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NUNP 6640N/NUNP 6640C Midterm Exam Week 6
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NUNP 6640N/NUNP 6640C Midterm Exam Week 6
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2NUNP 6640N – NUNP 6640C Midterm NUNP 6640N – NUNP 6640C Midterm
Exam Week 6 Exam Week 6
Question 1
1 out of 1 points
An elderly patient in a nursing home has been 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 be the Geriatric Depression Scale.
Selected Answer: True
Question 2
1 out of 1 points
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
Question 3
0 out of 1 points
During a session, the PMHNP asks a patient with a history of sexual abuse to recall the
relationship she had as a child with her parents. The patient responds by saying she has a
headache and her stomach hurts, and starts talking about her physical ailments. What is
the appropriate response by the PMHNP?
Selected Answer: B.
Explain why it is important for the patient to discuss these
memories openly
Question 4
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, 2
1 out of 1 points
A PMHNP is taking a history and wants to assess how the patient copes with adversity. To
do so, the therapist asks questions about the patient’s belief system. What would be an
appropriate question to ask?
Selected Answer: D.
All of the above.
Question 5
1 out of 1 points
A 62-year-old patient has been diagnosed with borderline personality disorder. Upon
assessment, the PMHNP learns that he participates in spending sprees and occasional
binge eating, accompanied by rapid changes in self-image. Which evidence-based
psychotherapeutic model does the PMHNP identify as effective and beneficial?
Selected Answer: C.
Dialectical behavior therapy
Question 6
1 out of 1 points
The PMHNP is working with a patient who seems dissatisfied with the therapeutic
relationship. The PMHNP invites the patient to discuss her feelings regarding the PMHNP
openly and honestly. It becomes clear to the PMHNP that they are experiencing an
alliance rupture. How does the PMHNP repair the therapeutic alliance?
Selected Answer: D.
All of the above
Question 7
1 out of 1 points
The PMHNP is working with a patient who experiences anxiety around her parents that
later leads to poor impulse control. What will the PMHNP do to employ psychodynamic
psychotherapy properly for this patient?
P a g e 2 | 23
, 2
Selected Answer: D.
All of the above
Question 8
1 out of 1 points
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 9
1 out of 1 points
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 children. How does the PMHNP respond in a way that upholds the supportive
psychodynamic psychotherapy approach?
Selected Answer: B.
Suggesting that she seek legal help
Question 10
1 out of 1 points
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?
Selected C.
Answer:
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