Course NUNP-6640N-1,Psychotherapy Individ.2020 Spring
Test Week 6 Midterm exam
Status Completed
Attempt Score 72 out of 75 points
Time Elapsed 1 hour, 19 minutes out of 2 hours
Results Displayed Submitted Answers
Question 1 I
1 Iout Iof I1 Ipoints
A 41-year-old male patient is meeting with the PMHNP and reveals that he is
homosexual. He begins telling the PMHNP about his feelings as a homosexual,
middle-aged man. The PMHNP nods understandingly. Before long, the patient asks,
“Are you gay? Are you married? Do you have kids?” What is the best response by the
PMHNP?
Selected B.
Answer: Mention that the patient seems quite curious, and ask him to discuss
more about himself
Question 2 I
1 Iout Iof I1 Ipoints
A 65-year-old patient has suffered the loss of his wife. He is in a state of hyperarousal
with increased sympathetic nervous system arousal. One or more interventions may
help the patient to deal with this arousal. To decrease sympathetic nervous system
arousal, the PMHNP’s treatment strategy is .
Selected Answer: D.
all of the above
Question 3 I
1 Iout Iof I1 Ipoints
A PMHNP is assessing ego functioning of his 40-year-old patient by asking what she
feels is the cause of her problems. She attributes her problems to her overprotective
parents not letting her have enough freedom growing up. Based on her answer, the
PMHNP is testing .
Selected Answer: C.
defensive and interpersonal functioning
Question 4 I
1 Iout Iof I1 Ipoints
During a therapy session the patient is asked how she currently deals with stress, and
she says, “Well, I don’t. I just let it build and build.” The PMHNP responds by asking
how well this has been working out for her. The patient states, “Well, to be honest, it
just feels like I’m drowning, you know what I mean.” Illustrating idiosyncratic meaning,
the PMHNP responds with:
Selected Answer: B.
“No, I am not sure what you are saying. Can you please explain?”
Question 5 I
1 Iout Iof I1 Ipoints
A PMHNP’s patients have already signed confidentiality agreements, including limits
that will be imposed on confidentiality. Months later, the state’s laws have changed
that affect confidentiality promises the PMHNP has already made. What is an
appropriate step for the PMHNP to take after finding out this information?
Selected Answer: D.
All of the above
Question 6 I
1 Iout Iof I1 Ipoints
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 7 I
1 Iout Iof I1 Ipoints
A 16-year-old female patient has had a stable therapeutic relationship with the
PMHNP for several months. The PMHNP notices what appears to be fresh cigarette
burns on the patient’s arm. When asked, the patient admits to this self-injurious
behavior. Although the patient is still depressed, her mood seems to be somewhat
better this week. True or false: The PMHNP would most likely consider this patient
stabilized and ready to move to Stage II.
Selected Answer: False
Question 8 I
1 Iout Iof I1 Ipoints
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 9 I
1 Iout Iof I1 Ipoints
The PMHNP is treating a patient with a substantial fear of feeling closed in
(claustrophobia). Thus, the patient will not get into an elevator. The office where he
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