NURS6640 Midterm Study Guide Review Questions

NURS6640 Midterm Study Guide Review Questions NURS6640 Midterm Study Guide Review Questions Permalink: https://nursingpaperessays.com/ nurs6640-midterm…review-questions / ? QUESTION 1 1. A PMHNP is treating a 45-year-old female patient who is upset that her brother has not been calling since his divorce. When asked to describe her brother and what prompts him not to call as frequently, she says, “Everything is about him, not me. I think he’s jealous that I have a good marriage and he wants me to be unhappy, too. So he doesn’t call to upset me and ruin my relationships.” Based on this information, the PMHNP can conclude that the patient _________. A. may lack ability to see independent motivations B. has an insistent emphasis on the feelings of others C. has an intrusive interpersonal relationship D. all of the above 1 points QUESTION 2 1. 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? A. Answer the patient’s questions honestly to establish trust B. Mention that the patient seems quite curious, and ask him to discuss more about himself C. Ignore the patient’s questions and move on to another topic D. None of the above 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 3 1. 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? A. “If this had happened to someone else with the exact same circumstances, would you say this was her fault?” B. “Can you recall exactly what stopped you from going home when you originally wanted to go home?” C. ”Have you shared these thoughts about what you should have done with anybody other than me?” D. “Do you understand that there is absolutely nothing that you could ever do to deserve to be treated the way you were treated?” 1 points QUESTION 4 1. A 24-year-old female patient presents for her initial appointment with the PMHNP. Which action will the PMHNP take to establish therapeutic alliance? A. Validating the patient’s affect B. Asking the patient questions about her main concerns C. Establishing a therapy process D. All of the above 1 points QUESTION 5 1. 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? A. The patient is having a balanced response to the trauma. B. The patient is reporting signs of dissociation. C. The patient is becoming unresponsive to the environment. D. All of the above. 1 points QUESTION 6 1. 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. True False 1 points QUESTION 7 1. 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? A. Responding to the patient in a nondefensive manner and accepting responsibility for the PMHNP’s part in the tension B. Emphasizing with the patient’s experiences and validating the patient for bringing it up C. Considering changing the goals of the patient’s treatment D. All of the above 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 8 1. 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 ___________. A. mindfulness techniques B. deep breathing exercises C. self-regulation strategies D. all of the above 1 points QUESTION 9 1. 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? A. Young Mania Rating Scale B. Hamilton Anxiety Rating Scale C. Dissociative Experiences Scale D. Impact of Event Scale 1 points QUESTION 10 1. 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? A. Asking the patient to recall a recent and mildly disturbing event B. Having the patient focus on details of the room, such as how hot or cold it is C. Telling the patient to rate the level of disturbance he feels from a mildly disturbing event D. All of the above 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 11 1. 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)? A. “Please explain how this affects the relationship with your wife.” B. “When you say blow up, what exactly does blow up mean and how does it feel to you?” C. “What coping methods have you used in the past during times of frustration?” D. “So you blow up when you become frustrated?” 1 points QUESTION 12 1. 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 __________. A. deepen the patient’s understanding of herself in order to cultivate empowerment B. slowly transfer authority to the patient when the PMHNP feels that she is ready C. remain caring, yet authoritative by making important decisions for the patient D. all of the above 1 points QUESTION 13 1. The PMHNP is treating a 35-year-old male officer in the military. He discloses that both of his parents are deceased and that he loved them. However, he says that he had feelings of inadequacy because his parents held him to a standard that he could never achieve. He went on to say that nothing he did ever felt good enough. The PMHNP assesses that this patient has perfect creases in his uniform with no strings or tags out of place; she also notices that he has perfect posture and questions him about ritualistic behaviors. She suspects that this patient has maladaptive responses to the expectations placed on him as a teenager and young adult. Which statements made by the patient would verify the PMHNP’s suspicion? A. “I typically don’t listen to anyone. I take care of my own wants and needs so I feel like no one can judge me or criticize me, period.” B. “I don’t mean to hurt other people’s feelings. When people cry or say that I have made them upset in some way, that’s not my fault; some people are just sensitive.” C. “I like to listento the beat of my own drum; I don’t mind spending most of my days alone. I don’t need recognition or praise; I would just like to be left alone.” D. “I believe in systems; I have to have order and rules in my everyday life. If a task must be completed, I will often complete it myself versus depending on someone else.” 