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NUNP 6640N Midterm Exam – Psychotherapy Individ.Spring 2020

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NUNP 6640N Midterm Exam – Psychotherapy Individ.Spring 2020 • Question 1 1 out of 1 points A 41-year-old male patient is meeting with the PMHNP and reveals that he is homosexual. He begins telling the PMHNP a ...

NUNP 6640N Midterm Exam – Psychotherapy Individ.Spring 2020 • Question 1 1 out of 1 points 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 • Question 2 1 out of 1 points 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 • Question 3 1 out of 1 points A PMHNP is assessing ego functioning of his 40-year-old patient by asking what she feels is the cause of her problems. She attributes her problems to her overprotective parents not letting her have enough freedom growing up. Based on her answer, the PMHNP is testing _____________. Selected Answer: C. defensive and interpersonal functioning • Question 4 1 out of 1 points During a therapy session the patient is asked how she currently deals with stress, and she says, “Well, I don’t. I just let it build and build.” The PMHNP responds by asking how well this has been working out for her. The patient states, “Well, to be honest, it just feels like I’m drowning, you know what I mean.” Illustrating idiosyncratic meaning, the PMHNP responds with: Selected Answer: B. “No, I am not sure what you are saying. Can you please explain?” • Question 5 1 out of 1 points A PMHNP’s patients have already signed confidentiality agreements, including limits that will be imposed on confidentiality. Months later, the state’s laws have changed that affect confidentiality promises the PMHNP has already made. What is an appropriate step for the PMHNP to take after finding out this information? Selected Answer: D. All of the above

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