NURS 6650 Midterm Exam
I I I
• Question 1 I
1 Iout Iof I1 Ipoints
While Iin Ia Ifamily Itherapy Isession, Ia Iwife Icomments, I“Instead Iof Ispending Itime Iwith
Ime, Ihe Iis Iusually Iwatching Isports Ion Itelevision.” IUsing Ian Iemotionally Ifocused Ifamily
Itherapy Iapproach, Iwhat Iis Ian Iappropriate Iresponse Iby Ia IPMHNP Iusing Ian Ievocative
Iquestion Itechnique?
Selected IAnswer: B. I
“How Iare Iyou Ifeeling Inow Ias Iyou Iare Isharing Ithat?”
• Question 2 I
0 Iout Iof I1 Ipoints
The IPMHNP Iis Idiscussing Iproblem-solving Itechniques Iwith Ia Imarried Icouple. IWhat
Irecommendation Iwill Ithe IPMHNP Iprovide Ito Ithe Icouple?
Selected A. I
IAnswer: “Speak Icalmly, Iand Iexplain Iyour Ientire Ipoint Ibefore Iasking Iyour
Ipartner Ito Irespond.”
• Question 3 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Iproviding Ifamily Itherapy Ito Itwo Iparents Iand Itheir Itwin I14-year-old
Ichildren. IThe Ichildren Ibecome Idefiant Iaround Ibedtime Iand Iare Istill Iworking Ion Itheir
Ihomework Ilate Iinto Ithe Inight. IHow Idoes Ithe IPMHNP Iemploy Ian Iexperiential Itechnique
Iof Ifamily Isculpting?
Selected A. I
IAnswer: Asks Ione Iof Ithe Iparents Ito Iarrange Ithe Ifamily Iinto Ia Itypical Ibedtime
Iscene
• Question 4 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Iassessing Ia Imarried Icouple Iwho Idisclosed Ion Ithe Iintake Iform Ithat Ithat
Ithey Iare Ihaving Iintimacy Iissues. IDuring Ithe Iassessment, Ithe IPMHNP Iasks Ithe Icouple
Iwhat Ibrings Ithem Iin Itoday. IThe Iwife Iis Iquick Ito Ianswer, I“My Ihusband Idoesn’t Ilisten Ito
Ime Ianymore.” IUsing Ithe IMental IResearch IInstitute I(MRI) Iassessment Itechnique, Ihow
Idoes Ithe IPMHNP Irespond Ito Ithis?
Selected IAnswer: B. I
By Iasking Ithe Iwife Ito Iexplain Iwhat Iexactly I“not Ilistening” Imeans
• Question 5 I
0 Iout Iof I1 Ipoints
, The IPMHNP Iis Iworking Iwith Ia Imarried Icouple Iin Ia Ifamily Isession Isetting. IThe Iwife
Ireports Ifeeling Iupset Ibecause Iher Ihusband Idoes Inot Ipay Iattention Ito Iher. IWhich
Istatement Imade Iby Ithe IPMHNP Iwill Ichallenge Ithe Iwife Ito Isee Ithings Idifferently? I
Selected D. I
IAnswer: “What Ican Iyou Isay Ito Iyour Ihusband Ito Iget Ihim Ito Ichange Ihis
Iactions?”
• Question 6 I
1 Iout Iof I1 Ipoints
A Iman Icalls Ia IPMHNP Ito Iset Iup Ian Iinitial Iappointment Ifor Ifamily Itherapy. I IHe Iexplains,
I“My Iwife Ilost Iher Ijob Iseveral Imonths Iago. IShe Ihas Ibeen Iangry Iand Iless Ipatient Iwith
Ithe Ikids. IAll Iof Ithe Istress Iis Itaking Ia Itoll Ion Ime. II Ican’t Ifocus Iat Ithe Ioffice Iand II’m
Imentally Iexhausted Iat Ihome.” IBased Ion Ithis Iphone Icontact, Iwho Iwould Ithe IPMHNP
Imost Ilikely Ichoose Ito Isee Ifor Ithe Ifirst Isession?
