Course NURS-6640 Psychotherapy Individ
Attempt Score 75 out of 75 points
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Question 1
The patient is a 56-year-old female patient diagnosed with panic disorder and reports
symptoms that include heart palpitations, frequent trembling, and feelings of choking in
stressful situations. What special consideration does the PMHNP make?
Answer: D.
A and B
Question 2
The PMHNP is working with a patient who experiences anxiety around her parents that later
leads to poor impulse control. What will the PMHNP do to employ psychodynamic
psychotherapy properly for this patient?
Answer: D.
All of the above
Question 3
The PMHNP is working with a patient who has insomnia and battles going to sleep. The
patient reports consistent self-defeating behaviors, and hates trying to go to sleep. Which
action made by the PMHNP demonstrates the use of a paradoxical intervention?
Answer: B.
Telling the patient to resist sleep and stay awake
Question 4
, The PMHNP is working with a patient who witnessed her father pass away after suffering for
several months from terminal cancer. The PMHNP sees this as a traumatic event. The patient
reports sometimes feeling out of touch with surroundings; almost as if things feel like a
dream. “Sometimes that sensation lingers for a while,” the patient says, “and other times I
snap out of it quickly.” What does the PMHNP infer about the condition based on
psychotherapy concepts for trauma?
Answer: B.
The patient is reporting signs of dissociation.
Question 5
A new patient has been informed of the limits of confidentiality, and has signed informed
consent forms. No consent, however, has been obtained for voluntary “Release of
Information.” The patient is 20 years old and still lives at home with his parents. He is being
treated for depression, which he attributes to the trouble he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to see how he
is doing, the therapist is required to protect patient confidentiality and not disclose
information.
Answer: True
Question 6
The PMHNP is having a therapy session with Charlotte, a 20-year-old victim of date rape.
The patient states, “I shouldn’t have been there; I should have just gone home. This was all
my fault; how could I have been so stupid?” Using the Socratic method, what is the
PMHNP’s best response?
A.
Answer: “If this had happened to someone else with the exact same circumstances, would
you say this was her fault?”
, Question 7
The PMHNP is meeting with a 38-year-old divorced, single mother who has been seeing the
PMHNP for anxiety and anger management. During one of the sessions, the patient tells the
PMHNP that she is having a problem getting her child support payments from her ex-
husband, which is triggering increased anxiety and anger, which she admittedly takes out on
her children. How does the PMHNP respond in a way that upholds the supportive
psychodynamic psychotherapy approach?
Answer: B.
Suggesting that she seek legal help
Question 8
A patient named Steve is seeking therapy to get help with his home situation, stating that he
has been stressed since his mother-in-law moved into the house. What can the PMHNP do to
assist the patient in constructing a narrative?
Answer: B.
Elicit details so Steve becomes more self-disclosing and self-examining
Question 9
The PMHNP is caring for a patient with dissociated self-state that the PMHNP identifies as
being associated with traumatic experiences in the patient’s past. What approach does the
PMHNP use with the patient that is crucial to the psychodynamic therapy process?
A.
Answer: Assisting the patient to experience and accept the various dimensions of the self
through enhanced awareness of the traumatic states
Question 10
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