NUNP I6640N I– INUNP I6640C IMidterm NUNP I6640N I– INUNP I6640C IMidterm
IExam IWeek I6 I IExam IWeek I6 I
Question I1 I
1 Iout Iof I1 Ipoints
I
An Ielderly Ipatient Iin Ia Inursing Ihome Ihas Ibeen Ilosing Iinterest Iin Iactivities Iand Inow Irefuses Ito
Ileave Ihis Iroom. IAfter Ia Iphysical Iexam, Ihe Iis Ireferred Ito Ia IPMHNP Ifor Ian Iinitial Iassessment. I
True Ior Ifalse: IAfter Ispeaking Iwith Ithe Ipatient, Ian Iappropriate Iscreening Itool Ifor Ithe IPMHNP I
Ito Iuse Iwould Ibe Ithe IGeriatric IDepression IScale. I
Selected IAnswer: I True I
Question I2 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ischool-aged Ichild Iwho Ihas Ibeen Idiagnosed Iwith Idepression.
IThe Ichild Ihas Iattended Iseveral Isessions Iwith Ithe IPMNHP, Ibut Irecently Ipresents Iwith Iavoidant
Ibehavior Iby Ishowing Iincreased Idistress Iand Ibeing Ilate Ito Isessions. IWhat Iapproach Idoes Ithe
IPMHNP Ineed Ito Iemploy Iwith Ithe Ichild Ito Icontinue Imaking Itherapeutic Iprogress? I
Selected IAnswer: I B. I
Using Icommunication Itechniques Ithat Iare Iexpressive I
Question I3 I
0 Iout Iof I1 Ipoints
I
During Ia Isession, Ithe IPMHNP Iasks Ia Ipatient Iwith Ia Ihistory Iof Isexual Iabuse Ito Irecall Ithe
Irelationship Ishe Ihad Ias Ia Ichild Iwith Iher Iparents. IThe Ipatient Iresponds Iby Isaying Ishe Ihas Ia
Iheadache Iand Iher Istomach Ihurts, Iand Istarts Italking Iabout Iher Iphysical Iailments. IWhat Iis Ithe
Iappropriate Iresponse Iby Ithe IPMHNP? I
Selected IAnswer: B. I
I
Explain Iwhy Iit Iis Iimportant Ifor Ithe Ipatient Ito Idiscuss Ithese Imemories
Iopenly I
Question I4 I
, 1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Itaking Ia Ihistory Iand Iwants Ito Iassess Ihow Ithe Ipatient Icopes Iwith Iadversity. ITo Ido
Iso, Ithe Itherapist Iasks Iquestions Iabout Ithe Ipatient’s Ibelief Isystem. IWhat Iwould Ibe Ian
Iappropriate Iquestion Ito Iask? I
Selected IAnswer: I D. I
All Iof Ithe Iabove. I
Question I5 I
1 Iout Iof I1 Ipoints
I
A I62-year-old Ipatient Ihas Ibeen Idiagnosed Iwith Iborderline Ipersonality Idisorder. IUpon
Iassessment, Ithe IPMHNP Ilearns Ithat Ihe I Iparticipates Iin Ispending Isprees Iand Ioccasional Ibinge
Ieating, Iaccompanied Iby Irapid Ichanges Iin Iself-image. IWhich Ievidence-based
Ipsychotherapeutic Imodel Idoes Ithe IPMHNP Iidentify Ias Ieffective Iand Ibeneficial?
