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NURS 6640N Exam - Week 6 Midterm (100% Correct 2020)
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NURS 6640N Exam - Week 6 Midterm (Year 2020)100% Correct Answers - Download
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1. Question: An 11-year-old patient has been exhibiting low self-esteem at school and acting
out. According to Maslow’s hierarchy of needs, which of the following questions would best
be addressed first by the PMHNP?
2. Question: The patient attempts the PMHNP’s sleep hygiene recommendations for 2 weeks, but
does not make any progress mitigating nightmares and hyperarousal. Which behavioral
strategy does the PMHNP suggest next?
3. Question: The PMHNP is caring for a patient who has acute stress disorder after experiencing
a traumatic event 1 week prior. The PMHNP wants to begin with a therapeutic framework that_
follows the adaptive information processing (AIP) model. What is the priority action for the
PMHNP to take?
4. Question: When the patient comes into the office, she says, “I just saw a friend of mine out
in the waiting room. What’s wrong with him?” The PMHNP says, “He’ll be fine. He has mild
depression.” Which of the following statement is correct related to confidentiality rights?
5. Question: The PMHNP has been assisting a shy and timid 23-year-old male patient struggling
with esteem and self-concept issues. Over the weekend, this patient was given the task of
completing an exercise that_ would usually cause him distress and shame, also called a shame-
attacking exercise. The PMHNP determines that_ this task has successfully been achieved
when the patient states:
6. Question: 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:
7. Question: During a clinical assessment of a 15-year-old patient, the PMHNP asks, “How can
I help you?” The patient answers by saying, “Honestly, I don’t really think I need any help.”
Which of the following is the most appropriate response by the PMHNP?
8. Question: During a therapy session with an 18-year-old female the PMHNP learns that_ she
has lived in six different foster homes in the last 24 months. She states that_ her mother is in a
correctional facility for drug abuse and prostitution. During the assessment, the PMHNP notices
multiple superficial cuts to each wrist. The patient appears tearful, withdrawn, and never makes
direct eye contact. The PMHNP believes that_ this patient may have feelings of insecurities as
well as abandonment issues and is aware that_ which diagnosis is likely possible?
9. Question: The PMHNP is working with a school-aged child who has been diagnosed with
depression. The child has attended several sessions with the PMNHP, but recently presents with
avoidant behavior by showing increased distress and being late to sessions. What approach
does the PMHNP need to employ with the child to continue making therapeutic progress?
10. Question: The PMHNP is working with a patient who experiences abreactions when
discussing repressed feelings of his sexual abuse as a child. What can the PMHNP do to
manage the patient’s intense emotional reactions?
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, 11. Question: The PMHNP is working with a veteran who has posttraumatic stress disorder
(PTSD). The PMHNP believes that_ dual awareness will be beneficial in allowing the patient to
focus on the here and now. What strategies can the PMHNP use to develop dual awareness in the
patient?
12. Question: 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.
13. Question: The PMHNP meets with a 47-year-old male patient who is fearful of leaving the
house after having witnessed his neighbor getting run over by a car. When the PMHNP asks
why he is afraid to leave his house, the patient replies, “Because another accident might occur.”
Which cognitive behavioral therapy (CBT) strategy does the PMHNP employ?
14. Question: 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 works is on
the 10th floor and this requires that_ he walk up and down the stairs in the morning and evening
to get to his office. With permission from the patient, the PMHNP is beginning systematic
desensitization to address the patient’s need to use the elevator. What is the PMHNP’s best plan
of action?
15. Question: The PMHNP is assessing a patient who grew up in a foster home because she was
neglected and abused by her birth parents at a young age. The patient admits to having
difficulty forming and maintaining relationships throughout her life. Understanding maladaptive
schemas, which statement does the PMHNP predict that_ the patient is likely to make?
16. Question: When a PMHNP is seeing a patient for the first time, what is an important step
to assure that_ the patient and provider understand the limits of their discussion?
17. Question: 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?
18. Question: 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?
19. Question: The PMHNP understands that_ anxiety and depression are two disorders in
which their symptoms may overlap. When discussing this, you explain that_ the autonomic
nervous system is activated and further helps distinguish anxiety symptoms by making the
following points:
20. Question: When completing this exam, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
21. Question: 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?
22. Question: 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
This study source was downloaded by 100000852114193 from CourseHero.com on 09-26-2022 04:22:10 GMT -05:00
https://www.coursehero.com/file/75274826/NURS-6640N-Exam-Week-6-Midterm-100-Correct-2020docx/
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