NRNP 6645 QUESTIONS AND ANSWERS LATEST
UPDATED VERSION, ALREADY GRADED A+
.1. In response to the question, "Why did you come to the clinic?" a patient said: "When I got up this
morning, I showered and dressed. I was angry at my landlord for not fixing the faucet in my bathroom.
I tried to get him on the phone. He wouldn't talk to me. I'll call my lawyer. You see, my rent is
supposed to be paid by the Department of Welfare, but they're so nasty. [But why did you come to
the clinic?] I'm coming to that, Doctor. You see, they don't care about an upright citizen. I did so much
for my community. No one can say I wasn't a hard worker," and soon. After repeated questioning ,the
patient finally stated that she was worried about being constipated. The above patient is an example
of
A. a patient with a thought disorder B. a delusional patient C. a somatizing patient D. a demanding
patient E. an agitated patient
A. a patient with a thought disorder
6.2. The psychiatric interview serves all of the following functions except
A. to establish a therapeutic relationship B. to implement a treatment plan C. to assess the nature of
the problem D. to demonstrate the physician's expertise E. none of the above
D. to demonstrate the physician's expertise
6.3. During an interview, a patient sarcastically asks a physician, "Did you really go to medical
school?" Which is the best way for the physician to respond?
A. Promptly end the interview B. Answer the question directly C. Address the issue that provoked the
comment D. Do not answer E. None of the above
C. Address the issue that provoked the comment
6.4. Rapport is
A. based on a doctor projecting feelings onto the patient B. based on a patient projecting feelings
from past relationships to the doctor C. a feeling of harmony that promotes a therapeutic relationship
D. of little significance in obtaining the history E. none of the above
C. a feeling of harmony that promotes a therapeutic relationship
6.5. Mr. M, a 60-year-old man, 10 months after the death of his wife of 40 years, reluctantly told his
daughter that he wished he were dead but would never act on these wishes.
Alarmed, she took him to a psychiatrist for an evaluation. Which of the following is true?
A. Feelingthiswayisanormalgriefreaction,sonoaction is required. B. His daughter has overreacted in
light of the absence of described intent. C. Detailed questions about his suicidality are essential for
prevention. D. Euphemisticinquiriesabouthissuicideriskwouldfoster rapport. E. Asking this man about
suicide may increase his risk.
C. Detailed questions about his suicidality are essential for prevention.
, 6.6. Transference feelings
A. are based on a patient projecting feelings from past relationships toward the doctor B. are a main
reason for lawsuits filed by mistreated patients C. are based on a doctor projecting feelings onto a
patient D. do not occur with highly experienced physicians E. none of the above
A. are based on a patient projecting feelings from past relationships toward the doctor
6.7. At the beginning of an appointment, a patient wants to discuss her perception of why she felt ill,
but the physician wants to know the chronology of her symptoms. The physician should
A. inform her that time is of the essence B. inform her that an extra charge will be made if more time
is needed for the appointment C. allow the patient to complete her thoughts D. immediately discuss
how compliance will be affected by her perceptions and responses E. politely interrupt the patient
and continue with closed ended questions
C. allow the patient to complete her thoughts
6.8. Which of the following statements on the person-centered approach is false?
A. The individuality of the patient's experience is a central theme. B. The focus is on illness and
deficits. C. The focus is on strengths and assets. D. The treatment plan should be based on the
patient's goals. E. None of the above
B. The focus is on illness and deficits.
6.9. Illness behavior refers to
A. the influence of culture on illness B. the way the condition presents itself C. the role society
ascribes to the sick person D. being excused from responsibilities E. all of the above
E. all of the above
6.10. Which of the following minimizes agitation and the risk of harm by potentially violent patients?
A. Asking the patient if he is carrying a weapon B. Terminating the interview if necessary. Evaluating
the patient in anon stimulating environment D. Heeding one's subjective sense of fear E. All of the
above
E. All of the above
6.11. Which of the following statements about transference is true?
A. Transference is a conscious process. B. Transference reactions may be strongest with psychiatrists.
C. Transference is exclusively positive because patients know doctors are trying to help them. D.
Transference occurs only in patient interactions with psychiatrists, not with clinicians from other
disciplines. E. Transference implies that the way a clinician interacts with the patient has no direct
bearing on the emotional reactions of the patient.
