Walden NURS6650 Midterm Exam – Week 6

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Walden NURS6650 Midterm Exam – Week 6

Question

Question 1

When completing this exam, did you comply with Walden
University’s Code of Conduct including the expectations for academic integrity?

Question 2

The PMHNP is providing narrative therapy to a family.
Although each family member assigns a “problem” to another, the PMHNP attempts
to separate each person in the family from their problems. The goal is to find
something they all have in common so the family can unite. What will the PMHNP
do next to help facilitate this goal?

Question 3

When using a cognitive behavioral approach, a PMHNP says to
a group member, “Carla, it sounds like Greg thinks that you might want to try
yoga for relaxation.” What would be an appropriate next statement by the PMHNP
to Carla?

Question 4

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?

Question 5

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?

Question 6

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?

Question 7

The PMHNP is meeting with two women, ages 35 and 42, who are
concerned about their mother’s use of alcohol. During the meeting, what
question(s) should the PMHNP ask the mother to help uncover the potential
drinking problem?

Question 8

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?

Question 9

During a family therapy session, the PMHNP identifies a
significant amount of emotional fusion between the parents and their young
adult son. The son admits that he tries to seek distance from his parents. This
is why he moved out of state for college, though he still comes back to visit
out of obligation. What does the PMHNP interpret about this scenario?

Question 10

The PMHNP is meeting with a husband and wife and observes
that the husband is able to maintain his composure while the wife becomes more
teary and emotional throughout the session. Which principle is used to describe
this observation?

Question 11

A couple and their 13-year-old daughter have been in family
therapy. The mother explains that her daughter is unhappy at private school and
would like to be in public school. The father has been listening quietly and
then says, “We are upset that our daughter wants to leave private school.” When
using a systemic family therapy approach, what is the appropriate response by
the PMHNP to the father?

Question 12

The PMHNP is working with the parents of an 8-year-old. They
are facing challenges with their daughter’s school because of her behavior
toward other students. “Our daughter has become a problem,” they explain. Which
statement(s) made by the PMHNP supports the use of the narrative therapy model?

Question 13

The PMHNP meets with the parents of a 6-year-old; they are
having a difficult time with their child’s behavior. The PMHNP aims to bring
the family together and asks the parents to think about one of the challenging
issues they face with their child. The PMHNP says, “Imagine this situation
happening as a scene in a movie, one that you can rewind and watch again. Watch
this scene again, this time paying attention to what you feel, what you see,
and what you hear.” The parents are then asked to re-experience the same scene
from the child’s point of view. Continuing to use Satir’s technique of the
experiential model, what does the PMNHP have the parents do next?

Question 14

The PMHNP is meeting with a single father and his adolescent
daughter. They have been “butting heads” because of the daughter’s differing
opinions about her curfew and social life. They haven’t been able to
communicate well. The PMHNP tries an experiential technique of family drawing.
What will the PMHNP have the father and daughter do for this technique?

Question 15

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?

Question 16

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?

Question 17

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?

Question 18

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?

Question 19

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?

Question 20

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?

Question 21

A client in group therapy has been suffering from anxiety
and is worried that she will have a panic attack again. Which of the following
interventions demonstrates use of the principle of imparting knowledge?

Question 22

The PMHNP wants to identify the unique outcomes of a married
couple who are having arguments about finances. In particular, the wife is
concerned about her husband splurging without consulting her. What question
will the PMHNP ask to arrive at the unique outcomes?

Question 23

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?

Question 24

The PMHNP is meeting with a single mother and her
19-year-old son who lives with her. The son complains that his mother is always
nagging him. What is the PMHNP’s interpretation of this scenario according to a
complementarity approach?

Question 25

A PMHNP has integrated group treatment into his practice.
After the orientation phase, group members have been exchanging ideas. One
member says, “I think you should confront your son and ask why he is so
disrespectful.” Another member responds by saying, “That is a terrible idea. If
you confront him, he will just be angry with you.” The first member then
replies, “You are not the expert here!” The rest of the group members then
start taking sides as the debate continues. What step should the PMHNP take to help
group development?

Question 26

A PMHNP is working with a mother and daughter to help them
improve their communication skills. The mother explains that they have had
numerous arguments caused by miscommunication lately. Using a structural family
therapy approach, what is the appropriate response by the PMHNP?

Question 27

The PMHNP is assessing a family that consists of a mother
and a father and their daughter Rachel. The family is discussing the issue of
time management in the home, particularly involving the daughter’s
extracurricular schedule. The mother asks, “Rachel, how many times has your
father been late to pick you up from soccer?” What does the PMHNP take away
from this interaction?

Question 28

During a family therapy session, the PMHNP hears the father
say to the son, “You shouldn’t play video games where you shoot people.”
According to the Bion school of thought, what is the content of the message
that the father is trying to express?

Question 29

The PMHNP is working with a father and his son, who is 7
years old. According to the father, the son frequently experiences outbursts
and poor impulse control. Using the differentiation of self-concept, what
advice does the PMHNP offer the child?

Question 30

The PMHNP works with a husband and a wife, but in separate
sessions, to address marital issues. One day, the wife asks the PMHNP how her
husband is progressing with his therapy. Which response made by the PMHNP is
most appropriate?

Question 31

The PMHNP is assessing a young husband and wife who just had
their first baby. Ever since having the baby, the couple has been arguing more
frequently, which the husband believes is the result of sleep deprivation.
Also, the husband believes the wife has post-partum depression. Using the Bowen
Family Systems Therapy model, what does the PMHNP do as part of the assessment?
Select all that apply.

Question 32

A PMHNP is using a structural family therapy approach.
During a family therapy session, a child says, “Is that what you really mean?”
Tracking the phrase, the PMHNP discovers that the family often uses sarcasm
when communicating. What is the appropriate next step by the PMHNP?

Question 33

The PMHNP is meeting with a mother and her 9-year-old child.
The child is upset that the father left the house and hasn’t been back in a
long time. Which action will the PMHNP perform to employ the role-playing
technique with the child?

Question 34

The PMHNP is working with a father and his teenage daughter.
The father has full custody of his daughter as of recently. He reports that the
two of them get into arguments all the time over curfew, chores, and the daughter’s
lack of responsibility that “she gets from her mother.” The daughter feels like
the father never listens to her. Which of the following actions taken by the
PMHNP demonstrates unbalancing the relationship?

Question 35

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?

Question 36

The PMHNP is meeting with a mother and father for the first
time in a family session. As soon as the session begins, the mother says, “I
don’t know what to do anymore. Our son is flunking math. I think we should pull
him out of football, but I don’t get any support in that decision. What would you
do if you were us?” The PMHNP recognizes this as what?

Question 37

The PMHNP is working with parents who argue about ways to
discipline their school-aged son. The PMHNP initiates enactment, telling the
parents to discuss the disciplinary choices directly with each other. At what
point does the PMHNP determine that the parents are demonstrating enmeshment?

Question 38

The PMHNP is discussing problem-solving techniques with a
married couple. What recommendation will the PMHNP provide to the couple?

Question 39

The PMHNP is meeting with a mother and her teenage daughter;
they are having trouble getting along. The mother complains that the daughter
is defiant and never listens or goes out whenever she wants to. The daughter
complains that the mother is too strict and won’t let her see her friends. What
does the PMHNP do to employ the use of the paradoxical intervention technique?

Question 40

A PMHNP learns that the family has been experiencing
dysfunction because a mother and her teenage son have been getting easily
annoyed and yelling at each other. When using a strategic family therapy
approach, which directive should the PMHNP suggest to solve the problem?

Question 41

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?

Question 42

The PMHNP is meeting with a married couple who have recently
had a baby. The transition of becoming new parents has caused a lot of friction
and tension in the household. The wife wishes the husband would help out at
least once with the nighttime feedings so she can get more than 3 hours of
sleep at night. The husband feels like this is an unfair request, because the
wife no longer works, but she still asks the husband to do a lot of errands
during the day. What does the PMHNP do to create a quid pro quo contract
between the husband and wife?

Question 43

The PMHNP is meeting with a family that consists of a
mother, father, and son. The son reports, “Whenever Mom gets upset with Dad,
she vents to me about it.” Which concept describes the mother’s behavior in
this scenario?

Question 44

Members of a therapy group have become aligned and are
starting to take ownership of their group experience. They are sharing more and
are being more open with each other. During the next session, the PMHNP decides
to address termination of the group. Which of the following is the most
appropriate response by the PMHNP when a group member expresses anxiety about
termination?

Question 45

The PMHNP is meeting with parents who are having difficulty
disciplining their child at home during his emotional and behavioral outbursts.
The mother feels that the father is too strict but realizes that she is tired
of getting “walked on” by their child. Which statement made by the PMHNP
demonstrates the use of internal family systems therapy model?

Question 46

The PMHNP is working with a family in a group setting. When
employing the experiential technique, what action will the PMHNP take with the
family during assessment?

Question 47

Using a systemic family therapy approach, a PMHNP is meeting
with a couple for an initial session and is asking each member to describe why
he or she came to family therapy. After creating a genogram, the PMHNP says, “I
can see that the men in your family are often the sole providers, and the women
have been in charge of running the household.” Which is the most appropriate
next response by the PMHNP?

Question 48

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?

Question 49

The PMHNP is working with a single mother and her adolescent
son. The mother reports to the PMHNP that all she wants is for her son to call
her when he is going to be late to dinner, so that she doesn’t worry about
where he is. The son explains that his mom is “too paranoid” and calls or texts
him constantly throughout the day, even if it doesn’t have to do with his
whereabouts. How can the PMHNP advise the mother and son to accommodate one
another?

Question 50

During family therapy, a husband says to his spouse, “When
you ignore me, I can’t help but shout.” Using an emotionally focused family
therapy approach, the PMHNP comments to the husband, “You feel like you are
invisible and need to be heard.” Why does the PMHNP make this comment?

Question 51

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?

Question 52

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?

Question 53

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?

Question 54

The PMHNP is assessing a 19-year-old patient who reports
feeling burdened and constrained by her family. “I feel like I can’t live my
own life, and like I need their approval for everything I do,” she says during
the assessment. Which response by the PMHNP supports the principles of family
therapy?

Question 55

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?

Question 56

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?

Question 57

The PMHNP meets with the parents of a 3-year-old boy, who
was adopted at 6 months of age. The parents ask the PMHNP if he will see the
child individually for therapy sessions on a weekly basis, based on the fact
that the parents are having difficulty getting their son to listen to them.
Which statement made by the PMHNP supports the systems theory approach to
treatment?

Question 58

The PMHNP is working with a family during their first
therapy session. According to the Gestalt school of perception, what must the
PMHNP do to change the group behavior?

Question 59

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?

Question 60 During a family therapy session, the mother
says, “I don’t know why my son is always in trouble at school. He does what he
wants to do.” The father adds, “He’s almost 14 years old. It’s up to him to get
his life in order.” What is the most appropriate intervention by the PMHNP?

Question 61

The PMHNP is leading a group session when a group member who
is usually quiet angrily interrupts another group member. He then apologizes
for his outburst and explains that he has been having a hard time since his
only child left for college. Using a person-centered approach to group
psychotherapy, which of the following is the most appropriate response by the
PMHNP?

Question 62

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?

Question 63

The PMHNP is meeting with a mother and her adult daughter,
who report that they have had a hard time getting long. The adult daughter
complains that her mother tells her what to do regarding her children, which
puts strain on the adult daughter’s marriage. The mother denies this and
explains that she is “only trying to help.” What does the PMHNP say to the
mother or daughter to convey acceptance into this family?

Question 64

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?

Question 65

The PMHNP meets with a single mother and her son. The mother
reports that the son is defiant when it comes to doing chores at home. “If he
does not do his chores, then I don’t have a picture-perfect house, and I don’t
feel like a good mother,” she explains. The PMHNP identifies this as a
problem-saturated story. How does the PMHNP respond to the family?

Question 66

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?

Question 67

A group member realizes he gets anxious when making small
talk and tends to talk only about himself. Using the principle of development
of socializing techniques, what might the PMHNP recommend that the group do
next?

Question 68

The PMHNP is meeting with a family that consists of a
husband, wife, and the wife’s mother and sister. The husband complains to the
PMHNP that the way his mother-in-law and sister-in-law barge into their home
whenever they want, without any warning, is becoming intrusive. He says,
“Because, of course, everyone in the family has keys to our home.” Which
pattern does the PMHNP identify in this family relationship?

Question 69

The PMHNP has just completed an intake assessment on a
15-year-old patient and believes the patient would benefit from family therapy.
How does the PMHNP describe the goals of the therapy to the patient and the
patient’s parents?

Question 70

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?

Question 71

The PMHNP is meeting with a family consisting of two parents
and their 10-year-old son. The parents are concerned about the child’s
behavior. “He keeps disobeying us. All he does is misbehave,” the mother cries.
The PMHNP meets individually with the son for a few sessions to learn more
about his behavior and identifies that he is participating in attention-seeking
behaviors. When the PMHNP invites the parents and son back to a family group
setting, what action made by the PMHNP supports the use of constructivism?

Question 72

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?

Question 73 The PMHNP meets with an older adult couple
having marital problems. The husband and wife both admit to the PMHNP that it
is difficult for them to speak to each other because of how much they disagree
on things lately. The husband complains that the wife is always talking about
their issues to their adult daughter. The wife reports that the husband does
the same thing. Using the Bowen Family Systems Therapy model, what does the
PMHNP interpret about this family dynamic?

Question 74 The PMHNP is performing an intake assessment on
parents who had their son later in life. Since their son left for college 6
months ago, the couple reports arguing a lot and not getting along in general.
When applying the theory of the family life cycle, what does the PMHNP say in
response to this concern?

Question 75 The PMHNP is meeting with an established patient
who is trying to resolve issues between her and her husband. The woman
convinces her husband to join her for this session. Using a solutions-focused
approach, which of the following statements would be most appropriate for the
PMHNP to make?

Question 76 The PMHNP is working with a married couple who
are having trouble communicating. The wife wants to ask for things from the
husband, but she doesn’t want to be perceived as a nag. The husband wants to
tell the wife that he needs alone time, but he doesn’t want to hurt her
feelings. Which pretend technique can the PMHNP use with the couple?

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