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NURS-6640 Psychotherapy Individ Week 6 Midterm Exam – Complete Questions and Verified Answers (Walden University)

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This is a completed Week 6 Midterm Exam for NURS-6640 Psychotherapy Individ at Walden University, presented as a review test submission with the student's selected answers and scoring results. The exam covers psychotherapy and psychiatric mental health nurse practitioner (PMHNP) practice topics across 76 questions, including therapeutic principles and techniques such as catharsis, Socratic dialogue (SD), cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), psychodynamic and psychoanalytic psychotherapy, supportive psychodynamic psychotherapy, and the adaptive information processing (AIP) model. Specific content areas include confidentiality and its limits, informed consent and release of information, therapeutic alliance and alliance rupture repair, transference and countertransference including concordant identification, maintaining the therapeutic frame, trauma assessment and trauma history organization, dissociation and dual awareness in PTSD, safe-place exercises, systematic desensitization, shame-attacking exercises, sleep hygiene and sleep restriction therapy, paradoxical interventions, and assertiveness training. Additional topics include anxiety and depression symptom overlap, autonomic nervous system arousal and sympathetic nervous system deactivation, maladaptive schemas, interpersonal style assessment, ego functioning, Maslow's hierarchy of needs, the Geriatric Depression Scale, genograms and family structure assessment, borderline personality disorder treatment, acute stress disorder, and medication education for dissociative disorder. The document also includes questions on idiosyncratic meaning and idiosyncratic transference, empathy, expressive communication techniques with children, and the Impact of Event Scale. Each question is followed by the selected answer, and many items indicate whether the answer was correct or incorrect along with the point value. This midterm exam review is useful for exam preparation, concept review, and practice with PMHNP psychotherapy course content, allowing students to reinforce understanding of therapeutic models, clinical assessment tools, and ethical/legal considerations in psychotherapy practice. The course (NURS-6640 Psychotherapy Individ), document type (Week 6 Midterm Exam with verified answers), and content coverage are all verified from the uploaded file. No author or edition is stated in the document, so these could not be confirmed.

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User
Course NURS-6640 Psychotherapy
Individ
Test Week 6 Midterm exam
Status

Completed Attempt
Score 84%
Results Submitted Answers
Displaye
d



A PMHNP is treating a 45-year-old female patient who is upset that her
brother has not been calling since his divorce. When asked to describe
her brother and what prompts him not to call as frequently, she says,
“Everything is about him, not me. I think he’s jealous that I have a good
marriage and he wants me to be unhappy, too. So he doesn’t call to
upset me and ruin my relationships.” Based on this information, the
PMHNP can conclude that the patient .
Selecte
B.
d
has an insistent emphasis on the feelings of others
Answer:



When a PMHNP is seeing a patient for the first time, what is an important
step to assure that the patient and provider understand the limits of their
discussion?
Selecte
C.
d
Have a discussion about the confidentiality and its limits
Answer:



You are seeing a 29-year-old widow whose husband recently died
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?

,Selecte A.
d Encouraging catharsis
Answer:



The PMHNP is treating a 35-year-old male officer in the military. He
discloses that both of his parents are deceased and that he loved them.
However, he says that he had feelings of inadequacy because his parents
held him to a standard that he could never achieve. He went on to say
that nothing he did ever felt good enough. The PMHNP assesses that this
patient has perfect creases in his uniform with no strings or tags out of
place; she also notices that he has perfect posture and questions him
about ritualistic behaviors. She suspects that this patient has maladaptive
responses to the expectations placed on him as a teenager and young
adult. Which statements made by the patient would verify the PMHNP’s
suspicion?
Selecte
D.
d
“I believe in systems; I have to have order and rules in my
Answer
everyday life. If a task must be completed, I will often
:
complete it myself versus depending on someone else.”




The PMHNP is working with a patient who experiences anxiety around her
parents that later leads to poor impulse control. What will the PMHNP do
to employ psychodynamic psychotherapy properly for this patient?
Selecte
B.
d
Focus on expressions of emotion
Answer:



The PMHNP has been treating a 15-year-old patient with a history of
abuse and neglect. Thirty minutes into their therapy session the patient
jumps up and begins to pace around the room. Utilizing Socratic dialogue
(SD) the PMHNP’s best action would be to:
Selecte
C.
d
Say, “I noticed a change. Can you tell me what happened?”
Answer:



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)?

, Selecte
B.
d
“When you say blow up, what exactly does blow up mean and
Answer
how
:

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September 30, 2026
Number of pages
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Written in
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