NURS 6640 MIDTERM EXAM

Question 1

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:

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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

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?”

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