WALDEN UNIVERSITY NRNP 6640 Midterm Exam 2( Complete questions and solutions) - Attempt Score 73 out of 75

NRNP 6640 Midterm Exam 2 - Attempt Score 73 out of 75

Question 1

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 does it

feel to you?”

Question 2

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: C.

Dialectical behavior therapy

Question 3

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

selfreferences 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 4

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 5

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 6

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 Answer: B.

Using communication techniques that are expressive

Question 7

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

shameattacking 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 8

1 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: B.

Employing cognitive behavioral therapy with the patient

Question 9

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 10

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.

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