6640MidTerm

6640MidTerm Submitted Answers

Question 1

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 2

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 3

1 out of 1 points

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

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 5

1 out of 1 points

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:

overly nurturing

Question 6

1 out of 1 points

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:

True

Question 7

0 out of 1 points

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

1 out of 1 points

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

1 out of 1 points

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

Question 10

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:

Selected Answer:

D. Increasing the number of sessions per week

Question 11

1 out of 1 points

During a therapy session with an 18-year-old female the PMHNP learns that she has lived in six different

foster homes in the last 24 months. She states that her mother is in a correctional facility for drug abuse

and prostitution. During the assessment, the PMHNP notices multiple superficial cuts to each wrist. The

patient appears tearful, withdrawn, and never makes direct eye contact. The PMHNP believes that this

patient may have feelings of insecurities as well as abandonment issues and is aware that which

diagnosis is likely possible?

Selected Answer:

C. Borderline personality disorder

Question 12

0 out of 1 points

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:

Selected Answer:

C. “Take a deep breath and start to relax with each new breath.”

Question 13

1 out of 1 points

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?

Selected Answer:

C. A safe-place exercise

Question 14

1 out of 1 points

A 28-year-old male patient is experiencing distress related to the workplace. What might the PMHNP ask

to assess affective development?

Selected Answer:

D. All of the above.

Question 15

1 out of 1 points

During cognitive behavioral therapy (CBT), a 64-year-old male patient, states, “My wife hates me! She’s

just waiting for me to die.” Using Socratic dialogue (SD) the PMHNP demonstrates understanding of

analysis when she responds:

Selected Answer:

D. “What has your wife done to make you believe this?”

Question 16

1 out of 1 points

The PMHNP is meeting with a 38-year-old divorced, single mother who has been seeing the PMHNP for

anxiety and anger management. During one of the sessions, the patient tells the PMHNP that she is

having a problem getting her child support payments from her ex-husband, which is triggering increased

anxiety and anger, which she admittedly takes out on her children. How does the PMHNP respond in a

way that upholds the supportive psychodynamic psychotherapy approach?

Selected Answer:

B. Suggesting that she seek legal help

Question 17

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 18

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 19

1 out of 1 points

A PMHNP has been working with a young female patient who suffers from depression to change self-

defeating behaviors. By creating a presence of acceptance and using good listening skills, the PMHNP’s

overall goal is to __________.

Selected Answer:

A. deepen the patient’s understanding of herself in order to cultivate empowerment

Question 20

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 21

0 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:

C. Identify patterns in relationships

Question 22

1 out of 1 points

A PMHNP is taking a history and wants to assess how the patient copes with adversity. To do so, the

therapist asks questions about the patient’s belief system. What would be an appropriate question to

ask?

Selected Answer:

D. All of the above.

Question 23

1 out of 1 points

A middle-aged man who works over 50 hours a week is being seen for depression and anger

management. He states, “I am even more frustrated when I come home and my wife wants to argue

about stupid stuff. All I want to do is come home, take a shower, and eat. Is that too much to ask?” The

PMHNP explains that people can be assertive, aggressive, and passive. She encourages the patient to be

more assertive and begins role-play with assertive training. The PMHNP determines that the patient is

beginning to understand when he states:

Selected Answer:

D. “I feel frustrated when I come home and we argue.”

Question 24

1 out of 1 points

The PMHNP is working with a 43-year-old male patient who develops idiosyncratic transference over

weeks of therapy. The best way for the PMHNP to respond to this patient is to ___________:

Selected Answer:

B. use empathy

Question 25

1 out of 1 points

In your office, you see a 58-year-old patient with PTSD who reports having nightmares, making it

impossible for her to sleep. What recommendations based on principles of sleep hygiene will the

PMHNP make?

Selected Answer:

C. Avoid watching television or reading in bed

Question 26

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 Answer:

C. “The medication may provide symptom relief, but you still need psychotherapy.”

Question 27

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 28

0 out of 1 points

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?

Selected Answer:

D. All of the above

Question 29

1 out of 1 points

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 _____________.

Selected Answer:

C. defensive and interpersonal functioning

Question 30

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 31

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 32

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 33

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 34

1 out of 1 points

A patient who has borderline personality disorder is meeting with the PMHNP. When asked about future

goals, the patient responds, “I’d like to go back to school to do what you

do. You know, talk to people all day about their problems. It seems pretty easy.” How does the PHMNP

respond to the client in a way that is free from any stigmatizing beliefs or judgments?

Selected Answer:

C. “You may want to explore the requirements for becoming a PMNHP.”

Question 35

1 out of 1 points

A 35-year-old patient has been seeking treatment for depression for several months. The PMHNP does

an assessment to see if processing has led to adaptive change. The patient’s self-references are positive

in relation to past events, work is productive, relationships are adaptive, and there is congruence

between behavior, thoughts, and affect. Based on this information, the PMHNP decides the patient

____________.

Selected Answer:

C. is ready to move to Stage III, future visioning

Question 36

1 out of 1 points

A 24-year-old female patient presents for her initial appointment with the PMHNP. Which action will the

PMHNP take to establish therapeutic alliance?

Selected Answer:

D. All of the above

Question 37

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 Answer:

C. “It takes me a while to warm up to people; people often wear masks.”

Question 38

1 out of 1 points

The PMHNP is caring for a patient with dissociated self-state that the PMHNP identifies as being

associated with traumatic experiences in the patient’s past. What approach does the PMHNP use with

the patient that is crucial to the psychodynamic therapy process?

Selected Answer:

A. Assisting the patient to experience and accept the various dimensions of the self through enhanced

awareness of the traumatic states

Question 39

1 out of 1 points

The patient is a 56-year-old female patient diagnosed with panic disorder and reports symptoms that

include heart palpitations, frequent trembling, and feelings of choking in stressful situations. What

special consideration does the PMHNP make?

Selected Answer:

D. A and B

Question 40

1 out of 1 points

The PMHNP is working with a patient who is living in poverty and abusing substances. According to the

treatment hierarchy framework, what needs does the PMHNP need to attend to first?

Selected Answer:

A. Provide safety through case management strategies

Question 41

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 42

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 Answer:

B. “When you say blow up, what exactly does blow up mean and how does it feel to you?”

Question 43

1 out of 1 points

The PMHNP has been assisting a shy and timid 23-year-old male patient struggling with esteem and self-

concept issues. Over the weekend, this patient was given the task of completing an exercise that would

usually cause him distress and shame, also called a shame-attacking exercise. The PMHNP determines

that this task has successfully been achieved when the patient states:

Selected Answer:

A. “I was able to eat in public yesterday despite how loudly I chew.”

Question 44

1 out of 1 points

The PMHNP is working with a patient who experiences abreactions when discussing repressed feelings

of his sexual abuse as a child. What can the PMHNP do to manage the patient’s intense emotional

reactions?

Selected Answer:

C. Suggest a relaxation technique, such as yoga or meditation

Question 45

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 46

1 out of 1 points

During a session, the PMHNP asks a patient with a history of sexual abuse to recall the relationship she

had as a child with her parents. The patient responds by saying she has a headache and her stomach

hurts, and starts talking about her physical ailments. What is the appropriate response by the PMHNP?

Selected Answer:

A. Assure the patient that she does not have to discuss these memories

Question 47

1 out of 1 points

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?

Selected Answer:

D. All of the above

Question 48

1 out of 1 points

The PMHNP is working with a patient who has insomnia and battles going to sleep. The patient reports

consistent self-defeating behaviors, and hates trying to go to sleep. Which action made by the PMHNP

demonstrates the use of a paradoxical intervention?

Selected Answer:

B. Telling the patient to resist sleep and stay awake

Question 49

1 out of 1 points

When the patient comes into the office, she says, “I just saw a friend of mine out in the waiting room.

What’s wrong with him?” The PMHNP says, “He’ll be fine. He has mild depression.” Which of the

following statement is correct related to confidentiality rights?

Selected Answer:

A. The PMHNP was not protecting patient confidentially rights.

Question 50

1 out of 1 points

The PMHNP is mentoring a student. After working with a patient during a session, the student laments

about all the things she should have, or could have, said to the patient. “I feel guilty that I didn’t speak

up more about the patient’s concern toward her son,” says the student. The PMHNP understands that

the student is exhibiting signs of which therapeutic concept?

Selected Answer:

Countertransference

Question 51

1 out of 1 points

The PMHNP is having a therapy session with Charlotte, a 20-year-old victim of date rape. The patient

states, “I shouldn’t have been there; I should have just gone home. This was all my fault; how could I

have been so stupid?” Using the Socratic method, what is the PMHNP’s best response?

Selected Answer:

A. “If this had happened to someone else with the exact same circumstances, would you say this was

her fault?”

Question 52

1 out of 1 points

An 11-year-old patient has been exhibiting low self-esteem at school and acting out. According to

Maslow’s hierarchy of needs, which of the following questions would best be addressed first by the

PMHNP?

Selected Answer:

C. “Is Joel getting enough sleep at home?”

Question 53

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 Answer:

D. “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 54

1 out of 1 points

The PMHNP is caring for a patient who has acute stress disorder after experiencing a traumatic event 1

week prior. The PMHNP wants to begin with a therapeutic framework that follows the adaptive

information processing (AIP) model. What is the priority action for the PMHNP to take?

Selected Answer:

A. Focus on the patient’s safety and stabilization

Question 55

1 out of 1 points

A patient named Steve is seeking therapy to get help with his home situation, stating that he has been

stressed since his mother-in-law moved into the house. What can the PMHNP do to assist the patient in

constructing a narrative?

Selected Answer:

B. Elicit details so Steve becomes more self-disclosing and self-examining

Question 56

0 out of 1 points

One of the strategies the PMHNP wants to try includes sleep restriction. What will the PMHNP suggest

to follow sleep restriction therapy?

Selected Answer:

D. “Restrict the amount of food you eat before bedtime.”

Question 57

1 out of 1 points

The PMHNP is conducting a peer review of another PMHNP’s medical charts. Upon review, the PMHNP

notes that the peer often begins patient sessions late, as well as ends them later than scheduled. The

PMHNP also found a comment in the chart regarding the patient sending text messages while in the

middle of the session. Based on these findings, the feedback that the PMHNP will provide to the peer

involves which therapeutic principle?

Selected Answer:

D. Maintaining the frame

32.The PMHNP is mentoring a student. After working with a patient during a session, the student

laments about all the things she should have, or could have, said to the patient. “I feel guilty that I didn’t

speak up more about the patient’s concern toward her son,” says the student. The PMHNP understands

that the student is exhibiting signs of which therapeutic concept?

Question 58

1 out of 1 points

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?

Selected Answer:

D. All of the above

Question 59

1 out of 1 points

The PMHNP has a session with a patient who was injured and traumatized from an explosion at the

industrial plant where he used to work. During the session, an outside noise startles the patient and he

experiences a flashback of the loud boom from the explosion. The PMHNP witnesses the patient present

with anxiety and belabored breathing. What is the appropriate action of the PMHNP?

Selected Answer:

D. Have the patient use the relaxation response (take a deep breath, exhale long, and slow down)

Question 60

1 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:

D. All of the above

Question 61

1 out of 1 points

The PMHNP is treating a patient with a substantial fear of feeling closed in (claustrophobia). Thus, the

patient will not get into an elevator. The office where he works is on the 10th floor and this requires that

he walk up and down the stairs in the morning and evening to get to his office. With permission from

the patient, the PMHNP is beginning systematic desensitization to address the patient’s need to use the

elevator. What is the PMHNP’s best plan of action?

Selected Answer:

A. Begin by having the patient stand in front of the elevator and write down his feelings

Question 62

1 out of 1 points

The PMHNP is working with a veteran who has posttraumatic stress disorder (PTSD). The PMHNP

believes that dual awareness will be beneficial in allowing the patient to focus on the here and now.

What strategies can the PMHNP use to develop dual awareness in the patient?

Selected Answer:

D. All of the above

Question 63

1 out of 1 points

The PMHNP is working with a patient who witnessed her father pass away after suffering for several

months from terminal cancer. The PMHNP sees this as a traumatic event. The patient reports sometimes

feeling out of touch with surroundings; almost as if things feel like a dream. “Sometimes that sensation

lingers for a while,” the patient says, “and other times I snap out of it quickly.” What does the PMHNP

infer about the condition based on psychotherapy concepts for trauma?

Selected Answer:

B. The patient is reporting signs of dissociation.

Question 64

1 out of 1 points

The PMHNP is working with a patient who seems dissatisfied with the therapeutic relationship. The

PMHNP invites the patient to discuss her feelings regarding the PMHNP openly and honestly. It becomes

clear to the PMHNP that they are experiencing an alliance rupture. How does the PMHNP repair the

therapeutic alliance?

Selected Answer:

D. All of the above

Question 65

1 out of 1 points

A new patient has been informed of the limits of confidentiality, and has signed informed consent forms.

No consent, however, has been obtained for voluntary “Release of Information.” The patient is 20 years

old and still lives at home with his parents. He is being treated for depression, which he attributes to the

trouble he’s had finding employment.

True or false: If the patient’s mother calls the PMHNP to check up on her son to see how he is doing, the

therapist is required to protect patient confidentiality and not disclose information.

Selected Answer:

True

Question 66

1 out of 1 points

True or false: If after a third round of processing followed by stabilization, a patient has increased

anxiety that requires further interventions aimed at stabilization, the therapeutic relationship can no

longer successfully provide therapeutic change.

Selected Answer:

False

Question 67

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 68

1 out of 1 points

A 41-year-old male patient is meeting with the PMHNP and reveals that he is homosexual. He begins

telling the PMHNP about his feelings as a homosexual, middle-aged man. The PMHNP nods

understandingly. Before long, the patient asks, “Are you gay? Are you married? Do you have kids?”

What is the best response by the PMHNP?

Selected Answer:

B. Mention that the patient seems quite curious, and ask him to discuss more about himself

Question 69

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 70

1 out of 1 points

During a clinical assessment of a 15-year-old patient, the PMHNP asks, “How can I help you?” The

patient answers by saying, “Honestly, I don’t really think I need any help.” Which of the following is the

most appropriate response by the PMHNP?

Selected Answer:

B. “Since you’re already here, maybe we can try to figure out if there is anything else I can help you

with.”

Question 71

1 out of 1 points

An elderly patient in a nursing home has been losing interest in activities and now refuses to leave his

room. After a physical exam, he is referred to a PMHNP for an initial assessment.

True or false: After speaking with the patient, an appropriate screening tool for the PMHNP to use

would be the Geriatric Depression Scale.

Selected Answer:

True

Question 72

1 out of 1 points

A 62-year-old patient has been diagnosed with borderline personality disorder. Upon assessment, the

PMHNP learns that he participates in spending sprees and occasional binge eating, accompanied by

rapid changes in self-image. Which evidence-based psychotherapeutic model does the PMHNP identify

as effective and beneficial?

Selected Answer:

Dialectical behavior therapy

Question 73

1 out of 1 points

During a therapy session the patient is asked how she currently deals with stress, and she says, “Well, I

don’t. I just let it build and build.” The PMHNP responds by asking how well this has been working out

for her. The patient states, “Well, to be honest, it just feels like I’m drowning, you know what I mean.”

Illustrating idiosyncratic meaning, the PMHNP responds with:

Selected Answer:

B. “No, I am not sure what you are saying. Can you please explain?”

Question 74

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 75

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 76

1 out of 1 points

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?

Selected Answer:

A. Therapeutic communication

Tuesday, October 2, 2018 10:30:32 PM EDT

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