NRNP 6640-9, Psychotherapy Individ:
Exam – Week 6 Midterm Exam (Correct
Answers 2020)
Categories
NRNP 6640 PSYCHOTHERAPY WITH INDIVIDUALS
BUY NOW
Overview
•
(NRNP 6640-9)
1. Qtn_: 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 :
2. Qtn_: The PMHNP is working with a school-aged child who has been … with
depression. The child has attended several sessions with the PMNHP, but recently
presents with avoidant behavior by showing … distress and being late to
sessions. What approach does the PMHNP need to employ with the child to
continue making therapeutic progress?
3. Qtn_: The PMHNP is caring for a patient with dissociated self-state that the
PMHNP identifies as being … with traumatic experiences in the patient’s past. What
approach does the PMHNP use with the patient that is crucial to the psychodynamic
therapy process?
4. Qtn_: A PMHNP is caring for a 21-year-old woman who is suffering from anxiety
and is having difficulty managing stress. Which of the following would be an
appropriate step by the PMHNP?
5. Qtn_: One of the strategies the PMHNP wants to try includes sleep restriction.
What will the PMHNP suggest to follow sleep restriction therapy?
6. Qtn_: 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?
7. Qtn_: The PMHNP is meeting with a 42-year-old man with depression brought
on by the recent passing of his wife. As he describes the circumstances
surrounding his late wife’s death, the PMHNP begins to feel sad. The sadness
lingers for several hours, and the PMHNP finds it difficult to focus on other patients
for the rest of the day. What is the most appropriate explanation for the reaction
that the PMHNP is experiencing?
8. Qtn_: After informing a prospective patient about limits of confidentiality, the
patient consents to the “conditions” of confidentiality and signs an … 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:
9. Qtn_: 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 Qtn_s
would best be … first by the PMHNP?
10. Qtn_: Your patient is a 65-year-old male who has a … relationship with his son
and daughter. His children refuse to participate in a family session. The PMHNP asks
the patient to draw his family genogram as a next step to .
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 08:37:06 GMT -05:00
https://www.coursehero.com/file/78514863/NRNP-6640-9-Week-6-Midterm-Exam-Correct-2020docx/
, 11. Qtn_: During a therapy session the patient is … how she currently deals with
stress, and she says, “Well, I don’t. I just let it build and build.” The PMHNP responds
by asking how well this has been working out for her. The patient states, “Well, to be
honest, it just feels like I’m drowning, you know what I mean.” Illustrating
idiosyncratic meaning, the PMHNP responds with:
12. Qtn_: The patient attempts the PMHNP’s sleep hygiene recommendations for 2
weeks, but does not make any progress mitigating nightmares and hyperarousal.
Which behavioral strategy does the PMHNP suggest next?
13. Qtn_: A PMHNP has been working with a young female patient who suffers from
depression to change self-defeating behaviors. By creating a presence of acceptance
and using good listening skills, the PMHNP’s overall goal is to .
14. Qtn_: You are seeing a 29-year-old widow whose husband recently … overseas
while serving his country in the military. She has been mourning the loss of her
husband for several months, and continues to grieve. She 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?
15. Qtn_: The PMHNP is treating a patient with a substantial fear of feeling … in
(claustrophobia). Thus, the patient will not get into an elevator. The office where
he works is on the 10th floor and this requires that he walk up and down the stairs
in the morning and evening to get to his office. With permission from the patient,
the PMHNP is beginning systematic desensitization to address the patient’s need to
use the elevator. What is the PMHNP’s best plan of action?
16. Qtn_: During a therapy session with an 18-year-old female the PMHNP learns
that she has … 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?
17. Qtn_: The PMHNP is working with a 56-year-old man who is being seen because
of his anxiety and depression. During the therapy sessions, the PMHNP assists the
patient in discussing his experiences and expanding on his thoughts and feelings. He
tells the PMHNP stories about how he … to be … by his coworkers at the office for
becoming too anxious in large conference rooms. The PMHNP listens to the patient
and helps focus on his strengths to promote self-understanding. Which principle best
accounts for the PMHNP’s interactions with the patient?
18. Qtn_: A 28-year-old male patient is experiencing distress … to the workplace.
What might the PMHNP ask to assess affective development?
19. Qtn_: The PMHNP is meeting with a 38-year-old divorced, single mother who has
been seeing the PMHNP for anxiety and anger management. During one of the
sessions, the patient tells the PMHNP that she is having a problem getting her
child support payments from her ex-husband, which is triggering … anxiety and
anger, which she … takes out on her children. How does the PMHNP respond in a
way that upholds the supportive psychodynamic psychotherapy approach?
