NRNP-6640-4,Psychotherapy Individ

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• Question 1

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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:

A.

“Identify an image of a safe place that makes you feel calm.”

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.”

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

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

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

• Question 5

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• Question 4

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• Question 3

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• Question 2

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NRNP-6640-4,Psychotherapy Individ

the therapeutic relationship, the PMNHP:

Selected

Answer:

A.

Observes and points out the behavior

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

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.

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:

B.

Using communication techniques that are expressive

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?”

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

• Question 10

1 out of 1 points

• Question 9

1 out of 1 points

• Question 8

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• Question 7

1 out of 1 points

• Question 6

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NRNP-6640-4,Psychotherapy Individ

psychodynamic psychotherapy properly for this patient?

Selected

Answer:

D.

All of the above

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

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

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?”

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

When completing this exam, did you comply with Walden University’s Code of

Conduct including the expectations for academic integrity?

Selected Ye

• Question 15

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• Question 14

1 out of 1 points

• Question 13

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• Question 12

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• Question 11

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