29 Dec A PMHNP has integrated group treatment into

NURS6650 Psychotherapy With Groups and Families

Week 6 Midterm 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

The PMHNP is providing narrative therapy to a family. Although each family member assigns a “problem” to another, the PMHNP attempts to separate each person in the family from their problems. The goal is to find something they all have in common so the family can unite. What will the PMHNP do next to help facilitate this goal?

• Question 3 When using a cognitive behavioral approach, a PMHNP says to a group member, “Carla, it sounds like Greg thinks that you might want to try yoga for relaxation.” What would be an appropriate next statement by the PMHNP to Carla?

• Question 4

During a family therapy session, a 10-year-old girl says to her father, “You are at work all the time and are never around.” What is the most appropriate response by the PMHNP to improve communication?

• Question 5

The PMHNP is meeting with a family that consists of a mother and father and their two daughters, ages 8 and 10. During the session, the PMHNP hears one child say, “My sister never gets into trouble because she’s the smart one.” Which family therapy theory is most applicable to this family?

• Question 6

The PMHNP is working with a family composed of two parents and their 16-year-old son. The parents report they have been experiencing conflict regarding the son’s defiant behavior in the home. Which action will the PMHNP employ as part of the early phase of the therapy?

• Question 7

The PMHNP is meeting with two women, ages 35 and 42, who are concerned about their mother’s use of alcohol. During the meeting, what question(s) should the PMHNP ask the mother to help uncover the potential drinking problem?

• Question 8

The PMHNP is meeting with a married couple. The woman feels very insecure, particularly when it comes to her husband working with women in his office. She reports, “My girlfriends say that it’s not attractive to be insecure like I am, so I’m really making the problem worse by being so insecure.” How can the PMHNP externalize the woman’s problem?

• Question 9

During a family therapy session, the PMHNP identifies a significant amount of emotional fusion between the parents and their young adult son. The son admits that he tries to seek distance from his parents. This is why he moved out of state for college, though he still comes back to visit out of obligation. What does the PMHNP interpret about this scenario?

• Question 10

The PMHNP is meeting with a husband and wife and observes that the husband is able to maintain his composure while the wife becomes more teary and emotional throughout the session. Which principle is used to describe this observation?

• Question 11

A couple and their 13-year-old daughter have been in family therapy. The mother explains that her daughter is unhappy at private school and would like to be in public school. The father has been listening quietly and then says, “We are upset that our daughter wants to leave private school.” When using a systemic family therapy approach, what is the appropriate response by the PMHNP to the father?

• Question 12

The PMHNP is working with the parents of an 8-year-old. They are facing challenges with their daughter’s school because of her behavior toward other students. “Our daughter has become a problem,” they explain. Which statement(s) made by the PMHNP supports the use of the narrative therapy model?

• Question 13

The PMHNP meets with the parents of a 6-year-old; they are having a difficult time with their child’s behavior. The PMHNP aims to bring the family together and asks the parents to think about one of the challenging issues they face with their child. The PMHNP says, “Imagine this situation happening as a scene in a movie, one that you can rewind and watch again. Watch this scene again, this time paying attention to what you feel, what you see, and what you hear.” The parents are then asked to re-experience the same scene from the child’s point of view. Continuing to use Satir’s technique of the experiential model, what does the PMNHP have the parents do next?

• Question 14

The PMHNP is meeting with a single father and his adolescent daughter. They have been “butting heads” because of the daughter’s differing opinions about her curfew and social life. They haven’t been able to communicate well. The PMHNP tries an experiential technique of family drawing. What will the PMHNP have the father and daughter do for this technique?

• Question 15

The PMHNP is working with 12-year-old twin sisters. Their parents report that the twins got into a big fight recently, which they haven’t been able to overcome. Which cognitive interaction can the PMHNP use to help the sisters gain a new perspective of the argument to help soften their own opinion of it?

• Question 16

The PMHNP is providing family therapy to two parents and their twin 14-year-old children. The children become defiant around bedtime and are still working on their homework late into the night. How does the PMHNP employ an experiential technique of family sculpting?

• Question 17

The PMHNP is meeting with a set of parents and their 12-year-old son, who according to the parents is fearful of “nearly everything.” The son admits that he does not like to ride his bike, play with his friends, or participate in activities such as sports, in which he could hurt himself or become dirty. What does the PMHNP say to the son to personify the problem using externalizing conversation techniques?

• Question 18

The PMHNP is working with a married couple who have agreed to seek sex therapy due to the wife’s gradual decrease in interest in sex. The wife explains that she feels as though she cannot feel comfortable naked and enjoying being intimate. The PMHNP recognizes that the couple could possibly benefit from sensate focus. To apply the sensate focus exercise, the PMHNP suggests the couple first do what?

• Question 19

A family is in therapy because they have been unable to resolve conflicts and are arguing frequently. When using a strategic family therapy approach, which of the following directives might the PMHNP suggest to create a sense of togetherness?

• Question 20

The PMHNP is working with a patient who is sleep deprived and depressed. Which of the following is an appropriate scaling question for the PMHNP to ask?

• Question 21

A client in group therapy has been suffering from anxiety and is worried that she will have a panic attack again. Which of the following interventions demonstrates use of the principle of imparting knowledge?

• Question 22

The PMHNP wants to identify the unique outcomes of a married couple who are having arguments about finances. In particular, the wife is concerned about her husband splurging without consulting her. What question will the PMHNP ask to arrive at the unique outcomes?

• Question 23

The PMHNP is providing family therapy to a married couple having an issue with communication. Using the structural family model, what does the PMNHP have the couple do as part of enactment?

• Question 24

The PMHNP is meeting with a single mother and her 19-year-old son who lives with her. The son complains that his mother is always nagging him. What is the PMHNP’s interpretation of this scenario according to a complementarity approach?

• Question 25

A PMHNP has integrated group treatment into his practice. After the orientation phase, group members have been exchanging ideas. One member says, “I think you should confront your son and ask why he is so disrespectful.” Another member responds by saying, “That is a terrible idea. If you confront him, he will just be angry with you.” The first member then replies, “You are not the expert here!” The rest of the group members then start taking sides as the debate continues. What step should the PMHNP take to help group development?