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  1. 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:

A.”You may experience an elevated heart rate, constant worrying, and diarrhea.
“B.”You may experience fear, sweating, and muscle tension.
“C.”You may experience an elevated heart rate, the need to urinate, and fear.
“D.”You may experience sleepiness, decreased blood pressure, and fear.”
1 points  

  1. 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?

A.Remaining quiet until the child is ready to talk
B.Using communication techniques that are expressive
C.Inviting the child’s parents to speak on behalf of the child
D.All of the above
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:
A.Disclose all patient information as requested
B.Refuse to disclose any confidential information
C.Limit disclosure to the extent legally possible
D.Ignore the request based on ethical reasons
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?
A.Eat a heavy meal before bedtime to induce sleepiness
B.Maintain a warm bedroom temperature
C.Avoid watching television or reading in bed
D.Try going to sleep at different times throughout the week to avoid monotony
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?
A.”Are Joel’s peers including him at recess?
“B.”Does Joel feel safe and secure at school?”
C.”Is Joel getting enough sleep at home?”
D.”How can Joel feel that he is loved?”
NURS 6640 Walden – Online Mid Term Exam Questions and Answers

  1. 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?
  2. Encouraging catharsisB.Encouraging abreaction to repressed feelingsC.Identifying conflict-resolution techniquesD.All of the above

NURS 6640 Walden – Online Mid Term Exam Questions and Answers

  1. 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?
  2. Telling the patient to take a vacation to get away and relaxB.Suggesting that she seek legal helpC.Giving her advice about men and how to get them to pay child supportD.Suggesting that the patient start going to church to help find more solace.

NURS 6640 Walden – Online Mid Term Exam Questions and Answers
QUESTION 60The 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?Begin by having the patient stand in front of the elevator and write down his feelingsB.Complete a 30-minute therapy session in an elevatorC.Allow the patient to watch an elevator go up and downD.Allow the patient to see the PMHNP getting into an elevator

  1. 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?
  2. Assure the patient that she does not have to discuss these memoriesB.Explain why it is important for the patient to discuss these memories openlyC.Tell the patient that she may not get better if she does not face her fearsD.Let the patient know that plenty of other people have similar painful memories, too
  1. 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 ____________.
  2. will require more processing strategiesB.would benefit from the stabilization ready to move to Stage III, future longer needs to continue with therapy NURS 6640 Walden – Online Mid Term Exam Questions and Answers


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