Walden nurs6650 final exam

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• Question
1
1 out of 1 points
In a
group therapy session for adolescents, a 15-year-old patient says he has
trouble making conversation with people he does not know well. Based on the
principle of development of socializing techniques, what explicit approach
might the PMHNP take?
• Question
2
1 out of 1 points
One
group member is identified by the PMHNP as the monopolist of the group. Which
behavior does the PMHNP believe this member is most likely to display?
• Question
3
1 out of 1 points
During a
first group therapy session, a member is outgoing and participates actively.
Based on this information, what is an appropriate prediction about this group
member by the PMHNP?
• Question
4
1 out of 1 points
A
21-year-old client with narcissistic traits is noted to continuously disrupt
the group by speaking while others are speaking. It becomes evident that the
client is purposely disrupting the group and decreasing the group’s
productivity. What does the PMHNP identify as a cause of the client’s behavior?
• Question
5
1 out of 1 points
Harold
Wyman is a 74-year-old man who is trying to mend a relationship with his adult
daughter. Based on his intake assessment, the PMHNP believes that the father
has depression. The daughter and Harold meet with the PMNHP, and the daughter
explains that her father always appears mopey and withdrawn and refuses to do
anything about it. When asked, the father reports feeling sad all the time.
Which action will the PMNHP employ with Harold using the interpersonal
psychotherapy approach throughout the various sessions?
• Question
6
1 out of 1 points
A PMHNP
is leading a group therapy session for patients with substance abuse problems.
After a productive session in which all members participated, the following
week was not as productive. In order to help the group members assume
responsibility for evaluating the meeting, what is an appropriate comment for
the PMHNP to make?
• Question
7
1 out of 1 points
During
the “mid-group debrief” the clinical supervisor focused on the following areas
with the two counselors except:
• Question
8
1 out of 1 points
The
social microcosm theory is a theory that relates to group composition. In
accordance with this theory, the PMHNP is aware that the group must consist of
which of the following?
• Question
9
0 out of 1 points
Peter, a
successful businessman, is introduced to the group during the twelfth week.
Following Peter’s introduction, Joseph, a long-term member in the group, begins
to lead the group and discuss all of the things that he has personally
accomplished. In what way does the PMHNP correctly interpret Joseph’s behavior?
• Question
10
0 out of 1 points
The
PMHNP conducts a specialized individual interview with a patient named Sandy.
During this interview, Sandy expresses her want of the other members to like
her, and she has a deep dread for the first group meeting. How does the PMHNP
correctly interpret Sandy’s interpersonal circumplex?
• Question
11
1 out of 1 points
When
discussing the role of the consultant in the parenting group session, Dr.
Carlson explains that the consultant should use several skills in order to help
keep the group going and should enable group members to become very engaged
with one another. The consultant should use all of the following skills to
achieve this, except:
• Question
12
1 out of 1 points
A PMHNP
is meeting with parents and their 10-year-old child. The child is having
trouble paying attention at school and has been getting easily frustrated at
home when doing homework, which often results in everyone arguing. What step
might the PMHNP take as part of a family-centered, solution-oriented approach?
• Question
13
0 out of 1 points
The
PMHNP is meeting with an adult woman and her father, who is 85 years old. The
father stays quiet most of the session. The daughter explains he is mad at her
for “bringing him to a see a shrink.” The daughter reports that things have
been tense in the house since her father moved in. The father has a history of
depression, though he does not take any medication for it. In addition, lately
the father seems to never sleep. “I hear him rummaging around in the kitchen, the
garage, the living room, at all hours of the night. Sometimes he’ll nap during
the day, but not much. This is putting a strain on my marriage, because my
husband can’t sleep with all of this going on.” Which therapeutic approach does
the PMHNP identify as most appropriate for the 85-year-old father?
• Question
14
1 out of 1 points
During
an initial meeting, a PMHNP spends time speaking with a patient who suffers
from social anxiety. The therapist finds the patient extremely loud and
overbearing. The PMHNP’s negative feelings continue no matter how hard he or
she tries to feel differently toward the patient. What is the most appropriate
next step by the PMHNP?
• Question
15
1 out of 1 points
A
patient has had a problem with substance use and has been receiving treatment
for addiction. Which additional step might the PMHMP suggest to help the
patient maintain abstinence from drugs during and after treatment?
• Question
16
0 out of 1 points
The
leader begins a group meeting by doing the “names activity.” At the completion
of the activity, the leader explains that the activity is useful for all of the
following reasons, except:
• Question
17
1 out of 1 points
A
36-year-old client attends group therapy regularly but is consistently tardy.
The client explains that job and family obligations interfere with attendance
to the group. What is the most appropriate intervention by the PMHNP?
• Question
18
0 out of 1 points
Group
participation is an important aspect of how successful group therapy will be.
