NURS 6670 Midterm Exam 2025\2026 update
Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution.
The last time she was in jail, her sentence was extended for 30 days because she got into a fight with another
inmate and beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of
the following personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for
cocaine. She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any
time. Upon further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times,
other days more. She also uses it occasionally at home and most weekends. During her third session, she admitted
that it is a financial burden, and she basically cannot afford any other form of recreation. She understands that if
she uses again she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it.
When counseling her about cessation strategies, the PMHNP advises all the following except:
The physiologic symptoms of withdrawal may require a short-term hospitalization
Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal
She will need to be monitored for depression
Overcoming the intense craving for cocaine is the biggest issue
Question 3
Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is
an intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a
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Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution.
The last time she was in jail, her sentence was extended for 30 days because she got into a fight with another
inmate and beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of
the following personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for
cocaine. She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any
time. Upon further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times,
other days more. She also uses it occasionally at home and most weekends. During her third session, she admitted
that it is a financial burden, and she basically cannot afford any other form of recreation. She understands that if
she uses again she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it.
When counseling her about cessation strategies, the PMHNP advises all the following except:
The physiologic symptoms of withdrawal may require a short-term hospitalization
Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal
She will need to be monitored for depression
Overcoming the intense craving for cocaine is the biggest issue
Question 3
Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is
an intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a
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