NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
Answers
• Question 1 v
1voutvofv1vpoints
Thev PMHNPv isv workingv withv av43-year-
oldv malev patientv whov developsvidiosyncraticv transferencev overvweeksvofvt
herapy.vThev bestv wayvforv thevPMHNPvtovrespondvtovthisvpatientvisvto :
Selectedv B.
Answer: usevempathy
• Question 2 v
1voutvofv1vpoints
ThevPMHNPvisvworkingvwithvavschool-
agedvchildvwhovhasvbeenvdiagnosedvwith
depression.v Thev childv hasv attendedv severalv sessionsv withv thev PMNHP,v butvrec
entlyv presentsv withv avoidantv behaviorv byv showingv increasedv distressvandv bei
ngvlatev tov sessions.v Whatv approachv doesv thev PMHNPv needv tovemployvwithv the
v childv tov continuev makingv therapeuticv progress?
Selectedv
B.
Answer:
Usingvcommunicationvtechniquesvthatvarevexpressive
• Question 3 v
1voutvofv1vpoints
ThevPMHNPvisvcaringvforvavpatientvwithvdissociatedvself-
statevthatvvthevPMHNP
identifiesvasvbeingvassociatedvwithvtraumaticvexperiencesvinvthevpatient’svpa
st.vWhatvapproachvdoesvthevPMHNPvusevwithvthevpatientvthatvisvcrucialvtovth
evpsychodynamicvtherapyvprocess?
Selectedv
A.
Answer:
Assistingvthevpatientvtovexperiencevandvacceptvthevvariousvdi
mensionsvofvthevselfvthroughvenhancedvawarenessvofvthevtrau
maticvstates
• Question 4 v
1voutvofv1vpoints
Av PMHNPv isv caringv forv av 21-year-
oldv womanv whov isv sufferingv fromv anxietyvandvis
NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
,NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
havingv difficultyv managingv stress.v Whichv ofv thev followingv wouldv bev anvappropria
te
stepvbyvthevPMHNP?
Selectedv
D.
Answer:
Allvofvthevabove
• Question 5 v
Onevofv thevstrategiesvthevPMHNPvwantsvtovtryvincludesv sleepvrestriction.
Whatvwill
thev PMHNPv suggestv tov followv sleepv restrictionv therapy?
Selectedv
B.
Answer:
“Restrictvthevamountvofvtimevyouvspendvinvbed.”
• Question 6 v
1voutvofv1vpoints
ThevPMHNPvisvworkingvwithvavpatientvwhovisvlivingvinvpovertyvandvabusingvsub
stances.vAccordingvtovthevtreatmentvhierarchyvframework,vwhatvneedsvdoesv
thevPMHNPvneedvtovattendvtovfirst?
Selectedv
A.
Answer:
Providevsafetyvthroughvcasevmanagementvstrategies
• Question 7 v
1voutvofv1vpoints
Thev PMHNPv isv meetingv withv av 42-year-
oldv manv withv depressionv broughtv onvbyvthe
recentvpassingvofvhisvwife.vAsvhevdescribesvthevcircumstancesvsurrounding
vhisvlatevwife’s vdeath,vthevPMHNP vbeginsvtovfeelvsad.vThevsadnessv lingersv fo
rv severalv hours,v andv thev PMHNPvfindsv itv difficultv tovfocusvonvothervpatientsvfo
rvthevrestvofvthevday.
WhatvisvthevmostvappropriatevexplanationvforvthevreactionvthatvthevPMHNP
visvexperiencing?
NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
,NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100%
v v v v
CORRECT BEST EXAM SOLUTION v v v v
SelectedvAnswer:
C.
Concordantvidentification
• Question 8 v
1voutvofv1vpoints
Aftervinformingvavprospectivevpatientvaboutvlimitsvofvconfidentiality,vthevpatient
consentsvtovthev“conditions”v ofvconfidentialityv andvsignsvanvinformedvconsen
tvform.vSeveralvweeksvlater,vavlawyervrepresentingvthevpatient’svspousev forv a
v courtv case,v asksv thev PMHNPv forv thev disclosurev ofv informationvaboutvthevpatie
nt.vThevPMHNPvshould:
possible
Selectedv
Answer:
• Question 9 v
C.
