NURSING 66506650 Midterm exam well revised for easier passing

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 ...

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 0 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 0 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  Question 11 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 12 0 out of 1 points The PMHNP is assessing a 19-year-old patient who reports feeling burdened and constrained by her family. “I feel like I can’t live my own life, and like I need their approval for everything I do,” she says during the assessment. Which response by the PMHNP supports the principles of family therapy? Selected Answer: A. “It’s important for you to feel safe to explore the full range of your feelings.”  Question 13 0 out of 1 points The PMHNP has just completed an intake assessment on a 15-year-old patient and believes the patient would benefit from family therapy. How does the PMHNP describe the goals of the therapy to the patient and the patient’s parents? Selected Answer: D. All of the above  Question 14 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: A. Practice desensitizing themselves from sex so that they do not feel any anxiety  Question 15 0 out of 1 points During a family therapy session, the PMHNP identifies a significant amount of emotional fusion between the parents and their young adult son. The son admits that he tries to seek distance from his parents. This is why he moved out of state for college, though he still comes back to visit out of obligation. What does the PMHNP interpret about this scenario? Selected Answer: The parents are trying to create a triangle of emotion with their son.  Question 16 0 out of 1 points The PMHNP is providing narrative therapy to a family. Although each family member assigns a “problem” to another, the PMHNP attempts to separate each person in the family from their problems. The goal is to find something they all have in common so the family can unite. What will the PMHNP do next to help facilitate this goal? Selected Answer: C. Map the influence of the family on the problem  Question 17 0 out of 1 points The PMHNP is providing family therapy to a married couple having an issue with communication. Using the structural family model, what does the PMNHP have the couple do as part of enactment? Selected Answer: A. Have the spouses switch roles and pretend to act like the other person  Question 18 1 out of 1 points The PMHNP is meeting with a woman and her 11-year-old child, who was a victim of sexual abuse. The offender is the child’s stepfather, who is currently in jail. What action does the PMHNP employ with the child and mother during the first session?