NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
Answers
• Question 1 b
1boutbofb1bpoints
Theb PMHNPb isb workingb withb ab 43-year-
oldb maleb patientb whob developsbidiosyncraticb transferenceb overbweeksb ofb
therapy.bTheb bestb waybforb thebPMHNPbtobrespondb tobthisbpatientbisbto
:
Selectedb B.
Answer: usebempathy
• Question 2 b
1boutbofb1bpoints
ThebPMHNPbisbworkingbwithbabschool-
agedbchildbwhobhasbbeenbdiagnosedbwith
depression.b Theb childb hasb attendedb severalb sessionsb withb theb PMNHP,b butbre
centlyb presentsb withb avoidantb behaviorb byb showingb increasedb distressbandb b
eingb lateb tob sessions.b Whatb approachb doesb theb PMHNPb needb tobemploybwithb t
hebchildbtobcontinueb makingb therapeuticb progress?
Selectedb
B.
Answer:
Usingbcommunicationbtechniquesbthatbarebexpressive
• Question 3 b
1boutbofb1bpoints
ThebPMHNPbisbcaringbforbabpatientbwithbdissociatedbself-
statebthatbbthebPMHNP
identifiesbasbbeingbassociatedbwithbtraumaticbexperiencesbinbthebpatient’sbp
ast.bWhatbapproachbdoesbthebPMHNPbusebwithbthebpatientbthatbisbcrucialbtob
thebpsychodynamicbtherapybprocess?
Selectedb
A.
Answer:
Assistingbthebpatientbtobexperiencebandbacceptbthebvariousbdi
mensionsbofbthebselfbthroughbenhancedbawarenessbofbthebtra
umaticbstates
• Question 4 b
1boutbofb1bpoints
Ab PMHNPb isb caringb forb ab 21-year-
oldb womanb whob isb sufferingb fromb anxietybandbis
NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
,NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
havingb difficultyb managingb stress.b Whichb ofbthebfollowingb wouldb beb anbappropria
te
stepbbybthebPMHNP?
Selectedb
D.
Answer:
Allbofbthebabove
• Question 5 b
OnebofbthebstrategiesbthebPMHNPbwantsbtobtrybincludesb sleepbrestriction.
Whatbwill
theb PMHNPb suggestb tob followb sleepb restrictionb therapy?
Selectedb
B.
Answer:
“Restrictbthebamountbofbtimebyoubspendbinbbed.”
• Question 6 b
1boutbofb1bpoints
ThebPMHNPbisbworkingbwithbabpatientbwhobisblivingbinbpovertybandbabusingbsu
bstances.bAccordingbtobthebtreatmentbhierarchybframework,bwhatbneedsbdoe
sbthebPMHNPbneedbtobattendbtobfirst?
Selectedb
A.
Answer:
Providebsafetybthroughbcasebmanagementbstrategies
• Question 7 b
1boutbofb1bpoints
Theb PMHNPb isb meetingb withb ab 42-year-
oldb manb withb depressionb broughtb onbbybthe
recentbpassingbofbhisbwife.bAsbhebdescribesbthebcircumstancesbsurroundin
gbhisblatebwife’sbdeath,bthebPMHNPbbeginsbtobfeelbsad.bThebsadnessb lingersb
forb severalb hours,b andb theb PMHNPb findsb itb difficultb tob focusbonbotherbpatients
bforbthebrestbofbthebday.
WhatbisbthebmostbappropriatebexplanationbforbthebreactionbthatbthebPMHN
Pbisbexperiencing?
NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
,NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100%b b b b
CORRECT BEST EXAM SOLUTION b b b b
SelectedbAnswer:
C.
Concordantbidentification
• Question 8 b
1boutbofb1bpoints
Afterbinformingbabprospectivebpatientbaboutblimitsbofbconfidentiality,bthebpatient
consentsbtobtheb“conditions”b ofbconfidentialityb andbsignsbanbinformedbconse
ntbform.bSeveralbweeksblater,bablawyerbrepresentingbthebpatient’sbspouseb for
b ab courtb case,b asksb theb PMHNPb forb theb disclosureb ofb informationb
aboutbthebpa
tient.bThebPMHNPbshould:
possible
Selectedb
Answer:
• Question 9 b
C.
