NR605/NR 605 Week 2 Questions with Verified Answers (Correct
Update)
Question 1: A client who is alert and oriented declines the PMHNP's treatment recommendation for
an antipsychotic in a non-emergent situation.
Answer: 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.
Question 2: Ruben is a 36-year-old who has been in therapy for 5 months. He is in the process of
divorcing his wife of 12 years and is seeking custody of his daughter. His attorney has requested
copies of his psychotherapy notes to use in support of the custody hearing. Can the therapist choose
to share the psychotherapy notes?
Answer: Yes with written authorization from the client Rationale: the client must provide written
authorization for his notes to be shared with his attorney.
Question 3: 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?
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.
Question 4: 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?
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.
Question 5: 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?
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 therapistclient
privilege and may be withheld from the court; in this case, the therapist should seek legal counsel
to ensure proper compliance with the subpoena.
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Update)
Question 1: A client who is alert and oriented declines the PMHNP's treatment recommendation for
an antipsychotic in a non-emergent situation.
Answer: 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.
Question 2: Ruben is a 36-year-old who has been in therapy for 5 months. He is in the process of
divorcing his wife of 12 years and is seeking custody of his daughter. His attorney has requested
copies of his psychotherapy notes to use in support of the custody hearing. Can the therapist choose
to share the psychotherapy notes?
Answer: Yes with written authorization from the client Rationale: the client must provide written
authorization for his notes to be shared with his attorney.
Question 3: 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?
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.
Question 4: 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?
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.
Question 5: 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?
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 therapistclient
privilege and may be withheld from the court; in this case, the therapist should seek legal counsel
to ensure proper compliance with the subpoena.
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