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NURS 6640N 1, Exam - Week 6 Midterm (_2020
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NURS 6640N 1, Exam - Week 6 Midterm (_2020
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NURS 6640N 1, Exam - Week 6 Midterm (Jan 2020)Download 100% Correct Answer Here
1. Question: The PMHNP is assessing a patient who ... up in a foster home because she was
... 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?
2. Question: When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
3. Question: ... 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?
4. Question: A 65-year-old patient has ... 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 .
5. Question: After informing a prospective patient about limits of confidentiality, the patient
consents to the “conditions” of confidentiality and signs an ... 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:
6. Question: The PMHNP employs psychodynamic psychotherapy with a patient who
experiences anxiety and depression. As the process enters the psychoanalytic end of the
psychodynamic continuum, the PMNHP will focus on:
7. Question: 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?
8. Question: Your patient is a 65-year-old male who has a strained relationship with his son and
daughter. His children refuse to participate in a family session. The PMHNP asks the patient to
draw his family genogram as a next step to .
9. Question: The PMHNP is working with an adult patient who has somatic complaints
caused by a history of childhood abuse. As part of the therapeutic process, what does the
PMHNP do to assess and organize a trauma history?
10. Question: During cognitive behavioral therapy (CBT), a 64-year-old male patient states, “I get
so frustrated sometimes and I just blow up at everybody!” Which response by the PMHNP
demonstrates translation of Socratic dialogue (SD)?
11. 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?
12. Question: The PMHNP is meeting with a 42-year-old man with depression brought on by the
recent passing of his wife. As he describes the circumstances surrounding his late wife’s
death, the PMHNP begins to feel sad. The sadness lingers for several hours, and the PMHNP
finds it difficult to focus on other patients for the rest of the day. What is the most appropriate
explanation for the reaction that the PMHNP is experiencing?
13. Question: A 16-year-old female patient has had a stable therapeutic relationship with the
PMHNP for several months. The PMHNP notices what appears to ... fresh cigarette burns on the
patient’s arm. When asked, the patient admits to this self-injurious behavior. Although the
patient
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, 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.
14. Question: You are seeing a 29-year-old widow whose husband recently died overseas while
serving his country in the military. She has been mourning the loss of her husband for several
months, and continues to grieve..................to go to group grieving sessions, but reports that she
is still able to go to work and her fitness classes sometimes, and even makes attempts to stay
social. She says, “Sometimes it’s like he’s not even gone. Other times it feels like it’s been an
eternity since I’ve seen him. It’s hard to talk about this type of stuff with my girlfriends,
especially since all of their husbands are still alive.” The PMHNP understands that it is
appropriate to employ which therapeutic principle?
15. Question: A PMHNP is preparing confidentiality forms for his patients. What is the most
appropriate first step he should take?
16. 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?
17. Question: The PMHNP is working with a patient who has dissociative disorder and requests
pharmacological interventions for dealing with her trauma. What education does the
PMHNP provide to the patient regarding medication therapy?
18. Question: The PMHNP is caring for a patient with borderline personality disorder. Using a
psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the patient’s
transference to enhance emotional processing by:
19. Question: The PMHNP has a session with a patient who was injured and traumatized from an
explosion at the industrial plant where he used to work. During the session, an outside noise
startles the patient and he experiences a flashback of the loud boom from the explosion. The
PMHNP witnesses the patient present with anxiety and belabored breathing. What is the
appropriate action of the PMHNP?
20. Question: The PMHNP is working with a patient who is living in poverty and abusing
substances. According to the treatment hierarchy framework, what needs does the PMHNP
need to attend to first?
21. Question: An elderly patient in a nursing home has.....losing interest in activities and
now refuses to leave his room. After a physical exam, he is referred to a PMHNP for an initial
assessment.
True or false: After speaking with the patient, an appropriate screening tool for the PMHNP
to use would the Geriatric Depression Scale.
22. Question: The PMHNP is conducting a peer review of another PMHNP’s medical charts. Upon
review, the PMHNP notes that the peer often begins patient sessions late, as well as ends them
later than scheduled. The PMHNP also found a comment in the chart regarding the patient
sending text messages while in the middle of the session. Based on these findings, the feedback
that the PMHNP will provide to the peer involves which therapeutic principle?
23. Question: At the initial interview with a patient, the PMHNP reviews the condition of
receiving services, including limits that will be....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.
This study source was downloaded by 100000852681095 from CourseHero.com on 11-05-2022 08:07:38 GMT -05:00
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