Limitbdisclosurebtobt
h
e
b
e
x
t
e
n
t
b
l
e
g
a
l
l
y
b
NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100%b b b b
CORRECT BEST EXAM SOLUTION b b b b
, Anb 11-year-oldb patientb hasb beenb exhibitingb lowb self-
esteemb atb schoolb andbactingbout.
NURSb6640bFinalbExambWeekb11bNURS-
6640bPsychotherapybIndivid{LATESTbVERSIONb20
20}
AccordingbtobMaslow’sb hierarchybofb needs,bwhichb ofbthebfollowingbquestio
nsbwouldbbestbbebaddressedbfirstbbybthebPMHNP?
SelectedbAnswer:
C.
“Isb Joelb gettingb enoughb sleepb atb home?”
• Question 10 b
Yourb patientb isb ab65-year-
oldb maleb whob hasb ab strainedb relationshipb withb hisbsonband
daughter.bHisbchildrenbrefusebtobparticipatebinbabfamilybsession.bThebPMHNPb
asksb theb patientb tob drawb hisb familyb genogramb asb ab nextb stepb to .
SelectedbAnswer:
C.
provideb backgroundb informationbforbthebpatient’sbfamilybstructure
• Question 11 b
Duringb ab therapyb sessionb theb patientb isb askedb howb sheb currentlyb dealsb withbstres
s,
andbshebsays,b“Well,bIbdon’t.bIbjustbletbitbbuildbandbbuild.”bThebPMHNPbres
pondsb byb askingb howb wellb thisb hasb beenb workingb outb forb her.b Thebpatientb
states,b“Well,btobbebhonest,bitbjustbfeelsblikebI’mbdrowning,byoubknowbwhatb
Ibmean.”b Illustratingb idiosyncraticb meaning,bthebPMHNPbrespondsbwith:
SelectedbAnswer:
B.
“No,b Ib amb notb sureb whatb youb areb saying.b Canb youb pleasebexplain?”
• Question 12 b
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
Answers
• Question 1 b
1boutbofb1bpoints
Theb PMHNPb isb workingb withb ab 43-year-
oldb maleb patientb whob developsbidiosyncraticb transferenceb overbweeksb ofb
therapy.bTheb bestb waybforb thebPMHNPbtobrespondb tobthisbpatientbisbto
:
Selectedb B.
Answer: usebempathy
• Question 2 b
1boutbofb1bpoints
ThebPMHNPbisbworkingbwithbabschool-
agedbchildbwhobhasbbeenbdiagnosedbwith
depression.b Theb childb hasb attendedb severalb sessionsb withb theb PMNHP,b butbre
centlyb presentsb withb avoidantb behaviorb byb showingb increasedb distressbandb b
eingb lateb tob sessions.b Whatb approachb doesb theb PMHNPb needb tobemploybwithb t
hebchildbtobcontinueb makingb therapeuticb progress?
Selectedb
B.
Answer:
Usingbcommunicationbtechniquesbthatbarebexpressive
• Question 3 b
1boutbofb1bpoints
ThebPMHNPbisbcaringbforbabpatientbwithbdissociatedbself-
statebthatbbthebPMHNP
identifiesbasbbeingbassociatedbwithbtraumaticbexperiencesbinbthebpatient’sbp
ast.bWhatbapproachbdoesbthebPMHNPbusebwithbthebpatientbthatbisbcrucialbtob
thebpsychodynamicbtherapybprocess?
Selectedb
A.
Answer:
Assistingbthebpatientbtobexperiencebandbacceptbthebvariousbdi
mensionsbofbthebselfbthroughbenhancedbawarenessbofbthebtra
umaticbstates
• Question 4 b
1boutbofb1bpoints
Ab PMHNPb isb caringb forb ab 21-year-
oldb womanb whob isb sufferingb fromb anxietybandbis
NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
,NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
havingb difficultyb managingb stress.b Whichb ofbthebfollowingb wouldb beb anbappropria
te
stepbbybthebPMHNP?
Selectedb
D.
Answer:
Allbofbthebabove
• Question 5 b
OnebofbthebstrategiesbthebPMHNPbwantsbtobtrybincludesb sleepbrestriction.