Selected IAnswer: A. I
The Ihusband Ialone
• Question 7 I
1 Iout Iof I1 Ipoints
During Ia Ifamily Itherapy Isession, Ia I10-year-old Igirl Isays Ito Iher Ifather, I“You Iare Iat Iwork
Iall Ithe Itime Iand Iare Inever Iaround.” IWhat Iis Ithe Imost Iappropriate Iresponse Iby Ithe
IPMHNP Ito Iimprove Icommunication?
Selected B. I
IAnswer: Ask Ithe Ifather Iwhat Ihe Iheard Iwhen Ihis Idaughter Imade Ithat
Icomment
• Question 8 I
0 Iout Iof I1 Ipoints
The IPMHNP Iis Iworking Iwith Ia Imarried Icouple Iwho Ihave Iagreed Ito Iseek Isex Itherapy
Idue Ito Ithe Iwife’s Igradual Idecrease Iin Iinterest Iin Isex. IThe Iwife Iexplains Ithat Ishe Ifeels
Ias Ithough Ishe Icannot Ifeel Icomfortable Inaked Iand Ienjoying Ibeing Iintimate. IThe
IPMHNP Irecognizes Ithat Ithe Icouple Icould Ipossibly Ibenefit Ifrom Isensate Ifocus. ITo
Iapply Ithe Isensate Ifocus Iexercise, Ithe IPMHNP Isuggests Ithe Icouple Ifirst Ido Iwhat?
Selected IAnswer: D. I
Practice Itouching Ione Ianother Iintimately
• Question 9 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ia Ihusband Iand Iwife Iwho Ihave Iseparated Ibut Iare Itrying Ito
Irekindle Ithe Imarriage. IThe IPMHNP Iasks Ithe Icouple Iwhat Ithey Ihope Ito Igain Ifrom Ithe
Isessions, Iand Ithey Iprovide Ithe IPMHNP Iwith Ivague Ianswers. IWhat Ican Ithe IPMHNP
Ican Iask Ithe Icouple Ito Ihelp Ithem Icreate Ibetter Idefined Igoals?
Selected IAnswer: D. I
All Iof Ithe Iabove
, • Question 10 I
0 Iout Iof I1 Ipoints
The IPMHNP Iis Iworking Iwith Ia Ifamily Iconsisting Iof Ia Ifather, Ia Imother, Iand Ia Idaughter
Iwho Iis Ia Isophomore Iin Ihigh Ischool. IThe Iissue Ibeing Idiscussed Ihas Ito Ido Iwith Ithe
Idaughter’s Iemotional Ioutbursts Iabout Iwanting Ito Ispend Imore Itime Iwith Iher Ifriends.
IRecently, Ithe Idaughter Iblew Iup Iat Ithe Iparents Iover Ithe Ifact Ithat Ithey Iwouldn’t Ilet Iher
Igo Ito Ia Iparty, Isince Iolder Ikids Ifrom Ithe Ischool Iwere Ithrowing Iit. IThis Ioutburst Iled Ito
Iarguments Iin Ithe Ihousehold, Iwhich Iled Ito Ithe Idaughter Igetting Igrounded Ifor I2 Iweeks.
IWhich Itheory Idoes Ithe IPMHNP Irecognize Ias Ithe Imost Iapplicable?
Selected IAnswer: A. I
Systems Itheory
• Question 11 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ia Imarried Icouple. IThe Iwoman Ifeels Ivery Iinsecure,
Iparticularly Iwhen Iit Icomes Ito Iher Ihusband Iworking Iwith Iwomen Iin Ihis Ioffice. IShe
Ireports, I“My Igirlfriends Isay Ithat Iit’s Inot Iattractive Ito Ibe Iinsecure Ilike II Iam, Iso II’m Ireally
Imaking Ithe Iproblem Iworse Iby Ibeing Iso Iinsecure.” IHow Ican Ithe IPMHNP Iexternalize
Ithe Iwoman’s Iproblem?
