Question 1 The PMHNP is meeting with the parents of a school-aged girl. The mother reports feeling frustrated, because they cannot get their daughter to
... [Show More] do her homework. “All she wants to do is p lay 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 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 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 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 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 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 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 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 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 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 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 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 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 [Show Less]
