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Question 1
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?
A. The client has a fear of losing his or her identity.
B. The client prefers one-to-one interactions.
C. The client wants to be the leader of the group.
D. The client lacks effective communication skills.
Question 2
Members of a therapy group have been meeting for several weeks. While a member named
Margaret is talking about how her spouse ignores her when she tries to tell him what to do,
another member named Nicole interrupts and says, “Maybe he thinks you are being bossy.”
Margaret replies by saying, “At least I’m not an alcoholic like you are!” What is an appropriate
response by the PMHNP?
A. Stop the conversation and intervene
B. Ask Nicole how she feels about the incident
C. Remind members about important group norms
D. All of the above
Question 3
During the “mid-group debrief” the clinical supervisor focused on the following areas with the
two counselors except:
A. What they did well in engaging the group members.
B. The mistakes that they made in the group and how they can fix them.
C. Observations on how the group members overcame uncertainty with activities.
D. Feedback from each of the counselors who participated in the group.
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Question 4
The PMHNP recognizes that hostility is unavoidable in a group and acknowledges that a
frequent source of hostility can be parataxic distortions. Which situation is likely to present a
parataxic distortion within the group?
A. Peggy, a 54-year-old woman, acting as a surrogate to Susan, who is a younger and newer
member of the group
B. Jerry, a Mexican medical doctor who denies his heritage and Carlos, a proud Mexican
warehouse employee
C. Spencer, a Caucasian politician with a history of substance abuse, and a Caucasian
therapist
D. A successful entrepreneur and an aspiring spoken-word poet
Question 5
A PNHNP is holding a group therapy session for a father and his 10-year-old son, whom the
father explains has been acting out lately. The son says, “He is always telling me what to do and
never listens when I have an idea.” Which solution would the PMHNP most likely suggest as an
approach to the problem?
A. Role-playing exercises
B. Intrapersonal skills training
C. Psychological testing
D. Individual therapy
Question 6
The PMHNP is working with an older adult woman and her adult children. The children report
that the mother was diagnosed with dementia, and they are all concerned about her welfare. The
plan is for the mother to move in with one of the children, but they are still worried about how
the mother will manage during the day when she is left alone. What does the PMHNP identify
as the focus of the family therapy?
A. Helping the patient and children understand the skills for daily living
B. Educating the patient and children about how to maintain a meaningful relationship
C. Teaching the patient and children concrete suggestions for managing anxiety related to
dementia
D. A and B
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Question 7
A patient in group therapy for people dealing with panic disorder is describing a recent panic
attack. He says, “During this attack, I felt like I was dying.” What is an appropriate response by
the PMHNP using didactic instruction?
A. “Would other members please share your experiences?”
B. “I’m going to discuss the physiological cause of panic attacks.”
C. “I would like to ask everyone to keep a journal of their panic attacks.”
D. All of the above
Question 8
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:
A. Addressing structure by being clear about what the group will and will not do
B. Establishing links with the commonalities shared by group members
C. Achieving the pre-determined agenda by manipulating questions and session content
D. Helping others see that they are not alone and that others may share their concerns
Question 9
The anticipation of the first meeting among psychotherapy group attendees may cause feelings of
dread and uneasiness among clients. How does the PMHNP demonstrate awareness and promote
the success of this first psychotherapy meeting?
A. By conducting a standardized evaluation for the clients participating in this group
B. By assigning roles for each member at the beginning of the first meeting
C. By calling clients who will be attending to remind them of the group a week prior
D. By asking each member what his or her fears are as he or she joins the group
Page 3 of 25 www.OnlineNursingPapers.com
Question 1
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?
A. The client has a fear of losing his or her identity.
B. The client prefers one-to-one interactions.
C. The client wants to be the leader of the group.
D. The client lacks effective communication skills.
Question 2
Members of a therapy group have been meeting for several weeks. While a member named
Margaret is talking about how her spouse ignores her when she tries to tell him what to do,
another member named Nicole interrupts and says, “Maybe he thinks you are being bossy.”
Margaret replies by saying, “At least I’m not an alcoholic like you are!” What is an appropriate
response by the PMHNP?
A. Stop the conversation and intervene
B. Ask Nicole how she feels about the incident
C. Remind members about important group norms
D. All of the above
Question 3
During the “mid-group debrief” the clinical supervisor focused on the following areas with the
two counselors except:
A. What they did well in engaging the group members.
B. The mistakes that they made in the group and how they can fix them.
C. Observations on how the group members overcame uncertainty with activities.
D. Feedback from each of the counselors who participated in the group.
Page 1 of 25 www.OnlineNursingPapers.com
, www.OnlineNursingPapers.com
Question 4
The PMHNP recognizes that hostility is unavoidable in a group and acknowledges that a
frequent source of hostility can be parataxic distortions. Which situation is likely to present a
parataxic distortion within the group?
A. Peggy, a 54-year-old woman, acting as a surrogate to Susan, who is a younger and newer
member of the group
B. Jerry, a Mexican medical doctor who denies his heritage and Carlos, a proud Mexican
warehouse employee
C. Spencer, a Caucasian politician with a history of substance abuse, and a Caucasian
therapist
D. A successful entrepreneur and an aspiring spoken-word poet
Question 5
A PNHNP is holding a group therapy session for a father and his 10-year-old son, whom the
father explains has been acting out lately. The son says, “He is always telling me what to do and
never listens when I have an idea.” Which solution would the PMHNP most likely suggest as an
approach to the problem?
A. Role-playing exercises
B. Intrapersonal skills training
C. Psychological testing
D. Individual therapy
Question 6
The PMHNP is working with an older adult woman and her adult children. The children report
that the mother was diagnosed with dementia, and they are all concerned about her welfare. The
plan is for the mother to move in with one of the children, but they are still worried about how
the mother will manage during the day when she is left alone. What does the PMHNP identify
as the focus of the family therapy?
A. Helping the patient and children understand the skills for daily living
B. Educating the patient and children about how to maintain a meaningful relationship
C. Teaching the patient and children concrete suggestions for managing anxiety related to
dementia
D. A and B
Page 2 of 25 www.OnlineNursingPapers.com
, www.OnlineNursingPapers.com
Question 7
A patient in group therapy for people dealing with panic disorder is describing a recent panic
attack. He says, “During this attack, I felt like I was dying.” What is an appropriate response by
the PMHNP using didactic instruction?
A. “Would other members please share your experiences?”
B. “I’m going to discuss the physiological cause of panic attacks.”
C. “I would like to ask everyone to keep a journal of their panic attacks.”
D. All of the above
Question 8
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:
A. Addressing structure by being clear about what the group will and will not do
B. Establishing links with the commonalities shared by group members
C. Achieving the pre-determined agenda by manipulating questions and session content
D. Helping others see that they are not alone and that others may share their concerns
Question 9
The anticipation of the first meeting among psychotherapy group attendees may cause feelings of
dread and uneasiness among clients. How does the PMHNP demonstrate awareness and promote
the success of this first psychotherapy meeting?
A. By conducting a standardized evaluation for the clients participating in this group
B. By assigning roles for each member at the beginning of the first meeting
C. By calling clients who will be attending to remind them of the group a week prior
D. By asking each member what his or her fears are as he or she joins the group
Page 3 of 25 www.OnlineNursingPapers.com