Selected IAnswer: B. I
Help Ithe Iwoman Ifree Iherself Ifrom Ithe Ilabel Iof I“insecure”
• Question 12 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ia Iset Iof Iparents Iand Itheir I12-year-old Ison, Iwho Iaccording
Ito Ithe Iparents Iis Ifearful Iof I“nearly Ieverything.” IThe Ison Iadmits Ithat Ihe Idoes Inot Ilike Ito
Iride Ihis Ibike, Iplay Iwith Ihis Ifriends, Ior Iparticipate Iin Iactivities Isuch Ias Isports, Iin Iwhich
Ihe Icould Ihurt Ihimself Ior Ibecome Idirty. IWhat Idoes Ithe IPMHNP Isay Ito Ithe Ison Ito
Ipersonify Ithe Iproblem Iusing Iexternalizing Iconversation Itechniques?
Selected IAnswer: C. I
“How Ioften Idoes Ifear Imake Iyou Ido Iwhat Iit Iwants Iyou Ito Ido?”
• Question 13 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ithe Iparents Iof Ia Ischool-aged Igirl. IThe Imother Ireports
Ifeeling Ifrustrated, Ibecause Ithey Icannot Iget Itheir Idaughter Ito Ido Iher Ihomework. I“All
Ishe Iwants Ito Ido Iis Iplay Ion Iher Iphone,” Ithe Ifather Ireports. IThe Imother Itells Ithe IPMHNP
Ithat Ithey Ihave Itried Ithreatening Iher Iby Itelling Iher Ithat Ishe Iwon’t Ibe Iable Ito Ihave Iher
Ifriends Iover Iand Ithat Ishe Iwon’t Ibe Iallowed Ito Iwatch ITV. IWhich Iof Ithe Ifollowing
Iresponses Imade Iby Ithe IPMHNP Idemonstrates Iuse Iof Ithe IPremack Iprinciple?
Selected B. I
IAnswer: “Have Iyou Itried Imaking Iher Iphone Iprivileges Icontingent Ion Ifinishing
Iher Ihomework?”
I I I
• Question 1 I
1 Iout Iof I1 Ipoints
While Iin Ia Ifamily Itherapy Isession, Ia Iwife Icomments, I“Instead Iof Ispending Itime Iwith
Ime, Ihe Iis Iusually Iwatching Isports Ion Itelevision.” IUsing Ian Iemotionally Ifocused Ifamily
Itherapy Iapproach, Iwhat Iis Ian Iappropriate Iresponse Iby Ia IPMHNP Iusing Ian Ievocative
Iquestion Itechnique?
Selected IAnswer: B. I
“How Iare Iyou Ifeeling Inow Ias Iyou Iare Isharing Ithat?”
• Question 2 I
0 Iout Iof I1 Ipoints
The IPMHNP Iis Idiscussing Iproblem-solving Itechniques Iwith Ia Imarried Icouple. IWhat
Irecommendation Iwill Ithe IPMHNP Iprovide Ito Ithe Icouple?
Selected A. I
IAnswer: “Speak Icalmly, Iand Iexplain Iyour Ientire Ipoint Ibefore Iasking Iyour
Ipartner Ito Irespond.”
• Question 3 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Iproviding Ifamily Itherapy Ito Itwo Iparents Iand Itheir Itwin I14-year-old
Ichildren. IThe Ichildren Ibecome Idefiant Iaround Ibedtime Iand Iare Istill Iworking Ion Itheir
Ihomework Ilate Iinto Ithe Inight. IHow Idoes Ithe IPMHNP Iemploy Ian Iexperiential Itechnique
Iof Ifamily Isculpting?
Selected A. I
IAnswer: Asks Ione Iof Ithe Iparents Ito Iarrange Ithe Ifamily Iinto Ia Itypical Ibedtime
Iscene
• Question 4 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Iassessing Ia Imarried Icouple Iwho Idisclosed Ion Ithe Iintake Iform Ithat Ithat
Ithey Iare Ihaving Iintimacy Iissues. IDuring Ithe Iassessment, Ithe IPMHNP Iasks Ithe Icouple
Iwhat Ibrings Ithem Iin Itoday. IThe Iwife Iis Iquick Ito Ianswer, I“My Ihusband Idoesn’t Ilisten Ito
Ime Ianymore.” IUsing Ithe IMental IResearch IInstitute I(MRI) Iassessment Itechnique, Ihow
Idoes Ithe IPMHNP Irespond Ito Ithis?
