NR605 Midterm Exam Questions AND Correct Answers
________ developed the concept of attachment theory -
✔✔Bowlby
-his studies of the maternal-infant bond
-individuals form attachments to others and that separation
or the threat of separation can lead to distress and depression
A client and her husband approach the psychotherapist at a
mutual friend's party. The client introduces her husband to
the provider who returns the greeting.
May or may not be a boundary violation
Boundary violation
Not a boundary violation - ✔✔Not a boundary violation
Rationale: This is not a boundary violation because the client
approached the psychotherapist. If the psychotherapist
approached the client, it would be a boundary violation
A client has a florist shop in town. The psychotherapist needs
to send an arrangement to a friend and typically orders from
,another shop when he remembers that his client owns a shop.
He orders the flowers from the client's shop.
May or may not be a boundary violation
Boundary violation
Not a boundary violation - ✔✔Boundary violation
Rationale: This is probably a boundary violation. It's helpful to
avoid dual relationships when possible.
A client who is alert and oriented declines the PMHNP's
treatment recommendation for an antipsychotic in a non-
emergent situation.
Informed consent required
Exception to informed consent - ✔✔Informed consent
required
Rationale: The client has the capacity to consent and the
situation is not emergent. The ethic of autonomy provides for
the client to refuse treatment options.
,A client with depression is unhappy about the performance of
the anti-depressant that has been prescribed and would like
to discuss alternate treatment options with the PMHNP.
Informed consent required
Exception to informed consent - ✔✔Informed consent
required
Rationale: Clients have a right to information about treatment
options with associated risks and benefits.
A no-suicide or no-harm contract: - ✔✔-not a legal document
but rather an agreement between the client and therapist
about what the client should do if they become suicidal
-involves a commitment by the client to not commit suicide.
-may not be effective in a crisis and is not a substitute for
clinical judgment.
-only as beneficial as the therapeutic alliance
A psychotherapist agrees to a blind date with a client's sister.
May or may not be a boundary violation
, Boundary violation
Not a boundary violation - ✔✔May or may not be a boundary
violation
Rationale: This may or may not be a boundary violation
depending on whether the client is a current client. Refer to
state-specific guidelines for information about boundaries
with former clients.
A psychotherapist holds the client's hand during the client's
retelling of a traumatic event after the client reaches out.
May or may not be a boundary violation
Boundary violation
Not a boundary violation - ✔✔Not a boundary violation
Rationale: This is not a boundary violation. Touch may be
therapeutic in certain situations.
A psychotherapist shares her history of sexual assault with a
client who has had a similar experience.
________ developed the concept of attachment theory -
✔✔Bowlby
-his studies of the maternal-infant bond
-individuals form attachments to others and that separation
or the threat of separation can lead to distress and depression
A client and her husband approach the psychotherapist at a
mutual friend's party. The client introduces her husband to
the provider who returns the greeting.
May or may not be a boundary violation
Boundary violation
Not a boundary violation - ✔✔Not a boundary violation
Rationale: This is not a boundary violation because the client
approached the psychotherapist. If the psychotherapist
approached the client, it would be a boundary violation
A client has a florist shop in town. The psychotherapist needs
to send an arrangement to a friend and typically orders from
,another shop when he remembers that his client owns a shop.
He orders the flowers from the client's shop.
May or may not be a boundary violation
Boundary violation
Not a boundary violation - ✔✔Boundary violation
Rationale: This is probably a boundary violation. It's helpful to
avoid dual relationships when possible.
A client who is alert and oriented declines the PMHNP's
treatment recommendation for an antipsychotic in a non-
emergent situation.
Informed consent required
Exception to informed consent - ✔✔Informed consent
required
Rationale: The client has the capacity to consent and the
situation is not emergent. The ethic of autonomy provides for
the client to refuse treatment options.
,A client with depression is unhappy about the performance of
the anti-depressant that has been prescribed and would like
to discuss alternate treatment options with the PMHNP.
Informed consent required
Exception to informed consent - ✔✔Informed consent
required
Rationale: Clients have a right to information about treatment
options with associated risks and benefits.
A no-suicide or no-harm contract: - ✔✔-not a legal document
but rather an agreement between the client and therapist
about what the client should do if they become suicidal
-involves a commitment by the client to not commit suicide.
-may not be effective in a crisis and is not a substitute for
clinical judgment.
-only as beneficial as the therapeutic alliance
A psychotherapist agrees to a blind date with a client's sister.
May or may not be a boundary violation
, Boundary violation
Not a boundary violation - ✔✔May or may not be a boundary
violation
Rationale: This may or may not be a boundary violation
depending on whether the client is a current client. Refer to
state-specific guidelines for information about boundaries
with former clients.
A psychotherapist holds the client's hand during the client's
retelling of a traumatic event after the client reaches out.
May or may not be a boundary violation
Boundary violation
Not a boundary violation - ✔✔Not a boundary violation
Rationale: This is not a boundary violation. Touch may be
therapeutic in certain situations.
A psychotherapist shares her history of sexual assault with a
client who has had a similar experience.
