NRNP-6640 Midterm Exam • Question 1 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. Wh...
nrnp 6640 midterm exam • question 1 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 sa
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NRNP-6640 Midterm Exam
• Question 1
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 2
1 out of 1 points
A PMHNP is assessing ego functioning of his 40-year-old patient by asking what she feels is the cause of
her problems. She attributes her problems to her overprotective parents not letting her have enough
freedom growing up. Based on her answer, the PMHNP is testing .
Selected Answer: C.
Defensive and interpersonal functioning
• Question 3
1 out of 1 points
A 28-year-old male patient is experiencing distress related to the workplace. What might the PMHNP ask
to assess affective development?
Selected Answer: D.
All of the above.
• Question 4
1 out of 1 points
The PMHNP has been treating a 15-year-old patient with a history of abuse and neglect. Thirty minutes
into their therapy session the patient jumps up and begins to pace around the room. Utilizing Socratic
dialogue (SD) the PMHNP’s best action would be to:
Selected Answer:C.
Say, “I noticed a change. Can you tell me what happened?”
• Question 5
1 out of 1 points
The PMHNP understands that anxiety and depression are two disorders in which their symptoms may
overlap. When discussing this, you explain that the autonomic nervous system is activated and further
helps distinguish anxiety symptoms by making the following points:
,Selected Answer:B.
“You may experience fear, sweating, and muscle tension.”
• Question 6
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 7
1 out of 1 points
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 step by the PMHNP?
Selected Answer:D.
All of the above
• Question 8
1 out of 1 points
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
• Question 9
1 out of 1 points
A new patient has been informed of the limits of confidentiality, and has signed informed consent
forms. No consent, however, has been obtained for voluntary “Release of Information.” The patient is
20 years old and still lives at home with his parents. He is being treated for depression, which he
attributes to the trouble he’s had finding employment.
True or false: If the patient’s mother calls the PMHNP to check up on her son to see how he is doing, the
therapist is required to protect patient confidentiality and not disclose information.
Selected Answer: True
• Question 10
1 out of 1 points
, 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?
Selected Answer:B.
Construct a timeline of the patient’s life
• Question 11
1 out of 1 points
The PMHNP is caring for a patient who has acute stress disorder after experiencing a traumatic event 1
week prior. The PMHNP wants to begin with a therapeutic framework that follows the adaptive
information processing (AIP) model. What is the priority action for the PMHNP to take?
Selected Answer:A.
Focus on the patient’s safety and stabilization
• Question 12
1 out of 1 points
A patient who has borderline personality disorder is meeting with the PMHNP. When asked about future
goals, the patient responds, “I’d like to go back to school to do what you do. You know, talk to people all
day about their problems. It seems pretty easy.” How does the PHMNP respond to the client in a way
that is free from any stigmatizing beliefs or judgments?
Selected Answer:C.
“You may want to explore the requirements for becoming a PMNHP.”
• Question 13
1 out of 1 points
The PMHNP is treating a 35-year-old male officer in the military. He discloses that both of his parents
are deceased and that he loved them. However, he says that he had feelings of inadequacy because his
parents held him to a standard that he could never achieve. He went on to say that nothing he did ever
felt good enough. The PMHNP assesses that this patient has perfect creases in his uniform with no
strings or tags out of place; she also notices that he has perfect posture and questions him about
ritualistic behaviors. She suspects that this patient has maladaptive responses to the expectations
placed on him as a teenager and young adult. Which statements made by the patient would verify the
PMHNP’s suspicion?
Selected Answer: D.
“I believe in systems; I have to have order and rules in my everyday life. If a task must be completed, I
will often complete it myself versus depending on someone else.”
• Question 14
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