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 14 1. The PMHNP is working with a patient who has insomnia and battles going to sleep. The patient reports consistent self-defeating behaviors, and hates trying to go to sleep. Which action made by the PMHNP demonstrates the use of a paradoxical intervention? A. Telling the patient to start trying to go to sleep earlier, since it takes long to fall asleep B. Telling the patient to resist sleep and stay awake C. Having the patient perform a relaxing ritual before bedtime D. Instructing the patient to avoid stimulants and sugars for 3 hours before falling asleep 1 points QUESTION 15 1. 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: A. “Identify an image of a safe place that makes you feel calm.” B. “Think about the things that cause you anxiety and let them go.” C. “Take a deep breath and start to relax with each new breath.” D. “Picture a beautiful beach and describe to me what you see.” 1 points QUESTION 16 1. One of the strategies the PMHNP wants to try includes sleep restriction. What will the PMHNP suggest to follow sleep restriction therapy? A. “Restrict sleep for 24 hours.” B. “Restrict the amount of time you spend in bed.” C. “Restrict the amount of exercise you do prior to going to bed.” D. “Restrict the amount of food you eat before bedtime.” 1 points QUESTION 17 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? A. Assure the patient that she does not have to discuss these memories B. Explain why it is important for the patient to discuss these memories openly C. Tell the patient that she may not get better if she does not face her fears D. Let the patient know that plenty of other people have similar painful memories, too 1 points QUESTION 18 1. 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 the therapeutic relationship, the PMNHP: A. Observes and points out the behavior B. Stays quiet until the patient is ready to speak C. Brings in a colleague to help get the patient to talk D. None of the above 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 19 1. 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? A. “It is dangerous to fantasize about the future.” B. “I think that’s an excellent idea! I can help you review the prerequisites!” C. “You may want to explore the requirements for becoming a PMNHP.” D. None of the above. 1 points QUESTION 20 1. 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 _____________. A. adaptive regression in the service of the ego B. regulation and control of affects and impulses C. defensive and interpersonal functioning D. sense of reality of the world and of the self 1 points QUESTION 21 1. 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? A. Pharmacological therapy B. Stress inoculation therapy C. Dialectical behavior therapy D. All of the above 1 points QUESTION 22 1. A PMHNP is preparing confidentiality forms for his patients. What is the most appropriate first step he should take? A. Talk to potential patients to get their feedback and suggestions B. Research his profession’s ethics code and state/federal laws C. Use current patient interactions to decide what matters most D. All of the above 1 points QUESTION 23 1. 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 approach does the PMHNP use with the patient that is crucial to the psychodynamic therapy process? A. Assisting the patient to experience and accept the various dimensions of the self through enhanced awareness of the traumatic states B. Becoming a co-participant in the co-construction of the relationship with the patient, rather than an outside observer C. Making associations between an event or situation and the patient’s feelings D. Providing empathy, understanding, and soothing to help the patient identify the other self-states 1 points QUESTION 24 1. 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? A. “The medication will help you forget the things that trigger your flashbacks.” B. “The medication takes a while to build up in your system and cure you.” C. “The medication may provide symptom relief, but you still need psychotherapy.” D. All of the above. 1 points QUESTION 25 1. 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? A. Focus on the patient’s safety and stabilization B. Help the patient process painful memories C. Encourage the patient to find ways to achieve personal growth D. Assist the patient in planning for the future 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 26 1. When the patient comes into the office, she says, “I just saw a friend of mine out in the waiting room. What’s wrong with him?” The PMHNP says, “He’ll be fine. He has mild depression.” Which of the following statement is correct related to confidentiality rights? A. The PMHNP was not protecting patient confidentially rights. B. The PMHNP was not using identifying information in the patient situation above. C. Because the patient signed a consent form, the PMHNP was legally allowed to share information. D. The PMHNP’s response was ethical and legal because she was trying to answer the question. 