The PMHNP recognizes that the gender of group participants can play a role in
the likelihood of group participation. Which statement about gender and group
composition does the PMHNP take into account?
• Question
19
0 out of 1 points
When the
counselor discussed assertiveness with the group members, she began the session
by providing definitions and asking group members to line up consistent with
where they feel they are currently in terms of assertiveness. Why did she do
this?
• Question
20
1 out of 1 points
A
patient in group therapy named Ted shares personal information for the first
time. He seems nervous but continues to talk. How might the PMHNP use nonverbal
positive reinforcement to support Ted’s feeling more comfortable?
• Question
21
1 out of 1 points
Members
of a therapy group have been meeting for several months. During group therapy,
a patient is bossy and controlling. During this week’s session, she is
confronted by another group member about her behavior and replies, “This is not
how I normally act. You are not my family and friends. I don’t act the same way
around them.” What can the PMHNP deduce from her behavior?
• Question
22
1 out of 1 points
A PNHNP
is holding a group therapy session for a father and his 10-year-old son, whom
the father explains has been acting out lately. The son says, “He is always
telling me what to do and never listens when I have an idea.” Which solution
would the PMHNP most likely suggest as an approach to the problem?
• Question
23
0 out of 1 points
A PMHNP
is treating a patient in individual therapy and thinks the patient may be a
good candidate for group therapy. The patient is motivated to start group
therapy, which meets twice a month. Then the patient adds, “I can come to the
first two meetings, but then will be away on business for at least a month,
maybe longer. But then I can come to the at least one meeting before my next
trip.” Based on this information, what is the most likely recommendation by the
PMHNP?
• Question
24
1 out of 1 points
Members
of a therapy group have been meeting for several weeks. While a member named
Margaret is talking about how her spouse ignores her when she tries to tell him
what to do, another member named Nicole interrupts and says, “Maybe he thinks
you are being bossy.” Margaret replies by saying, “At least I’m not an
alcoholic like you are!” What is an appropriate response by the PMHNP?
• Question
25
1 out of 1 points
A
9-year-old child who witnessed a fatal car accident has come to therapy with
her parents to get treatment. The child has been irritable since the event and
has not wanted to talk about it. Utilizing a trauma-focused cognitive behavior
therapy (TF-CBT) approach, the PMHNP has reviewed skills that the parents may
use to help their child at home. Based on the PMHNP’s suggestion, which is a
statement the parents might make after the child has a temper tantrum?
• Question
26
0 out of 1 points
During
the first group meeting, a client states, “I am here because I am very shy. I
don’t mesh well with others and I rarely get invitations to go anywhere.” Which
statement about the client’s reason for seeking help and treatment best
applies?
• Question
27
1 out of 1 points
A client
is observed discussing many problems and complaints during group therapy.
However, when other group members attempt to offer advice, the client does not
accept it. Based on this observation, what can the PMHNP determine about the
client?
• Question
28
1 out of 1 points
During a
group therapy session, a member comments that another member named Ted had no
compassion. Ted replies, “Why does it matter if I care one way or another. I
can’t solve their problems.” The other member starts crying and blames Ted for
this. He shrugs and answers, “I don’t understand why you are crying.” Based on
this information, what is the most likely determination the PMHNP can make
about Ted?
• Question
29
1 out of 1 points
Jane has
been attending group therapy for the past year; she and the therapist have
determined that she has met her goals. Jane has been arriving to group late or
not coming to group at all. How does the PMHNP correctly interpret Jane’s
behavior?
• Question
30
1 out of 1 points
A PMHNP
is treating an 8-year-old child who was at a cousin’s house during a domestic
violence situation. Using a common factors model, the PMHNP wants to pay
attention to cultivating the relationship with the parents and child. After the
child talks about how nervous he or she has been since witnessing the trauma,
what is an appropriate response by the PMHNP?
• Question
31
1 out of 1 points
The
PMHNP is meeting with a married couple. The husband is 81 years old, and the
wife is 78 years old. They tell the PMHNP that many of their friends have
passed away over the last couple of years, and it’s making them feel
sentimental about their lives and the fact that they are getting older. Hearing
this, the PMHNP uses a life review approach with the couple. What action will
the PMHNP employ?
• Question
32
0 out of 1 points
A
patient in group therapy for people dealing with panic disorder is describing a
recent panic attack. He says, “During this attack, I felt like I was dying.”
What is an appropriate response by the PMHNP using didactic instruction?
• Question
33
1 out of 1 points
A
patient in group therapy discloses her concern about feeling suicidal again in
the future. Using the principle of universality, what is an appropriate step by
the PMHNP?
• Question
34
0 out of 1 points
The
PMHNP recognizes that extragroup behavior involves behavior that occurs outside
of the group or during subgrouping. Which statement best describes extragroup
behavior as it pertains to group therapy?
