Walden University NURS 6650 Midterm Exam – Questions
with Answers
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?
Answer: B.
“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?
Answer: D.
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?
Answer: D.
“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?
Answer: A.
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?
Answer: A.
Encourage the family to address concerns by writing letters to each
other
Question 6
The PMHNP is providing family therapy to a married couple having an issue with
communication. Using the structural family model, what does the PMNHP have the
couple do as part of enactment?
Answer A.
: Have the spouses switch roles and pretend to act like the other person
Question 7
The PMHNP is meeting with a woman and her 11-year-old child, who was a victim of
sexual abuse. The offender is the child’s stepfather, who is currently in jail. What action
does the PMHNP employ with the child and mother during the first session?
Answer D.
: Giving the child and mother a choice about how much to discuss
Question 8
The PMHNP is providing marital therapy to a husband and wife who have been married
for 6 years. They are attending therapy sessions, because they both want to get their
marriage back on track. They report that lately they have not been communicating well
or meeting each other’s needs. What does the PMHNP suggest to the couple when
applying a behavior exchange technique?
Answer D.
: All of the above
Question 9
The PMHNP is working with a family that includes two parents and their two children.
The PMHNP defined the problem and goal in a previous session. Today, the PMHNP
wants to find out whether the family has experienced any attempted solutions. What does
the PMHNP identify as an attempted solution that actually perpetuates the family
problem?
Answer D.
: All of the above
Question 10
, Which of the following is an exception question that the PMHNP can ask when working
with a patient who is having trouble managing stress at work?
Answer: A.
“What’s different about times when the problem doesn’t come up in
your office?”
Question 11
During the initial assessment of a newly married couple, the PMHNP learns that they
decided to come to family therapy in order to address their communication problems.
Which of the following actions taken by the PMHNP demonstrates the use of the
solutions-focused approach?
Answer: D.
B and C
Question 12
The PMHNP is meeting with a family that consists of a mother and father and their two
daughters, ages 8 and 10. During the session, the PMHNP hears one child say, “My
sister never gets into trouble because she’s the smart one.” Which family therapy theory
is most applicable to this family?
Answer: B.
Role theory
Question 13
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?
Answer: D.
A and C
Question 14
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?
Answer: A.
Have the sisters play each other’s role in the argument
Question 15
with Answers
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?
Answer: B.
“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?
Answer: D.
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?
Answer: D.
“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?
Answer: A.
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?
Answer: A.
Encourage the family to address concerns by writing letters to each
other
Question 6
The PMHNP is providing family therapy to a married couple having an issue with
communication. Using the structural family model, what does the PMNHP have the
couple do as part of enactment?
Answer A.
: Have the spouses switch roles and pretend to act like the other person
Question 7
The PMHNP is meeting with a woman and her 11-year-old child, who was a victim of
sexual abuse. The offender is the child’s stepfather, who is currently in jail. What action
does the PMHNP employ with the child and mother during the first session?
Answer D.
: Giving the child and mother a choice about how much to discuss
Question 8
The PMHNP is providing marital therapy to a husband and wife who have been married
for 6 years. They are attending therapy sessions, because they both want to get their
marriage back on track. They report that lately they have not been communicating well
or meeting each other’s needs. What does the PMHNP suggest to the couple when
applying a behavior exchange technique?
Answer D.
: All of the above
Question 9
The PMHNP is working with a family that includes two parents and their two children.
The PMHNP defined the problem and goal in a previous session. Today, the PMHNP
wants to find out whether the family has experienced any attempted solutions. What does
the PMHNP identify as an attempted solution that actually perpetuates the family
problem?
Answer D.
: All of the above
Question 10
, Which of the following is an exception question that the PMHNP can ask when working
with a patient who is having trouble managing stress at work?
Answer: A.
“What’s different about times when the problem doesn’t come up in
your office?”
Question 11
During the initial assessment of a newly married couple, the PMHNP learns that they
decided to come to family therapy in order to address their communication problems.
Which of the following actions taken by the PMHNP demonstrates the use of the
solutions-focused approach?
Answer: D.
B and C
Question 12
The PMHNP is meeting with a family that consists of a mother and father and their two
daughters, ages 8 and 10. During the session, the PMHNP hears one child say, “My
sister never gets into trouble because she’s the smart one.” Which family therapy theory
is most applicable to this family?
Answer: B.
Role theory
Question 13
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?
Answer: D.
A and C
Question 14
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?
Answer: A.
Have the sisters play each other’s role in the argument
Question 15