Selected IAnswer: B. I
By Iasking Ithe Iwife Ito Iexplain Iwhat Iexactly I“not Ilistening” Imeans
• Question 5 I
0 Iout Iof I1 Ipoints
, The IPMHNP Iis Iworking Iwith Ia Imarried Icouple Iin Ia Ifamily Isession Isetting. IThe Iwife
Ireports Ifeeling Iupset Ibecause Iher Ihusband Idoes Inot Ipay Iattention Ito Iher. IWhich
Istatement Imade Iby Ithe IPMHNP Iwill Ichallenge Ithe Iwife Ito Isee Ithings Idifferently? I
Selected D. I
IAnswer: “What Ican Iyou Isay Ito Iyour Ihusband Ito Iget Ihim Ito Ichange Ihis
Iactions?”
• Question 6 I
1 Iout Iof I1 Ipoints
A Iman Icalls Ia IPMHNP Ito Iset Iup Ian Iinitial Iappointment Ifor Ifamily Itherapy. I IHe Iexplains,
I“My Iwife Ilost Iher Ijob Iseveral Imonths Iago. IShe Ihas Ibeen Iangry Iand Iless Ipatient Iwith
Ithe Ikids. IAll Iof Ithe Istress Iis Itaking Ia Itoll Ion Ime. II Ican’t Ifocus Iat Ithe Ioffice Iand II’m
Imentally Iexhausted Iat Ihome.” IBased Ion Ithis Iphone Icontact, Iwho Iwould Ithe IPMHNP
Imost Ilikely Ichoose Ito Isee Ifor Ithe Ifirst Isession?
Selected IAnswer: A. I
The Ihusband Ialone
• Question 7 I
1 Iout Iof I1 Ipoints
During Ia Ifamily Itherapy Isession, Ia I10-year-old Igirl Isays Ito Iher Ifather, I“You Iare Iat Iwork
Iall Ithe Itime Iand Iare Inever Iaround.” IWhat Iis Ithe Imost Iappropriate Iresponse Iby Ithe
IPMHNP Ito Iimprove Icommunication?
Selected B. I
IAnswer: Ask Ithe Ifather Iwhat Ihe Iheard Iwhen Ihis Idaughter Imade Ithat
Icomment
• Question 8 I
0 Iout Iof I1 Ipoints
The IPMHNP Iis Iworking Iwith Ia Imarried Icouple Iwho Ihave Iagreed Ito Iseek Isex Itherapy
Idue Ito Ithe Iwife’s Igradual Idecrease Iin Iinterest Iin Isex. IThe Iwife Iexplains Ithat Ishe Ifeels
Ias Ithough Ishe Icannot Ifeel Icomfortable Inaked Iand Ienjoying Ibeing Iintimate. IThe
IPMHNP Irecognizes Ithat Ithe Icouple Icould Ipossibly Ibenefit Ifrom Isensate Ifocus. ITo
Iapply Ithe Isensate Ifocus Iexercise, Ithe IPMHNP Isuggests Ithe Icouple Ifirst Ido Iwhat?
Selected IAnswer: D. I
Practice Itouching Ione Ianother Iintimately
• Question 9 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ia Ihusband Iand Iwife Iwho Ihave Iseparated Ibut Iare Itrying Ito
Irekindle Ithe Imarriage. IThe IPMHNP Iasks Ithe Icouple Iwhat Ithey Ihope Ito Igain Ifrom Ithe
Isessions, Iand Ithey Iprovide Ithe IPMHNP Iwith Ivague Ianswers. IWhat Ican Ithe IPMHNP
Ican Iask Ithe Icouple Ito Ihelp Ithem Icreate Ibetter Idefined Igoals?
