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
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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
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