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75 Questions Answers check attachment
Walden University:NURS 667
Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for cocaine. She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any time. Upon further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times, other days more. She also uses it occasionally at home and most weekends. During her third session, she admitted that it is a financial burden, and she basically cannot afford any other form of recreation. She understands that if she uses again she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it. When counseling her about cessation strategies, the PMHNP advises all the following except:
The physiologic symptoms of withdrawal may require a short-term hospitalization
Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal
She will need to be monitored for depression
Overcoming the intense craving for cocaine is the biggest issue
• Question 3
Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is an
1 www.OnlineNursingPapers.com
intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a livein boyfriend of 3 years, and while they were together, he took care of everything. The PMHNP expects all of the following to be additional features of Clare’s history except:
Has disproportionate anger toward an abusive spouse
Question 4
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered upon the patient’s:
Clothing
Speech pattern
Anger
Anxiety
Question 5
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required case presentation on a patient suffering a major depressive episode. Which of the following patients best represents the DSM-5 criteria for major depressive episode?
A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia, unprovoked outbursts of anger, and a strong family history of endogenous depression
A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his professional and personal life, an unplanned 10 lb. weight loss in the last 3 months, and perceptual disturbances
A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of dying
A 72-year-old female who just relocated across country to live with her adult son and daughter-in-law who is despondent about leaving her home and reports forgetfulness, loss of appetite, new onset bowel problems, and extreme loss of energy
Question 6
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress disorder. Which of the following does not have any evidenced-based support in the literature?
SSRIs
TCAs
Antiadrenergics
Antipsychotics
Question 7
The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a 21-year-old male who was just arrested following an altercation at a local bar. M.S. has never been incarcerated before and apparently has no psychiatric or medical history available. His toxicology screen was negative for alcohol or any drugs of abuse. His mother says that he has in the past had some occasions when he got kind of agitated, but this is the first time it’s been a problem. Reportedly some people from his office were at the bar celebrating a birthday, and before anyone knew what happened an argument escalated into M.S. getting very loud, yelling, and acting ―crazy‖ before he punched a coworker and started breaking bottles. When considering a manic or hypomanic episode, the PMHNP expects that his speech would most likely be:
Stuttered
Increased
Childlike
Confused
Question 8
Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses including DUI, domestic violence, battery, and other violent acts that fortunately have not yet caused any serious injury or death to the recipients. An interview with his wife reveals that he has lied about almost everything for the last few years; he is able to get hired for jobs because he is very engaging and likeable, and then invariably he gets fired because he misses work and doesn’t do his job properly when he is there. According to the wife, they have known each other since high school, where Fletcher was very happy and well-adjusted. He was on the soccer team, liked by teachers, and never demonstrated the tendencies he does now. Apparently in college he got involved with a fraternity that was notorious for alcohol and drug abuse, and he started drinking heavily; it was ―all downhill from there. The PMHNP considers that:‖
History and symptoms are most consistent with antisocial personality disorder
Fletcher needs a neurological workup to include an EEG and assessment for neurological soft signs
Consistent with his symptoms, Fletcher will likely respond well to a stress interview
It is likely that substance abuse is the underlying cause of symptoms and should be explored further
Question 9
Which among the following neurotransmitters is decreased in depression and increased in mania?
Dopamine
Norepinephrine
Serotonin
Glutamate
Question 10
Among the various types of therapeutic intervention for patients with borderline personality disorder, which of the following is characterized as polymodal, including group skills training, individual therapy, telephone consultation, and a consultation team with a goal of improving interpersonal skills and decreasing self-destructive behavior?
Mentalization-based treatment (MBT)
Transference-focused psychotherapy (TFP)
Countertransference-focused psychotherapy (CTFP)
Dialectical behavioral therapy (DBT)
Question 11
Mr. Kendall is a 47-year old male who is presented to care by his younger sister, Megan. Mr. Kendall has spent his entire adult life living in an apartment that was attached to his parents’ home. His mother died a few weeks ago, and the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became very concerned. He has apparently been considered odd all his life, has never married or even dated as far as Megan knows, but she had no idea how odd he was. When his mother died, he seemed disconnected from reality and had episodes of talking to people who weren’t present. Megan says that sometimes she does not even understand what he is talking about. He seems to think he has psychic powers, and that he doesn’t need to move because he knows the house will not be sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the following to be present in the history?