• Question
35
1 out of 1 points
In a
group therapy session for patients with anxiety problems, a patient named Eve
was afraid to disclose to the other members that she was a victim of sexual
abuse. She kept the secret for months, although she hinted at it to other
members. During a meeting, another member tried to pressure Eve to disclose her
secret, but she was flustered and not ready to share. What is an appropriate
response by the PMHNP?
• Question
36
1 out of 1 points
During
his second group therapy session, a member, who was quiet the previous week,
becomes very judgmental. He criticizes another member by saying, “Mary, you are
always late because you don’t respect our group.” Then he adds, “In fact, all
of you are disrespectful and uncaring.” What is an appropriate step by the
PMHNP?
• Question
37
1 out of 1 points
A
patient who has been depressed is seeing a PMHNP for individual therapy. The
patient explains that he has been avoiding most social activities for the past
few months. He is divorced and has joint custody of his 10-year-old daughter.
Based on this information, what recommendation by the PMHNP would most benefit
the patient?
• Question
38
1 out of 1 points
Following
the PMHNP’s cancellation of a group session, he or she notices a decrease in
compliance and attendance within the group. What does the PMHNP identify as the
group’s reason for noncompliance?
• Question
39
1 out of 1 points
A PNHNP
is holding a group therapy session. Today, several members have expressed fears
about being unlovable. Based on this information, what is an appropriate step
by the PMHNP to raise the members’ self-esteem?
• Question
40
0 out of 1 points
A
patient named Tyrone was nervous sharing personal information with the group.
To compensate, he makes comments on other members’ problems as if he were the
therapist. Another member of the group asked him, “Do you think you’re better
than everyone here?” What might the PMHNP help Tyrone gain from this exchange?
• Question
41
0 out of 1 points
A PMHNP
is creating a therapy group and is including a patient with borderline
personality disorder. Which action would most likely reduce the patient’s
chance of separation anxiety?
• Question
42
0 out of 1 points
The
anticipation of the first meeting among psychotherapy group attendees may cause
feelings of dread and uneasiness among clients. How does the PMHNP demonstrate
awareness and promote the success of this first psychotherapy meeting?
• Question
43
1 out of 1 points
For
several months, a patient in group therapy always participated in conversation
but only shared positive stories about her own life. During the next session,
she finally confessed that she has been depressed and cutting herself. What is
the best response by the PMHNP?
• Question
44
0 out of 1 points
Two
PMHNPs are in charge of a therapy group that has experienced several
maladaptive interpersonal dramas lately. One of the patients has been described
by other members as argumentative. After a particularly awkward session, one of
the therapists feels that his own interpersonal distortion of the session may
be clouding his observation. What is an appropriate step by that PMHNP?
• Question
45
0 out of 1 points
A PMHNP
is treating a 7-year-old child exhibiting signs of aggression and attention
problems. Before suggesting an intervention using a common elements approach,
what may the PMHNP consider?
• Question
46
0 out of 1 points
The
homogenous mode of composition involves a theory that relates to group
composition. When applying this theory, the PMHNP is aware that the group will
most likely consist of which of the following?
• Question
47
0 out of 1 points
A
patient has attended three group therapy sessions and has remained silent
throughout each. The patient has, however, been listening to the other members.
When the therapist makes eye contact with the patient, he or she forces a smile
but has clenched fists. What is the most appropriate response by the PMHNP to
help the patient?
• Question
48
1 out of 1 points
The
PMHNP is meeting with an older married couple. The couple reports having
concerns about becoming dependent on their adult children someday, since several
of their other friends have had to move in with their kids. They make it clear
to the PMHNP that they aren’t keen on therapy or taking medicine but would be
willing to try some alternative therapies. What does the PMHNP suggest for
evidence-based CAM modalities?
• Question
49
0 out of 1 points
The
PMHNP explains during a discussion that subgrouping has the potential to make
group therapy more complicated and less rewarding. Tara, a member of the group,
angrily states, “Well, Jack and I have been meeting outside of the group for
weeks now.” What is the PMHNP’s most appropriate response?
• Question 50
0 out of 1 points
Gregory
is a middle-aged veteran participant in a group led by the PMHNP. Since Gregory
has been attending group, he frequently interrupts others and seems to take
much of the group time for himself. The PMHNP identifies Gregory as a
monopolist and confronts him. She explains that she does not want him to talk
less; instead, she actually encourages him to talk more. What is the likely
cause of the PMHNP’s explanation?
• Question
51
1 out of 1 points
The
PMHNP understands that conflicts within the psychotherapy group can be
troublesome for clients and have the potential to reduce the effectiveness of
the group process. As it pertains to group meetings, the PMHNP understands
which statement to be true about conflict?
