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NURS 6640 MID TERM EXAM 2 WITH HIGHLIGHTED ANSWERS
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NURS 6640 MID TERM EXAM 2 WITH HIGHLIGHTED ANSWERS
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Q U E S TI O N 11. 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?
A. Asking the patient what she does to relieve anxiety
B. Giving the patient basic stress management activities
C. Developing a plan together that is not overwhelming
D. All of the above
D
1 points
Q U E S TI O N 2
1. The PMHNP is working with a 56-year-old man who is being seen because of his
anxiety and depression. During the therapy sessions, the PMHNP assists the patient in
discussing his experiences and expanding on his thoughts and feelings. He tells the
PMHNP stories about how he used to be teased by his coworkers at the office for
becoming too anxious in large conference rooms. The PMHNP listens to the patient and
helps focus on his strengths to promote self-understanding. Which principle best
accounts for the PMHNP‟s interactions with the patient?
A. Therapeutic communication
B. Maintaining the frame
C. Working with resistance
D. None of the above
A
1 points
Q U E S TI O N 3
1. 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?
A. Interview the patient‟s family members
B. Construct a timeline of the patient‟s life
C. Review the patient‟s current stressors
D. Debrief with the patient
B
1 points
Q U E S TI O N 4
1. One of the strategies the PMHNP wants to try includes sleep restriction. What will the
PMHNP suggest to follow sleep restriction therapy?
A. “Restrict sleep for 24 hours.”
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, B. “Restrict the amount of time you spend in bed.”
C. “Restrict the amount of exercise you do prior to going to bed.”
D. “Restrict the amount of food you eat before bedtime.”
B
1 points
Q U E S TI O N 5
1. True or false: A PMHNP may ask his patient to describe her relationship with her father,
both as a child and now, in order to assess interpersonal style.
True
False
True
1 points
Q U E S TI O N 6
1. An initial evaluation reveals that an 11-year-old patient has moved to a new school after
her parents‟ recent divorce, and is having trouble making friends. The patient has
normal mental status and exhibits appropriate behavior. What is the most appropriate
scale for the PMHNP to use to get more information?
A. Young Mania Rating Scale
B. Hamilton Anxiety Rating Scale
C. Dissociative Experiences Scale
D. Impact of Event Scale
D
1 points
Q U E S TI O N 7
1. The PMHNP is caring for a patient who seems to seek affection and attention from the
PMHNP and others in the clinic, as well as displays heightened emotional responses to
feelings of being excluded. What therapeutic approach does the PMHNP use to
decrease autonomic arousal in the patient?
A. Group therapy
B. Controlled confrontation
C. A safe-place exercise
D. Body and energy work
C
1 points
Q U E S TI O N 8
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, 1. 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 _____________.
A. adaptive regression in the service of the ego
B. regulation and control of affects and impulses
C. defensive and interpersonal functioning
D. sense of reality of the world and of the self
C
1 points
Q U E S TI O N 9
1. A 35-year-old patient seeks treatment for depression and anxiety after an abusive
relationship. To help empower the patient, the PMHNP wants to teach the safe-place
exercise to create a feeling of calm. In order to walk the patient through the exercise,
the PMHNP first says:
A. “Identify an image of a safe place that makes you feel calm.”
B. “Think about the things that cause you anxiety and let them go.”
C. “Take a deep breath and start to relax with each new breath.”
D. “Picture a beautiful beach and describe to me what you see.”
A
1 points
Q U E S TI O N 1 0
1. A PMHNP‟s patients have already signed confidentiality agreements, including limits
that will be imposed on confidentiality. Months later, the state‟s laws have changed that
affect confidentiality promises the PMHNP has already made. What is an appropriate
step for the PMHNP to take after finding out this information?
A. Revise intake forms to align with state laws
B. Review confidentiality revisions with patients
C. Have patients give informed consent again
D. All of the above
1 points
Q U E S TI O N 1 1
1. 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?
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