NURS 753 MIDTERM EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NURS 753 MIDTERM EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 The concept of multigenerational transmission process in family system therapy approach means - Answers Dysfunction has been present for several generations The lower the level of family adaptation, the more likely the development of a triangle refers to Triangles; The level of differentiation of the parents is usually equal to the level of differentiation for the entire family refers to nuclear family emotional system; Parents transmits their own level of differentiation on the most susceptible child refers to family projection process. Protect the person's______ when he or she is committed to a mental hospital - Answers freedoms or rights Mr Thomas is a 56 years old client you have been seeing for several weeks of therapy. While discussing his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most likely an example of - Answers Immature regressive defense mechanism A client is displaying low self esteem, poor self control, self-doubt, and a high level of dependency. These behaviors indicate developmental failure of which of the following stages of development - Answers Early childhood Mrs. White has been in therapy for 3 months. She has shown much improvement in functioning and insight. She is to discontinue therapy sessions within the next 2weeks. In today's session, after discussing termination, she suddenly began to regress back to the original symptoms that brought her to treatment. She is now hesitant to be discharged and wants to continue therapy as she continues to display increase regressive defense mechanisms. How will the PMHNP best describe Mrs. White's behavior? - Answers A sign of normal resistance to termination seen in the termination phase of therapy T or F Case management is not one of the roles and responsibilities of PMHNP. - Answers F What are the four elements needed to be present for a malpractice lawsuit ? - Answers Duty of care Breach of stand of care injury injury must be related to breech of standard of care Mrs. Jackson is voluntarily admitted to the inpatient psychiatric unit. After 24 hours, she decides that she wants to leave because she does not feel the facility can help her. What is the best action by PMHNP that reflects the legal right of the client? - Answers Explain to client that she's unable to leave until PMHNP has completed further assessment. T or F Notice of privacy practice and contract forms are useful legal forms to PMHNP planning to perform therapy. - Answers T Cognitive Behavioral therapy is a collaborative process of which of the following: - Answers all of the above Primary prevention care practices are an essential aspect of the PMHNP role. Which of the following is the best example of a primary prevention care strategy for community behavioral health? - Answers Parenting skilled classes for pregnant adolescents Which of the following client statements best describes imitative behavior as a therapeutic factor in group therapy? - Answers Group members begin to model aspects of other members of the group leaders The driving force in the formation of Interpersonal therapy (IPT) was to treat and relieve the three primary aspects of depression EXCEPT: _______ negative thinking - Answers change According to DSM-5, which of the following is true? - Answers A culturally expected response to a stressor is not a mental disorder Why is group therapy beneficial? it allows participants to acquire the _____ - Answers curative factors T or F Goals of clinical assessment includes instilling hope and ensuring that the patient will return for the next appointment. - Answers T When working with a dysfunctional family you find that the mother, Sarah, worries excessively and is resistant to change. PMHNP gave Sarah a paradoxical directive to worry extremely well for 1 hour per day, knowing that he will likely be non-compliant, and thus change will occur. With this technique, you are using which type of therapy? - Answers Strategic therapy Which of the following is not a family therapy approach? _____ family therapy - Answers statutory Which humanistic approach emphasizes the basic attitudes of the therapist as the core of the therapeutic process? - Answers person centered therapy T or F The younger the age of abuse (physical/sexual/emotional) and the more prolonged the duration of abuse, the greater the likelihood of mental illness and substance abuse. - Answers T Mr. Brown has been forgetful lately, for example, forgetting where he has placed his keys or what time appointments are scheduled, and he has stated that he thinks these are just random behaviors that have no particular meaning. Which Freudian-based psychodynamic principle assumes that all actions are purposeful? - Answers Psychic determinism principle The psychic determinism principle states that all behavior has purpose and meaning, often unconscious in nature, and that no behaviors occur randomly or by coincidence. Defense mechanisms are best viewed as a function of the ego used to _____ - Answers resolve conflict Which of the following is not a level of consciousness according to Freud's theory? - Answers Post-conscious The steps in cognitive restructuring includes all of the following EXCEPT: Don't stop the _____ - Answers messages T or F The initial contact with patient for therapy should not include information on boundaries. - Answers F You are the PMHNP treating Jason, a 12 years old child, for social anxiety disorder. Jason's mother presents with him to his individual therapy session. At the end of the session his mother says, "Jason's pediatrician had said he needed some HPV shot on his last visit. I don't know why he will need that? What do you think?" What is the PMHNP's best response to her question - Answers "The Centers for Disease Control and Prevention (CDC) recommends the human papillomavirus (HPV) vaccine for all boys and girls at age 10. HPV can cause cancer in both men and women, and the vaccine is effective in protecting against the virus. Can you tell me your concern about Jason getting this vaccine. Which of the following is not a phase of group formation or development? - Answers Staring Which of the following is the best rationale for using cognitive behavioral therapy? Recognize and change his or her ______ - Answers automatic thoughts The PMHNP is planning to work with the client using an individual therapy model of care. During the first session, the client makes the following statement: "This is the third time my son has run away. I've grounded him, taken away his bike, even tried cutting off his allowance and confining him to his room. What should I do now? "The most therapeutic response for the PMHNP to make is - Answers "Maybe that depends on what you are trying to accompalish." In forming therapeutic relationship with clients, the PMHNP must consider developing many characteristics that are known to be relationship-building. Which of the following is an essential part of building a therapeutic relationship? - Answers authenticity