20. Qtn_: A middle-aged man who works over 50 hours a week is being seen for
depression and anger management. He states, “I am even more … when I come
home and my wife wants to argue about stupid stuff. All I want to do is come home,
take a shower, and eat. Is that too much to ask?” The PMHNP explains that
people can be assertive, aggressive, and passive. She encourages the patient to
be more
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 08:37:06 GMT -05:00
https://www.coursehero.com/file/78514863/NRNP-6640-9-Week-6-Midterm-Exam-Correct-2020docx/
Exam – Week 6 Midterm Exam (Correct
Answers 2020)
Categories
NRNP 6640 PSYCHOTHERAPY WITH INDIVIDUALS
BUY NOW
Overview
•
(NRNP 6640-9)
1. Qtn_: 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 :
2. Qtn_: The PMHNP is working with a school-aged child who has been … with
depression. The child has attended several sessions with the PMNHP, but recently
presents with avoidant behavior by showing … distress and being late to
sessions. What approach does the PMHNP need to employ with the child to
continue making therapeutic progress?
3. Qtn_: The PMHNP is caring for a patient with dissociated self-state that the
PMHNP identifies as being … with traumatic experiences in the patient’s past. What
approach does the PMHNP use with the patient that is crucial to the psychodynamic
therapy process?
4. Qtn_: A PMHNP is caring for a 21-year-old woman who is suffering from anxiety
and is having difficulty managing stress. Which of the following would be an
appropriate step by the PMHNP?
5. Qtn_: One of the strategies the PMHNP wants to try includes sleep restriction.
What will the PMHNP suggest to follow sleep restriction therapy?
6. Qtn_: 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?
7. Qtn_: The PMHNP is meeting with a 42-year-old man with depression brought
on by the recent passing of his wife. As he describes the circumstances
surrounding his late wife’s death, the PMHNP begins to feel sad. The sadness
lingers for several hours, and the PMHNP finds it difficult to focus on other patients
for the rest of the day. What is the most appropriate explanation for the reaction
that the PMHNP is experiencing?
8. Qtn_: After informing a prospective patient about limits of confidentiality, the
patient consents to the “conditions” of confidentiality and signs an … 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:
9. Qtn_: 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 Qtn_s
would best be … first by the PMHNP?
10. Qtn_: Your patient is a 65-year-old male who has a … relationship with his son
and daughter. His children refuse to participate in a family session. The PMHNP asks
the patient to draw his family genogram as a next step to .
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 08:37:06 GMT -05:00
https://www.coursehero.com/file/78514863/NRNP-6640-9-Week-6-Midterm-Exam-Correct-2020docx/
, 11. Qtn_: During a therapy session the patient is … how she currently deals with
stress, and she says, “Well, I don’t. I just let it build and build.” The PMHNP responds
by asking how well this has been working out for her. The patient states, “Well, to be
honest, it just feels like I’m drowning, you know what I mean.” Illustrating
idiosyncratic meaning, the PMHNP responds with:
12. Qtn_: The patient attempts the PMHNP’s sleep hygiene recommendations for 2
weeks, but does not make any progress mitigating nightmares and hyperarousal.
Which behavioral strategy does the PMHNP suggest next?
13. Qtn_: A PMHNP has been working with a young female patient who suffers from
depression to change self-defeating behaviors. By creating a presence of acceptance
and using good listening skills, the PMHNP’s overall goal is to .
14. Qtn_: You are seeing a 29-year-old widow whose husband recently … overseas
while serving his country in the military. She has been mourning the loss of her
husband for several months, and continues to grieve. She 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?
15. Qtn_: The PMHNP is treating a patient with a substantial fear of feeling … in
(claustrophobia). Thus, the patient will not get into an elevator. The office where
he works is on the 10th floor and this requires that he walk up and down the stairs
in the morning and evening to get to his office. With permission from the patient,
the PMHNP is beginning systematic desensitization to address the patient’s need to
use the elevator. What is the PMHNP’s best plan of action?
16. Qtn_: During a therapy session with an 18-year-old female the PMHNP learns
that she has … 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?
17. Qtn_: The PMHNP is working with a 56-year-old man who is being seen because
of his anxiety and depression. During the therapy sessions, the PMHNP assists the
patient in discussing his experiences and expanding on his thoughts and feelings. He
tells the PMHNP stories about how he … to be … by his coworkers at the office for
becoming too anxious in large conference rooms. The PMHNP listens to the patient
and helps focus on his strengths to promote self-understanding. Which principle best
accounts for the PMHNP’s interactions with the patient?
18. Qtn_: A 28-year-old male patient is experiencing distress … to the workplace.
What might the PMHNP ask to assess affective development?
19. Qtn_: The PMHNP is meeting with a 38-year-old divorced, single mother who has
been seeing the PMHNP for anxiety and anger management. During one of the
sessions, the patient tells the PMHNP that she is having a problem getting her
child support payments from her ex-husband, which is triggering … anxiety and
anger, which she … takes out on her children. How does the PMHNP respond in a
way that upholds the supportive psychodynamic psychotherapy approach?
20. Qtn_: A middle-aged man who works over 50 hours a week is being seen for
depression and anger management. He states, “I am even more … when I come
home and my wife wants to argue about stupid stuff. All I want to do is come home,
take a shower, and eat. Is that too much to ask?” The PMHNP explains that
people can be assertive, aggressive, and passive. She encourages the patient to
be more
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 08:37:06 GMT -05:00
https://www.coursehero.com/file/78514863/NRNP-6640-9-Week-6-Midterm-Exam-Correct-2020docx/