Selected IAnswer: I C. I
Dialectical Ibehavior Itherapy
Question I6 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ipatient Iwho Iseems Idissatisfied Iwith Ithe Itherapeutic
Irelationship. IThe IPMHNP Iinvites Ithe Ipatient Ito Idiscuss Iher Ifeelings Iregarding Ithe IPMHNP
Iopenly Iand Ihonestly. IIt Ibecomes Iclear Ito Ithe IPMHNP Ithat Ithey Iare Iexperiencing Ian Ialliance
Irupture. IHow Idoes Ithe IPMHNP Irepair Ithe Itherapeutic Ialliance? I
Selected IAnswer: I D. I
All Iof Ithe Iabove I
Question I7 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ipatient Iwho Iexperiences Ianxiety Iaround Iher Iparents Ithat Ilater
Ileads Ito Ipoor Iimpulse Icontrol. IWhat Iwill Ithe IPMHNP Ido Ito Iemploy Ipsychodynamic
Ipsychotherapy Iproperly Ifor Ithis Ipatient? I
, Selected IAnswer: I D. I
All Iof Ithe Iabove I
Question I8 I
1 Iout Iof I1 Ipoints
I
During Ia Itherapy Isession Ithe Ipatient Iis Iasked Ihow Ishe Icurrently Ideals Iwith Istress, Iand Ishe Isays,
I“Well, II Idon’t. II Ijust Ilet Iit Ibuild Iand Ibuild.” IThe IPMHNP Iresponds Iby Iasking Ihow Iwell Ithis
Ihas Ibeen Iworking Iout Ifor Iher. IThe Ipatient Istates, I“Well, Ito Ibe Ihonest, Iit Ijust Ifeels Ilike II’m
Idrowning, Iyou Iknow Iwhat II Imean.” IIllustrating Iidiosyncratic Imeaning, Ithe IPMHNP Iresponds
Iwith: I
Selected IAnswer: I B. I
“No, II Iam Inot Isure Iwhat Iyou Iare Isaying. ICan Iyou Iplease Iexplain?” I
Question I9 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Imeeting Iwith Ia I38-year-old Idivorced, Isingle Imother Iwho Ihas Ibeen Iseeing Ithe
IPMHNP Ifor Ianxiety Iand Ianger Imanagement. IDuring Ione Iof Ithe Isessions, Ithe Ipatient Itells Ithe
IPMHNP Ithat Ishe Iis Ihaving Ia Iproblem Igetting Iher Ichild Isupport Ipayments Ifrom Iher Iex-
husband, Iwhich Iis Itriggering Iincreased Ianxiety Iand Ianger, Iwhich Ishe Iadmittedly Itakes Iout Ion
Iher Ichildren. IHow Idoes Ithe IPMHNP Irespond Iin Ia Iway Ithat Iupholds Ithe Isupportive
Ipsychodynamic Ipsychotherapy Iapproach? I
Selected IIAnswer: II B. II
Suggesting IIthat IIshe IIseek IIlegal IIhelp II
Question I10 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ipatient Iwho Ihas Idissociative Idisorder Iand Irequests
Ipharmacological Iinterventions Ifor Idealing Iwith Iher Itrauma. IWhat Ieducation Idoes Ithe IPMHNP
Iprovide Ito Ithe Ipatient Iregarding Imedication Itherapy? I
Selected C. I
IAnswer: I
IExam IWeek I6 I IExam IWeek I6 I
Question I1 I
1 Iout Iof I1 Ipoints
I
An Ielderly Ipatient Iin Ia Inursing Ihome Ihas Ibeen Ilosing Iinterest Iin Iactivities Iand Inow Irefuses Ito
Ileave Ihis Iroom. IAfter Ia Iphysical Iexam, Ihe Iis Ireferred Ito Ia IPMHNP Ifor Ian Iinitial Iassessment. I
True Ior Ifalse: IAfter Ispeaking Iwith Ithe Ipatient, Ian Iappropriate Iscreening Itool Ifor Ithe IPMHNP I
Ito Iuse Iwould Ibe Ithe IGeriatric IDepression IScale. I
Selected IAnswer: I True I
Question I2 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ischool-aged Ichild Iwho Ihas Ibeen Idiagnosed Iwith Idepression.
IThe Ichild Ihas Iattended Iseveral Isessions Iwith Ithe IPMNHP, Ibut Irecently Ipresents Iwith Iavoidant
Ibehavior Iby Ishowing Iincreased Idistress Iand Ibeing Ilate Ito Isessions. IWhat Iapproach Idoes Ithe
IPMHNP Ineed Ito Iemploy Iwith Ithe Ichild Ito Icontinue Imaking Itherapeutic Iprogress? I
Selected IAnswer: I B. I
Using Icommunication Itechniques Ithat Iare Iexpressive I
Question I3 I
0 Iout Iof I1 Ipoints
I
During Ia Isession, Ithe IPMHNP Iasks Ia Ipatient Iwith Ia Ihistory Iof Isexual Iabuse Ito Irecall Ithe
Irelationship Ishe Ihad Ias Ia Ichild Iwith Iher Iparents. IThe Ipatient Iresponds Iby Isaying Ishe Ihas Ia
Iheadache Iand Iher Istomach Ihurts, Iand Istarts Italking Iabout Iher Iphysical Iailments. IWhat Iis Ithe
Iappropriate Iresponse Iby Ithe IPMHNP? I
Selected IAnswer: B. I
I
Explain Iwhy Iit Iis Iimportant Ifor Ithe Ipatient Ito Idiscuss Ithese Imemories
Iopenly I
Question I4 I
, 1 Iout Iof I1 Ipoints
I
A IPMHNP Iis Itaking Ia Ihistory Iand Iwants Ito Iassess Ihow Ithe Ipatient Icopes Iwith Iadversity. ITo Ido
Iso, Ithe Itherapist Iasks Iquestions Iabout Ithe Ipatient’s Ibelief Isystem. IWhat Iwould Ibe Ian
Iappropriate Iquestion Ito Iask? I
Selected IAnswer: I D. I
All Iof Ithe Iabove. I
Question I5 I
1 Iout Iof I1 Ipoints
I
A I62-year-old Ipatient Ihas Ibeen Idiagnosed Iwith Iborderline Ipersonality Idisorder. IUpon
Iassessment, Ithe IPMHNP Ilearns Ithat Ihe I Iparticipates Iin Ispending Isprees Iand Ioccasional Ibinge
Ieating, Iaccompanied Iby Irapid Ichanges Iin Iself-image. IWhich Ievidence-based
Ipsychotherapeutic Imodel Idoes Ithe IPMHNP Iidentify Ias Ieffective Iand Ibeneficial?
