NURS 6650 FINAL EXAM 2 – QUESTION AND ANSWERS

NURS 6650 FINAL EXAM 2 – QUESTION AND
ANSWERS

 QUESTION/ANSWER 1
2 of 2 point
In a group therapy session for adolescents, a 15-year-old patient says he has
trouble making conversation with people he does not know well. Based on the
principle of development of socializing techniques, what explicit approach might the
PMHNP take?
Selected C.
Answer: Have group members conduct a role play to practice making
conversation
 QUESTION/ANSWER 2
2 of 2 point
One group member is identified by the PMHNP as the monopolist of the group.
Which behavior does the PMHNP believe this member is most likely to display?
Selected B.
Answer: Talking excessively and inserting him- or herself into conversations
even when they do not involve him or her
 QUESTION/ANSWER 3
2 of 2 point
During a first group therapy session, a member is outgoing and participates actively.
Based on this information, what is an appropriate prediction about this group
member by the PMHNP?
Selected B.
Answer: The member may be influential in the
group.
 QUESTION/ANSWER 4
2 of 2 point
A 21-year-old client with narcissistic traits is noted to continuously disrupt the group
by speaking while others are speaking. It becomes evident that the client is
purposely disrupting the group and decreasing the group’s productivity. What does
the PMHNP identify as a cause of the client’s behavior?
Selected A.
Answer: The client has a fear of losing his or her identity.
 QUESTION/ANSWER 5
2 of 2 point
Harold Wyman is a 74-year-old man who is trying to mend a relationship with his

, adult daughter. Based on his intake assessment, the PMHNP believes that the
father has depression. The daughter and Harold meet with the PMNHP, and the
daughter explains that her father always appears mopey and withdrawn and refuses
to do anything about it. When asked, the father reports feeling sad all the time.
Which action will the PMNHP employ with Harold using the interpersonal
psychotherapy approach throughout the various sessions?
Selected D.
Answer: All of the above
 QUESTION/ANSWER 6
2 of 2 point
A PMHNP is leading a group therapy session for patients with substance abuse
problems. After a productive session in which all members participated, the
following week was not as productive. In order to help the group members assume
responsibility for evaluating the meeting, what is an appropriate comment for the
PMHNP to make?
Selected A.
Answer: “How would you compare today’s meeting with last
week’s?”
 QUESTION/ANSWER 7
2 of 2 point
During the “mid-group debrief” the clinical supervisor focused on the following areas
with the two counselors except:
Selected B.
Answer: The mistakes that they made in the group and how they can fix
them.
 QUESTION/ANSWER 8
2 of 2 point
The social microcosm theory is a theory that relates to group composition. In
accordance with this theory, the PMHNP is aware that the group must consist of
which of the following?
Selected A.
Answer: Males and females of different ages, education levels,
socioeconomic statuses, and professions
 QUESTION/ANSWER 9
0 out of 1 points
Peter, a successful businessman, is introduced to the group during the twelfth week.
Following Peter’s introduction, Joseph, a long-term member in the group, begins to lead
the group and discuss all of the things that he has personally accomplished. In what way
does the PMHNP correctly interpret Joseph’s behavior?

, Selected Joseph wants to show Peter how much he has grown since
Answer: joining the group.

 QUESTION/ANSWER 10
0 out of 1 points
The PMHNP conducts a specialized individual interview with a patient named
Sandy. During this interview, Sandy expresses her want of the other members to
like her, and she has a deep dread for the first group meeting. How does the
PMHNP correctly interpret Sandy’s interpersonal circumplex?
Selected D.
Answer: Sandy is likely to prematurely view members of the group as
hostile.
 QUESTION/ANSWER 11
2 of 2 point
When discussing the role of the consultant in the parenting group session, Dr.
Carlson explains that the consultant should use several skills in order to help keep
the group going and should enable group members to become very engaged with
one another. The consultant should use all of the following skills to achieve this,
except:
Selected C.
Answer: Achieving the pre-determined agenda by manipulating
QUESTION/ANSWERs and session content
 QUESTION/ANSWER 12
2 of 2 point
A PMHNP is meeting with parents and their 10-year-old child. The child is having
trouble paying attention at school and has been getting easily frustrated at home
when doing homework, which often results in everyone arguing. What step might
the PMHNP take as part of a family-centered, solution-oriented approach?
Selected D.
Answer: All of the above
 QUESTION/ANSWER 13
0 out of 1 points
The PMHNP is meeting with an adult woman and her father, who is 85 years old.
The father stays quiet most of the session. The daughter explains he is mad at her
for “bringing him to a see a shrink.” The daughter reports that things have been
tense in the house since her father moved in. The father has a history of
depression, though he does not take any medication for it. In addition, lately the
father seems to never sleep. “I hear him rummaging around in the kitchen, the
garage, the living room, at all hours of the night. Sometimes he’ll nap during the
day, but not much. This is putting a strain on my marriage, because my husband
can’t sleep with all of this going on.” Which therapeutic approach does the PMHNP