NURS 6650 – Psychotherapy With Groups and Families Essay

nurs 6650 psychotherapy with groups and families midterm & final exam questions and answers

The PMHNP is working with a family during their first therapy session. According to the Gestalt school of perception, what must the PMHNP do to change the group behavior?

A. Create a process/content distinction with the family
B. Help the family maintain homeostasis
C.
D.

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The PMHNP is meeting with the parents of a school-aged girl. The mother reports feeling frustrated, because they cannot get their daughter to do her homework. “All she wants to do is play on her phone,” the father reports. The mother tells the PMHNP that they have tried threatening her by telling her that she won’t be able to have her friends over and that she won’t be allowed to watch TV. Which of the following responses made by the PMHNP demonstrates use of the Premack principle? NURS 6650 Midterm & Final Exam – Questions and Answers Walden Study Guide. NURS 6650 – Psychotherapy With Groups and Families Essay

A. “Do you know what other parents do for their kids, and does it work for them?”
B. “Have you tried making her phone privileges contingent on finishing her homework?”
C.
D. “Can you think of a time when your daughter did her homework without you having to ask her?”

During a family therapy session, the mother says, “I don’t know why my son is always in trouble at school. He does what he wants to do.” The father adds, “He’s almost 14 years old. It’s up to him to get his life in order.” What is the most appropriate intervention by the PMHNP?

A. Encourage the family to spend some time at home becoming enmeshed
B

C.

D. Ask the parents to experiment with being excessively involved in their son’s life. NURS 6650 – Psychotherapy With Groups and Families Essay

The PMHNP is discussing problem-solving techniques with a married couple. What recommendation will the PMHNP provide to the couple?

A. ”
B. “Avoid trying to discuss things when your partner is busy with other things.”
C. .”
D. “Speak on behalf of your partner to show that you understand.”

During a family therapy session, the PMHNP hears the father say to the son, “You shouldn’t play video games where you shoot people.” According to the Bion school of thought, what is the content of the message that the father is trying to express?

B. “You should find other things to do with your time.”
C. “.”
D. “You will grow up and want to shoot people if you keep playing those games.”

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?

A. “Please elaborate on why you and your wife are not happy about this.”
B. “I’d like for you to rephrase your statement starting with ‘I am upset.’” NURS 6650 – Psychotherapy With Groups and Families Essay
C.
D. “If I understand correctly, you are both upset about this situation.”

The PMHNP is working wi….s and poor impulse control. Using the differentiation of self-concept, what advice does the PMHNP offer the child?

A. “When something bothers you, stop to think about it before you react to it.”
B. “You should pra….o something.”
C. “It can be
D. “Let your n so

The PMHNP is assessing a 19-year-old patient who reports feeling burdened and constrained by her family. “I feel like I can’t live my own life, and like I need their approval for everything I do,” she says during the assessment. Which response by the PMHNP supports the principles of family therapy?

A. “It’s important for you to feel safe to explore the full range of your feelings.”
B. “.”
C. “.”
D. “Family is there .”

NURS 6650 MIDTERM & FINAL EXAM – QUESTIONS AND ANSWERS WALDEN STUDY GUIDE

The PMHNP is meeting with a woman and her 11-year-old child, who was a victim of sexual abuse. The offender is the child’s stepfather, who is currently in jail. What action does the PMHNP employ with the child and mother during the first session?

A. Pro
B. Asking the child and mother to describe the sexual abuse as it occurred
C. NURS 6650 Midterm & Final Exam – Questions and Answers Walden Study Guide
D. Giving the child and mother a choice about how much to discuss

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The PMHNP is meeting with the parents of a school-aged girl. The mother reports feeling frustrated, because they cannot get their daughter to do her homework. “All she wants to do is play on her phone,” the father reports. The mother tells the PMHNP that they have tried threatening her by telling her that she won’t be able to have her friends over and that she won’t be allowed to watch TV. Which of the following responses made by the PMHNP demonstrates use of the Premack principle? NURS 6650 – Psychotherapy With Groups and Families Essay
A.
B. “
C. “Why do you think your daughter doesn’t want to do her homework?”
D.

During a family therapy session, the mother says, “I don’t know why my son is always in trouble at school. He does what he wants to do.” The father adds, “He’s almost 14 years old. It’s up to him to get his life in order.” What is the most appropriate intervention by the PMHNP?
A.
B. Ask the parents to elaborate on why they don’t know much about their son’s life
C. Give the family an assignment to spend quality time together before the next session
D. Ask the parents to … in their son’s life

The PMHNP is discussing problem-solving techniques with a married couple. What recommendation will the PMHNP provide to the couple?
A. “.”
B. “Avoid trying to discuss things when your partner is busy with other things.”
C. “gs.”
D. “Speak on behalf of your partner to show that you understand.”
During a family therapy session, the PMHNP hears the father say to the son, “You shouldn’t play video games where you shoot people.” According to the Bion school of thought, what is the content of the message that the father is trying to express?
A.
B. “You should find other things to do with your time.”
C.
D. “You will grow up and want to shoot people if you keep playing those games.”

