NU665C Psychiatric Mental Health Care of the
Family II: Comprehensive Exam Review
1. What is the primary goal of Family-Focused Therapy (FFT) in
the context of bipolar disorder?
A) To explore childhood trauma
B) To improve medication adherence and reduce expressed
emotion within the family
C) To assign blame for the patient's condition
D) To focus solely on the identified patient's individual therapy
2. A key principle of the Recovery Model in mental health is:
A) The complete elimination of all symptoms
B) A lifelong dependency on the healthcare system
C) Patient empowerment and self-direction in managing one's
own life and wellness
D) Focusing primarily on past traumatic events
3. When treating a child with ADHD, the PMHNP recommends
Parent Management Training (PMT). The primary focus of PMT
is to:
A) Diagnose the parents with their own psychological disorders
B) Teach parents behavioral techniques to effectively manage
their child's behavior
C) Prescribe medication to the child
D) Replace the need for school-based interventions
,4. In a family session, a parent repeatedly states, "You make
me so angry when you do that." A therapist using a systemic
approach might reframe this to:
A) "You are a bad parent for getting angry."
B) "The sequence of interactions in the family leads to feelings
of anger."
C) "Your child is solely responsible for your anger."
D) "You should never feel angry."
5. Which therapeutic modality is most associated with
identifying and changing dysfunctional family patterns and
boundaries?
A) Cognitive Behavioral Therapy (CBT)
B) Structural Family Therapy
C) Psychoanalysis
D) Humanistic Therapy
6. The "Identified Patient" in family systems theory refers to:
A) The family member who is most psychologically healthy.
B) The person who carries the symptoms but whose problems
may reflect family system issues.
C) The person who is to blame for the family's dysfunction.
D) The therapist working with the family.
7. A PMHNP is working with a couple where one partner has
PTSD. A crucial initial step in couples therapy is to:
A) Immediately have them discuss the traumatic event in detail.
,B) Ensure the individual with PTSD has established safety and
some symptom stability.
C) Focus only on the non-affected partner's feelings.
D) Advise the couple to separate.
8. What is a primary objective of psychoeducation for a family
with a member who has schizophrenia?
A) To guarantee the patient will never relapse.
B) To help the family understand the illness, reduce criticism,
and improve coping.
C) To train the family to act as primary therapists.
D) To place full responsibility for recovery on the family.
9. When assessing for suicide risk in an adolescent, the
PMHNP should:
A) Avoid asking directly about suicide to prevent giving them
the idea.
B) Ask direct, clear questions about suicidal thoughts, plans,
and intent.
C) Speak only to the parents about their concerns.
D) Assume the risk is low if the adolescent denies it.
10. In Dialectical Behavior Therapy (DBT) for families, a core
concept is the balance between:
A) Medication and psychotherapy.
B) Acceptance and change.
, C) Past and future.
D) Individual and group therapy.
11. A genogram is used in family assessment to:
A) Prescribe medication.
B) Diagram family structure and relationships across
generations.
C) Conduct a mental status exam.
D) Measure expressed emotion in a laboratory setting.
12. A PMHNP is using Motivational Interviewing (MI) with a
client who is ambivalent about sobriety. The PMHNP's
statement that aligns with MI is:
A) "You will lose everything if you don't stop using drugs today."
B) "On one hand, you enjoy the high, and on the other, you see
how it's hurting your family."
C) "Your addiction is a disease, and you have no control over it."
D) "Let's set a goal for complete abstinence by our next
session."
13. Which of the following best describes "Expressed
Emotion" (EE) in a family context?
A) The healthy expression of all feelings.
B) A critical, hostile, or emotionally over-involved attitude from
family members towards a patient.
C) The patient's expression of emotion towards the therapist.
D) A lack of any emotion within the family system.
Family II: Comprehensive Exam Review
1. What is the primary goal of Family-Focused Therapy (FFT) in
the context of bipolar disorder?
A) To explore childhood trauma
B) To improve medication adherence and reduce expressed
emotion within the family
C) To assign blame for the patient's condition
D) To focus solely on the identified patient's individual therapy
2. A key principle of the Recovery Model in mental health is:
A) The complete elimination of all symptoms
B) A lifelong dependency on the healthcare system
C) Patient empowerment and self-direction in managing one's
own life and wellness
D) Focusing primarily on past traumatic events
3. When treating a child with ADHD, the PMHNP recommends
Parent Management Training (PMT). The primary focus of PMT
is to:
A) Diagnose the parents with their own psychological disorders
B) Teach parents behavioral techniques to effectively manage
their child's behavior
C) Prescribe medication to the child
D) Replace the need for school-based interventions
,4. In a family session, a parent repeatedly states, "You make
me so angry when you do that." A therapist using a systemic
approach might reframe this to:
A) "You are a bad parent for getting angry."
B) "The sequence of interactions in the family leads to feelings
of anger."
C) "Your child is solely responsible for your anger."
D) "You should never feel angry."
5. Which therapeutic modality is most associated with
identifying and changing dysfunctional family patterns and
boundaries?
A) Cognitive Behavioral Therapy (CBT)
B) Structural Family Therapy
C) Psychoanalysis
D) Humanistic Therapy
6. The "Identified Patient" in family systems theory refers to:
A) The family member who is most psychologically healthy.
B) The person who carries the symptoms but whose problems
may reflect family system issues.
C) The person who is to blame for the family's dysfunction.
D) The therapist working with the family.
7. A PMHNP is working with a couple where one partner has
PTSD. A crucial initial step in couples therapy is to:
A) Immediately have them discuss the traumatic event in detail.
,B) Ensure the individual with PTSD has established safety and
some symptom stability.
C) Focus only on the non-affected partner's feelings.
D) Advise the couple to separate.
8. What is a primary objective of psychoeducation for a family
with a member who has schizophrenia?
A) To guarantee the patient will never relapse.
B) To help the family understand the illness, reduce criticism,
and improve coping.
C) To train the family to act as primary therapists.
D) To place full responsibility for recovery on the family.
9. When assessing for suicide risk in an adolescent, the
PMHNP should:
A) Avoid asking directly about suicide to prevent giving them
the idea.
B) Ask direct, clear questions about suicidal thoughts, plans,
and intent.
C) Speak only to the parents about their concerns.
D) Assume the risk is low if the adolescent denies it.
10. In Dialectical Behavior Therapy (DBT) for families, a core
concept is the balance between:
A) Medication and psychotherapy.
B) Acceptance and change.
, C) Past and future.
D) Individual and group therapy.
11. A genogram is used in family assessment to:
A) Prescribe medication.
B) Diagram family structure and relationships across
generations.
C) Conduct a mental status exam.
D) Measure expressed emotion in a laboratory setting.
12. A PMHNP is using Motivational Interviewing (MI) with a
client who is ambivalent about sobriety. The PMHNP's
statement that aligns with MI is:
A) "You will lose everything if you don't stop using drugs today."
B) "On one hand, you enjoy the high, and on the other, you see
how it's hurting your family."
C) "Your addiction is a disease, and you have no control over it."
D) "Let's set a goal for complete abstinence by our next
session."
13. Which of the following best describes "Expressed
Emotion" (EE) in a family context?
A) The healthy expression of all feelings.
B) A critical, hostile, or emotionally over-involved attitude from
family members towards a patient.
C) The patient's expression of emotion towards the therapist.
D) A lack of any emotion within the family system.
