NURS6670 Midterm Exam: Walden University
(FOR 100% CORRECT ANSWER CHECK THE LAST PAGE)
Question 1
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
upon the patient’s:
Clothing
Speech pattern
Anger
Anxiety
Question 2
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required
case presentation on a patient suffering a major depressive episode. Which of the following patients best represents
the DSM-5 criteria for major depressive episode?
A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia, unprovoked
outbursts of anger, and a strong family history of endogenous depression
A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his professional and
personal life, an unplanned 10 lb. weight loss in the last 3 months, and perceptual disturbances
A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of
dying
A 72-year-old female who just relocated across country to live with her adult son and daughter-in-law who is
despondent about leaving her home and reports forgetfulness, loss of appetite, new onset bowel problems, and
extreme loss of energy
This study source was downloaded by 100000835004878 from CourseHero.com on 12-11-2021 14:13:51 GMT -06:00
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, Question 3
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress
disorder. Which of the following does not have any evidenced-based support in the literature?
SSRIs
TCAs
Antiadrenergics
Antipsychotics
Question 4
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The
last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and
beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following
personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 5
This study source was downloaded by 100000835004878 from CourseHero.com on 12-11-2021 14:13:51 GMT -06:00
https://www.coursehero.com/file/61466672/NURS-6670-Midterm-Exam-2020-Walden-Universitydocx/
(FOR 100% CORRECT ANSWER CHECK THE LAST PAGE)
Question 1
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
upon the patient’s:
Clothing
Speech pattern
Anger
Anxiety
Question 2
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required
case presentation on a patient suffering a major depressive episode. Which of the following patients best represents
the DSM-5 criteria for major depressive episode?
A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia, unprovoked
outbursts of anger, and a strong family history of endogenous depression
A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his professional and
personal life, an unplanned 10 lb. weight loss in the last 3 months, and perceptual disturbances
A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of
dying
A 72-year-old female who just relocated across country to live with her adult son and daughter-in-law who is
despondent about leaving her home and reports forgetfulness, loss of appetite, new onset bowel problems, and
extreme loss of energy
This study source was downloaded by 100000835004878 from CourseHero.com on 12-11-2021 14:13:51 GMT -06:00
https://www.coursehero.com/file/61466672/NURS-6670-Midterm-Exam-2020-Walden-Universitydocx/
, Question 3
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress
disorder. Which of the following does not have any evidenced-based support in the literature?
SSRIs
TCAs
Antiadrenergics
Antipsychotics
Question 4
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The
last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and
beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following
personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 5
This study source was downloaded by 100000835004878 from CourseHero.com on 12-11-2021 14:13:51 GMT -06:00
https://www.coursehero.com/file/61466672/NURS-6670-Midterm-Exam-2020-Walden-Universitydocx/
