NURS 6640 MIDTERM EXAM 1
NURS 6640 MIDTERM EXAM 1
• Question 1
1 out of 1 points
The patient is a 56-year-old female patient diagnosed with panic disorder and reports
symptoms that include heart palpitations, frequent trembling, and feelings of choking in
stressful situations. What special consideration does the PMHNP make?
Selected D.
Answer: A and B
• Question 2
1 out of 1 points
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?
Selected D.
Answer: All of the above
• Question 3
1 out of 1 points
The PMHNP is working with a patient who has insomnia and battles going to sleep. The
patient reports consistent self-defeating behaviors, and hates trying to go to sleep. Which
action made by the PMHNP demonstrates the use of a paradoxical intervention?
Selected B.
Answer: Telling the patient to resist sleep and stay awake
• Question 4
0 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?
Selected D.
Answer: All of the above.
,NURS 6640 MIDTERM EXAM 1
• Question 5
1 out of 1 points
A new patient has been informed of the limits of confidentiality, and has signed informed
consent forms. No consent, however, has been obtained for voluntary “Release of
Information.” The patient is 20 years old and still lives at home with his parents. He is being
treated for depression, which he attributes to the trouble he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to see how he
is doing, the therapist is required to protect patient confidentiality and not disclose
information.
Selected Tru
Answer: e
• Question 6
0 out of 1 points
The PMHNP is having a therapy session with Charlotte, a 20-year-old victim of date rape.
The patient states, “I shouldn’t have been there; I should have just gone home. This was all
my fault; how could I have been so stupid?” Using the Socratic method, what is the
PMHNP’s best response?
Selected B.
Answer: “Can you recall exactly what stopped you from going home when you
originally wanted to go home?”
• Question 7
1 out of 1 points
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 increased anxiety and anger, which she admittedly takes
out on her children. How does the PMHNP respond in a way that upholds the supportive
psychodynamic psychotherapy approach?
Selected B.
Answer: Suggesting that she seek legal help
• Question 8
1 out of 1 points
A patient named Steve is seeking therapy to get help with his home situation, stating that he
has been stressed since his mother-in-law moved into the house. What can the PMHNP do
to assist the patient in constructing a narrative?
Selected B.
Answer: Elicit details so Steve becomes more self-disclosing and self-examining
• Question 9
1 out of 1 points
The PMHNP is caring for a patient with dissociated self-state that the PMHNP identifies as
being associated 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?
Selected A.
, NURS 6640 MIDTERM EXAM 1
Answer: Assisting the patient to experience and accept the various dimensions of
the self through enhanced awareness of the traumatic states
• Question 10
1 out of 1 points
The PMHNP understands that anxiety and depression are two disorders in which their
symptoms may overlap. When discussing this, you explain that the autonomic nervous
system is activated and further helps distinguish anxiety symptoms by making the following
points:
Selected B.
Answer: “You may experience fear, sweating, and muscle tension.”
• Question 11
0 out of 1 points
The PMHNP is working with a patient who experiences abreactions when discussing
repressed feelings of his sexual abuse as a child. What can the PMHNP do to manage the
patient’s intense emotional reactions?
Selected D.
Answer: All of the above
• Question 12
1 out of 1 points
The PMHNP is conducting a peer review of another PMHNP’s medical charts. Upon review,
the PMHNP notes that the peer often begins patient sessions late, as well as ends them
later than scheduled. The PMHNP also found a comment in the chart regarding the patient
sending text messages while in the middle of the session. Based on these findings, the
feedback that the PMHNP will provide to the peer involves which therapeutic principle?
Selecte D.
d Maintaining the frame
Answer:
32.The PMHNP is mentoring a student. After working with a patient during a
session, the student laments about all the things she should have, or could
have, said to the patient. “I feel guilty that I didn’t speak up more about the
patient’s concern toward her son,” says the student. The PMHNP understands
that the student is exhibiting signs of which therapeutic concept?
• Question 13
0 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 B.
Answer: Asking the patient questions about her main concerns
• Question 14
1 out of 1 points
When conducting an initial assessment, a PMHNP has finished conducting a mental status
examination with 10 minutes left in the session. The patient is distressed and would like to
continue sharing her personal history.
