nurs 6640 midterm exam nurs6640 midterm exam walden university nurs 6640 week 6 midterm exam nurs6640 week 6 midterm exam walden university nurs 6640 review test submission week 6 midterm
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NURS 6640 Psychotherapy With Individuals (NURS6640)
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Review Test Submission: Week 6 Midterm Exam
Course NURS-6640 Psychotherapy Individ
Attempt Score 74 out of 75 points
Results Displayed Submitted Answers
Question 1
1 out of 1 points
The PMHNP is assessing a patient who grew up in a foster home because she was
neglected and abused by her birth parents at a young age. The patient admits to
having difficulty forming and maintaining relationships throughout her life.
Understanding maladaptive schemas, which statement does the PMHNP predict that
the patient is likely to make?
Selected C.
Answer: “It takes me a while to warm up to people; people often wear
masks.”
Question 2
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected Answer: Yes
Question 3
1 out of 1 points
When a PMHNP is seeing a patient for the first time, what is an important step to
assure that the patient and provider understand the limits of their discussion?
Selected Answer: C.
Have a discussion about the confidentiality and its limits
Question 4
1 out of 1 points
A 65-year-old patient has suffered the loss of his wife. He is in a state of
hyperarousal with increased sympathetic nervous system arousal. One or more
interventions may help the patient to deal with this arousal. To decrease sympathetic
nervous system arousal, the PMHNP’s treatment strategy is ___________.
Selected Answer: D.
all of the above
, Question 5
1 out of 1 points
After informing a prospective patient about limits of confidentiality, the patient
consents to the “conditions” of confidentiality and signs an informed consent form.
Several weeks later, a lawyer representing the patient’s spouse for a court case,
asks the PMHNP for the disclosure of information about the patient. The PMHNP
should:
Selected Answer: C.
Limit disclosure to the extent legally possible
Question 6
1 out of 1 points
The PMHNP employs psychodynamic psychotherapy with a patient who experiences
anxiety and depression. As the process enters the psychoanalytic end of the
psychodynamic continuum, the PMNHP will focus on:
Selected Answer: A.
Interpreting unconscious conflict in the patient
Question 7
1 out of 1 points
The PMHNP is caring for a patient who the PMHNP believes would benefit from a
relational psychodynamic approach to therapy. Which action made by the PMHNP
demonstrates appropriate use and understanding of the relationship psychodynamic
model?
Selected Answer: C.
Focusing the exploration on here and now
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
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 10
1 out of 1 points
During cognitive behavioral therapy (CBT), a 64-year-old male patient states, “I get
so frustrated sometimes and I just blow up at everybody!” Which response by the
PMHNP demonstrates translation of Socratic dialogue (SD)?
Selected B.
Answer: “When you say blow up, what exactly does blow up mean and
how does it feel to you?”
Question 11
1 out of 1 points
The PMHNP meets with a 47-year-old male patient who is fearful of leaving the
house after having witnessed his neighbor getting run over by a car. When the
PMHNP asks why he is afraid to leave his house, the patient replies, “Because
another accident might occur.” Which cognitive behavioral therapy (CBT) strategy
does the PMHNP employ?
Selected Answer: B.
Stress inoculation therapy
Question 12
1 out of 1 points
The PMHNP is meeting with a 42-year-old man with depression brought on by the
recent passing of his wife. As he describes the circumstances surrounding his late
wife’s death, the PMHNP begins to feel sad. The sadness lingers for several hours,
and the PMHNP finds it difficult to focus on other patients for the rest of the day.
What is the most appropriate explanation for the reaction that the PMHNP is
experiencing?
Selected Answer: C.
Concordant identification
Question 13
1 out of 1 points
A 16-year-old female patient has had a stable therapeutic relationship with the
PMHNP for several months. The PMHNP notices what appears to be fresh cigarette
burns on the patient’s arm. When asked, the patient admits to this self-injurious
behavior. Although the patient is still depressed, her mood seems to be somewhat
better this week. True or false: The PMHNP would most likely consider this patient
stabilized and ready to move to Stage II.
Selected Answer: False
Question 14
, 1 out of 1 points
You are seeing a 29-year-old widow whose husband recently died overseas while
serving his country in the military. She has been mourning the loss of her husband
for several months, and continues to grieve. She refuses to go to group grieving
sessions, but reports that she is still able to go to work and her fitness classes
sometimes, and even makes attempts to stay social. She says, “Sometimes it’s like
he’s not even gone. Other times it feels like it’s been an eternity since I’ve seen him.
It’s hard to talk about this type of stuff with my girlfriends, especially since all of their
husbands are still alive.” The PMHNP understands that it is appropriate to employ
which therapeutic principle?
Selected Answer: A.
Encouraging catharsis
Question 15
1 out of 1 points
A PMHNP is preparing confidentiality forms for his patients. What is the most
appropriate first step he should take?
Selected Answer: B.
Research his profession’s ethics code and state/federal laws
Question 16
0 out of 1 points
The patient attempts the PMHNP’s sleep hygiene recommendations for 2 weeks, but
does not make any progress mitigating nightmares and hyperarousal. Which
behavioral strategy does the PMHNP suggest next?
Selected Answer: B.
Paradoxical interventions
Question 17
1 out of 1 points
The PMHNP is working with a patient who has dissociative disorder and requests
pharmacological interventions for dealing with her trauma. What education does the
PMHNP provide to the patient regarding medication therapy?
Selected C.
Answer: “The medication may provide symptom relief, but you still need
psychotherapy.”
Question 18
1 out of 1 points
The PMHNP is caring for a patient with borderline personality disorder. Using a
psychoanalytic psychotherapy approach, the PMHNP attempts to intensify the
patient’s transference to enhance emotional processing by:
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