29 Dec A patient has attended thre

NURS6650 Psychotherapy With Groups and Families

Week 11 Final Exam

• Question 1

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

• Question 2

Members of group therapy have been meeting for several weeks. The PMHNP often starts sentences with a thank you or compliment such as, “Good observation.” The PMHNP notices that some of the group members having been starting their statements with compliments. To which principle can the PMHNP attribute this process?

• Question 3

A PMHNP notices that adolescents in a therapy group have not been getting along. They are divided into two main groups and each automatically dislikes members of the other group. What is an appropriate step for the PMHNP to take?

• Question 4

Jane has been attending group therapy for the past year; she and the therapist have determined that she has met her goals. Jane has been arriving to group late or not coming to group at all. How does the PMHNP correctly interpret Jane’s behavior?

• Question 5

A PMHNP is leading a group therapy session for patients with substance abuse problems. After one member shares a problem, other members offer support, concern, and observations. The PMHNP points out that the group is offering many truthful reactions and helpful feedback. Which principle does this illustrate?

• Question 6

In the parent consultation session, the parent discusses her son “Blake” who has changed since his 13th birthday. Dr. Carlson discusses the power conflict that the parent appears to be getting into with her son. When they discuss approaches they can use to help Blake experience increased responsibility, Dr. Carlson explains that the parent must make a commitment with her son by agreeing to:

• Question 7

During therapy, a patient named Maria states she is unhappy that other members did not express missing her while she was away the previous week. She confronted the PMHNP by saying, “Nobody here cares about this stupid group!” What might the PMHNP say to increase group cohesiveness?

• Question 8

Gregory is a middle-aged veteran participant in a group led by the PMHNP. Since Gregory has been attending group, he frequently interrupts others and seems to take much of the group time for himself. The PMHNP identifies Gregory as a monopolist and confronts him. She explains that she does not want him to talk less; instead, she actually encourages him to talk more. What is the likely cause of the PMHNP’s explanation?

• Question 9

The homogenous mode of composition involves a theory that relates to group composition. When applying this theory, the PMHNP is aware that the group will most likely consist of which of the following?

• Question 10

A 9-year-old child who witnessed a fatal car accident has come to therapy with her parents to get treatment. The child has been irritable since the event and has not wanted to talk about it. Utilizing a trauma-focused cognitive behavior therapy (TF-CBT) approach, the PMHNP has reviewed skills that the parents may use to help their child at home. Based on the PMHNP’s suggestion, which is a statement the parents might make after the child has a temper tantrum?

• Question 11

A 36-year-old client attends group therapy regularly but is consistently tardy. The client explains that job and family obligations interfere with attendance to the group. What is the most appropriate intervention by the PMHNP?

• Question 12

A PNHNP is holding a group therapy session. Today, several members have expressed fears about being unlovable. Based on this information, what is an appropriate step by the PMHNP to raise the members’ self-esteem

• Question 13

The social microcosm theory is a theory that relates to group composition. In accordance with this theory, the PMHNP is aware that the group must consist of which of the following?

• Question 14

During his second group therapy session, a member, who was quiet the previous week, becomes very judgmental. He criticizes another member by saying, “Mary, you are always late because you don’t respect our group.” Then he adds, “In fact, all of you are disrespectful and uncaring.” What is an appropriate step by the PMHNP?

• Question 15

Group participation is an important aspect of how successful group therapy will be. The PMHNP recognizes that the gender of group participants can play a role in the likelihood of group participation. Which statement about gender and group composition does the PMHNP take into account?

• Question 16

The PMHNP conducts a specialized individual interview with a patient named Sandy. During this interview, Sandy expresses her want of the other members to like her, and she has a deep dread for the first group meeting. How does the PMHNP correctly interpret Sandy’s interpersonal circumplex?

• Question 17

During a group therapy session, a member comments that another member named Ted had no compassion. Ted replies, “Why does it matter if I care one way or another. I can’t solve their problems.” The other member starts crying and blames Ted for this. He shrugs and answers, “I don’t understand why you are crying.” Based on this information, what is the most likely determination the PMHNP can make about Ted?

• Question 18

A PMHNP is meeting with the mother of a 10-year-old boy named Malik, who has been depressed since his parents’ divorce. The mother explains that her goal for treatment is to help Malik feel better so he can become his “usual outgoing self.” She insists that she does not want him on medication. Which is the best response by the PMHNP?

• Question 19

The PMHNP recognizes that extragroup behavior involves behavior that occurs outside of the group or during subgrouping. Which statement best describes extragroup behavior as it pertains to group therapy?

• Question 20

A patient has attended three group therapy sessions and has remained silent throughout each. The patient has, however, been listening to the other members. When the therapist makes eye contact with the patient, he or she forces a smile but has clenched fists. What is the most appropriate response by the PMHNP to help the patient?

• Question 21