NURS 6650 FINAL EXAM 1 QUESTION AND ANSWERS (75/75 POINTS). ALREADY GRADED A

NURS 6650 FINAL EXAM 1 – QUESTION AND ANSWERS (75/75 POINTS) • Question 1 0 out of 0 points When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes • Question 2 1 out of 1 points One member of a therapy group had been quiet for the first several sessions. The member revealed to the other members feeling of depression and emptiness. This week, the member was full of energy and talking very quickly. The member became irritated with another member tried to interrupt, started yelling, and then broke into a fit of laughter. Based on the situation, what can the PMHNP determine about the member? Selected Answer: B. The member is exhibiting bipolar behaviors. • Question 3 1 out of 1 points 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? Selected Answer: B. Sandy is likely to view members of the group as friendly. • Question 4 1 out of 1 points A PMHNP has been holding group therapy sessions for several weeks and notices that a patient is timid and predictable in his or her responses. When the patient does speak, he or she avoids saying anything to contradict anyone in the group. Based on this information, what is an appropriate question the PMHNP should ask herself? Selected Answer: D. “What can I do to help the patient emerge from this protective shell?” • Question 5 1 out of 1 points When discussing the role of the consultant in the parenting group session, Dr. Carlson explains that the consultant should use several skills in order to help keep the group going and should enable group members to become very engaged with one another. The consultant should use all of the following skills to achieve this, except: Selected Answer: C. Achieving the pre-determined agenda by manipulating questions and session content • Question 6 1 out of 1 points During an initial screening session, the PMHNP is considering a patient for group therapy. The patient is recently divorced and says he is lonely and depressed. What is the best referral by the PMHNP? Selected Answer: C. Brief, problem-oriented group therapy • Question 7 1 out of 1 points A PMHNP is leading a group therapy session for patients with substance abuse problems. After a productive session in which all members participated, the following week was not as productive. In order to help the group members assume responsibility for evaluating the meeting, what is an appropriate comment for the PMHNP to make? Selected Answer: A. “How would you compare today’s meeting with last week’s?” • Question 8 0 out of 1 points Following the PMHNP’s cancellation of a group session, he or she notices a decrease in compliance and attendance within the group. What does the PMHNP identify as the group’s reason for noncompliance? Answer: B A. The group did not expect to have time off, so it may take up to a month to get back into a routine. B. The group members may believe that the group is not important to the PMHNP. C. The PMHNP's absence gave the members a reason to also be absent. D. The group members feel let down, because the PMHNP cancelled a meeting. Selected Answer: C. The PMHNP’s absence gave the members a reason to also be absent. • Question 9 1 out of 1 points A client has attended five group therapy sessions yet has not engaged verbally with others in the group. The PMHNP has identified the client as a “silent member.” Which statement is true about silent members as related to group therapy? Selected Answer: D. Silent members usually will hinder the group while hindering their own growth within the group. • Question 10 1 out of 1 points For several months, a patient in group therapy always participated in conversation but only shared positive stories about her own life. During the next session, she finally confessed that she has been depressed and cutting herself. What is the best response by the PMHNP? Selected Answer: C. “You must feel comfortable with the group now to share this with us.” • Question 11 1 out of 1 points A 14-year-old girl named Laura and her parents are meeting with a PMHNP. The parents explain why they are there by saying, “Laura has been unhappy since she moved to a new school. She has been moody and often talks back to us.” Laura sits quietly and looks uncomfortable. Which is the best response by the PMHNP? Selected Answer: C. “Laura, can you explain from your perspective why you are here?” • Question 12 1 out of 1 points Members of a therapy group have been meeting for several weeks. While a member named Margaret is talking about how her spouse ignores her when she tries to tell him what to do, another member named Nicole interrupts and says, “Maybe he thinks you are being bossy.” Margaret replies by saying, “At least I’m not an alcoholic like you are!” What is an appropriate response by the PMHNP? Selected Answer: D. All of the above • Question 13 1 out of 1 points 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? Selected Answer: C. Men in evenly mixed groups are more self-disclosing and less aggressive. • Question 14 1 out of 1 points A patient has had a problem with substance use and has been receiving treatment for addiction. Which additional step might the PMHMP suggest to help the patient maintain abstinence from drugs during and after treatment? Selected Answer: A. Narcotics Anonymous • Question 15 1 out of 1 points 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? Selected Answer: D. Jane is showing signs of regression due to the termination phase. • Question 16 1 out of 1 points Peter, a successful businessman, is introduced to the group during the twelfth week. Following Peter’s introduction, Joseph, a long-term member in the group, begins to lead the group and discuss all of the things that he has personally accomplished. In what way does the PMHNP correctly interpret Joseph’s behavior? D Selected Answer: Joseph reveals his accomplishments, because he feels that his position in the group is being challenged. • Question 17 1 out of 1 points When the counselor discussed assertiveness with the group members, she began the session by providing definitions and asking group members to line up consistent with where they feel they are currently in terms of assertiveness. Why did she do this? Selected Answer: D. To allow the participants to demonstrate self-assessment of their assertiveness levels to begin dialogue about assertiveness • Question 18 0 out of 1 points A 21-year-old client with narcissistic traits is noted to continuously disrupt the group by speaking while others are speaking. It becomes evident that the client is purposely disrupting