1 points QUESTION 27 1. The PMHNP is caring for a patient who seems to seek affection and attention from the PMHNP and others in the clinic, as well as displays heightened emotional responses to feelings of being excluded. What therapeutic approach does the PMHNP use to decrease autonomic arousal in the patient? A. Group therapy B. Controlled confrontation C. A safe-place exercise D. Body and energy work 1 points QUESTION 28 1. The PMHNP is working with an adult patient who has somatic complaints caused by a history of childhood abuse. As part of the therapeutic process, what does the PMHNP do to assess and organize a trauma history? A. Interview the patient’s family members B. Construct a timeline of the patient’s life C. Review the patient’s current stressors D. Debrief with the patient 1 points QUESTION 29 1. 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? A. Share a personal story about her home situation and family members B. Elicit details so Steve becomes more self-disclosing and self-examining C. Guide Steve through imagery exercises so he can decrease his stress D. None of the above 1 points QUESTION 30 1. 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 QUESTION 31 1. 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. What is the most appropriate explanation for the reaction that the PMHNP is experiencing? A. Autognosis B. Complementary identification C. Concordant identification D. Self-disclosure 1 points QUESTION 32 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 QUESTION 33 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 QUESTION 34 1. The PMHNP is caring for a patient who the PMHNP believes would benefit from a relational psychodynamic approach to therapy. Which action made by the PMHNP demonstrates appropriate use and understanding of the relationship psychodynamic model? A. Focusing the exploration on making the unconscious conscious B. Focusing the exploration on the genetic roots of the patient’s problem C. Focusing the exploration on here and now D. None of the above 1 points QUESTION 35 1. 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? A. Cognitive behavioral therapy B. Supportive therapy C. Dialectical behavior therapy D. Expressive therapy 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 36 1. During a clinical assessment of a 15-year-old patient, the PMHNP asks, “How can I help you?” The patient answers by saying, “Honestly, I don’t really think I need any help.” Which of the following is the most appropriate response by the PMHNP? A. “That’s fine. Can you describe the depressive symptoms you’ve been having the past few months?” B. “Since you’re already here, maybe we can try to figure out if there is anything else I can help you with.” C. “You wouldn’t be here if you didn’t actually need help, right? So tell me, how can I be of assistance?” D. None of the above. 1 points QUESTION 37 1. The PMHNP is assessing a patient who grew up in a foster home because she was neglected and abused by her birth parents at a young age. The patient admits to having difficulty forming and maintaining relationships throughout her life. Understanding maladaptive schemas, which statement does the PMHNP predict that the patient is likely to make? A. “I deserve the utmost respect from everyone who meets me.” B. “I prefer doing everything on my own.” C. “It takes me a while to warm up to people; people often wear masks.” D. “I can’t seem to do anything on my own.” 1 points QUESTION 38 1. A middle-aged man who works over 50 hours a week is being seen for depression and anger management. He states, “I am even more frustrated when I come home and my wife wants to argue about stupid stuff. All I want to do is come home, take a shower, and eat. Is that too much to ask?” The PMHNP explains that people can be assertive, aggressive, and passive. She encourages the patient to be more assertive and begins role-play with assertive training. The PMHNP determines that the patient is beginning to understand when he states: A. “I am tired, I work very hard all day to support you and this family!” B. “I come home and all you do is argue, but I don’t care.” C. “I don’t know what I did. Why are you acting like this?!” D. “I feel frustrated when I come home and we argue.” 1 points QUESTION 39 1. 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 _______________. A. assess the patient’s mental health status and functioning B. explore the interpersonal styles of each family member C. provide background information for the patient’s family structure D. measure the patient’s quality of well-being and productivity 1 points QUESTION 40 1. During cognitive behavioral therapy (CBT), a 64-year-old male patient, states, “My wife hates me! She’s just waiting for me to die.” Using Socratic dialogue (SD) the PMHNP demonstrates understanding of analysis when she responds: A. “Now, I’m sure your wife doesn’t hate you.” B. “Where is the evidence that your wife hates you?” C. “You seem convinced that your wife hates you.” D. “What has your wife done to make you believe this?” 1 points QUESTION 41 1. 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. True False 1 points QUESTION 42 1. The PMHNP is conducting a peer review of another PMHNP’s medical charts. Upon review, the PMHNP notes that the peer often begins patient sessions late, as well as ends them later than scheduled. The PMHNP also found a comment in the chart regarding the patient sending text messages while in the middle of the session. Based on these findings, the feedback that the PMHNP will provide to the peer involves which therapeutic principle? A. Assessing safety B. Applying therapeutic communication C. Using empathy D. Maintaining the frame 32.The PMHNP is mentoring a student. After working with a patient during a session, the student laments about all the things she should have, or could have, said to the patient. “I feel guilty that I didn’t speak up more about the patient’s concern toward her son,” says the student. The PMHNP understands that the student is exhibiting signs of which therapeutic concept? 