NR605 Midterm Exam, Most Recent Exam 2025-2026 Actual
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ / Newest Exam / Just Released!!
Kathy is a 32-year-old who has been in court-mandated therapy
for two months after her children were removed from the home
by Child Protective Services for
suspected physical abuse and neglect. The social worker has
requested copies
of her progress notes as a part of the investigation. Is the
therapist obligated to
provide the progress
notes?
Yes, no client authorization
necessary
Yes with written authorization from
the client
No - ANSWER-Yes, no client authorization
necessary
Rationale: Because the notes were requested for a health and
human services investigation, the therapist may release the
notes without client authorization.
,Juanita is a 17-year-old who has been in therapy for 3 months
for major depressive disorder. Her mother is requesting a copy
of her psychotherapy notes so she can better understand the
progress her daughter is making. Juanita has indicated that
she is "ok" with her mom accessing the notes. Is the therapist
obligated to provide the psychotherapy notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No - ANSWER-No
Rationale: Even though the client may authorize the release of
notes to her parent, the therapist is not obligated to release the
process notes to the client or her mother if they feel it is not in
the best interest of the client.
Raghu is a 22-year-old who has been in therapy for two years.
Recently, he was arrested on charges of assault with a deadly
weapon. The therapist receives a subpoena from the court with
requests for his progress notes. Is the therapist obligated to
provide the progress notes?
Yes, no client authorization
necessary
Yes with written authorization from
the client
No - ANSWER-Yes, no client authorization
necessary
,Rationale: The therapist must obey the court subpoena and
provide the progress notes. Psychotherapy notes may still fall
under therapist-client privilege and may be withheld from the
court; in this case, the therapist should seek legal counsel to
ensure proper compliance with the subpoena.
Which theory would the psychiatric mental health nurse
practitioner (PMHNP) most need to consider when conducting a
psychiatric interview in the following situations?
A 35-year-old homeless client is in the emergency department
with suicidal ideations.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Hierarchy of
Needs Theory
Rationale: To attend to higher-level needs, a client must first
meet foundational
needs. A homeless client may be struggling to meet
physiological and safety
needs.
Which theory would the PMHNP most need to consider when
conducting a psychiatric interview in the following situations?
, A 14-year-old foster child struggling to develop trusting
relationships with his foster parents.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Psychosocial
Development Theory
Rationale: According to Erickson's theory, a developmental
crisis in infancy trust vs. mistrust. When basic trust in
caregivers is not developed in early life, it can impact the
creation of trusting relationships later.
Which theory would the PMHNP most need to consider when
conducting a psychiatric interview in the following situations?
A 4-year-old is struggling to understand what she has seen on
television about civil protests.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Cognitive
Development Theory
Rationale: According to Piaget, children in early childhood
do not have the
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ / Newest Exam / Just Released!!
Kathy is a 32-year-old who has been in court-mandated therapy
for two months after her children were removed from the home
by Child Protective Services for
suspected physical abuse and neglect. The social worker has
requested copies
of her progress notes as a part of the investigation. Is the
therapist obligated to
provide the progress
notes?
Yes, no client authorization
necessary
Yes with written authorization from
the client
No - ANSWER-Yes, no client authorization
necessary
Rationale: Because the notes were requested for a health and
human services investigation, the therapist may release the
notes without client authorization.
,Juanita is a 17-year-old who has been in therapy for 3 months
for major depressive disorder. Her mother is requesting a copy
of her psychotherapy notes so she can better understand the
progress her daughter is making. Juanita has indicated that
she is "ok" with her mom accessing the notes. Is the therapist
obligated to provide the psychotherapy notes?
Yes, no client authorization necessary
Yes with written authorization from the client
No - ANSWER-No
Rationale: Even though the client may authorize the release of
notes to her parent, the therapist is not obligated to release the
process notes to the client or her mother if they feel it is not in
the best interest of the client.
Raghu is a 22-year-old who has been in therapy for two years.
Recently, he was arrested on charges of assault with a deadly
weapon. The therapist receives a subpoena from the court with
requests for his progress notes. Is the therapist obligated to
provide the progress notes?
Yes, no client authorization
necessary
Yes with written authorization from
the client
No - ANSWER-Yes, no client authorization
necessary
,Rationale: The therapist must obey the court subpoena and
provide the progress notes. Psychotherapy notes may still fall
under therapist-client privilege and may be withheld from the
court; in this case, the therapist should seek legal counsel to
ensure proper compliance with the subpoena.
Which theory would the psychiatric mental health nurse
practitioner (PMHNP) most need to consider when conducting a
psychiatric interview in the following situations?
A 35-year-old homeless client is in the emergency department
with suicidal ideations.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Hierarchy of
Needs Theory
Rationale: To attend to higher-level needs, a client must first
meet foundational
needs. A homeless client may be struggling to meet
physiological and safety
needs.
Which theory would the PMHNP most need to consider when
conducting a psychiatric interview in the following situations?
, A 14-year-old foster child struggling to develop trusting
relationships with his foster parents.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Psychosocial
Development Theory
Rationale: According to Erickson's theory, a developmental
crisis in infancy trust vs. mistrust. When basic trust in
caregivers is not developed in early life, it can impact the
creation of trusting relationships later.
Which theory would the PMHNP most need to consider when
conducting a psychiatric interview in the following situations?
A 4-year-old is struggling to understand what she has seen on
television about civil protests.
Hierarchy of Needs
Theory
Psychosocial Development
Theory
Cognitive Development Theory - ANSWER-Cognitive
Development Theory
Rationale: According to Piaget, children in early childhood
do not have the
