NURS 6640 Midterm Exam Version 5 Walden University
Status Completed Attempt Score 73 out of 75 points Time Elapsed 1 hour, 24 minutes out of 2 hours Results Displayed Submitted Answers
The PMHNP is working with a 43-year-old male patient who develops idiosyncratic transference over weeks of therapy. The best way for the PMHNP to respond to this
patient is to :
Selected
Answer:
B.use empathy
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?Selected
Answer:
B.Using communication techniques that are expressive
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?Selected
Answer:
A.Assisting the patient to experience and accept the various dimensions of the self through enhanced awareness of the traumatic states
A PMHNP is caring for a 21-year-old woman who is suffering from anxiety and is having difficulty managing stress. Which of the following would be an appropriate • Question 4
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step by the PMHNP?Selected
Answer:
D.All of the above
One of the strategies the PMHNP wants to try includes sleep restriction. What will the PMHNP suggest to follow sleep restriction therapy?Selected
Answer:
B.“Restrict the amount of time you spend in bed.”
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?Selected
Answer:
A.Provide safety through case management strategies
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?Selected
Answer:
C.Concordant identification
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
An 11-year-old patient has been exhibiting low self-esteem at school and acting out.• Question 9
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According to Maslow’s hierarchy of needs, which of the following questions would best be addressed first by the PMHNP?Selected
Answer:
C.“Is Joel getting enough sleep at home?”
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 .Selected
Answer:
C.provide background information for the patient’s family structure
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?”
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?Selected
Answer:
D.All of the above
A PMHNP has been working with a young female patient who suffers from depression to change self-defeating behaviors. By creating a presence of acceptance and using good listening skills, the PMHNP’s overall goal is to .Selected
Answer:
A.deepen the patient’s understanding of herself in order to cultivate empowerment
You are seeing a 29-year-old widow whose husband recently died overseas while • Question 14
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