NURS 6640 Psychotherapy with Individuals Midterm Exam 4 - Question With A satified Answers

NURSI6640IMidtermIExam • QuestionI1 1Iout IofI1Ipoints AI35-year-oldIpatientIseeksItreatmentIforIdepressionIandIanxietyIafterIanIabusive Irelationship.IToIhelpIempowerItheIpatient,ItheIPMHNPIwantsItoIteachItheIsafe-place IexerciseItoIcreateIaIfeelingIofIcalm.IInIorderItoIwalkItheIpatientIthroughItheIexercise,Ithe IPMHNPIfirstIsays: SelectedIAnswer: A. I “IdentifyIanIimageIofIaIsafeIplaceIthatImakesIyouIfeel Icalm.” • QuestionI2 1Iout IofI1Ipoints TheIPMHNPIisIworkingIwithIaIpatientIwhoIhasIdissociativeIdisorderIandIrequests Ipharmacological Iinterventions IforIdealingIwithIherItrauma.IWhatIeducationIdoesIthe IPMHNPIprovideItoItheIpatientIregardingImedicationItherapy? Selected IAnswer: C. I “TheImedicationImayIprovideIsymptomIrelief,IbutIyouIstill Ineed Ipsychotherapy.” • QuestionI3 1Iout IofI1Ipoints TheIpatientIattemptsItheIPMHNP’sIsleepIhygieneIrecommendationsIforI2Iweeks,Ibut IdoesInotImakeIanyIprogress ImitigatingInightmares IandIhyperarousal.IWhich Ibehavioral IstrategyIdoesItheIPMHNPIsuggestInext? SelectedIAnswer: D. I All IofItheIabove • QuestionI4 1Iout IofI1Ipoints AfterIinformingIaIprospectiveIpatientIaboutIlimitsIofIconfidentiality,ItheIpatientIconsents ItoItheI“conditions”IofIconfidentialityIandIsignsIanIinformedIconsentIform.ISeveral IweeksIlater,IaIlawyerIrepresentingItheIpatient’sIspouseIforIaIcourtIcase,IasksIthe IPMHNPIforItheIdisclosureIofIinformationIaboutItheIpatient.ITheIPMHNPIshould: SelectedIAnswer: C. I LimitIdisclosureItoItheIextentIlegallyIpossible • QuestionI5 1Iout IofI1Ipoints TheIPMHNPImeetsIwithIanIadolescentIpatientIwhoIhasIdepressionIandIoftenIpresents IwithIresistanceIwhenIdiscussingIhisIparent’sIdivorce.IForItheIpastIcoupleIofIsessions, ItheIpatientIhasIbeenIquiet,IsometimesIrefusingItoIspeak.IToIfurtherIsupportIthe ItherapeuticIrelationship,ItheIPMNHP: SelectedIAnswer: A. I ObservesIandIpointsIoutItheIbehavior • QuestionI6 1Iout IofI1Ipoints TheIPMHNPIemploysIpsychodynamicIpsychotherapyIwithIaIpatientIwhoIexperiences IanxietyIandIdepression.IAsItheIprocessIentersItheIpsychoanalyticIendIofIthe IpsychodynamicIcontinuum,ItheIPMNHPIwill IfocusIon: SelectedIAnswer: A. I InterpretingIunconsciousIconflictIinItheIpatient • QuestionI7 1Iout IofI1Ipoints TheIPMHNPIisIworkingIwithIaIpatientIwhoIwitnessedIherIfatherIpassIaway Iafter IsufferingIforIseveral ImonthsIfromIterminal Icancer.ITheIPMHNPIseesIthisIasIa ItraumaticIevent.ITheIpatientIreportsIsometimesIfeelingIoutIofItouchIwithIsurroundings; IalmostIasIifIthingsIfeel IlikeIaIdream.I“SometimesIthatIsensationIlingersIforIaIwhile,”Ithe IpatientIsays,I“andIotherItimesIIIsnapIoutIofIitIquickly.”IWhatIdoesItheIPMHNPIinfer IaboutItheIconditionIbasedIonIpsychotherapyIconceptsIforItrauma? SelectedIAnswer: B. I TheIpatientIisIreportingIsignsIofIdissociation. • QuestionI8 1Iout IofI1Ipoints TheIPMHNPIisIworkingIwithIaIschool-agedIchildIwhoIhasIbeenIdiagnosedIwith Idepression.ITheIchildIhasIattendedIseveral IsessionsIwithItheIPMNHP,IbutIrecently IpresentsIwithIavoidantIbehaviorIbyIshowingIincreasedIdistressIandIbeingIlateIto Isessions.IWhatIapproachIdoesItheIPMHNPIneedItoIemployIwithItheIchildItoIcontinue ImakingItherapeuticIprogress? SelectedIAnswer: B. I UsingIcommunicationItechniquesIthatIareIexpressive • QuestionI9 1Iout IofI1Ipoints AnI11-year-oldIpatientIhasIbeenIexhibitingIlowIself-esteemIatIschool IandIactingIout. IAccordingItoIMaslow’sIhierarchyIofIneeds,IwhichIofItheIfollowingIquestionsIwouldIbest IbeIaddressedIfirstIbyItheIPMHNP? SelectedIAnswer: C. I “IsIJoel IgettingIenoughIsleepIatIhome?” • QuestionI10 1Iout IofI1Ipoints TheIPMHNPIisIworkingIwithIaIpatientIwhoIexperiencesIanxietyIaroundIherIparentsIthat IlaterIleadsItoIpoorIimpulseIcontrol.IWhatIwill ItheIPMHNPIdoItoIemployIpsychodynamic IpsychotherapyIproperlyIforIthisIpatient? SelectedIAnswer: D. I All IofItheIabove • QuestionI11 1Iout IofI1Ipoints TheIpatientIisIaI56-year-oldIfemaleIpatientIdiagnosedIwithIpanicIdisorderIandIreports IsymptomsIthatIincludeIheartIpalpitations,IfrequentItrembling,IandIfeelings IofIchoking IinIstressful Isituations.IWhatIspecial IconsiderationIdoesItheIPMHNPImake? SelectedIAnswer: D. I AIandIB