Whatbwill
theb PMHNPb suggestb tob followb sleepb restrictionb therapy?
Selectedb
B.
Answer:
“Restrictbthebamountbofbtimebyoubspendbinbbed.”
• Question 6 b
1boutbofb1bpoints
ThebPMHNPbisbworkingbwithbabpatientbwhobisblivingbinbpovertybandbabusingbsu
bstances.bAccordingbtobthebtreatmentbhierarchybframework,bwhatbneedsbdoe
sbthebPMHNPbneedbtobattendbtobfirst?
Selectedb
A.
Answer:
Providebsafetybthroughbcasebmanagementbstrategies
• Question 7 b
1boutbofb1bpoints
Theb PMHNPb isb meetingb withb ab 42-year-
oldb manb withb depressionb broughtb onbbybthe
recentbpassingbofbhisbwife.bAsbhebdescribesbthebcircumstancesbsurroundin
gbhisblatebwife’sbdeath,bthebPMHNPbbeginsbtobfeelbsad.bThebsadnessb lingersb
forb severalb hours,b andb theb PMHNPb findsb itb difficultb tob focusbonbotherbpatients
bforbthebrestbofbthebday.
WhatbisbthebmostbappropriatebexplanationbforbthebreactionbthatbthebPMHN
Pbisbexperiencing?
NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100% b b b b
CORRECT BEST EXAM SOLUTION b b b b
,NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100%b b b b
CORRECT BEST EXAM SOLUTION b b b b
SelectedbAnswer:
C.
Concordantbidentification
• Question 8 b
1boutbofb1bpoints
Afterbinformingbabprospectivebpatientbaboutblimitsbofbconfidentiality,bthebpatient
consentsbtobtheb“conditions”b ofbconfidentialityb andbsignsbanbinformedbconse
ntbform.bSeveralbweeksblater,bablawyerbrepresentingbthebpatient’sbspouseb for
b ab courtb case,b asksb theb PMHNPb forb theb disclosureb ofb informationb
aboutbthebpa
tient.bThebPMHNPbshould:
possible
Selectedb
Answer:
• Question 9 b
C.
Limitbdisclosurebtobt
h
e
b
e
x
t
e
n
t
b
l
e
g
a
l
l
y
b
NURS 6640 Final Exam Week 11 Psychotherapy
b b b b b b b
Individual{LATEST VERSION 2021/2022} 100%b b b b
CORRECT BEST EXAM SOLUTION b b b b
, Anb 11-year-oldb patientb hasb beenb exhibitingb lowb self-
esteemb atb schoolb andbactingbout.
NURSb6640bFinalbExambWeekb11bNURS-
6640bPsychotherapybIndivid{LATESTbVERSIONb20
20}
AccordingbtobMaslow’sb hierarchybofb needs,bwhichb ofbthebfollowingbquestio
nsbwouldbbestbbebaddressedbfirstbbybthebPMHNP?
SelectedbAnswer:
C.
“Isb Joelb gettingb enoughb sleepb atb home?”
• Question 10 b
Yourb patientb isb ab65-year-
oldb maleb whob hasb ab strainedb relationshipb withb hisbsonband
daughter.bHisbchildrenbrefusebtobparticipatebinbabfamilybsession.bThebPMHNPb
asksb theb patientb tob drawb hisb familyb genogramb asb ab nextb stepb to .
SelectedbAnswer:
C.
provideb backgroundb informationbforbthebpatient’sbfamilybstructure
• Question 11 b
Duringb ab therapyb sessionb theb patientb isb askedb howb sheb currentlyb dealsb withbstres
s,
andbshebsays,b“Well,bIbdon’t.bIbjustbletbitbbuildbandbbuild.”bThebPMHNPbres
pondsb byb askingb howb wellb thisb hasb beenb workingb outb forb her.b Thebpatientb
states,b“Well,btobbebhonest,bitbjustbfeelsblikebI’mbdrowning,byoubknowbwhatb
Ibmean.”b Illustratingb idiosyncraticb meaning,bthebPMHNPbrespondsbwith:
SelectedbAnswer:
B.
“No,b Ib amb notb sureb whatb youb areb saying.b Canb youb pleasebexplain?”
• Question 12 b