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 43 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 ____________. A. will require more processing strategies B. would benefit from the stabilization stage C. is ready to move to Stage III, future visioning D. no longer needs to continue with therapy 1 points QUESTION 44 1. A 16-year-old female patient has had a stable therapeutic relationship with the PMHNP for several months. The PMHNP notices what appears to be fresh cigarette burns on the patient’s arm. When asked, the patient admits to this self-injurious behavior. Although the patient is still depressed, her mood seems to be somewhat better this week. True or false: The PMHNP would most likely consider this patient stabilized and ready to move to Stage II. True False 1 points QUESTION 45 1. During a therapy session with an 18-year-old female the PMHNP learns that she has lived in six different foster homes in the last 24 months. She states that her mother is in a correctional facility for drug abuse and prostitution. During the assessment, the PMHNP notices multiple superficial cuts to each wrist. The patient appears tearful, withdrawn, and never makes direct eye contact. The PMHNP believes that this patient may have feelings of insecurities as well as abandonment issues and is aware that which diagnosis is likely possible? A. Narcissistic personality disorder B. Obsessive-compulsive personality disorder C. Borderline personality disorder D. Paranoid personality disorder 1 points QUESTION 46 1. True or false: A PMHNP may ask his patient to describe her relationship with her father, both as a child and now, in order to assess interpersonal style. True False 1 points QUESTION 47 1. 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? A. Begin by having the patient stand in front of the elevator and write down his feelings B. Complete a 30-minute therapy session in an elevator C. Allow the patient to watch an elevator go up and down D. Allow the patient to see the PMHNP getting into an elevator 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 48 1. 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: A. “Would you say you feel like you are suffocating?” B. “No, I am not sure what you are saying. Can you please explain?” C. “Sort of like a fish out of water?” D. “When you say, ‘I just can’t breathe,’ you do understand, that is a form of anxiety?” 1 points QUESTION 49 1. 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: A. Allow the patient time to process before speaking. B. Ask, “Why don’t you come have a seat beside me?” while tapping the table. C. Say, “I noticed a change. Can you tell me what happened?” D. Say, “We can continue this session later if you prefer.” 1 points QUESTION 50 1. 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 “Release of Information.” The patient is 20 years old and still lives at home with his parents. He is being treated for depression, which he attributes to the trouble he’s had finding employment. True or false: If the patient’s mother calls the PMHNP to check up on her son to see how he is doing, the therapist is required to protect patient confidentiality and not disclose information. True False 1 points QUESTION 51 1. When completing this exam, did you comply with University’s Code of Conduct including the expectations for academic integrity? 0 points QUESTION 52 1. 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? A. Progressive muscle relaxation exercises B. Paradoxical interventions C. Biofeedback D. All of the above 1 points NURS6640 Midterm Study Guide Review Questions QUESTION 53 1. The PMHNP is working with a patient who experiences abreactions when discussing repressed feelings of his sexual abuse as a child. What can the PMHNP do to manage the patient’s intense emotional reactions? A. Sit closer to the patient so the patient does not feel isolated B. Embrace the patient to provide physical comfort C. Suggest a relaxation technique, such as yoga or meditation D. All of the above 1 points QUESTION 54 1. 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: A. Interpreting unconscious conflict in the patient B. Restoring the patient’s functioning and stabilization C. Reducing the patient’s anxiety D. Strengthening the patient’s defenses 1 points QUESTION 55 1. The PMHNP is working with a 56-year-old man who is being seen because of his anxiety and depression. During the therapy sessions, the PMHNP assists the patient in discussing his experiences and expanding on his thoughts and feelings. He tells the PMHNP stories about how he used to be teased by his coworkers at the office for becoming too anxious in large conference rooms. The PMHNP listens to the patient and helps focus on his strengths to promote self-understanding. Which principle best accounts for the PMHNP’s interactions with the patient? A. Therapeutic communication B. Maintaining the frame C. Working with resistance D. None of the above 1 points QUESTION 56 1. 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? A. Assure the patient that she is safe to discuss her secrets B. Talk about the importance of being truthful and open C. Have a discussion about the confidentiality and its limits D. Mention the possible need for selective se

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