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?
A. “Please elaborate on why you and your wife are not happy about this.” NURS 6650 – Psychotherapy With Groups and Families Essay
B.
C. “
D. “If I understand correctly, you are both upset about this situation.”

The PMHNP is working with a father and his son, who is 7 years old. According to the father, the son frequently experiences outbursts and poor impulse control. Using the differentiation of self-concept, what advice does the PMHNP offer the child? NURS 6650 Midterm & Final Exam – Questions and Answers
A.
B.
C. “It can be helpful to react immediately with how you are feeling.”
D. “Let your father know when something he does triggers you to feel bad.”

The PMHNP is assessing a ….wn life, and like I need their approval for everything I do,” she says during the assessment. Which response by the PMHNP supports the principles of family therapy?
A. “It’s important for you to .”
B. “You are part of a whole, big network that extends to more than just yourself.”
C. “Your authentic self may l.”
D. “Family is there for .”

The PMHNP is meeting with a woman an…. is currently in jail. What action does the PMHNP employ with the child and mother during the first session?
A. Providing the child and mother an outline of the things to cover during the session, to make it easier for them to open up
B. Asking the child
C. Telling the child to
D. Giving the child and mother a

The PMHNP is working with a patient who i….. Which of the following is an appropriate scaling question for the PMHNP to ask?
A. “What have you done to keep your?”
B. “If feel?”
C. “What happens during the moments when ?”
D. “How many days per week are you able to sleep?”

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?
A. Asks one of the parents to
B. Asks each person to comment on
C. Asks the twin children to explain why they do
D. Asks the parents to talk to their kids about the importance of bedtime

Using a systemic family therapy approach, a PMHNP is meeting with a couple for an initial session and is asking each member to describe why he or she came to family therapy. After creating a genogram, the PMHNP says, “I can see that the men in your family are often the sole providers, and the women have been in charge of running the household.” Which is the most appropriate next response by the PMHNP?
A.
B. “Do you see why this may be causing a dysfunctional relationship?”
C. “This is likely the reason for your problems.”
D. “These days, traditional roles are not the norm.”

A PMHNP learns that the family has been experiencing dysfunction because a mother and her teenage son have been getting easily annoyed and yelling at each other. When using a strategic family therapy approach, which directive should the PMHNP suggest to solve the problem?
A. Have the family
B. Encourage the
C. Ask the family to amplifying the behavior
D.

The PMHNP is meeting with parents who are having difficulty disciplining their child at home during his emotional and behavioral outbursts. The mother feels that the father is too strict but realizes that she is tired of getting “walked on” by their child. Which statement made by the PMHNP demonstrates the use of internal family systems therapy model?
A. “Each person in the family has certain roles to fulfill. You might be taking on a less active role when it comes to disciplining your child because of the experiences you had in your own childhood.”
B. “As a parent, you can create the dynamic and relationships you want. Maybe you could try asking your husband to be less strict with your child and see what kind of response you get from your child.”
C. “It sounds like there’s a part of you that thinks your husband is too strict, but another part of you that thinks you should be stricter yourself. What does that second part of you look or sound like?”
D.

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? NURS 6650 Midterm & Final Exam – Questions and Answers
A. Have the woman
B. Help the woman from the label of “insecure”
C. Have the woman make a list of all the things about which she is insecure
D.

NURS 6650 MIDTERM & FINAL EXAM – QUESTIONS AND ANSWERS WALDEN STUDY GUIDE
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? NURS 6650 Midterm & Final Exam – Questions and Answers Walden Study Guide
A. Practice desensitizing themselves from sex so that they do not feel any anxiety
B. Deprive themselves of sensations so that the urge builds up and the interest in sex resumes
C. Find a time when they can be free from distraction and try to relax
D.
The PMHNP works with a husband and a wife, but in separate sessions, to address marital issues. One day, the wife asks the PMHNP how her husband is progressing with his therapy. Which response made by the PMHNP is most appropriate?
A. “I’m sorry, but I cannot discuss his treatment with you, as it is private.”
B. “I can only speak to you about his sessions if your husband gives me permission to.”
C.
D. NURS 6650 Midterm & Final Exam – Questions and Answers Walden Study Guide

The PMHNP is meeting with a family composed of two parents and their two children. The PMHNP observes that the mother projects her concerns onto one of the children, and that child seems to conform to the parents’ way of thinking. The other child seems to be less involved in the family’s fusion. What action taken by the PMHNP demonstrates the use of the Bowen Family Systems Therapy model? NURS 6650 – Psychotherapy With Groups and Families Essay
A. Helping
B. Helping differentiate the child who is less involved in the family fusion
C. A and B
D.

