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 2
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 3
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?
Selected Answer:
D. Impact of Event Scale
Question 4
, 3
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
A PMHNP is treating a 50-year-old patient who suffers from depression. When he
was growing up, he was often responsible for taking care of his three younger
siblings. Since then, the patient puts other people’s needs before his own. Based on
this information, the PMHNP would conclude that his interpersonal style is
__________.
Selected Answer:
A.
overly nurturing
Question 6
At the initial interview with a patient, the PMHNP reviews the condition of
receiving services, including limits that will be imposed on confidentiality. During
the discussion, the patient shares information that the PMHNP is legally required
to report.
True or false: If the PMHNP does not report information that s/he is legally
required to report, state laws govern the consequences which include penalties for
not reporting, especially child and elder abuse.
Selected Answer:
, 4
True
Question 7
The PMHNP is meeting with a new patient who is a young veteran back from
serving two tours overseas. When reviewing the patient’s health history file that
was sent from the VA, the PMHNP learns that several months ago, the patient was
diagnosed with PTSD, but never followed up with treatment for it. After a
comprehensive mental health assessment, the PMHNP confirms the PTSD
diagnosis and understands that which therapeutic approach will be the most
effective as a first-line treatment modality?
Selected Answer:
C. Using psychodynamic psychotherapy with the patient
Question 8
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.
Selected Answer:
False
Question 9
When conducting an initial assessment, a PMHNP has finished conducting a
mental status examination with 10 minutes left in the session. The patient is
distressed and would like to continue sharing her personal history.
True or false: An appropriate response that the PMHNP might tell the patient is, “I
understand that you are upset. [Summarizes diagnosis, treatment recommendations,
and follow-up plan.] We can continue the conversation next week. How does this
time next Monday work for you?”
Selected Answer:
True
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