NURS 6640 MIDTERM EXAM 1
• Question 1
1 out of 1 points
The patient is a 56-year-old female patient diagnosed with panic disorder and reports
symptoms that include heart palpitations, frequent trembling, and feelings of choking in
stressful situations. What special consideration does the PMHNP make?
Selected D.
Answer: A and B
• Question 2
1 out of 1 points
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?
Selected D.
Answer: All of the above
• Question 3
1 out of 1 points
The PMHNP is working with a patient who has insomnia and battles going to sleep. The
patient reports consistent self-defeating behaviors, and hates trying to go to sleep. Which
action made by the PMHNP demonstrates the use of a paradoxical intervention?
Selected B.
Answer: Telling the patient to resist sleep and stay awake
• Question 4
0 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?
Selected D.
Answer: All of the above.
,NURS 6640 MIDTERM EXAM 1
• Question 5
1 out of 1 points
A new patient has been informed of the limits of confidentiality, and has signed informed
consent forms. No consent, however, has been obtained for voluntary “Release of
Information.” The patient is 20 years old and still lives at home with his parents. He is being
treated for depression, which he attributes to the trouble he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to see how he
is doing, the therapist is required to protect patient confidentiality and not disclose
information.
Selected Tru
Answer: e
• Question 6
0 out of 1 points
The PMHNP is having a therapy session with Charlotte, a 20-year-old victim of date rape.
The patient states, “I shouldn’t have been there; I should have just gone home. This was all
my fault; how could I have been so stupid?” Using the Socratic method, what is the
PMHNP’s best response?
Selected B.
Answer: “Can you recall exactly what stopped you from going home when you
originally wanted to go home?”
• Question 7
1 out of 1 points
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 increased anxiety and anger, which she admittedly takes
out on her children. How does the PMHNP respond in a way that upholds the supportive
psychodynamic psychotherapy approach?
Selected B.
Answer: Suggesting that she seek legal help
• Question 8
1 out of 1 points
A patient named Steve is seeking therapy to get help with his home situation, stating that he
has been stressed since his mother-in-law moved into the house. What can the PMHNP do
to assist the patient in constructing a narrative?
Selected B.
Answer: Elicit details so Steve becomes more self-disclosing and self-examining
• Question 9
1 out of 1 points
The PMHNP is caring for a patient with dissociated self-state that the PMHNP identifies as
being associated 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?
Selected A.
, NURS 6640 MIDTERM EXAM 1
Answer: Assisting the patient to experience and accept the various dimensions of
the self through enhanced awareness of the traumatic states
• Question 10
1 out of 1 points
The PMHNP understands that anxiety and depression are two disorders in which their
symptoms may overlap. When discussing this, you explain that the autonomic nervous
system is activated and further helps distinguish anxiety symptoms by making the following
points:
Selected B.
Answer: “You may experience fear, sweating, and muscle tension.”
• Question 11
0 out of 1 points
The PMHNP is working with a patient who experiences abreactions when discussing
repressed feelings of his sexual abuse as a child. What can the PMHNP do to manage the
patient’s intense emotional reactions?
Selected D.
Answer: All of the above
• Question 12
1 out of 1 points
The PMHNP is conducting a peer review of another PMHNP’s medical charts. Upon review,
the PMHNP notes that the peer often begins patient sessions late, as well as ends them
later than scheduled. The PMHNP also found a comment in the chart regarding the patient
sending text messages while in the middle of the session. Based on these findings, the
feedback that the PMHNP will provide to the peer involves which therapeutic principle?
Selecte D.
d Maintaining the frame
Answer:
32.The PMHNP is mentoring a student. After working with a patient during a
session, the student laments about all the things she should have, or could
have, said to the patient. “I feel guilty that I didn’t speak up more about the
patient’s concern toward her son,” says the student. The PMHNP understands
that the student is exhibiting signs of which therapeutic concept?
• Question 13
0 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 B.
Answer: Asking the patient questions about her main concerns
• Question 14
1 out of 1 points
When conducting an initial assessment, a PMHNP has finished conducting a mental status
examination with 10 minutes left in the session. The patient is distressed and would like to
continue sharing her personal history.
