NURS 6650 Mid-Term Exam - Q & A.

 Question 1
1 out of 1 points
While in a family therapy session, a wife comments, “Instead of spending time with
me, he is usually watching sports on television.” Using an emotionally focused family
therapy approach, what is an appropriate response by a PMHNP using an evocative
question technique?
Selected B.
Answer: “How are you feeling now as you are sharing that?”
 Question 2
0 out of 1 points
The PMHNP is discussing problem-solving techniques with a married couple. What
recommendation will the PMHNP provide to the couple?
Selected A.
Answer: “Speak calmly, and explain your entire point before asking your
partner to respond.”
 Question 3
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 4
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 B.
Answer: By asking the wife to explain what exactly “not listening” means
 Question 5
0 out of 1 points
The PMHNP is working with a married couple in a family session setting. The wife
reports feeling upset because her husband does not pay attention to her. Which
statement made by the PMHNP will challenge the wife to see things differently?
Selected D.
Answer: “What can you say to your husband to get him to change his

, actions?”
 Question 6
1 out of 1 points
A man calls a PMHNP to set up an initial appointment for family therapy. He
explains, “My wife lost her job several months ago. She has been angry and less
patient with the kids. All of the stress is taking a toll on me. I can’t focus at the office
and I’m mentally exhausted at home.” Based on this phone contact, who would the
PMHNP most likely choose to see for the first session?
Selected A.
Answer: The husband
alone
 Question 7
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 8
0 out of 1 points
The PMHNP is working with a married couple who have agreed to seek sex therapy
due to the wife’s gradual decrease in interest in sex. The wife explains that she feels
as though she cannot feel comfortable naked and enjoying being intimate. The
PMHNP recognizes that the couple could possibly benefit from sensate focus. To
apply the sensate focus exercise, the PMHNP suggests the couple first do what?
Selected D.
Answer: Practice touching one another intimately
 Question 9
1 out of 1 points
The PMHNP is meeting with a husband and wife who have separated but are trying
to rekindle the marriage. The PMHNP asks the couple what they hope to gain from
the sessions, and they provide the PMHNP with vague answers. What can the
PMHNP can ask the couple to help them create better defined goals?
Selected D.
Answer: All of the above
 Question 10
0 out of 1 points
The PMHNP is working with a family consisting of a father, a mother, and a daughter
who is a sophomore in high school. The issue being discussed has to do with the

, daughter’s emotional outbursts about wanting to spend more time with her friends.
Recently, the daughter blew up at the parents over the fact that they wouldn’t let her
go to a party, since older kids from the school were throwing it. This outburst led to
arguments in the household, which led to the daughter getting grounded for 2 weeks.
Which theory does the PMHNP recognize as the most applicable?
Selected A.
Answer: Systems theory
 Question 11
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 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 12
1 out of 1 points
The PMHNP is meeting with a set of parents and their 12-year-old son, who
according to the parents is fearful of “nearly everything.” The son admits that he does
not like to ride his bike, play with his friends, or participate in activities such as
sports, in which he could hurt himself or become dirty. What does the PMHNP say to
the son to personify the problem using externalizing conversation techniques?
Selected C.
Answer: “How often does fear make you do what it wants you to do?”
 Question 13
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 14
1 out of 1 points
The PMHNP is meeting with two women, ages 35 and 42, who are concerned about