NURS 6650 Midterm Exam| Correct Verified Answers

NURS 6650 Midterm Exam| Correct Verified Answers • Question 1 1 out of 1 points While in a family therapy session, a wife comments, “Instead of spending time with me, he is usually watching sports on television.” Using an emotionally focused family therapy approach, what is an appropriate response by a PMHNP using an evocative question technique? Selected Answer: B. “How are you feeling now as you are sharing that?” • Question 2 0 out of 1 points The PMHNP is discussing problem-solving techniques with a married couple. What recommendation will the PMHNP provide to the couple? Selected Answer: A. “Speak calmly, and explain your entire point before asking your partner to respond.” • Question 3 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 4 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 • Question 5 0 out of 1 points The PMHNP is working with a married couple in a family session setting. The wife reports feeling upset because her husband does not pay attention to her. Which statement made by the PMHNP will challenge the wife to see things differently? Selected Answer: D. “What can you say to your husband to get him to change his actions?” • Question 6 1 out of 1 points A man calls a PMHNP to set up an initial appointment for family therapy. He explains, “My wife lost her job several months ago. She has been angry and less patient with the kids. All of the stress is taking a toll on me. I can’t focus at the office and I’m mentally exhausted at home.” Based on this phone contact, who would the PMHNP most likely choose to see for the first session? Selected Answer: A. The husband alone • Question 7 1 out of 1 points 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? Selected Answer: B. Ask the father what he heard when his daughter made that comment • Question 8 0 out of 1 points 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? Selected Answer: D. Practice touching one another intimately • Question 9 1 out of 1 points 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? Selected Answer: D. All of the above • Question 10 0 out of 1 points 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? Selected Answer: A. Systems theory • Question 11 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 12 1 out of 1 points 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? Selected Answer: C. “How often does fear make you do what it wants you to do?” • Question 13 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 14 1 out of 1 points 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? Selected Answer: D. B and C • Question 15 1 out of 1 points 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? Selected Answer: B. Set up an empty space on the couch and have the child talk to the father as if he were sitting there • Question 16 1 out of 1 points 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? Selected Answer: B. Role theory • Question 17 1 out of 1 points The PMHNP is meeting with a married couple who have recently had a baby. The transition of becoming new parents has caused a lot of friction and tension in the household. The wife wishes the husband would help out at least once 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? Selected Answer: A. Suggest the wife to agree to do more errands during the day, and then have the husband agree to do one nighttime feeding • Question 18 1 out of 1 points The PMHNP meets with the parents of a 3-year-old boy, who was adopted at 6 months of age. The parents ask the PMHNP if he will see the child individually for therapy sessions on a weekly basis, based on the fact that the parents are having difficulty getting their son to listen to them. Which statement made by the PMHNP supports the systems theory approach to treatment? Selected Answer: A. “It would be difficult for me to make sense of your child’s behavior