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NRNP-6640- Midterm Exam 5 ,
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Course NRNP-6640-4,Psychotherapy iIndivid.2020 iTest Week i6 iMidterm iExam
Status Completed
Attempt iScore 73 iout iof i75 ipoints i i
Time iElapsed 1 ihour, i20 iminutes iout iof i2 ihours
Results iDisplayed Submitted iAnswers
• Question 1 i
0 iout iof i1 ipoints
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?
Selected B. i
iAnswer: Explain iwhy iit iis iimportant ifor ithe ipatient ito idiscuss ithese imemories
iopenly
• Question 2 i
1 iout iof i1 ipoints
A iPMHNP iis iassessing iego ifunctioning iof ihis i40-year-old ipatient iby iasking iwhat ishe
ifeels iis ithe icause iof iher iproblems. iShe iattributes iher iproblems ito iher ioverprotective
iparents inot iletting iher ihave ienough ifreedom igrowing iup. iBased ion iher ianswer, ithe
iPMHNP iis itesting i_____________.
Selected iAnswer: C. i
defensive iand iinterpersonal ifunctioning
• Question 3 i
1 iout iof i1 ipoints
A i28-year-old imale ipatient iis iexperiencing idistress irelated ito ithe iworkplace. iWhat
imight ithe iPMHNP iask ito iassess iaffective idevelopment?
Selected iAnswer: D. i
All iof ithe iabove.
• Question 4 i
1 iout iof i1 ipoints
The iPMHNP ihas ibeen itreating ia i15-year-old ipatient iwith ia ihistory iof iabuse iand
ineglect. iThirty iminutes iinto itheir itherapy isession ithe ipatient ijumps iup iand ibegins ito
ipace iaround ithe iroom. iUtilizing iSocratic idialogue i(SD) ithe iPMHNP’s ibest iaction
iwould ibe ito:
Selected iAnswer: C. i
Say, i“I inoticed ia ichange. iCan iyou itell ime iwhat ihappened?”
• Question 5 i
1 iout iof i1 ipoints
, The iPMHNP iunderstands ithat ianxiety iand idepression iare itwo idisorders iin iwhich itheir
isymptoms imay ioverlap. iWhen idiscussing ithis, iyou iexplain ithat ithe iautonomic inervous
isystem iis iactivated iand ifurther ihelps idistinguish ianxiety isymptoms iby imaking ithe
ifollowing ipoints:
Selected iAnswer: B. i
“You imay iexperience ifear, isweating, iand imuscle itension.”
• Question 6 i
1 iout iof i1 ipoints
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?
Selected iAnswer: D. i
All iof ithe iabove.
• Question 7 i
1 iout iof i1 ipoints
A iPMHNP iis icaring ifor ia i21-year-old iwoman iwho iis isuffering ifrom ianxiety iand iis
ihaving idifficulty imanaging istress. iWhich iof ithe ifollowing iwould ibe ian iappropriate istep
iby ithe iPMHNP?
Selected iAnswer: D. i
All iof ithe iabove
• Question 8 i
1 iout iof i1 ipoints
Your ipatient iis ia i65-year-old imale iwho ihas ia istrained irelationship iwith ihis ison iand
idaughter. iHis ichildren irefuse ito iparticipate iin ia ifamily isession. iThe iPMHNP iasks ithe
ipatient ito idraw ihis ifamily igenogram ias ia inext istep ito i_______________.
Selected iAnswer: C. i
provide ibackground iinformation ifor ithe ipatient’s ifamily istructure
• Question 9 i
1 iout iof i1 ipoints
A inew ipatient ihas ibeen iinformed iof ithe ilimits iof iconfidentiality, iand ihas isigned
iinformed iconsent iforms. iNo iconsent, ihowever, ihas ibeen iobtained ifor ivoluntary
i“Release iof iInformation.” iThe ipatient iis i20 iyears iold iand istill ilives iat ihome iwith ihis
iparents. iHe iis ibeing itreated ifor idepression, iwhich ihe iattributes ito ithe itrouble ihe’s ihad
ifinding iemployment. i
True ior ifalse: iIf ithe ipatient’s imother icalls ithe iPMHNP ito icheck iup ion iher ison ito isee
ihow ihe iis idoing, ithe itherapist iis irequired ito iprotect ipatient iconfidentiality iand inot
idisclose iinformation.
Selected iAnswer: True
• Question 10 i
1 iout iof i1 ipoints
, The iPMHNP iis iworking iwith ian iadult ipatient iwho ihas isomatic icomplaints icaused iby ia
ihistory iof ichildhood iabuse. iAs ipart iof ithe itherapeutic iprocess, iwhat idoes ithe iPMHNP
ido ito iassess iand iorganize ia itrauma ihistory?
Selected iAnswer: B. i
Construct ia itimeline iof ithe ipatient’s ilife
• Question 11 i
1 iout iof i1 ipoints
The iPMHNP iis icaring ifor ia ipatient iwho ihas iacute istress idisorder iafter iexperiencing ia
itraumatic ievent i1 iweek iprior. iThe iPMHNP iwants ito ibegin iwith ia itherapeutic
iframework ithat ifollows ithe iadaptive iinformation iprocessing i(AIP) imodel. iWhat iis ithe
ipriority iaction ifor ithe iPMHNP ito itake?
Selected iAnswer: A. i
Focus ion ithe ipatient’s isafety iand istabilization
• Question 12 i
1 iout iof i1 ipoints
A ipatient iwho ihas iborderline ipersonality idisorder iis imeeting iwith ithe iPMHNP. iWhen
iasked iabout ifuture igoals, ithe ipatient iresponds, i“I’d ilike ito igo iback ito ischool ito ido iwhat
iyou
do. iYou iknow, italk ito ipeople iall iday iabout itheir iproblems. iIt iseems ipretty ieasy.” iHow
idoes ithe iPHMNP irespond ito ithe iclient iin ia iway ithat iis ifree ifrom iany istigmatizing
ibeliefs ior ijudgments?
Selected C. i
iAnswer: “You imay iwant ito iexplore ithe irequirements ifor ibecoming ia
iPMNHP.”
• Question 13 i
1 iout iof i1 ipoints
The iPMHNP iis itreating ia i35-year-old imale iofficer iin ithe imilitary. iHe idiscloses ithat iboth
iof ihis iparents iare ideceased iand ithat ihe iloved ithem. iHowever, ihe isays ithat ihe ihad
ifeelings iof iinadequacy ibecause ihis iparents iheld ihim ito ia istandard ithat ihe icould inever
iachieve. iHe iwent ion ito isay ithat inothing ihe idid iever ifelt igood ienough. iThe iPMHNP
iassesses ithat ithis ipatient ihas iperfect icreases iin ihis iuniform iwith ino istrings ior itags iout
iof iplace; ishe ialso inotices ithat ihe ihas iperfect iposture iand iquestions ihim iabout
iritualistic ibehaviors. iShe isuspects ithat ithis ipatient ihas imaladaptive iresponses ito ithe
iexpectations iplaced ion ihim ias ia iteenager iand iyoung iadult. iWhich istatements imade
iby ithe ipatient iwould iverify ithe iPMHNP’s isuspicion?
Selected D. i
iAnswer: “I ibelieve iin isystems; iI ihave ito ihave iorder iand irules iin imy ieveryday ilife.
iIf ia itask imust ibe icompleted, iI iwill ioften icomplete iit imyself iversus
idepending ion isomeone ielse.”
i
• Question 14 i
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