NURS 6650 MID TERM

 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: “Have you tried making her phone privileges contingent on finishing

her homework?”

 Question 2

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: “How many days per week are you able to sleep?”

 Question 3

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: Suggest the mom help the daughter with homework on even days of the

week

 Question 4

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: Encourage the family to address concerns by writing letters to each

other

 Question 5

 1 / 2

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: Have the sisters play each other’s role in the argument

 Question 6

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?

Answer: Help the woman free herself from the label of “insecure”

 Question 7

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?

Answer: Asks one of the parents to arrange the family into a typical bedtime

scene

 Question 8

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?

Answer: By asking the wife to explain what exactly “not listening” means

 Question 9

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?

Answer: Ask the father what he heard when his daughter made that comment

Powered by qwivy(www.qwivy.org)

 2 / 2