NURS 6650 Midterm Exam 2

• Question 1 1 out of 1 points 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? Selected Answer: B. “Have you tried making her phone privileges contingent on finishing her homework?” • Question 2 out of 1 points 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? Selected Answer: D. None of the above • Question 3 out of 1 points 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? Selected Answer: D. “How many days per week are you able to sleep?” • Question 4 1 out of 1 points The PMHNP is working with the parents of an adolescent daughter. The parents complain that the daughter is misbehaving and having emotional outbursts on a nightly basis. However, the parents cannot agree on ways to discipline and deal with the daughter. This leads to arguments between them. What does the PMHNP do to support the strategic use of rituals? Selected Answer: A. Suggest the mom help the daughter with homework on even days of the week • Question 5 0 out of 1 points 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? Selected Answer: A. Encourage the family to address concerns by writing letters to each other • Question 6 1 out of 1 points 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? Selected Answer: D. A and C • Question 7 1 out of 1 points 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? Selected Answer: A. Have the sisters play each other’s role in the argument • Question 8 1 out of 1 points 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? Selected Answer: B. Help the woman free herself from the label of “insecure” • Question 9 1 out of 1 points 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? Selected Answer: A. Asks one of the parents to arrange the family into a typical bedtime scene • Question 10 1 out of 1 points The PMHNP is assessing a married couple who disclosed on the intake form that that they are having intimacy issues. During the assessment, the PMHNP asks the couple what brings them in today. The wife is quick to answer, “My husband doesn’t listen to me anymore.” Using the Mental Research Institute (MRI) assessment technique, how does the PMHNP respond to this? Selected Answer: B. By asking the wife to explain what exactly “not listening” means