Walden NURS6650 Week 6 Midterm Exam

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Walden NURS6650 Week 6 Midterm Exam

Question

NURS6650 Psychotherapy With Groups and Families

Week 6 Midterm Exam

• 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? C

• 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 applicab

• 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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