WALDEN UNIVERSITY NURS6650 FINAL EXAM 2.
COMPLETE 2025 UPDATE QUESTIONS AND
VERIFIED ANSWERS. (VERIFIED UPDATE)
Question 1
In a group therapy session for adolescents, a 15-year-old patient says he has trouble making
conversation with people he does not know well. Based on the principle of development of
socializing techniques, what explicit approach might the PMHNP take?
>> ANS >> C. Have group members conduct a role play to practice making conversation
Question 2
One group member is identified by the PMHNP as the monopolist of the group. Which behavior
does the PMHNP believe this member is most likely to display?
>> ANS >> B. Talking excessively and inserting him- or herself into conversations even when
they do not involve him or her
Question 3
During a first group therapy session, a member is outgoing and participates actively. Based on
this information, what is an appropriate prediction about this group member by the PMHNP?
>> ANS >> B. The member may be influential in the group.
Question 4
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?
>> ANS >> A. The client has a fear of losing his or her identity.
Question 5
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appears mopey and withdrawn and refuses to do anything about it.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?
>> ANS >> D. All of the above
Question 6
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?
>> ANS >> A. “How would you compare today’s meeting with last week’s?”
Question 7
During the “mid-group debrief” the clinical supervisor focused on the following areas with the
two counselors except
>> ANS >> B. The mistakes that they made in the group and how they can fix them.
Question 8
The social microcosm theory is a theory that relates to group composition. In accordance with
this theory, the PMHNP is aware that the group must consist of which of the following?
>> ANS >> A. Males and females of different ages, education levels, socioeconomic statuses,
and professions
Question 9
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?
>> ANS >> Joseph reveals his accomplishments, because he feels that his position in the
group is being challenged.
Question 10
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?
>> ANS >> D. Sandy is likely to prematurely view members of the group as hostile.
, Question 11
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
>> ANS >> C. Achieving the pre-determined agenda by manipulating questions and session
content
Question 12
A PMHNP is meeting with parents and their 10-year-old child. The child is having trouble paying
attention at school and has been getting easily frustrated at home when doing homework, which
often results in everyone arguing. What step might the PMHNP take as part of a family-centered,
solution-oriented approach?
>> ANS >> D. All of the above
Question 13
The PMHNP is meeting with an adult woman and her father, who is 85 years old. The father stays
quiet most of the session. The daughter explains he is mad at her for “bringing him to a see a
shrink.” The daughter reports that things have been tense in the house since her father moved
in. The father has a history of depression, though he does not take any medication for it. In
addition, lately the father seems to never sleep. “I hear him rummaging around in the kitchen,
the garage, the living room, at all hours of the night. Sometimes he’ll nap during the day, but not
much. This is putting a strain on my marriage, because my husband can’t sleep with all of this
going on.” Which therapeutic approach does the PMHNP identify as most appropriate for the 85-
year-old father?
>> ANS >> C. Reminiscence and life review therapy
Question 14
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?
>> ANS >> C. Refer the patient to another therapist who has a suitable therapy group
Question 15
A patient has had a problem with substance use and has been receiving treatment for
COMPLETE 2025 UPDATE QUESTIONS AND
VERIFIED ANSWERS. (VERIFIED UPDATE)
Question 1
In a group therapy session for adolescents, a 15-year-old patient says he has trouble making
conversation with people he does not know well. Based on the principle of development of
socializing techniques, what explicit approach might the PMHNP take?
>> ANS >> C. Have group members conduct a role play to practice making conversation
Question 2
One group member is identified by the PMHNP as the monopolist of the group. Which behavior
does the PMHNP believe this member is most likely to display?
>> ANS >> B. Talking excessively and inserting him- or herself into conversations even when
they do not involve him or her
Question 3
During a first group therapy session, a member is outgoing and participates actively. Based on
this information, what is an appropriate prediction about this group member by the PMHNP?
>> ANS >> B. The member may be influential in the group.
Question 4
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?
>> ANS >> A. The client has a fear of losing his or her identity.
Question 5
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?
>> ANS >> D. All of the above
Question 6
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?
>> ANS >> A. “How would you compare today’s meeting with last week’s?”
Question 7
During the “mid-group debrief” the clinical supervisor focused on the following areas with the
two counselors except
>> ANS >> B. The mistakes that they made in the group and how they can fix them.
Question 8
The social microcosm theory is a theory that relates to group composition. In accordance with
this theory, the PMHNP is aware that the group must consist of which of the following?
>> ANS >> A. Males and females of different ages, education levels, socioeconomic statuses,
and professions
Question 9
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?
>> ANS >> Joseph reveals his accomplishments, because he feels that his position in the
group is being challenged.
Question 10
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?
>> ANS >> D. Sandy is likely to prematurely view members of the group as hostile.
, Question 11
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
>> ANS >> C. Achieving the pre-determined agenda by manipulating questions and session
content
Question 12
A PMHNP is meeting with parents and their 10-year-old child. The child is having trouble paying
attention at school and has been getting easily frustrated at home when doing homework, which
often results in everyone arguing. What step might the PMHNP take as part of a family-centered,
solution-oriented approach?
>> ANS >> D. All of the above
Question 13
The PMHNP is meeting with an adult woman and her father, who is 85 years old. The father stays
quiet most of the session. The daughter explains he is mad at her for “bringing him to a see a
shrink.” The daughter reports that things have been tense in the house since her father moved
in. The father has a history of depression, though he does not take any medication for it. In
addition, lately the father seems to never sleep. “I hear him rummaging around in the kitchen,
the garage, the living room, at all hours of the night. Sometimes he’ll nap during the day, but not
much. This is putting a strain on my marriage, because my husband can’t sleep with all of this
going on.” Which therapeutic approach does the PMHNP identify as most appropriate for the 85-
year-old father?
>> ANS >> C. Reminiscence and life review therapy
Question 14
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?
>> ANS >> C. Refer the patient to another therapist who has a suitable therapy group
Question 15
A patient has had a problem with substance use and has been receiving treatment for