A history of schizophrenia of a first-degree relative
Sustained psychosis predating his mother’s death
Comorbid Asperger’s syndrome
Apparent frank thought disorder
Question 12
Which of the following is a true statement with respect to the treatment of narcissistic personality disorder?
Psychoanalytic psychotherapy has strong empiric support
Both serotonergic drugs and lithium are useful
Group therapy is rarely helpful
Immobilized patients (hospitalized or incarcerated) have the best outcomes
Question 13
While preparing a class on personality disorders for a class of PMHNP students, the instructor is presenting case studies of patients with cluster A personalities. One of these cases is Clark M., a 41-year-old man who is described as a life-long ―loner.‖ In high school and college, he kept to himself, excelling in his studies in the sciences. Currently described as a brilliant computer programmer, he clearly prefers solitary pursuits and the company of his cat over people. He knows he is socially isolated, but he is just more comfortable this way. This description is most consistent with:
Schizoid personality disorder
Schizotypal personality disorder
Paranoid personality disorder
Delusional disorder
Question 14
Darius is a 26-year-old male who presents for care as part of couple therapy with his wife, who is being seen for dependency issues. Darius himself seems very anxious to ―do the right thing and appears to want to please the‖ therapist. During the evaluation, Darius is impeccably dressed, very formal in his presentation and interaction, and is watchful of time because he has an appointment after the interview and states several times that he cannot be late. The PMHNP considers that Darius may have obsessive compulsive personality disorder (OCPD). In differentiating this from obsessive compulsive disorder (OCD), she explores his history further for:
A history of racing thoughts
Difficulty interacting with others
Extremely high expectations of self
Significant impairment at work
Question 15
Hugo is a 39-year-old male who has encouraged his wife to come to counseling because he is worried about her wine drinking. Hugo says that he and his wife have shared a bottle of wine with dinner most nights for the last couple of years, but in the last few months he has become worried that she drinks too much. They both agree that she never really becomes intoxicated, but he does not like the fact that evening wine has become the most important part of her meal. If he wants to go out, she will only go to a place that has a wine she likes. Last month they went on a week-long vacation, and she insisted on packing enough of her wine to last the whole time. If they go to a restaurant that does not have a wine she likes, she will take her own in a disposable coffee cup. It seems like for the last few months, she has been drinking more and more, occasionally finishing the bottle alone when he doesn’t want any. Both partners agree that there is no interference with work or any activities or responsibilities, but it is causing some tension in their marriage. When considering a diagnosis of substance use disorder, the PMHNP considers that:
Hugo’s wife meets diagnostic criteria for this disorder
A trial period with no wine ingestion is necessary to assess for withdrawal symptoms
The family history should be assessed for genetic tendency
Hugo may have unreasonable expectations
Question 16
When developing a pharmacologic treatment plan for the management of major depressive disorder, the PMHNP counsels the patient that the medication will be titrated up to the appropriate dose and then continued for a minimum of 3 months; medication must not be stopped abruptly or without provider supervision. This is because the physiologic consequence of abrupt cessation is likely to ...
●●●MUST READ BEFORE PURCHASE●●●Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The
last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and
beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following
personality disorders?
Histrionic
Narcissistic
Borderline
Schizoid
Question 2
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for cocaine.
She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any time. Upon
further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times, other days
more. She also uses it occasionally at home and most weekends. During her third session, she admitted that it is a
financial burden, and she basically cannot afford any other form of recreation. She understands that if she uses again
she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it. When counseling
her about cessation strategies, the PMHNP advises all the following except:
The physiologic symptoms of withdrawal may require a short-term hospitalization
Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal
She will need to be monitored for depression
Overcoming the intense craving for cocaine is the biggest issue
Qu...
1
Question 3
Walden University: Final exam for NURS 6670
Correct answers marked yellow.
Question 1
Histrionic
Narcissistic
Borderline
Schizoid
Question 2
The physiologic symptoms of withdrawal may require a short-term hospitalization
Unlike other substances of abuse, there are no medications to help reduce the intensity of withdrawal
She will need to be monitored for depression
Overcoming the intense craving for cocaine is the biggest issue
Clare’s history of personal relationships is characterized by complete intolerance of being alone. Whether it is an
Anne is a 32-year-old female who presented to care after a random drug screening at work was positive for cocaine.