Selected IAnswer: I C. I
Dialectical Ibehavior Itherapy
Question I6 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ipatient Iwho Iseems Idissatisfied Iwith Ithe Itherapeutic
Irelationship. IThe IPMHNP Iinvites Ithe Ipatient Ito Idiscuss Iher Ifeelings Iregarding Ithe IPMHNP
Iopenly Iand Ihonestly. IIt Ibecomes Iclear Ito Ithe IPMHNP Ithat Ithey Iare Iexperiencing Ian Ialliance
Irupture. IHow Idoes Ithe IPMHNP Irepair Ithe Itherapeutic Ialliance? I
Selected IAnswer: I D. I
All Iof Ithe Iabove I
Question I7 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ipatient Iwho Iexperiences Ianxiety Iaround Iher Iparents Ithat Ilater
Ileads Ito Ipoor Iimpulse Icontrol. IWhat Iwill Ithe IPMHNP Ido Ito Iemploy Ipsychodynamic
Ipsychotherapy Iproperly Ifor Ithis Ipatient? I
, Selected IAnswer: I D. I
All Iof Ithe Iabove I
Question I8 I
1 Iout Iof I1 Ipoints
I
During Ia Itherapy Isession Ithe Ipatient Iis Iasked Ihow Ishe Icurrently Ideals Iwith Istress, Iand Ishe Isays,
I“Well, II Idon’t. II Ijust Ilet Iit Ibuild Iand Ibuild.” IThe IPMHNP Iresponds Iby Iasking Ihow Iwell Ithis
Ihas Ibeen Iworking Iout Ifor Iher. IThe Ipatient Istates, I“Well, Ito Ibe Ihonest, Iit Ijust Ifeels Ilike II’m
Idrowning, Iyou Iknow Iwhat II Imean.” IIllustrating Iidiosyncratic Imeaning, Ithe IPMHNP Iresponds
Iwith: I
Selected IAnswer: I B. I
“No, II Iam Inot Isure Iwhat Iyou Iare Isaying. ICan Iyou Iplease Iexplain?” I
Question I9 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Imeeting Iwith Ia I38-year-old Idivorced, Isingle Imother Iwho Ihas Ibeen Iseeing Ithe
IPMHNP Ifor Ianxiety Iand Ianger Imanagement. IDuring Ione Iof Ithe Isessions, Ithe Ipatient Itells Ithe
IPMHNP Ithat Ishe Iis Ihaving Ia Iproblem Igetting Iher Ichild Isupport Ipayments Ifrom Iher Iex-
husband, Iwhich Iis Itriggering Iincreased Ianxiety Iand Ianger, Iwhich Ishe Iadmittedly Itakes Iout Ion
Iher Ichildren. IHow Idoes Ithe IPMHNP Irespond Iin Ia Iway Ithat Iupholds Ithe Isupportive
Ipsychodynamic Ipsychotherapy Iapproach? I
Selected IIAnswer: II B. II
Suggesting IIthat IIshe IIseek IIlegal IIhelp II
Question I10 I
1 Iout Iof I1 Ipoints
I
The IPMHNP Iis Iworking Iwith Ia Ipatient Iwho Ihas Idissociative Idisorder Iand Irequests
Ipharmacological Iinterventions Ifor Idealing Iwith Iher Itrauma. IWhat Ieducation Idoes Ithe IPMHNP
Iprovide Ito Ithe Ipatient Iregarding Imedication Itherapy? I
Selected C. I
IAnswer: I
