NRNP 6640 MIdterm Exam with Answers
Psychotherpy
Question 1
1 out of 1 points
During cognitive behavioral therapy (CBT), a 64-year-old male patient states, “I get so
frustrated sometimes and I just blow up at everybody!” Which response by the PMHNP
demonstrates translation of Socratic dialogue (SD)?
Selected B.
Answer:
“When you say blow up, what exactly does blow up mean and how does it
feel to you?”
Question 2
1 out of 1 points
A 62-year-old patient has been diagnosed with borderline personality disorder. Upon
assessment, the PMHNP learns that he participates in spending sprees and occasional binge
eating, accompanied by rapid changes in self-image. Which evidence-based psychotherapeutic
model does the PMHNP identify as effective and beneficial?
Selected Answer: C.
Dialectical behavior therapy
Question 3
1 out of 1 points
,NRNP 6640 MIdterm Exam with Answers
Psychotherpy
A 35-year-old patient has been seeking treatment for depression for several months. The
PMHNP does an assessment to see if processing has led to adaptive change. The patient’s self-
references are positive in relation to past events, work is productive, relationships are adaptive,
and there is congruence between behavior, thoughts, and affect. Based on this information, the
PMHNP decides the patient .
Selected Answer: C.
is ready to move to Stage III, future visioning
Question 4
1 out of 1 points
During a session, the PMHNP asks a patient with a history of sexual abuse to recall the
relationship she had as a child with her parents. The patient responds by saying she has a
headache and her stomach hurts, and starts talking about her physical ailments. What is the
appropriate response by the PMHNP?
Selected Answer: A.
Assure the patient that she does not have to discuss these memories
Question 5
1 out of 1 points
A 24-year-old female patient presents for her initial appointment with the PMHNP. Which
action will the PMHNP take to establish therapeutic alliance?
Selected Answer: D.
All of the above
Question 6
1 out of 1 points
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?
, NRNP 6640 MIdterm Exam with Answers
Psychotherpy
Selected Answer: B.
Using communication techniques that are expressive
Question 7
1 out of 1 points
The PMHNP has been assisting a shy and timid 23-year-old male patient struggling with
esteem and self-concept issues. Over the weekend, this patient was given the task of
completing an exercise that would usually cause him distress and shame, also called a shame-
attacking exercise. The PMHNP determines that this task has successfully been achieved when
the patient states:
Selected Answer: A.
“I was able to eat in public yesterday despite how loudly I chew.”
Question 8
1 out of 1 points
The PMHNP is meeting with a new patient who is a young veteran back from serving two
tours overseas. When reviewing the patient’s health history file that was sent from the VA, the
PMHNP learns that several months ago, the patient was diagnosed with PTSD, but never
followed up with treatment for it. After a comprehensive mental health assessment, the
PMHNP confirms the PTSD diagnosis and understands that which therapeutic approach will
be the most effective as a first-line treatment modality?
Selected Answer: B.
Employing cognitive behavioral therapy with the patient
Question 9
1 out of 1 points
An initial evaluation reveals that an 11-year-old patient has moved to a new school after her
parents’ recent divorce, and is having trouble making friends. The patient has normal mental
status and exhibits appropriate behavior. What is the most appropriate scale for the PMHNP to
use to get more information?
Selected Answer: D.
Psychotherpy
Question 1
1 out of 1 points
During cognitive behavioral therapy (CBT), a 64-year-old male patient states, “I get so
frustrated sometimes and I just blow up at everybody!” Which response by the PMHNP
demonstrates translation of Socratic dialogue (SD)?
Selected B.
Answer:
“When you say blow up, what exactly does blow up mean and how does it
feel to you?”
Question 2
1 out of 1 points
A 62-year-old patient has been diagnosed with borderline personality disorder. Upon
assessment, the PMHNP learns that he participates in spending sprees and occasional binge
eating, accompanied by rapid changes in self-image. Which evidence-based psychotherapeutic
model does the PMHNP identify as effective and beneficial?
Selected Answer: C.
Dialectical behavior therapy
Question 3
1 out of 1 points
,NRNP 6640 MIdterm Exam with Answers
Psychotherpy
A 35-year-old patient has been seeking treatment for depression for several months. The
PMHNP does an assessment to see if processing has led to adaptive change. The patient’s self-
references are positive in relation to past events, work is productive, relationships are adaptive,
and there is congruence between behavior, thoughts, and affect. Based on this information, the
PMHNP decides the patient .
Selected Answer: C.
is ready to move to Stage III, future visioning
Question 4
1 out of 1 points
During a session, the PMHNP asks a patient with a history of sexual abuse to recall the
relationship she had as a child with her parents. The patient responds by saying she has a
headache and her stomach hurts, and starts talking about her physical ailments. What is the
appropriate response by the PMHNP?
Selected Answer: A.
Assure the patient that she does not have to discuss these memories
Question 5
1 out of 1 points
A 24-year-old female patient presents for her initial appointment with the PMHNP. Which
action will the PMHNP take to establish therapeutic alliance?
Selected Answer: D.
All of the above
Question 6
1 out of 1 points
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?
, NRNP 6640 MIdterm Exam with Answers
Psychotherpy
Selected Answer: B.
Using communication techniques that are expressive
Question 7
1 out of 1 points
The PMHNP has been assisting a shy and timid 23-year-old male patient struggling with
esteem and self-concept issues. Over the weekend, this patient was given the task of
completing an exercise that would usually cause him distress and shame, also called a shame-
attacking exercise. The PMHNP determines that this task has successfully been achieved when
the patient states:
Selected Answer: A.
“I was able to eat in public yesterday despite how loudly I chew.”
Question 8
1 out of 1 points
The PMHNP is meeting with a new patient who is a young veteran back from serving two
tours overseas. When reviewing the patient’s health history file that was sent from the VA, the
PMHNP learns that several months ago, the patient was diagnosed with PTSD, but never
followed up with treatment for it. After a comprehensive mental health assessment, the
PMHNP confirms the PTSD diagnosis and understands that which therapeutic approach will
be the most effective as a first-line treatment modality?
Selected Answer: B.
Employing cognitive behavioral therapy with the patient
Question 9
1 out of 1 points
An initial evaluation reveals that an 11-year-old patient has moved to a new school after her
parents’ recent divorce, and is having trouble making friends. The patient has normal mental
status and exhibits appropriate behavior. What is the most appropriate scale for the PMHNP to
use to get more information?
Selected Answer: D.
