nurs 6640n midterm exam nurs6640 midterm exam 3 new versions
each 75 qa
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WALDEN MIDTERM EXAM
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NURS 6640 Midterm Exam (3 Versions)
, NURS 6640 Midterm Exam
Version 1
Question 1
1 out of 1 points
A PMHNP is treating a 45-year-old female patient who is upset that her brother has not been
calling since his divorce. When asked to describe her brother and what prompts him not to
call as frequently, she says, “Everything is about him, not me. I think he’s jealous that I have
a good marriage and he wants me to be unhappy, too. So he doesn’t call to upset me and ruin
my relationships.” Based on this information, the PMHNP can conclude that the patient
_________.
Selected Answer: A. may lack ability to see independent motivations
Question 2
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 3
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 4
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 D.
Answer: “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 5
1 out of 1 points
The PMHNP is working with a patient who experiences anxiety around her parents that later
leads to poor impulse control. What will the PMHNP do to employ psychodynamic
psychotherapy properly for this patient?
Selected Answer: D.
All of the above
Question 6
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 7
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 8
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 9
1 out of 1 points
The PMHNP meets with an adolescent patient who has depression and often presents with
resistance when discussing his parent’s divorce. For the past couple of sessions, the patient
has been quiet, sometimes refusing to speak. To further support the therapeutic relationship,
the PMNHP:
Selected Answer: A.
Observes and points out the behavior
Question 10
1 out of 1 points
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