• Question
52
1 out of 1 points
One
member of a therapy group had been quiet for the first several sessions. The
member revealed to the other members feeling of depression and emptiness. This
week, the member was full of energy and talking very quickly. The member became
irritated with another member tried to interrupt, started yelling, and then
broke into a fit of laughter. Based on the situation, what can the PMHNP
determine about the member?
• Question
53
1 out of 1 points
A group
member who suffers from depression and anxiety says during the session, “I
don’t see how any of this is going to help. I am still too anxious to leave the
house and do the things I want to do.” What is an appropriate response by the
PMHNP?
• Question
54
0 out of 1 points
A PMHNP
is leading a group therapy session for patients with substance abuse problems.
After one member shares a problem, other members offer support, concern, and
observations. The PMHNP points out that the group is offering many truthful
reactions and helpful feedback. Which principle does this illustrate?
• Question
55
0 out of 1 points
The
PMHNP provides cognitive behavioral therapy (CBT) to an older adult patient
with depression. The patient’s 41-year-old daughter and 32-year-old son attend
one of his sessions with the PMHNP so that they can learn more about how to
help their father. What does the PMHNP say to the daughter and son about the
goals of their father’s CBT?
• Question
56
0 out of 1 points
The
PMHNP recognizes that hostility is unavoidable in a group and acknowledges that
a frequent source of hostility can be parataxic distortions. Which situation is
likely to present a parataxic distortion within the group?
• Question
57
1 out of 1 points
Members
of group therapy have been meeting for several weeks. The PMHNP often starts
sentences with a thank you or compliment such as, “Good observation.” The PMHNP
notices that some of the group members having been starting their statements
with compliments. To which principle can the PMHNP attribute this process?
• Question
58
1 out of 1 points
A client
diagnosed with depression has begun to feel despair and expresses a desire to
leave the group because he or she does not believe it is helpful. Which action
by the PMHNP will most likely contribute to the client staying in the group?
• Question
59
1 out of 1 points
A
14-year-old girl named Laura and her parents are meeting with a PMHNP. The
parents explain why they are there by saying, “Laura has been unhappy since she
moved to a new school. She has been moody and often talks back to us.” Laura
sits quietly and looks uncomfortable. Which is the best response by the PMHNP?
• Question
60
1 out of 1 points
Many key
principles assist with composing intensive interactional psychotherapy groups.
When composing a psychotherapy group, utilizing the intensive interactional
approach, which key principle does the PMHNP identify as being false?
• Question
61
1 out of 1 points
A PMHNP
notices that adolescents in a therapy group have not been getting along. They
are divided into two main groups and each automatically dislikes members of the
other group. What is an appropriate step for the PMHNP to take?
• Question
62
0 out of 1 points
During
an initial screening session, the PMHNP is considering a patient for group
therapy. The patient is recently divorced and says he is lonely and depressed.
What is the best referral by the PMHNP?
• Question
63
0 out of 1 points
During
an initial meeting, a patient who has been discussing suicide says to the
PMHNP, “I’m so depressed that I don’t want to leave my house. All I want to do
is stay in bed.” What type of therapy would the PMHNP most likely recommend to
this patient?
• Question
64
0 out of 1 points
A member
in group therapy named Tom asked others for suggestions to a problem he was
having. He did not think a suggestion by a member named Steve would work, and
for the rest of session, the group took sides arguing why the idea would work
or would not work. The session ended with Tom agreeing to try the suggestion
and report back to the group the following week. Based on this session, what is
an appropriate step by the PMHNP?
• Question
65
1 out of 1 points
The
PMHNP is working with an older adult woman and her adult children. The children
report that the mother was diagnosed with dementia, and they are all concerned
about her welfare. The plan is for the mother to move in with one of the
children, but they are still worried about how the mother will manage during
the day when she is left alone. What does the PMHNP identify as the focus of the family therapy?
• Question
66
1 out of 1 points
During a
group session, a member turns to the PMHNP and says, “I need some advice. My
manager asked me to take on an extra project, and now I’m overwhelmed. I don’t
want to seem incompetent, so I agreed to the extra work. What do you recommend
I do?” What is the best response by the PMHNP in order to shape group behavior?
• Question
67
0 out of 1 points
During a
group therapy session, a member shares that she often feels lonely and
depressed. She has been turning down invitations to spend time with friends
lately, because she does not want to leave the house. What is an appropriate
step for the PMHNP to take?
• Question
68
1 out of 1 points
Self-disclosure
is a very important part of group therapy. Which of the following conditions
does the PMHNP identify in his or her own life as a possible hindrance to
self-disclosure?
• Question
69
1 out of 1 points
A PMHNP
is meeting with the mother of a 10-year-old boy named Malik, who has been
depressed since his parents’ divorce. The mother explains that her goal for
treatment is to help Malik feel better so he can become his “usual outgoing
self.” She insists that she does not want him on medication. