NURS 6640 PSYCHOTHERAPY WITH INDIVIDUALS.

2023
NURS 6640 ACCURATE WEEK 6 MIDTERM EXAM.(76 out of 76 CORRECT
QUESTIONS AND ANSWERS) GUARANTEED GENUINE EXAM.

• Question 1
0 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 B.
Answer: has an insistent emphasis on the feelings of others
• 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 C.
Answer: 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?
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Selected A.
Answer: 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
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 B.
Answer: Focus on expressions of emotion
• 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 C.
Answer: 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
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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 B.
Answer: “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 A.
Answer: Observes and points out the behavior
• Question 10
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 C.
Answer: Suggest a relaxation technique, such as yoga or meditation
• Question 11
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 D.
Answer: “Picture a beautiful beach and describe to me what you see.”
• Question 12
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 Fals
Answer: e
• Question 13
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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 D.
Answer: Impact of Event Scale
• Question 14
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 chang es in self-imag e. Which evidence-bas ed
psychotherapeutic model does the PMHNP identify as effectiv e and beneficial?

Selected C.
Answer: Dialectical behavior
therapy

• Question 15
0 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 D.
Answer: Debrief with the patient
• Question 16
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 D.
Answer: All of the above
• Question 17
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 young er siblings. Since
then, the patient puts other people’s needs before his own. Based on this information,
the PMHNP would conclude that his interpers onal style is .

Selected A.
Answer: overly
nurturing
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• Question 18
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 A.
Answer: Provide safety through case management strategies
• Question 19
0 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 C.
Answer: Tell the patient that she may not get better if she does not face her
fears
• Question 20
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 A.
Answer: Countertrans fer
ence

• Question 21
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 B.
Answer: The patient is reporting signs of dissociation.
• Question 22
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
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interventions may help the patient to deal with this arousal. To decrease sympathetic
nervous system arousal, the PMHNP’s treatment strategy is .
Selected D.
Answer: all of the above
• Question 23
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 A.
Answer: “I was able to eat in public yesterday despite how loudly I chew.”
• Question 24
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 Fals
Answer: e
• Question 25
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 C.
Answer: Concordant identification
• Question 26
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 B.
Answer: Research his profession’s ethics code and state/federal laws
• Question 27
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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 A.
Answer: Interpreting unconscious conflict in the patient
• Question 28
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 B.
Answer: “No, I am not sure what you are saying. Can you please explain?”
• Question 29
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 C.
Answer: is ready to move to Stage III, future visioning
• Question 30
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 D.
Answer: “What has your wife done to make you believe this?”

• Question 31
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 A.
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Answer: The PMHNP was not protecting patient confidentially rights.

• Question 32
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 Fals
Answer: e
• Question 33
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 A.
Answer: Begin by having the patient stand in front of the elevator and write
down his feelings
• Question 34
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 A.
Answer: deepen the patient’s understanding of herself in order to cultivate
empowerment
• Question 35
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 B.
Answer: Mention that the patient seems quite curious, and ask him to discuss
more about himself
• Question 36
0 out of 0 points
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When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected Ye
Answer: s

• Question 37
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 D.
Answer: A and B
• Question 38
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 Tru
Answer: e
• Question 39
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 A.
Answer: “If this had happened to someone else with the exact same
circumstances, would you say this was her fault?”
• Question 40
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:
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Selected D.
Answer: “I feel frustrated when I come home and we argue.”

• Question 41
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 A.
Answer: Therapeutic communication
• Question 42
0 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 C.
Answer: Establishing a therapy process
• Question 43
0 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 A.
Answer: Asking the patient what she does to relieve anxiety
• Question 44
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 D.
Answer: Have the patient use the relaxation response (take a deep breath,
exhale long, and slow down)
• Question 45
1 out of 1 points
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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 B.
Answer: Employing cognitive behavioral therapy with the patient
• Question 46
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 A.
Answer: Assisting the patient to experience and accept the various dimensions
of the self through enhanced awareness of the traumatic states
• Question 47
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 48
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 B.
Answer: “Since you’re already here, maybe we can try to figure out if there is
anything else I can help you with.”
• Question 49
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,
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asks the PMHNP for the disclosure of information about the patient. The PMHNP
should:
Selected C.
Answer: Limit disclosure to the extent legally possible
• Question 50
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 D.
Answer: All of the above
• Question 51
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 B.
Answer: use empathy
• Question 52
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 D.
Answer: All of the above.
• Question 53
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 A.
Answer: Progressive muscle relaxation exercises
• Question 54
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
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does the PMHNP employ?

Selected B.
Answer: Stress inoculation therapy
• Question 55
1 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 B.
Answer: Using communication techniques that are expressive
• Question 56
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 C.
Answer: A safe-place exercise
• Question 57
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 B.
Answer: Suggesting that she seek legal help
• Question 58
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 C.
Answer: Avoid watching television or reading in bed
• Question 59
0 out of 1 points
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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 B.
Answer: Emphasizing with the patient’s experiences and validating the
patient for bringing it up
• Question 60
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 D.
Answer: Increasing the number of sessions per week
• Question 61
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 Tru
Answer: e
• Question 62
0 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 A.
Answer: “How do you think your colleagues feel about you?”
• Question 63
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 C.
Answer: defensive and interpersonal functioning
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• Question 64
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 C.
Answer: “You may want to explore the requirements for becoming a
PMNHP.”
• Question 65
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?
Selecte D.
d Maintaining the frame
Answer:
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 66
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 C.
Answer: Borderline personality disorder
• Question 67
1 out of 1 points
The PMHNP is caring for a patient who has acute stress disorder after experiencing
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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 A.
Answer: Focus on the patient’s safety and stabilization
• Question 68
0 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 A.
Answer: “Are Joel’s peers including him at recess?”
• Question 69
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 Tru
Answer: e
• Question 70
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 B.
Answer: Elicit details so Steve becomes more self-disclosing and self-
examining
• Question 71
0 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 A.
Answer: Focusing the exploration on making the unconscious conscious
• Question 72
1 out of 1 points
The PMHNP is working with a patient who has dissociative disorder and requests
 NURS 6640 PSYCHOTHERAPY WITH INDIVIDUALS. 2023

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 73
1 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 B.
Answer: “Restrict the amount of time you spend in bed.”
• Question 74
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 C.
Answer: provide background information for the patient’s family structure
• Question 75
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 B.
Answer: Telling the patient to resist sleep and stay awake
• Question 76
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 Tru
Answer: e