Selected IAnswer: D. I
All Iof Ithe Iabove
, • Question 10 I
0 Iout Iof I1 Ipoints
The IPMHNP Iis Iworking Iwith Ia Ifamily Iconsisting Iof Ia Ifather, Ia Imother, Iand Ia Idaughter
Iwho Iis Ia Isophomore Iin Ihigh Ischool. IThe Iissue Ibeing Idiscussed Ihas Ito Ido Iwith Ithe
Idaughter’s Iemotional Ioutbursts Iabout Iwanting Ito Ispend Imore Itime Iwith Iher Ifriends.
IRecently, Ithe Idaughter Iblew Iup Iat Ithe Iparents Iover Ithe Ifact Ithat Ithey Iwouldn’t Ilet Iher
Igo Ito Ia Iparty, Isince Iolder Ikids Ifrom Ithe Ischool Iwere Ithrowing Iit. IThis Ioutburst Iled Ito
Iarguments Iin Ithe Ihousehold, Iwhich Iled Ito Ithe Idaughter Igetting Igrounded Ifor I2 Iweeks.
IWhich Itheory Idoes Ithe IPMHNP Irecognize Ias Ithe Imost Iapplicable?
Selected IAnswer: A. I
Systems Itheory
• Question 11 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ia Imarried Icouple. IThe Iwoman Ifeels Ivery Iinsecure,
Iparticularly Iwhen Iit Icomes Ito Iher Ihusband Iworking Iwith Iwomen Iin Ihis Ioffice. IShe
Ireports, I“My Igirlfriends Isay Ithat Iit’s Inot Iattractive Ito Ibe Iinsecure Ilike II Iam, Iso II’m Ireally
Imaking Ithe Iproblem Iworse Iby Ibeing Iso Iinsecure.” IHow Ican Ithe IPMHNP Iexternalize
Ithe Iwoman’s Iproblem?
Selected IAnswer: B. I
Help Ithe Iwoman Ifree Iherself Ifrom Ithe Ilabel Iof I“insecure”
• Question 12 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ia Iset Iof Iparents Iand Itheir I12-year-old Ison, Iwho Iaccording
Ito Ithe Iparents Iis Ifearful Iof I“nearly Ieverything.” IThe Ison Iadmits Ithat Ihe Idoes Inot Ilike Ito
Iride Ihis Ibike, Iplay Iwith Ihis Ifriends, Ior Iparticipate Iin Iactivities Isuch Ias Isports, Iin Iwhich
Ihe Icould Ihurt Ihimself Ior Ibecome Idirty. IWhat Idoes Ithe IPMHNP Isay Ito Ithe Ison Ito
Ipersonify Ithe Iproblem Iusing Iexternalizing Iconversation Itechniques?
Selected IAnswer: C. I
“How Ioften Idoes Ifear Imake Iyou Ido Iwhat Iit Iwants Iyou Ito Ido?”
• Question 13 I
1 Iout Iof I1 Ipoints
The IPMHNP Iis Imeeting Iwith Ithe Iparents Iof Ia Ischool-aged Igirl. IThe Imother Ireports
Ifeeling Ifrustrated, Ibecause Ithey Icannot Iget Itheir Idaughter Ito Ido Iher Ihomework. I“All
Ishe Iwants Ito Ido Iis Iplay Ion Iher Iphone,” Ithe Ifather Ireports. IThe Imother Itells Ithe IPMHNP
Ithat Ithey Ihave Itried Ithreatening Iher Iby Itelling Iher Ithat Ishe Iwon’t Ibe Iable Ito Ihave Iher
Ifriends Iover Iand Ithat Ishe Iwon’t Ibe Iallowed Ito Iwatch ITV. IWhich Iof Ithe Ifollowing
Iresponses Imade Iby Ithe IPMHNP Idemonstrates Iuse Iof Ithe IPremack Iprinciple?
Selected B. I
IAnswer: “Have Iyou Itried Imaking Iher Iphone Iprivileges Icontingent Ion Ifinishing
Iher Ihomework?”
