WALDEN UNIVERSITY
NURS 6650
MIDTERM EXAM
QUESTIONS & 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?”
NURS 6650
MIDTERM EXAM
QUESTIONS & 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?”