B. Transference reactions may be strongest with psychiatrists.
6.12. Antisocial patients
A. rarely malinger B. rarely present as socially adept or intelligent C. seldom cause physicians to feel
threatened D. should never be confronted directly about inappropriate behavior E. must be
approached with a heightened sense of vigilance
UPDATED VERSION, ALREADY GRADED A+
.1. In response to the question, "Why did you come to the clinic?" a patient said: "When I got up this
morning, I showered and dressed. I was angry at my landlord for not fixing the faucet in my bathroom.
I tried to get him on the phone. He wouldn't talk to me. I'll call my lawyer. You see, my rent is
supposed to be paid by the Department of Welfare, but they're so nasty. [But why did you come to
the clinic?] I'm coming to that, Doctor. You see, they don't care about an upright citizen. I did so much
for my community. No one can say I wasn't a hard worker," and soon. After repeated questioning ,the
patient finally stated that she was worried about being constipated. The above patient is an example
of
A. a patient with a thought disorder B. a delusional patient C. a somatizing patient D. a demanding
patient E. an agitated patient
A. a patient with a thought disorder
6.2. The psychiatric interview serves all of the following functions except
A. to establish a therapeutic relationship B. to implement a treatment plan C. to assess the nature of
the problem D. to demonstrate the physician's expertise E. none of the above
D. to demonstrate the physician's expertise
6.3. During an interview, a patient sarcastically asks a physician, "Did you really go to medical
school?" Which is the best way for the physician to respond?
A. Promptly end the interview B. Answer the question directly C. Address the issue that provoked the
comment D. Do not answer E. None of the above
C. Address the issue that provoked the comment
6.4. Rapport is
A. based on a doctor projecting feelings onto the patient B. based on a patient projecting feelings
from past relationships to the doctor C. a feeling of harmony that promotes a therapeutic relationship
D. of little significance in obtaining the history E. none of the above
C. a feeling of harmony that promotes a therapeutic relationship
6.5. Mr. M, a 60-year-old man, 10 months after the death of his wife of 40 years, reluctantly told his
daughter that he wished he were dead but would never act on these wishes.
Alarmed, she took him to a psychiatrist for an evaluation. Which of the following is true?
A. Feelingthiswayisanormalgriefreaction,sonoaction is required. B. His daughter has overreacted in
light of the absence of described intent. C. Detailed questions about his suicidality are essential for
prevention. D. Euphemisticinquiriesabouthissuicideriskwouldfoster rapport. E. Asking this man about
suicide may increase his risk.
C. Detailed questions about his suicidality are essential for prevention.
, 6.6. Transference feelings
A. are based on a patient projecting feelings from past relationships toward the doctor B. are a main
reason for lawsuits filed by mistreated patients C. are based on a doctor projecting feelings onto a
patient D. do not occur with highly experienced physicians E. none of the above
A. are based on a patient projecting feelings from past relationships toward the doctor
6.7. At the beginning of an appointment, a patient wants to discuss her perception of why she felt ill,
but the physician wants to know the chronology of her symptoms. The physician should
A. inform her that time is of the essence B. inform her that an extra charge will be made if more time
is needed for the appointment C. allow the patient to complete her thoughts D. immediately discuss
how compliance will be affected by her perceptions and responses E. politely interrupt the patient
and continue with closed ended questions
C. allow the patient to complete her thoughts
6.8. Which of the following statements on the person-centered approach is false?
A. The individuality of the patient's experience is a central theme. B. The focus is on illness and
deficits. C. The focus is on strengths and assets. D. The treatment plan should be based on the
patient's goals. E. None of the above
B. The focus is on illness and deficits.
6.9. Illness behavior refers to
A. the influence of culture on illness B. the way the condition presents itself C. the role society
ascribes to the sick person D. being excused from responsibilities E. all of the above
E. all of the above
6.10. Which of the following minimizes agitation and the risk of harm by potentially violent patients?
A. Asking the patient if he is carrying a weapon B. Terminating the interview if necessary. Evaluating
the patient in anon stimulating environment D. Heeding one's subjective sense of fear E. All of the
above
E. All of the above
6.11. Which of the following statements about transference is true?
A. Transference is a conscious process. B. Transference reactions may be strongest with psychiatrists.
C. Transference is exclusively positive because patients know doctors are trying to help them. D.
Transference occurs only in patient interactions with psychiatrists, not with clinicians from other
disciplines. E. Transference implies that the way a clinician interacts with the patient has no direct
bearing on the emotional reactions of the patient.
B. Transference reactions may be strongest with psychiatrists.
6.12. Antisocial patients
A. rarely malinger B. rarely present as socially adept or intelligent C. seldom cause physicians to feel
threatened D. should never be confronted directly about inappropriate behavior E. must be
approached with a heightened sense of vigilance
