NURS-6650-FINAL EXAM 2022 WITH UPDATED CORRECT ANSWERS
Question 1
A 21-year-old client with narcissistic traits is noted to continuously disrupt the
... [Show More] 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?
A. The client has a fear of losing his or her identity.
B. The client prefers one-to-one interactions.
C. The client wants to be the leader of the group.
D. The client lacks effective communication skills.
Question 2
Members of a therapy group have been meeting for several weeks. While a member named
Margaret is talking about how her spouse ignores her when she tries to tell him what to do,
another member named Nicole interrupts and says, “Maybe he thinks you are being bossy.”
Margaret replies by saying, “At least I’m not an alcoholic like you are!” What is an appropriate
response by the PMHNP?
A. Stop the conversation and intervene
B. Ask Nicole how she feels about the incident
C. Remind members about important group norms
D. All of the above
Question 3
During the “mid-group debrief” the clinical supervisor focused on the following areas with the
two counselors except:
A. What they did well in engaging the group members.
B. The mistakes that they made in the group and how they can fix them.
C. Observations on how the group members overcame uncertainty with activities.
D. Feedback from each of the counselors who participated in the group.
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Question 4
The PMHNP recognizes that hostility is unavoidable in a group and acknowledges that a
frequent source of hostility can be parataxic distortions. Which situation is likely to present a
parataxic distortion within the group?
A. Peggy, a 54-year-old woman, acting as a surrogate to Susan, who is a younger and newer
member of the group
B. Jerry, a Mexican medical doctor who denies his heritage and Carlos, a proud Mexican
warehouse employee
C. Spencer, a Caucasian politician with a history of substance abuse, and a Caucasian
therapist
D. A successful entrepreneur and an aspiring spoken-word poet
Question 5
A PNHNP is holding a group therapy sessi [Show Less]