NURS 6640 Midterm Exam 2023/2024 (Questions With Correct Answers Latest Graded A+)

NURS 6640 Midterm Exam 2023/2024 (Questions With Correct Answers Latest Graded A+). 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: A. “Identify an image of a safe place that makes you feel calm.” B. “Think about the things that cause you anxiety and let them go.” C. “Take a deep breath and start to relax with each new breath.” D. “Picture a beautiful beach and describe to me what you see.” A 1 points QUESTION 10 1. A PMHNP‟s patients have already signed confidentiality agreements, including limits that will be imposed on confidentiality. Months later, the state‟s laws have changed that affect confidentiality promises the PMHNP has already made. What is an appropriate step for the PMHNP to take after finding out this information? A. Revise intake forms to align with state laws B. Review confidentiality revisions with patients C. Have patients give informed consent again D. All of the above 1 points QUESTION 11 1. 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? 4 A. Remaining quiet until the child is ready to talk B. Using communication techniques that are expressive C. Inviting the child‟s parents to speak on behalf of the child D. All of the above 1 points QUESTION 12 1. 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 questions 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? A. “I typically don‟t listen to anyone. I take care of my own wants and needs so I feel like no one can judge me or criticize me, period.” B. “I don‟t mean to hurt other people‟s feelings. When people cry or say that I have made them upset in some way, that‟s not my fault; some people are just sensitive.” C. “I like to listen to the beat of my own drum; I don‟t mind spending most of my days alone. I don‟t need recognition or praise; I would just like to be left alone.” D. “I believe in systems; I have to have order and rules in my everyday life. If a task must be completed, I will often complete it myself versus depending on someone else.” 1 points QUESTION 13 1. During a therapy session with an 18-year-old female the PMHNP learns that she has lived in six different foster homes in the last 24 months. She states that her mother is in a correctional facility for drug abuse and prostitution. During the assessment, the PMHNP notices multiple superficial cuts to each wrist. The patient appears tearful, withdrawn, and never makes direct eye contact. The PMHNP believes that this patient may have feelings of insecurities as well as abandonment issues and is aware that which diagnosis is likely possible? A. Narcissistic personality disorder B. Obsessive-compulsive personality disorder C. Borderline personality disorder D. Paranoid personality disorder 1 points QUESTION 14 5 1. In your office, you see a 58-year-old patient with PTSD who reports having nightmares, making it impossible for her to sleep. What recommendations based on principles of sleep hygiene will the PMHNP make? A. Eat a heavy meal before bedtime to induce sleepiness B. Maintain a warm bedroom temperature C. Avoid watching television or reading in bed D. Try going to sleep at different times throughout the week to avoid monotony 1 points QUESTION 15 1. 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? A. Emphasize the past B. Focus on expressions of emotion C. Identify patterns in relationships D. All of the above 1 points QUESTION 16 1. 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 honestly. It becomes clear to the PMHNP that they are experiencing an alliance rupture. How does the PMHNP repair the therapeutic alliance? A. Responding to the patient in a nondefensive manner and accepting responsibility for the PMHNP‟s part in the tension B. Emphasizing with the patient‟s experiences and validating the patient for bringing it up C. Considering changing the goals of the patient‟s treatment D. All of the above 1 points QUESTION 17 1. The PMHNP is caring for a patient with borderline personality disorder. Using a psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the patient‟s transference to enhance emotional processing by: A. Developing increased boundaries B. Decreasing supportive psychotherapy C. Scaling back contact with the patient D. Increasing the number of sessions per week 1 points QUESTION 18 6 1. 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? A. “The medication will help you forget the things that trigger your flashbacks.” B. “The medication takes a while to build up in your system and cure you.” C. “The medication may provide symptom relief, but you still need psychotherapy.” D. All of the above. 1 points QUESTION 19 1. The patient is a 56-year-old female patient diagnosed with panic disorder and reports symptoms that include heart palpitations, frequent trembling, and feelings of choking in stressful situations. What special consideration does the PMHNP make? A. Using a special focus on transference as the agent promoting change B. Confronting the emotional significance of the patient‟s symptoms C. Employing psychodynamic therapy combined with pharmacotherapy D. A and B 1 points QUESTION 20 1. A 65-year-old patient has suffered the loss of his wife. He is in a state of hyperarousal with increased 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 ___________. A. mindfulness techniques B. deep breathing exercises C. self-regulation strategies D. all of the above 1 points QUESTION 21 1. The PMHNP is caring for a patient who the PMHNP believes would benefit from a relational psychodynamic approach to therapy. Which action made by the PMHNP demonstrates appropriate use and understanding of the relationship psychodynamic model? A. Focusing the exploration on making the unconscious conscious B. Focusing the exploration on the genetic roots of the patient‟s problem C. Focusing the exploration on here and now D. None of the above 1 points QUESTION 22 7 1. The PMHNP is working with a 43-year-old male patient who develops idiosyncratic transference over weeks of therapy. The best way for the PMHNP to respond to this patient is to ___________: A. employ cognitive behavioral therapy B. use empathy C. utilize intersubjectivity D. none of the above 1 points QUESTION 23 1. 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? A. Telling the patient there is no reason to be startled B. Avoiding interrupting the flashback as it occurs C. Asking the patient to describe the flashbacks D. Have the patient use the relaxation response (take a deep breath, exhale long, and slow down)