She was initially resistant to therapy, maintaining that her use is not a problem and she could stop at any time. Upon
further discussion in session, it appears that she uses cocaine every day at work, sometimes 2–3 times, other days
more. She also uses it occasionally at home and most weekends. During her third session, she admitted that it is a
financial burden, and she basically cannot afford any other form of recreation. She understands that if she uses again
she will lose her job, and she admits that she loves her job and that cocaine is not worth losing it. When counseling
her about cessation strategies, the PMHNP advises all the following except:
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absolute best person in the world, but she can’t help
because her boss fired her for no reason. Alexa has a history of arrests for buying illegal drugs and prostitution. The
last time she was in jail, her sentence was extended for 30 days because she got into a fight with another inmate and
beat her up so badly she had to be admitted to the hospital for 6 days. The PMHNP considers which of the following
personality disorders?2
intimate-partner relationship or a close friend, Clare appears to always need someone in her life. She had a livein boyfriend of 3 years, and while they were together, he took care of everything. The PMHNP expects all of the
following to be additional features of Clare’s history except:
Has disproportionate anger toward an abusive spouse
Question 4
Clothing
Speech pattern
Anger
Anxiety
Question 5
A 27-year-old female with a 1-month history of social withdrawal, anorexia, hypersomnia, unprovoked
outbursts of anger, and a strong family history of endogenous depression
A 41-year-old male with a history of childhood sexual abuse, loss of interest in both his professional and
personal life, an unplanned 10 lb. weight loss in the last 3 months, and perceptual disturbances
A 65-year-old male whose wife died 2 months ago and he reports a 3-week history of generally depressed
mood, guilt about his wife’s death, insomnia, difficulty focusing on daily tasks, with increasing thoughts of
dying
A 72-year-old female who just relocated across country to live with her adult son and daughter-in-law who is
despondent about leaving her home and reports forgetfulness, loss of appetite, new onset bowel problems, and
extreme loss of energy
Question 6
SSRIs
TCAs
Antiadrenergics
Antipsychotics
A variety of pharmacologic agents have demonstrated effectiveness in the treatment of post-traumatic stress
disorder. Which of the following does not have any evidenced-based support in the literature?
A PMHNP student is reviewing his notes from his clinical experience over the past week to prepare his first required
case presentation on a patient suffering a major depressive episode. Which of the following patients best represents
the DSM-5 criteria for major depressive episode?
The PMHNP is conducting an initial interview with a patient whose history is consistent with avoidant personality
disorder. The PMHNP understands that one of the most striking features of this interview is likely to be centered
upon the patient’s:3
Question 7
Stuttered
Increased
Childlike
Confused
Question 8
History and symptoms are most consistent with antisocial personality disorder
Fletcher needs a neurological workup to include an EEG and assessment for neurological soft signs
Consistent with his symptoms, Fletcher will likely respond well to a stress interview
It is likely that substance abuse is the underlying cause of symptoms and should be explored further
Question 9
Which among the following neurotransmitters is decreased in depression and increased in mania?
Dopamine
Norepinephrine
Serotonin
Glutamate
last few years; he is able to get hired for jobs because he is very engaging and likeable, and then invariably he gets
fired because he misses work and doesn’t do his job properly when he is there. According to the wife, they have
known each other since high school, where Fletcher was very happy and well-adjusted. He was on the soccer team,
liked by teachers, and never demonstrated the tendencies he does now. Apparently in college he got involved with a
fraternity that was notorious for alcohol and drug abuse, and he started drinking heavily; it was ―all downhill from
there.‖ The PMHNP considers that:
Fletcher is a 29-year-old male referred for court-ordered counseling. He has a long history of repeated offenses
including DUI, domestic violence, battery, and other violent acts that fortunately have not yet caused any serious
injury or death to the recipients. An interview with his wife reveals that he has lied about almost everything for the
The PMHNP is on call at the local county correctional facility. He is asked to evaluate M.S., a 21-year-old male who
was just arrested following an altercation at a local bar. M.S. has never been incarcerated before and apparently has
no psychiatric or medical history available. His toxicology screen was negative for alcohol or any drugs of abuse.
His mother says that he has in the past had some occasions when he got kind of agitated, but this is the first time it’s
been a problem. Reportedly some people from his office were at the bar celebrating a birthday, and before anyone
knew what happened an argument escalated into M.S. getting very loud, yelling, and acting ―crazy‖ before he
punched a coworker and started breaking bottles. When considering a manic or hypomanic episode, the PMHNP
expects that his speech would most likely be:4
Question 10
Mentalization-based treatment (MBT)
Transference-focused psychotherapy (TFP)
ountertransference-focused psychotherapy (CTFP)
Dialectical behavioral therapy (DBT)
Question 11
A history of schizophrenia of a first-degree relative
Sustained psychosis predating his mother’s death
Comorbid Asperger’s syndrome
Apparent frank thought disorder
Question 12
Which of the following is a true statement with respect to the treatment of narcissistic personality disorder?
