1
NURS 6650 Midterm Exam 2 //2022
• 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 B.
Answer: “Have you tried making her phone privileges contingent on finishing
her homework?”
• Question 2
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
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 A.
, 2
Answer: 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 A.
Answer: 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
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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 A.
Answer: 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 B.
Answer: Ask the father what he heard when his daughter made that
comment
• Question 12
0 out of 1
points
NURS 6650 Midterm Exam 2 //2022
• 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 B.
Answer: “Have you tried making her phone privileges contingent on finishing
her homework?”
• Question 2
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
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 A.
, 2
Answer: 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 A.
Answer: 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
, 3
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 A.
Answer: 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 B.
Answer: Ask the father what he heard when his daughter made that
comment
• Question 12
0 out of 1
points