The PMHNP is performing an intake assessment on parents who had their son later in life. Since their son left for college 6 months ago, the couple reports arguing a lot and not getting along in general. When applying the theory of the family life cycle, what does the PMHNP say in response to this concern?
A. “These sorts of experiences can be normal. You are going through a major transition period that is forcing you to question or readjust your relationship.”
B. “It’s very common for people who have children later in life to experience this kind of relationship turbulence once children move out of the house.”
C. “This is an issue that can be worked out by reconstructing the events of your lives up until the point at which your son left for college.”
D.
The PMHNP is meeting with a….nce with the nighttime feedings so she can get more than 3 hours of sleep at night. The husband feels like this is an unfair request, because the wife no longer works, but she still asks the husband to do a lot of errands during the day. What does the PMHNP do to create a quid pro quo contract between the husband and wife?
A. Suggest the wife to a….ee to do one nighttime feeding
B. Convince the coupl….rt sleeping longer during the night
C. Recommend that the husband and wife …. of the home and without the baby around
D. Suggest that the wife consider going back to work to help even out the daily demands of working and parenting

The PMHNP is working with a family consisting of a father, a mother, and a daughter who is a sophomore in high school. The issue being discussed has to do with the daughter’s emotional outbursts about wanting to spend more time with her friends. Recently, the daughter blew up at the parents over the fact that they wouldn’t let her go to a party, since older kids from the school were throwing it. This outburst led to arguments in the household, which led to the daughter getting grounded for 2 weeks. Which theory does the PMHNP recognize as the most applicable?

theory

B.
C. Social
D
The PMHNP is meeting with a mother and her 9-year-old child. The child is upset that the father left the house and hasn’t been back in a long time. Which action will the PMHNP perform to employ the role-playing technique with the child?
A. Have the child draw his relationship to his father on a piece of paper
B. Set up an empty space on the couch and have the child talk to the father as if he were sitting there
C. Ask the child to arrange a scene in the room of what would happen when the father comes back home
D. Ask the child to discuss how he feels about his father being gone

The PMHNP is working with a family that includes two parents and their two children. The PMHNP defined the problem and goal in a previous session. Today, the PMHNP wants to find out whether the family has experienced any attempted solutions. What does the PMHNP identify as an attempted solution that actually perpetuates the family problem?
A. The parents fail to punish both children for stealing alcohol from the kitchen and drinking in their rooms.
B.
C. The wife wishes the husband would spend more time at home, and the husband tries to make her feel better by paying for a trip to visit her sister.
D.

The PMHNP is working with parents who argue about ways to discipline their school-aged son. The PMHNP initiates enactment, telling the parents to discuss the disciplinary choices directly with each other. At what point does the PMHNP determine that the parents are demonstrating enmeshment?
A. The mother…..
B. The father speaks on ….when the PMHNP asks ….question.
C. The father ….onstantly babies their son by doing things for him that he is old enough to do for himself.
D.

The PMHNP is working with 12-year-old twin sisters. Their parents report that the …. 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?
A. Have the sisters
B. Encourage the sisters
C. Recommend the sisters write each other an apology letter
D. Suggest the sisters find something they both like and can relate to

The PMHNP has just completed….and believes the patient would benefit from family therapy. How does the PMHNP describe the goals of the therapy to the patient and the patient’s parents? NURS 6650 Midterm & Final Exam – Questions and Answers Walden Study Guide
A. “One goal of family therapy is to help the family understand each other and work together to form a strong family bond.
B. “Our goal is to
C. “Our goal is to
D.
The PMHNP is working with a family in a group setting. When employing the experiential technique, what action will the PMHNP take with the family during assessment?
A. Conduct a.
B. Assess the
C. Analyze each family member individually while they are in the same room
D. Ask the family members to participate in an association game

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?
A. Draw
B. Draw a picture of what they wish they could say to each other
C. Draw a picture of their behaviors and actions, without using any words
D. All of the above

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?
A. “How do affect you?”
B. “How do these your ideas about yourself?”
C. “How does the affect the relationship you have with each other?”
D. All of the above

The PMHNP is meeting with a mother and her teenage daughter; they are having trouble getting along. The mother complains that the daughter is defiant and never listens or goes out whenever she wants to. The daughter complains that the mother is too strict and won’t let her see her friends. What does the PMHNP do to employ the use of the paradoxical intervention technique?
A. Tell the mother to … consequences
B. Tell the daughter to …. whenever she wants to
C. Tell the mother and daughter to discuss how their actions affect each others’ feelings
D.

The PMHNP meets with an older adult couple having marital problems. The husband and wife both admit to the PMHNP that it is d….lains that the wife is always talking about their issues to their adult daughter. The wife reports that the husband does the same thing. Using the Bowen Family Systems Therapy model, what does the PMHNP interpret about this family dynamic?
A. There is an emotional cutoff between the parents and their adult daughter. NURS 6650 – Psychotherapy With Groups and Families Essay
B.
C. The parents are not dealing with their conflict by involving the daughter.
D. All of th above

The PMHNP is meeting with a husband and wife who have separated but are trying to rekindle the marriage. The PMHNP asks the couple what they hope to gain from the sessions, and they provide the PMHNP with vague answers. What can the PMHNP can ask the couple to help them create better defined goals?
A. “Specifically, how will you accomplish this?”
B. “How will you know when you solved your problem?”
C. “What will be the first sign that tells you that you are moving in the right direction?”
D. All of the above