 Midterm
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1. Q_: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 ... 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 .
2. Q_: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?
3. Q_: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.....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?
4. Q_: 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 Q_s 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?
5. Q_: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?
6. Q_: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 to:
7. Q_: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)?
8. Q_: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.....and further helps distinguish anxiety symptoms by making the following points:
9. Q_: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:
10. Q_: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?
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, 11. Q_: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:
12. Q_: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.
13. Q_:An initial evaluation reveals that an 11-year-old patient has moved to a new
school after her parents’ recent divorce, and is having trouble making friends. The patient has
normal mental status and exhibits appropriate behavior. What is the most appropriate scale for
the PMHNP to use to get more information?
14. Q_:A 62-year-old patient has been ... with borderline personality disorder. Upon
assessment, the PMHNP learns that he participates in spending sprees and occasional binge
eating, accompanied by rapid changes in self-image. Which evidence-based psychotherapeutic
model does the PMHNP identify as effective and beneficial?
15. Q_: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?
16. Q_:The PMHNP is working with a veteran who has posttraumatic stress disorder
(PTSD). The PMHNP believes that dual awareness will ... 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?
17. Q_:A PMHNP is treating a 50-year-old patient who suffers from depression. When he
was growing up, he was often responsible for taking care of his three younger siblings. Since
then, the patient puts other people’s needs before his own. on this information, the PMHNP
would conclude that his interpersonal style is .
18. Q_:The PMHNP is working with a patient who is living in poverty and abusing
substances. According to the treatment hierarchy framework, what needs does the PMHNP
need to attend to first?
19. Q_:During a session, the PMHNP asks a patient with a history of sexual abuse to
recall the relationship she had as a child with her parents. The patient responds by saying she
has a headache and her stomach hurts, and starts talking about her physical ailments. What is
the appropriate response by the PMHNP?
20. Q_:The PMHNP is mentoring a student. After working with a patient during a session,
the student laments about all the things she should have, or could have, said to the patient. “I feel
guilty that I didn’t speak up more about the patient’s concern toward her son,” says the student.
The PMHNP understands that the student is exhibiting signs of which therapeutic concept?
21. Q_: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?
22. Q_:A 65-year-old patient has....the loss of his wife. He is in a state of hyperarousal
with.....sympathetic nervous system arousal. One or more interventions may help the patient to
deal with this arousal. To decrease sympathetic nervous system arousal, the PMHNP’s
treatment strategy is .
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 04:39:58 GMT -05:00
https://www.coursehero.com/file/71137534/NURS-6640-Exam-Week-6-Midtermdocx/
Download 100% Correct Answer Here
1. Q_: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 ... 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 .
2. Q_: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?
3. Q_: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.....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?
4. Q_: 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 Q_s 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?
5. Q_: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?
6. Q_: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 to:
7. Q_: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)?
8. Q_: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.....and further helps distinguish anxiety symptoms by making the following points:
9. Q_: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:
10. Q_: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?
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 04:39:58 GMT -05:00
https://www.coursehero.com/file/71137534/NURS-6640-Exam-Week-6-Midtermdocx/
, 11. Q_: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:
12. Q_: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.
13. Q_:An initial evaluation reveals that an 11-year-old patient has moved to a new
school after her parents’ recent divorce, and is having trouble making friends. The patient has
normal mental status and exhibits appropriate behavior. What is the most appropriate scale for
the PMHNP to use to get more information?
14. Q_:A 62-year-old patient has been ... with borderline personality disorder. Upon
assessment, the PMHNP learns that he participates in spending sprees and occasional binge
eating, accompanied by rapid changes in self-image. Which evidence-based psychotherapeutic
model does the PMHNP identify as effective and beneficial?
15. Q_: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?
16. Q_:The PMHNP is working with a veteran who has posttraumatic stress disorder
(PTSD). The PMHNP believes that dual awareness will ... 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?
17. Q_:A PMHNP is treating a 50-year-old patient who suffers from depression. When he
was growing up, he was often responsible for taking care of his three younger siblings. Since
then, the patient puts other people’s needs before his own. on this information, the PMHNP
would conclude that his interpersonal style is .
18. Q_:The PMHNP is working with a patient who is living in poverty and abusing
substances. According to the treatment hierarchy framework, what needs does the PMHNP
need to attend to first?
19. Q_:During a session, the PMHNP asks a patient with a history of sexual abuse to
recall the relationship she had as a child with her parents. The patient responds by saying she
has a headache and her stomach hurts, and starts talking about her physical ailments. What is
the appropriate response by the PMHNP?
20. Q_:The PMHNP is mentoring a student. After working with a patient during a session,
the student laments about all the things she should have, or could have, said to the patient. “I feel
guilty that I didn’t speak up more about the patient’s concern toward her son,” says the student.
The PMHNP understands that the student is exhibiting signs of which therapeutic concept?
21. Q_: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?
22. Q_:A 65-year-old patient has....the loss of his wife. He is in a state of hyperarousal
with.....sympathetic nervous system arousal. One or more interventions may help the patient to
deal with this arousal. To decrease sympathetic nervous system arousal, the PMHNP’s
treatment strategy is .
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 04:39:58 GMT -05:00
https://www.coursehero.com/file/71137534/NURS-6640-Exam-Week-6-Midtermdocx/
