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. The PMHNP is meeting with a new patient who is a young veteran back from serving two tours overseas. When reviewing the patient’s health history file that was sent from the VA, the PMHNP learns that several months ago, the patient was diagnosed with PTSD, but never followed up with treatment for it. After a comprehensive mental 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?
|A.||Performing a psychiatric debriefing on the patient|
|B.||Employing cognitive behavioral therapy with the patient|
|C.||Using psychodynamic psychotherapy with the patient|
|D.||None of the above|
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. 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?
|B.||Applying therapeutic communication|
|D.||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. True or false: If after a third round of processing followed by stabilization, a patient has increased anxiety that requires further interventions aimed at stabilization, the therapeutic relationship can no longer successfully provide therapeutic change.
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. 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. 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:
|A.||Developing increased boundaries|
|B.||Decreasing supportive psychotherapy|
|C.||Scaling back contact with the patient|
|D.||Increasing the number of sessions per week|
Question 9 to 49 follows