Psychoanalytic psychotherapy has strong empiric support
Both serotonergic drugs and lithium are useful
Group therapy is rarely helpful
Immobilized patients (hospitalized or incarcerated) have the best outcomes
Mr. Kendall is a 47-year old male who is presented to care by his younger sister, Megan. Mr. Kendall has spent his
entire adult life living in an apartment that was attached to his parents’ home. His mother died a few weeks ago, and
the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became
very concerned. He has apparently been considered odd all his life, has never married or even dated as far as Megan
knows, but she had no idea how odd he was. When his mother died, he seemed disconnected from reality and had
episodes of talking to people who weren’t present. Megan says that sometimes she does not even understand what he
is talking about. He seems to think he has psychic powers, and that he doesn’t need to move because he knows the
house will not be sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the
following to be present in the history?
Among the various types of therapeutic intervention for patients with borderline personality disorder, which of the
following is characterized as polymodal, including group skills training, individual therapy, telephone consultation,
and a consultation team with a goal of improving interpersonal skills and decreasing self-destructive behavior?5
Question 13
Schizoid personality disorder
Schizotypal personality disorder
Paranoid personality disorder
Delusional disorder
Question 14
A history of racing thoughts
Difficulty interacting with others
Extremely high expectations of self
Significant impairment at work
Question 15
Hugo’s wife meets diagnostic criteria for this disorder
A trial period with no wine ingestion is necessary to assess for withdrawal symptoms
The family history should be assessed for genetic tendency
Hugo may have unreasonable expectations
Hugo is a 39-year-old male who has encouraged his wife to come to counseling because he is worried about her
wine drinking. Hugo says that he and his wife have shared a bottle of wine with dinner most nights for the last
couple of years, but in the last few months he has become worried that she drinks too much. They both agree that
she never really becomes intoxicated, but he does not like the fact that evening wine has become the most important
part of her meal. If he wants to go out, she will only go to a place that has a wine she likes. Last month they went on
a week-long vacation, and she insisted on packing enough of her wine to last the whole time. If they go to a
restaurant that does not have a wine she likes, she will take her own in a disposable coffee cup. It seems like for the
last few months, she has been drinking more and more, occasionally finishing the bottle alone when he doesn’t want
any. Both partners agree that there is no interference with work or any activities or responsibilities, but it is causing
some tension in their marriage. When considering a diagnosis of substance use disorder, the PMHNP considers that:
Darius is a 26-year-old male who presents for care as part of couple therapy with his wife, who is being seen for
dependency issues. Darius himself seems very anxious to ―do the right thing‖ and appears to want to please the
therapist. During the evaluation, Darius is impeccably dressed, very formal in his presentation and interaction, and is
watchful of time because he has an appointment after the interview and states several times that he cannot be late.
The PMHNP considers that Darius may have obsessive compulsive personality disorder (OCPD). In differentiating
this from obsessive compulsive disorder (OCD), she explores his history further for:
While preparing a class on personality disorders for a class of PMHNP students, the instructor is presenting case
studies of patients with cluster A personalities. One of these cases is Clark M., a 41-year-old man who is described
as a life-long ―loner.‖ In high school and college, he kept to himself, excelling in his studies in the sciences.
Currently described as a brilliant computer programmer, he clearly prefers solitary pursuits and the company of his
cat over people. He knows he is socially isolated, but he is just more comfortable this way. This description is most
consistent with:6
Question 16
Antidepressant discontinuation syndrome
Rebound depressive symptoms
A manic or hypomanic episode
Unresponsiveness to medication with future episodes
Question 17
Which of the following is a true statement with regard to the etiology of substanceabuse?
Neurotransmitters or receptors have been identified with most substances of abuse except for alcohol
Twin and sibling studies do not support a genetic component with respect to the etiology of substance abuse
S...
Question 1
Alexa is a 27-year-old female who has come to group therapy while she is in the city jail. She was arrested for
vagrancy because she was sleeping in her car in a parking lot at a local shopping center. She could not post bail, so
she is sentenced to 14 days in jail. During group, she contributes that none of this is her fault. Her mother is totally
evil because she would not let Alexa stay in the family home. She has some other family. but they are all jerks
because they won’t help her. Alexa’s friend Melanie is the absol...
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