lOMoAR cPSD| 44886145
NURS 6640 EXAM TESTBANK NEWEST
VERSION 2024-2025 EXPECTED QUESTION
AND CORRECT ANSWER FROM VERIFIED
SOURCES RATED A GRADE.
SCORE:90%
Question 1
1 out of 1 points
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: Answer: A.
“Identify an image of a safe place that makes you feel calm.”
Question 2
1 out of 1 points
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?
Answer: C. “The medication may provide symptom relief, but you still
need psychotherapy.”
, lOMoAR cPSD| 44886145
Question 3
1 out of 1 points
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?
Answer: D. All of the above
Question 4
1 out of 1 points
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: Answer: C. Limit
disclosure to the extent legally possible
Question 5
1 out of 1 points
The PMHNP meets with an adolescent patient who has depression and
often presents with resistance when discussing his parent’s divorce. For
the past couple of sessions, the patient has been quiet, sometimes
refusing to speak. To further support the therapeutic relationship, the
PMNHP:
Answer: A. Observes and points out the behavior
Question 6
1 out of 1 points
, lOMoAR cPSD| 44886145
The PMHNP employs psychodynamic psychotherapy with a patient who
experiences anxiety and depression. As the process enters the
psychoanalytic end of the psychodynamic continuum, the PMNHP will
focus on:
Answer: A. Interpreting unconscious conflict in the patient
Question 7
1 out of 1 points
The PMHNP is working with a patient who witnessed her father pass
away after suffering for several months from terminal cancer. The
PMHNP sees this as a traumatic event. The patient reports sometimes
feeling out of touch with surroundings; almost as if things feel like a
dream. “Sometimes that sensation lingers for a while,” the patient says,
“and other times I snap out of it quickly.” What does the PMHNP infer
about the condition based on psychotherapy concepts for trauma?
Answer: B. The patient is reporting signs of dissociation.
Question 23
1 out of 1 points
The PMHNP is treating a patient with a substantial fear of feeling closed
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?
, lOMoAR cPSD| 44886145
Answer: A. Begin by having the patient stand in front of the elevator and
write down his feelings
Question 24
1 out of 1 points
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?
Answer: D. Have the patient use the relaxation response (take a deep
breath, exhale long, and slow down)
Question 25
1 out of 1 points
When the patient comes into the office, she says, “I just saw a friend of
mine out in the waiting room. What’s wrong with him?” The PMHNP
says, “He’ll be fine. He has mild depression.” Which of the following
statement is correct related to confidentiality rights?
Answer: A. The PMHNP was not protecting patient confidentially rights.
Question 26
1 out of 1 points
You are seeing a 29-year-old widow whose husband recently died
overseas while serving his country in the military. She has been
NURS 6640 EXAM TESTBANK NEWEST
VERSION 2024-2025 EXPECTED QUESTION
AND CORRECT ANSWER FROM VERIFIED
SOURCES RATED A GRADE.
SCORE:90%
Question 1
1 out of 1 points
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: Answer: A.
“Identify an image of a safe place that makes you feel calm.”
Question 2
1 out of 1 points
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?
Answer: C. “The medication may provide symptom relief, but you still
need psychotherapy.”
, lOMoAR cPSD| 44886145
Question 3
1 out of 1 points
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?
Answer: D. All of the above
Question 4
1 out of 1 points
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: Answer: C. Limit
disclosure to the extent legally possible
Question 5
1 out of 1 points
The PMHNP meets with an adolescent patient who has depression and
often presents with resistance when discussing his parent’s divorce. For
the past couple of sessions, the patient has been quiet, sometimes
refusing to speak. To further support the therapeutic relationship, the
PMNHP:
Answer: A. Observes and points out the behavior
Question 6
1 out of 1 points
, lOMoAR cPSD| 44886145
The PMHNP employs psychodynamic psychotherapy with a patient who
experiences anxiety and depression. As the process enters the
psychoanalytic end of the psychodynamic continuum, the PMNHP will
focus on:
Answer: A. Interpreting unconscious conflict in the patient
Question 7
1 out of 1 points
The PMHNP is working with a patient who witnessed her father pass
away after suffering for several months from terminal cancer. The
PMHNP sees this as a traumatic event. The patient reports sometimes
feeling out of touch with surroundings; almost as if things feel like a
dream. “Sometimes that sensation lingers for a while,” the patient says,
“and other times I snap out of it quickly.” What does the PMHNP infer
about the condition based on psychotherapy concepts for trauma?
Answer: B. The patient is reporting signs of dissociation.
Question 23
1 out of 1 points
The PMHNP is treating a patient with a substantial fear of feeling closed
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?
, lOMoAR cPSD| 44886145
Answer: A. Begin by having the patient stand in front of the elevator and
write down his feelings
Question 24
1 out of 1 points
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?
Answer: D. Have the patient use the relaxation response (take a deep
breath, exhale long, and slow down)
Question 25
1 out of 1 points
When the patient comes into the office, she says, “I just saw a friend of
mine out in the waiting room. What’s wrong with him?” The PMHNP
says, “He’ll be fine. He has mild depression.” Which of the following
statement is correct related to confidentiality rights?
Answer: A. The PMHNP was not protecting patient confidentially rights.
Question 26
1 out of 1 points
You are seeing a 29-year-old widow whose husband recently died
overseas while serving his country in the military. She has been
