- Information
- AI Chat
6640 Midterm Exam
Pharmacology (NUR 3145)
Santa Fe College
Related Studylists
WaldenPreview text
• Question 2
1 out of 1 points
• Question 3
1 out of 1 points
• Question 4
1 out of 1 points
• Question 5
1 out of 1 points
Solutions Questions with Answers 100% correct
• Question 1
1 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 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 6
1 out of 1 points
• Question 7
1 out of 1 points
• Question 9
1 out of 1 points
• Question 10
1 out of 1 points
Solutions Questions with Answers 100% correct
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?”
• Q
u
es
ti
o
n
8
1
ou t of 1 poi nts
• Question 11
1 out of 1 points
• Question 12
1 out of 1 points
• Question 13
1 out of 1 points
• Question 14
1 out of 1 points
Solutions Questions with Answers 100% correct
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?
• Q
u
es
ti
on
1
5
0
ou t of 0 poi nts
Solutions Questions with Answers 100% correct
Selected Ye
Solutions Questions with Answers 100% correct
diagnosed with PTSD, but never followed up with treatment for it. After a comprehensive mental
• Question 21
1 out of 1 points
• Question 22
1 out of 1 points
• Question 23
1 out of 1 points
• Question 24
1 out of 1 points
Solutions Questions with Answers 100% correct
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
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 Answer:
Tru e
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 interventions may help the patient to deal with this arousal. To decrease sympathetic nervous system arousal, the PMHNP’s treatment strategy is. Selected Answer:
D.
all of the above
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 Answer:
A.
Begin by having the patient stand in front of the elevator and write down his feelings
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
• Question 29
1 out of 1 points
Solutions Questions with Answers 100% correct
B. Construct a timeline of the patient’s life
• Question 30
1 out of 1 points
• Question 31
1 out of 1 points
• Question 32
0 out of 1 points
• Question 33
1 out of 1 points
Solutions Questions with Answers 100% correct
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 does the PMHNP employ? Selected Answer:
B.
Stress inoculation therapy
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 Answer:
D.
All of the above
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 Answer:
C.
provide background information for the patient’s family structure
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 Answer:
D.
Suggesting that the patient start going to church to help find more solace.
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
• Question 34
1 out of 1 points
• Question 35
1 out of 1 points
• Question 36
1 out of 1 points
• Question 37
1 out of 1 points
• Question 38
1 out of 1 points
Solutions Questions with Answers 100% correct
Answer: Assisting the patient to experience and accept the various dimensions of the self through enhanced awareness of the traumatic
states 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 Answer:
C.
Have a discussion about the confidentiality and its limits
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 Answer:
B.
“You may experience fear, sweating, and muscle tension.”
A PMHNP is preparing confidentiality forms for his patients. What is the most appropriate first step he should take? Selected Answer:
B.
Research his profession’s ethics code and state/federal laws
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 Answer:
A.
deepen the patient’s understanding of herself in order to cultivate empowerment
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.
Solutions Questions with Answers 100% correct
What is the most appropriate explanation for the reaction that the PMHNP is experiencing? Selected C.
• Question 44
1 out of 1 points
• Question 45
1 out of 1 points
• Question 46
1 out of 1 points
• Question 47
1 out of 1 points
Solutions Questions with Answers 100% correct
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 Answer:
D.
All of the above.
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 Answer:
B.
Elicit details so Steve becomes more self-disclosing and self- examining
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 Answer:
A.
“If this had happened to someone else with the exact same circumstances, would you say this was her fault?”
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 Answer:
Tru e
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 Answer:
C.
• Question 48
1 out of 1 points
Solutions Questions with Answers 100% correct
Avoid watching television or reading in bed
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
Solutions Questions with Answers 100% correct
Selected Answer:
D.
All of the above
• Question 53
1 out of 1 points
• Question 54
1 out of 1 points
• Question 55
1 out of 1 points
• Question 56
1 out of 1 points
• Question 57
1 out of 1 points
Solutions Questions with Answers 100% correct
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 Answer:
B.
Mention that the patient seems quite curious, and ask him to discuss more about himself
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 Answer:
B.
use empathy
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 Answer:
C.
“You may want to explore the requirements for becoming a PMNHP.”
The PMHNP is caring for a patient who has acute stress disorder after experiencing 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 Answer:
A.
Focus on the patient’s safety and stabilization
6640 Midterm Exam
Course: Pharmacology (NUR 3145)
University: Santa Fe College
- Discover more from:
