NR 668 Week 2 Quiz 2 Psychotherapy & Group Therapy Quiz

Quiz 2 Psychotherapy & group therapy quiz Which section of the Mental Status exam would one document gait, tics and hand wringing? Affect Speech Motor activity Extracorporeal findings A 29-year-old woman with a history of panic disorder requests a psychiatric home visit because she continues to experience feelings that her environment is not real. She states that this is very unsettling and, as a result, has stopped going out of her home. In formulating her case, the PMHNP would describe this symptom as the persistence of: Depressive symptoms Depersonalization Derealization Psychosis Pam is 22 yr old female who lives alone and has Bipolar disorder documented as F31.2 (Manic, Severe with psychotic features). Pam stopped taking her Quetiapine and Lithium medications. Pam's delusions are worsening and she has been awake for 36 hours. Does the PMHNP have the right to share this information with Pam's mother who lives in a neighboring state? Yes, Pam does not currently have the capacity to make decisions given her chief complaint, presentation and history of a serious mental illness. Yes, because the health care provider can always reach out to family as long as the information is limited to what is needed. No, because Pam has not signed a medical release form and is actively participating in her care as evidenced by showing up to the visit. No, because Pam is an adult and HIPAA protects private mental health information. If the PMHNP believes that the client does not have the capacity to agree or object to the sharing information at that critical time and the sharing of the information would be in the clients best interest, the provider may discuss the pertinent information only to the family member who can possibly help with the clients immediate care concerns. 45 CFR 164.510(b) Mr. Yoon is a 46-year-old male who was referred from the employee assistance program for interpersonal difficulties in the workplace. His boss states that he is very committed to his job, often working late, but he is unable to tolerate any criticism of his work and becomes argumentative and frequently irritable with his coworkers. He never seems to socialize at company events and seems to not speak of any family or friends outside of work. He has become so difficult to work with that termination is possible, but fear persists of a homicidal threat. What should the PMHNP do when seeing this patient? Call 911 and transfer the patient to the hospital Encourage the patient to find another job Prescribe the patient a selective serotonin reuptake inhibitor (SSRI) to reduce anxiety Inquire about access to weapons A 38-year-old investment banker reveals that on weekends he visits the Delightful Dungeon and pays a dominatrix to tie him up, humiliate him, and whip him. He finds these sessions painful but very sexually arousing. He is able to become aroused and climax without this experience but finds this activity novel and has no desire to stop. Which of the following diagnosis is most likely? Sexual sadism