Limitvdisclosurevtovt
h
e
v
e
x
t
e
n
t
v
l
e
g
a
l
l
y
v
NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100%
v v v v
CORRECT BEST EXAM SOLUTION v v v v
, Anv 11-year-oldv patientv hasv beenv exhibitingv lowv self-
esteemv atv schoolv andvactingvout.
NURSv6640vFinalvExamvWeekv11vNURS-
6640vPsychotherapyvIndivid{LATESTvVERSIONv20
20}
AccordingvtovMaslow’sv hierarchyvofv needs,vwhichv ofvthevfollowingvquestio
nsvwouldvbestvbevaddressedvfirstvbyvthevPMHNP?
SelectedvAnswer:
C.
“Isv Joelv gettingv enoughv sleepvatv home?”
• Question 10 v
Yourv patientv isv av65-year-
oldv malev whov hasv av strainedv relationshipv withv hisvsonvand
daughter.vHisvchildrenvrefusevtovparticipatevinvavfamilyvsession.vThevPMHNPv a
sksv thev patientv tov drawv hisv familyv genogramv asv av nextv stepv to .
SelectedvAnswer:
C.
providev backgroundv informationv forvthevpatient’svfamilyvstructure
• Question 11 v
Duringv av therapyv sessionv thev patientv isv askedv howv shev currentlyv dealsv withvstres
s,
andvshevsays,v“Well,vIvdon’t.vIvjustvletvitvbuildvandvbuild.”vThevPMHNPvresp
ondsv byv askingv howv wellv thisv hasv beenv workingv outv forv her.v Thevpatientvst
ates,v“Well,vtovbevhonest,vitvjustvfeelsvlikevI’mvdrowning,vyouvknowvwhatvIv
mean.”v Illustratingv idiosyncraticv meaning,vthevPMHNPvrespondsvwith:
SelectedvAnswer:
B.
“No,v Iv amv notv surev whatv youv arev saying.v Canv youv pleasevexplain?”
• Question 12 v
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
Answers
• Question 1 v
1voutvofv1vpoints
Thev PMHNPv isv workingv withv av43-year-
oldv malev patientv whov developsvidiosyncraticv transferencev overvweeksvofvt
herapy.vThev bestv wayvforv thevPMHNPvtovrespondvtovthisvpatientvisvto :
Selectedv B.
Answer: usevempathy
• Question 2 v
1voutvofv1vpoints
ThevPMHNPvisvworkingvwithvavschool-
agedvchildvwhovhasvbeenvdiagnosedvwith
depression.v Thev childv hasv attendedv severalv sessionsv withv thev PMNHP,v butvrec
entlyv presentsv withv avoidantv behaviorv byv showingv increasedv distressvandv bei
ngvlatev tov sessions.v Whatv approachv doesv thev PMHNPv needv tovemployvwithv the
v childv tov continuev makingv therapeuticv progress?
Selectedv
B.
Answer:
Usingvcommunicationvtechniquesvthatvarevexpressive
• Question 3 v
1voutvofv1vpoints
ThevPMHNPvisvcaringvforvavpatientvwithvdissociatedvself-
statevthatvvthevPMHNP
identifiesvasvbeingvassociatedvwithvtraumaticvexperiencesvinvthevpatient’svpa
st.vWhatvapproachvdoesvthevPMHNPvusevwithvthevpatientvthatvisvcrucialvtovth
evpsychodynamicvtherapyvprocess?
Selectedv
A.
Answer:
Assistingvthevpatientvtovexperiencevandvacceptvthevvariousvdi
mensionsvofvthevselfvthroughvenhancedvawarenessvofvthevtrau
maticvstates
• Question 4 v
1voutvofv1vpoints
Av PMHNPv isv caringv forv av 21-year-
oldv womanv whov isv sufferingv fromv anxietyvandvis
NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
,NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
havingv difficultyv managingv stress.v Whichv ofv thev followingv wouldv bev anvappropria
te
stepvbyvthevPMHNP?
Selectedv
D.
Answer:
Allvofvthevabove
• Question 5 v
Onevofv thevstrategiesvthevPMHNPvwantsvtovtryvincludesv sleepvrestriction.
