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
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
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
, 3
Question 4
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:
Selected Answer:
C. Say, “I noticed a change. Can you tell me what happened?”
Question 5
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
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.
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