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NURS 6670 MID-TERM EXAM-QUESTIONSAND ANSWERS (VERIFIED
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NURS 6670 MID-TERM EXAM-QUESTIONSAND ANSWERS (VERIFIED
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10/19/23, 11:51 AM NURS 6670 MID NURS 6670 MID NURS 6670 MIDNURS 6670 MID-TERM EXAM-QUESTIONS
AND ANSWERS (VERIFIED). Latest.
Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She
was arrested for vagrancy because she was sleeping in her car in a parking lot at a local shopping
center. She could not post bail, so she is sentenced to 14 days in jail. During group, she
contributes that none of this is her fault. Her mother is totally evil because she would not let
Alexa stay in the family home. She has some other family, but they are all jerks because they
won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs
and prostitution. The last time she was in jail, her sentence was extended for 30 days because she
got into a fight with another inmate and beat her up so badly she had to be admitted to the
hospital for 6 days. The PMHNP considers which of the following personality disorders?
a) Histrionic
b) Narcissistic
c) Borderline
d) Schizoid
Question 2
Anne is a 32-year-old female who presented to care after a random drug screening at work was
positive for cocaine. She was initially resistant to therapy, maintaining that her use is not a
problem and she could stop at any time. Upon further discussion in session, it appears that she
uses cocaine every day at work, sometimes 2–3 times, other days more. She also uses it
occasionally at home and most weekends. During her third session, she admitted that it is a
financial burden, and she basically cannot afford any other form of recreation. She understands
that if she uses again she will lose her job, and she admits that she loves her job and that cocaine
is not worth losing it. When counseling her about cessation strategies, the PMHNP advises all the
following except:
a) The physiologic symptoms of withdrawal may require a short-term hospitalization
b) Unlike other substances of abuse, there are no medications to help reduce the intensity of
withdrawal
c) She will need to be monitored for depression
d) Overcoming the intense craving for cocaine is the biggest issue
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Question 3
Clare’s history of personal relationships is characterized by complete intolerance of being alone.
Whether it is an intimate-partner relationship or a close friend, Clare appears to always need
someone in her life. She had a livein boyfriend of 3 years, and while they were together, he took
care of everything. The PMHNP expects all of the following to be additional features of Clare’s
history except:
a) Has disproportionate anger toward an abusive spouse
Question 4
The PMHNP is conducting an initial interview with a patient whose history is consistent with
avoidant personality disorder. The PMHNP understands that one of the most striking features of
this interview is likely to be centered upon the patient’s:
b) Clothing
c) Speech pattern
d) Anger
e) Anxiety
Question 5
A PMHNP student is reviewing his notes from his clinical experience over the past week to
prepare his first required case presentation on a patient suffering a major depressive episode.
Which of the following patients’ best represents the DSM-5 criteria for major depressive
episode?
a) A 27-year-old female with a 1-month history of social withdrawal, anorexia,
hypersomnia, unprovoked outbursts of anger, and a strong family history of endogenous
depression.
b) A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his
professional and personal life, an unplanned 10 lb. weight loss in the last 3 months, and
perceptual disturbances.
c) A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of
generally depressed mood, guilt about his wife’s death, insomnia, difficulty focusing on
daily tasks, with increasing thoughts of dying.
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d) A 72-year-old female who just relocated across country to live with her adult son and
daughter-in-law who is despondent about leaving her home and reports forgetfulness, loss
of appetite, new onset bowel problems, and extreme loss of energy.
Question 6
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-
traumatic stress disorder. Which of the following does not have any evidenced-based support in
the literature?
a) SSRIs
b) TCAs
c) Antiadrenergic
d) Antipsychotics
Question 7
The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a
21-year-old male who was just arrested following an altercation at a local bar. M.S. has never
been incarcerated before and apparently has no psychiatric or medical history available. His
toxicology screen was negative for alcohol or any drugs of abuse. His mother says that he has in
the past had some occasions when he got kind of agitated, but this is the first time it’s been a
problem. Reportedly some people from his office were at the bar celebrating a birthday, and
before anyone knew what happened an argument escalated into M.S. getting very loud, yelling,
and acting ―crazy‖ before he punched a coworker and started breaking bottles. When
considering a manic or hypomanic episode, the PMHNP expects that his speech would most
likely be:
a) Stuttered
b) Increased
c) Childlike
d) Confused
Question 8
Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of
repeated offenses including DUI, domestic violence, battery, and other violent acts that
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fortunately have not yet caused any serious injury or death to the recipients. An interview with
his wife reveals that he has lied about almost everything for the last few years; he is able to get
hired for jobs because he is very engaging and likeable, and then invariably he gets fired because
he misses work and doesn’t do his job properly when he is there. According to the wife, they
have known each other since high school, where Fletcher was very happy and well-adjusted. He
was on the soccer team, liked by teachers, and never demonstrated the tendencies he does now.
Apparently in college he got involved with a fraternity that was notorious for alcohol and drug
abuse, and he started drinking heavily; it was ―all downhill from there.‖ The PMHNP considers
that:
a) History and symptoms are most consistent with antisocial personality disorder
b) Fletcher needs a neurological workup to include an EEG and assessment for neurological
soft signs
c) Consistent with his symptoms, Fletcher will likely respond well to a stress interview
d) It is likely that substance abuse is the underlying cause of symptoms and should be
explored further
Question 9
Which among the following neurotransmitters is decreased in depression and increased in
mania?
a) Dopamine
b) Norepinephrine
c) Serotonin
d) Glutamate
Question 10
Among the various types of therapeutic intervention for patients with borderline personality
disorder, which of the following is characterized as polymodal, including group skills training,
individual therapy, telephone consultation, and a consultation team with a goal of improving
interpersonal skills and decreasing self-destructive behavior?
a) Mentalization-based treatment (MBT)
b) Transference-focused psychotherapy (TFP)
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