Whatvwill
thev PMHNPv suggestv tov followv sleepv restrictionv therapy?
Selectedv
B.
Answer:
“Restrictvthevamountvofvtimevyouvspendvinvbed.”
• Question 6 v
1voutvofv1vpoints
ThevPMHNPvisvworkingvwithvavpatientvwhovisvlivingvinvpovertyvandvabusingvsub
stances.vAccordingvtovthevtreatmentvhierarchyvframework,vwhatvneedsvdoesv
thevPMHNPvneedvtovattendvtovfirst?
Selectedv
A.
Answer:
Providevsafetyvthroughvcasevmanagementvstrategies
• Question 7 v
1voutvofv1vpoints
Thev PMHNPv isv meetingv withv av 42-year-
oldv manv withv depressionv broughtv onvbyvthe
recentvpassingvofvhisvwife.vAsvhevdescribesvthevcircumstancesvsurrounding
vhisvlatevwife’s vdeath,vthevPMHNP vbeginsvtovfeelvsad.vThevsadnessv lingersv fo
rv severalv hours,v andv thev PMHNPvfindsv itv difficultv tovfocusvonvothervpatientsvfo
rvthevrestvofvthevday.
WhatvisvthevmostvappropriatevexplanationvforvthevreactionvthatvthevPMHNP
visvexperiencing?
NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100% v v v v
CORRECT BEST EXAM SOLUTION v v v v
,NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100%
v v v v
CORRECT BEST EXAM SOLUTION v v v v
SelectedvAnswer:
C.
Concordantvidentification
• Question 8 v
1voutvofv1vpoints
Aftervinformingvavprospectivevpatientvaboutvlimitsvofvconfidentiality,vthevpatient
consentsvtovthev“conditions”v ofvconfidentialityv andvsignsvanvinformedvconsen
tvform.vSeveralvweeksvlater,vavlawyervrepresentingvthevpatient’svspousev forv a
v courtv case,v asksv thev PMHNPv forv thev disclosurev ofv informationvaboutvthevpatie
nt.vThevPMHNPvshould:
possible
Selectedv
Answer:
• Question 9 v
C.
Limitvdisclosurevtovt
h
e
v
e
x
t
e
n
t
v
l
e
g
a
l
l
y
v
NURS 6640 Final Exam Week 11 Psychotherapy
v v v v v v v
Individual{LATEST VERSION 2021/2022} 100%
v v v v
CORRECT BEST EXAM SOLUTION v v v v
, Anv 11-year-oldv patientv hasv beenv exhibitingv lowv self-
esteemv atv schoolv andvactingvout.
NURSv6640vFinalvExamvWeekv11vNURS-
6640vPsychotherapyvIndivid{LATESTvVERSIONv20
20}
AccordingvtovMaslow’sv hierarchyvofv needs,vwhichv ofvthevfollowingvquestio
nsvwouldvbestvbevaddressedvfirstvbyvthevPMHNP?
SelectedvAnswer:
C.
“Isv Joelv gettingv enoughv sleepvatv home?”
• Question 10 v
Yourv patientv isv av65-year-
oldv malev whov hasv av strainedv relationshipv withv hisvsonvand
daughter.vHisvchildrenvrefusevtovparticipatevinvavfamilyvsession.vThevPMHNPv a
sksv thev patientv tov drawv hisv familyv genogramv asv av nextv stepv to .
SelectedvAnswer:
C.
providev backgroundv informationv forvthevpatient’svfamilyvstructure
• Question 11 v
Duringv av therapyv sessionv thev patientv isv askedv howv shev currentlyv dealsv withvstres
s,
andvshevsays,v“Well,vIvdon’t.vIvjustvletvitvbuildvandvbuild.”vThevPMHNPvresp
ondsv byv askingv howv wellv thisv hasv beenv workingv outv forv her.v Thevpatientvst
ates,v“Well,vtovbevhonest,vitvjustvfeelsvlikevI’mvdrowning,vyouvknowvwhatvIv
mean.”v Illustratingv idiosyncraticv meaning,vthevPMHNPvrespondsvwith:
SelectedvAnswer:
B.
“No,v Iv amv notv surev whatv youv arev saying.v Canv youv pleasevexplain?”
• Question 12 v
