NRNO 6640 MIDTERM EXAM 1
NRNP 6640 MIDTERM
EXAM
QUESTION 1
1. 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 activated
and further helps distinguish anxiety symptoms by making the
following points:
2. A “You may experience an elevated heart rate, constant worrying,
.
and diarrhea.”
B “You may experience fear, sweating, and muscle tension.”
.
C “You may experience an elevated heart rate, the need to urinate,
.
and fear.”
D “You may experience sleepiness, decreased blood pressure, and
.
fear.”
1 points
QUESTION 2
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?
D All of the
.
above
1 points
QUESTION 3
1. 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:
2.
C Limit disclosure to the extent legally
.
possible
,NRNO 6640 MIDTERM EXAM 2
1 points
QUESTION 4
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?
C Avoid watching television or reading
.
,NRNO 6640 MIDTERM EXAM 3
in bed
1 points
QUESTION 5
1. 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?
2.
C “Is Joel getting enough sleep at
.
home?”
1 points
QUESTION 6
1. A patient named Steve is seeking therapy to get help with his
home situation, stating that he has been stressed since his mother-
in-law moved into the house. What can the PMHNP do to assist the
patient in constructing a narrative?
2.
B Elicit details so Steve becomes more self-disclosing and
.
self-examining
1 points
QUESTION 7
1. A new patient has been informed of the limits of confidentiality,
and has signed informed consent forms. No consent, however, has
been obtained for voluntary “Release of Information.” The patient is
20 years old and still lives at home with his parents. He is being
treated for depression, which he attributes to the trouble he’s had
finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on
her son to see how he is doing, the therapist is required to protect
patient confidentiality and not disclose information.
True
1 points
QUESTION 8
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:
2. A Developing increased boundaries
.
B Decreasing supportive
.
psychotherapy
C Scaling back contact with the patient
, NRNO 6640 MIDTERM EXAM 4
.
D Increasing the number of sessions
.
per week
1 points
QUESTION 9
1. 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.
True
Fals
e 1 points
QUESTION 10
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?
2. 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)
1 points
QUESTION 11
1. The PMHNP is working with a veteran who has posttraumatic
stress disorder (PTSD). The PMHNP believes that dual awareness will
be 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?
2. A Asking the patient to recall a recent and mildly disturbing event
.
B Having the patient focus on details of the room, such as how hot or
cold it
.
is
C Telling the patient to rate the level of disturbance he feels from a
mildly
.
disturbing event
D All of the above
.
1 points
QUESTION 12
1. Your patient is a 65-year-old male who has a strained
relationship with his son and daughter. His children refuse to
NRNP 6640 MIDTERM
EXAM
QUESTION 1
1. 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 activated
and further helps distinguish anxiety symptoms by making the
following points:
2. A “You may experience an elevated heart rate, constant worrying,
.
and diarrhea.”
B “You may experience fear, sweating, and muscle tension.”
.
C “You may experience an elevated heart rate, the need to urinate,
.
and fear.”
D “You may experience sleepiness, decreased blood pressure, and
.
fear.”
1 points
QUESTION 2
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?
D All of the
.
above
1 points
QUESTION 3
1. 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:
2.
C Limit disclosure to the extent legally
.
possible
,NRNO 6640 MIDTERM EXAM 2
1 points
QUESTION 4
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?
C Avoid watching television or reading
.
,NRNO 6640 MIDTERM EXAM 3
in bed
1 points
QUESTION 5
1. 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?
2.
C “Is Joel getting enough sleep at
.
home?”
1 points
QUESTION 6
1. A patient named Steve is seeking therapy to get help with his
home situation, stating that he has been stressed since his mother-
in-law moved into the house. What can the PMHNP do to assist the
patient in constructing a narrative?
2.
B Elicit details so Steve becomes more self-disclosing and
.
self-examining
1 points
QUESTION 7
1. A new patient has been informed of the limits of confidentiality,
and has signed informed consent forms. No consent, however, has
been obtained for voluntary “Release of Information.” The patient is
20 years old and still lives at home with his parents. He is being
treated for depression, which he attributes to the trouble he’s had
finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on
her son to see how he is doing, the therapist is required to protect
patient confidentiality and not disclose information.
True
1 points
QUESTION 8
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:
2. A Developing increased boundaries
.
B Decreasing supportive
.
psychotherapy
C Scaling back contact with the patient
, NRNO 6640 MIDTERM EXAM 4
.
D Increasing the number of sessions
.
per week
1 points
QUESTION 9
1. 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.
True
Fals
e 1 points
QUESTION 10
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?
2. 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)
1 points
QUESTION 11
1. The PMHNP is working with a veteran who has posttraumatic
stress disorder (PTSD). The PMHNP believes that dual awareness will
be 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?
2. A Asking the patient to recall a recent and mildly disturbing event
.
B Having the patient focus on details of the room, such as how hot or
cold it
.
is
C Telling the patient to rate the level of disturbance he feels from a
mildly
.
disturbing event
D All of the above
.
1 points
QUESTION 12
1. Your patient is a 65-year-old male who has a strained
relationship with his son and daughter. His children refuse to
