NRNP 6640 Week 6 Midterm Exam

NRNP 6640 Week 6 Midterm Exam Started 7/8/20 5:19 PM Submitted 7/8/20 6:29 PM Due Date 7/13/20 1:59 AM Status Completed Attempt Score 73 out of 75 points Time Elapsed 1 hour, 10 minutes out of 2 hours Results Displayed Submitted Answers 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 Answer: Question 2 1 out of 1 points B. “When you say blow up, what exactly does blow up mean and how does it feel to you?” 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 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? 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. W