NURS 6650 MIDTERM EXAM 2 – QUESTION AND
ANSWERS (75/75) 2021 UPDATE
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 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
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 D.
Answer: 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 D.
Answer: “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 A.
Answer: 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 A.
Answer: 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 D.
Answer: 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 A.
Answer: 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 B.
Answer: 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 A.
Answer: 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 B.
Answer: 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 B.
Answer: 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 A.
Answer: “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 D.
Answer: All of the above
Question 14
ANSWERS (75/75) 2021 UPDATE
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 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
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 D.
Answer: 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 D.
Answer: “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 A.
Answer: 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 A.
Answer: 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 D.
Answer: 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 A.
Answer: 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 B.
Answer: 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 A.
Answer: 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 B.
Answer: 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 B.
Answer: 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 A.
Answer: “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 D.
Answer: All of the above
Question 14
