1
NURS 6640 MIDTERM EXAM 3 – QUESTION AND
ANSWERS
The PMHNP is caring for a patient who the PMHNP believes would benefit from a relational
psychodynamic approach to therapy. Which action made by the PMHNP demonstrates appropriate use
and understanding of the relationship psychodynamic model?
Selected Answer:
C. Focusing the exploration on here and now
Question 2
1 out of 1 points
After informing a prospective patient about limits of confidentiality, the patient consents to the
“conditions” of confidentiality and signs an informed consent form. Several weeks later, a lawyer
representing the patient’s spouse for a court case, asks the PMHNP for the disclosure of information
about the patient. The PMHNP should:
Selected Answer:
C. Limit disclosure to the extent legally possible
Question 3
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. What is the most appropriate scale for the PMHNP to use to get more
information?
Selected Answer:
D. Impact of Event Scale
Question 4
1 out of 1 points
The PMHNP has been treating a 15-year-old patient with a history of abuse and neglect. Thirty minutes
into their therapy session the patient jumps up and begins to pace around the room. Utilizing Socratic
dialogue (SD) the PMHNP’s best action would be to:
, 2
Selected Answer:
C. Say, “I noticed a change. Can you tell me what happened?”
Question 5
1 out of 1 points
A PMHNP is treating a 50-year-old patient who suffers from depression. When he was growing up, he
was often responsible for taking care of his three younger siblings. Since then, the patient puts other
people’s needs before his own. Based on this information, the PMHNP would conclude that his
interpersonal style is __________.
Selected Answer:
A.
overly nurturing
Question 6
1 out of 1 points
At the initial interview with a patient, the PMHNP reviews the condition of receiving services, including
limits that will be imposed on confidentiality. During the discussion, the patient shares information that
the PMHNP is legally required to report.
True or false: If the PMHNP does not report information that s/he is legally required to report, state laws
govern the consequences which include penalties for not reporting, especially child and elder abuse.
Selected Answer:
True
Question 7
0 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?
, 3
Selected Answer:
C. Using psychodynamic psychotherapy with the patient
Question 8
1 out of 1 points
True or false: A PMHNP may ask his patient to describe her relationship with her father, both as a child
and now, in order to assess interpersonal style.
Selected Answer:
False
Question 9
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.
True or false: An appropriate response that the PMHNP might tell the patient is, “I understand that you
are upset. [Summarizes diagnosis, treatment recommendations, and follow-up plan.] We can continue
the conversation next week. How does this time next Monday work for you?”
Selected Answer:
True
Question 10
1 out of 1 points
The PMHNP is caring for a patient with borderline personality disorder. Using a psychoanalytic
psychotherapy approach, the PMHNP attempts to intensify the patient’s transference to enhance
emotional processing by:
Selected Answer:
D. Increasing the number of sessions per week
Question 11
1 out of 1 points
NURS 6640 MIDTERM EXAM 3 – QUESTION AND
ANSWERS
The PMHNP is caring for a patient who the PMHNP believes would benefit from a relational
psychodynamic approach to therapy. Which action made by the PMHNP demonstrates appropriate use
and understanding of the relationship psychodynamic model?
Selected Answer:
C. Focusing the exploration on here and now
Question 2
1 out of 1 points
After informing a prospective patient about limits of confidentiality, the patient consents to the
“conditions” of confidentiality and signs an informed consent form. Several weeks later, a lawyer
representing the patient’s spouse for a court case, asks the PMHNP for the disclosure of information
about the patient. The PMHNP should:
Selected Answer:
C. Limit disclosure to the extent legally possible
Question 3
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. What is the most appropriate scale for the PMHNP to use to get more
information?
Selected Answer:
D. Impact of Event Scale
Question 4
1 out of 1 points
The PMHNP has been treating a 15-year-old patient with a history of abuse and neglect. Thirty minutes
into their therapy session the patient jumps up and begins to pace around the room. Utilizing Socratic
dialogue (SD) the PMHNP’s best action would be to:
, 2
Selected Answer:
C. Say, “I noticed a change. Can you tell me what happened?”
Question 5
1 out of 1 points
A PMHNP is treating a 50-year-old patient who suffers from depression. When he was growing up, he
was often responsible for taking care of his three younger siblings. Since then, the patient puts other
people’s needs before his own. Based on this information, the PMHNP would conclude that his
interpersonal style is __________.
Selected Answer:
A.
overly nurturing
Question 6
1 out of 1 points
At the initial interview with a patient, the PMHNP reviews the condition of receiving services, including
limits that will be imposed on confidentiality. During the discussion, the patient shares information that
the PMHNP is legally required to report.
True or false: If the PMHNP does not report information that s/he is legally required to report, state laws
govern the consequences which include penalties for not reporting, especially child and elder abuse.
Selected Answer:
True
Question 7
0 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?
, 3
Selected Answer:
C. Using psychodynamic psychotherapy with the patient
Question 8
1 out of 1 points
True or false: A PMHNP may ask his patient to describe her relationship with her father, both as a child
and now, in order to assess interpersonal style.
Selected Answer:
False
Question 9
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.
True or false: An appropriate response that the PMHNP might tell the patient is, “I understand that you
are upset. [Summarizes diagnosis, treatment recommendations, and follow-up plan.] We can continue
the conversation next week. How does this time next Monday work for you?”
Selected Answer:
True
Question 10
1 out of 1 points
The PMHNP is caring for a patient with borderline personality disorder. Using a psychoanalytic
psychotherapy approach, the PMHNP attempts to intensify the patient’s transference to enhance
emotional processing by:
Selected Answer:
D. Increasing the number of sessions per week
Question 11
1 out of 1 points
