1
Course NURS-6650N-3/NURS-6650D-3/NURS-6650C-3-Pyschotherapy Group
Test Midterm Exam - Week 6
Status Completed
Time Elapsed 1 hour, 59 minutes out of 2 hours
Results Displayed Feedback, Incorrectly Answered Questions
Question 1
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?
Question 2
0 out of 1 points
The PMHNP is meeting with a single mother and her 19-year-old son who lives with her. The
son complains that his mother is always nagging him. What is the PMHNP’s interpretation
of this scenario according to a complementarity approach?
Response “A” is the correct answer. According to complementarity concepts, two parts
in Feedback: the relationship complement each other. In this case, the mother’s nagging is
only half of the pattern of mutual influence. Therefore, the PMHNP may
assume that the son is playing a part in this as well. “B” is incorrect, as the
mother is not disrupting the attachment bond. “C” is incorrect, as the mother
and son are not presenting a negative feedback loop. Therefore, “D” is also
incorrect.
See Nichols, M., The Essentials of Family Therapy (6th ed.), Chapter 4, p. 59 for
further information.
Question 3
1 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?
Question 4
1 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?
Question 5
, 2
1 out of 1 points
During family therapy, a husband says to his spouse, “When you ignore me, I can’t help but
shout.” Using an emotionally focused family therapy approach, the PMHNP comments to the
husband, “You feel like you are invisible and need to be heard.” Why does the PMHNP make
this comment?
Question 6
1 out of 1 points
A PMHNP is working with a mother and daughter to help them improve their communication
skills. The mother explains that they have had numerous arguments caused by
miscommunication lately. Using a structural family therapy approach, what is the appropriate
response by the PMHNP?
Question 7
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?
Response “A” is the correct answer. Emotional cutoff is how some people manage
anxiety Feedback: in relationships. When there is more emotional fusion between
parents and
children, there is more potential for emotional cutoff. The son in this scenario
is already exhibiting signs of emotional cutoff by confessing that he moved to
another state for college to get away from his parents; this is a form of
distancing. “B” is incorrect, as this scenario does not present triangulation. “C”
and “D” are incorrect, as this is not considered normal family development or
appropriate for the son’s age.
See Nichols, M., The Essentials of Family Therapy (6th ed.), Chapter 5, p. 73 for
further information.
Question 8
1 out of 1 points
The PMHNP works with a husband and a wife, but in separate sessions, to address marital
issues. One day, the wife asks the PMHNP how her husband is progressing with his therapy.
Which response made by the PMHNP is most appropriate?
Question 9
0 out of 1 points
, 3
A client in group therapy has been suffering from anxiety and is worried that she will have a
panic attack again. Which of the following interventions demonstrates use of the principle of
imparting knowledge?
Response “C” is the correct answer. The PMHNP is imparting knowledge about the
Feedback: relationship between worry and panic attacks. “A” is incorrect, because it
demonstrates the principle of universality, which focuses on the universality of
problems. “B” is incorrect, because this demonstrates the principle of the
installation of hope, a belief that progress is possible. “D” is incorrect; this
demonstrates the principle of existential factors that relate to the truths of
human existence.
See Wheeler, K., Psychotherapy for the Advanced Practice Psychiatric Nurse: A
How-To Guide for Evidence-Based Practice, Chapter 11, pp. 412–414 for
further
information.
Question 10
1 out of 1 points
When using a cognitive behavioral approach, a PMHNP says to a group member, “Carla, it
sounds like Greg thinks that you might want to try yoga for relaxation.” What would be
an appropriate next statement by the PMHNP to Carla?
Question 11
1 out of 1 points
The PMHNP wants to identify the unique outcomes of a married couple who are having
arguments about finances. In particular, the wife is concerned about her husband splurging
without consulting her. What question will the PMHNP ask to arrive at the unique outcomes?
Question 12
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?
Question 13
0 out of 1 points
The PMHNP is meeting with a mother and her adult daughter, who report that they have had
a hard time getting long. The adult daughter complains that her mother tells her what to do
regarding her children, which puts strain on the adult daughter’s marriage. The mother denies
this and explains that she is “only trying to help.” What does the PMHNP say to the mother or
daughter to convey acceptance into this family?