the group and decreasing the group’s productivity. What does the PMHNP identify as a cause of the client’s behavior? Answer: AThe client has a fear of losing his or her identity. Selected Answer: D. The client lacks effective communication skills. • Question 19 0 out of 1 points A narcissistic patient was unhappy that other members did not seem concerned about his or her dating problems, which the patient spent half the session talking about. The patient confronted the group by saying, “All of you are rude and uncaring!” When group members ignored this comment, the patient said, “And no one said anything nice about my new haircut either!” What is an appropriate response by the PMHNP? Answer: B Selected Answer: D. Allowing group members to continue to ignore the patient’s rant, because it is inappropriate • Question 20 0 out of 1 points During a group session, a member turns to the PMHNP and says, “I need some advice. My manager asked me to take on an extra project, and now I’m overwhelmed. I don’t want to seem incompetent, so I agreed to the extra work. What do you recommend I do?” What is the best response by the PMHNP in order to shape group behavior?B A. "I am sorry to hear you feel overwhelmed, and I have several suggestions that you might find helpful." B. "Let's ask the group what they think. Does anyone have feedback about this situation?" C. "Before I give recommendations, please explain why turning down the project might make you seem incompetent."? Selected Answer: D. All of the above • Question 21 1 out of 1 points In a group therapy session for patients with anxiety problems, a patient named Eve was afraid to disclose to the other members that she was a victim of sexual abuse. She kept the secret for months, although she hinted at it to other members. During a meeting, another member tried to pressure Eve to disclose her secret, but she was flustered and not ready to share. What is an appropriate response by the PMHNP? Selected Answer: D. Tell the group it is OK that Eve does not yet feel safe enough to share • Question 22 1 out of 1 points 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? Selected Answer: D. Altruism • Question 23 1 out of 1 points During an initial meeting, a PMHNP spends time speaking with a patient who suffers from social anxiety. The therapist finds the patient extremely loud and overbearing. The PMHNP’s negative feelings continue no matter how hard he or she tries to feel differently toward the patient. What is the most appropriate next step by the PMHNP? Selected Answer: C. Refer the patient to another therapist who has a suitable therapy group • Question 24 1 out of 1 points The PMHNP recognizes that hostility is unavoidable in a group and acknowledges that a frequent source of hostility can be parataxic distortions. Which situation is likely to present a parataxic distortion within the group? Selected Answer: B. Jerry, a Mexican medical doctor who denies his heritage and Carlos, a proud Mexican warehouse employee • Question 25 1 out of 1 points During the “mid-group debrief” the clinical supervisor focused on the following areas with the two counselors except: Selected Answer: B. The mistakes that they made in the group and how they can fix them. • Question 26 1 out of 1 points Harold Wyman is a 74-year-old man who is trying to mend a relationship with his adult daughter. Based on his intake assessment, the PMHNP believes that the father has depression. The daughter and Harold meet with the PMNHP, and the daughter explains that her father always appears mopey and withdrawn and refuses to do anything about it. When asked, the father reports feeling sad all the time. Which action will the PMNHP employ with Harold using the interpersonal psychotherapy approach throughout the various sessions? Selected Answer: D. All of the above • Question 27 1 out of 1 points A patient who has been depressed is seeing a PMHNP for individual therapy. The patient explains that he has been avoiding most social activities for the past few months. He is divorced and has joint custody of his 10-year-old daughter. Based on this information, what recommendation by the PMHNP would most benefit the patient? Selected Answer: B. Group therapy • Question 28 1 out of 1 points The PMHNP explains during a discussion that subgrouping has the potential to make group therapy more complicated and less rewarding. Tara, a member of the group, angrily states, “Well, Jack and I have been meeting outside of the group for weeks now.” What is the PMHNP’s most appropriate response? Selected Answer: C. “Subgrouping can cause issues with loyalty. For example, what if Jack told you something that made you feel uncomfortable. Would you be able to address that in group?” • Question 29 1 out of 1 points 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? Selected Answer: D. Imitative behavior • Question 30 1 out of 1 points Many key principles assist with composing intensive interactional psychotherapy groups. When composing a psychotherapy group, utilizing the intensive interactional approach, which key principle does the PMHNP identify as being false? Selected Answer: C. Clients who are domineering will likely encourage productivity in the group. • Question 31 1 out of 1 points Members of a therapy group have been meeting for several months. During group therapy, a patient is bossy and controlling. During this week’s session, she is confronted by another group member about her behavior and replies, “This is not how I normally act. You are not my family and friends. I don’t act the same way around them.” What can the PMHNP deduce from her behavior? Selected Answer: B. She is displaying her true interpersonal behavior. • Question 32 1 out of 1 points The PMHNP is meeting with an older married couple. The couple reports having concerns about becoming dependent on their adult children someday, since several of their other friends have had to move in with their kids. They make it clear to the PMHNP that they aren’t keen on therapy or taking medicine but would be willing to try some alternative therapies. What does the PMHNP suggest for evidence-based CAM modalities? Selected Answer: D. All of the above • Question 33 1 out of 1 points The PMHNP understands that conflicts within the psychotherapy group can be troublesome for clients and have the potential to reduce the effectiveness of the group process. As it pertains to group meetings, the PMHNP understands which statement to be true about conflict? Selected Answer: D. Conflict exists in every group and is expected to reoccur throughout the group meetings.