Course NURS-6650N-3/NURS-6650D-3/NURS-6650C-3-Pyschotherapy Group
Test Midterm Exam - Week 6
Status Completed
Time Elapsed 1 hour, 59 minutes out of 2 hours
Results Displayed Feedback, Incorrectly Answered Questions
Question 1
0 out of 0 points
When completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?
Question 2
0 out of 1 points
The PMHNP is meeting with a single mother and her 19-year-old son who lives with her. The
son complains that his mother is always nagging him. What is the PMHNP’s interpretation
of this scenario according to a complementarity approach?
Response “A” is the correct answer. According to complementarity concepts, two parts
in Feedback: the relationship complement each other. In this case, the mother’s nagging is
only half of the pattern of mutual influence. Therefore, the PMHNP may
assume that the son is playing a part in this as well. “B” is incorrect, as the
mother is not disrupting the attachment bond. “C” is incorrect, as the mother
and son are not presenting a negative feedback loop. Therefore, “D” is also
incorrect.
See Nichols, M., The Essentials of Family Therapy (6th ed.), Chapter 4, p. 59 for
further information.
Question 3
1 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?
Question 4
1 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?
Question 5
, 2
1 out of 1 points
During family therapy, a husband says to his spouse, “When you ignore me, I can’t help but
shout.” Using an emotionally focused family therapy approach, the PMHNP comments to the
husband, “You feel like you are invisible and need to be heard.” Why does the PMHNP make
this comment?
Question 6
1 out of 1 points
A PMHNP is working with a mother and daughter to help them improve their communication
skills. The mother explains that they have had numerous arguments caused by
miscommunication lately. Using a structural family therapy approach, what is the appropriate
response by the PMHNP?
Question 7
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?
Response “A” is the correct answer. Emotional cutoff is how some people manage
anxiety Feedback: in relationships. When there is more emotional fusion between
parents and
children, there is more potential for emotional cutoff. The son in this scenario
is already exhibiting signs of emotional cutoff by confessing that he moved to
another state for college to get away from his parents; this is a form of
distancing. “B” is incorrect, as this scenario does not present triangulation. “C”
and “D” are incorrect, as this is not considered normal family development or
appropriate for the son’s age.
See Nichols, M., The Essentials of Family Therapy (6th ed.), Chapter 5, p. 73 for
further information.
Question 8
1 out of 1 points
The PMHNP works with a husband and a wife, but in separate sessions, to address marital
issues. One day, the wife asks the PMHNP how her husband is progressing with his therapy.
Which response made by the PMHNP is most appropriate?
Question 9
0 out of 1 points
, 3
A client in group therapy has been suffering from anxiety and is worried that she will have a
panic attack again. Which of the following interventions demonstrates use of the principle of
imparting knowledge?
Response “C” is the correct answer. The PMHNP is imparting knowledge about the
Feedback: relationship between worry and panic attacks. “A” is incorrect, because it
demonstrates the principle of universality, which focuses on the universality of
problems. “B” is incorrect, because this demonstrates the principle of the
installation of hope, a belief that progress is possible. “D” is incorrect; this
demonstrates the principle of existential factors that relate to the truths of
human existence.
See Wheeler, K., Psychotherapy for the Advanced Practice Psychiatric Nurse: A
How-To Guide for Evidence-Based Practice, Chapter 11, pp. 412–414 for
further
information.
Question 10
1 out of 1 points
When using a cognitive behavioral approach, a PMHNP says to a group member, “Carla, it
sounds like Greg thinks that you might want to try yoga for relaxation.” What would be
an appropriate next statement by the PMHNP to Carla?
Question 11
1 out of 1 points
The PMHNP wants to identify the unique outcomes of a married couple who are having
arguments about finances. In particular, the wife is concerned about her husband splurging
without consulting her. What question will the PMHNP ask to arrive at the unique outcomes?
Question 12
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?
Question 13
0 out of 1 points
The PMHNP is meeting with a mother and her adult daughter, who report that they have had
a hard time getting long. The adult daughter complains that her mother tells her what to do
regarding her children, which puts strain on the adult daughter’s marriage. The mother denies
this and explains that she is “only trying to help.” What does the PMHNP say to the mother or
daughter to convey acceptance into this family?
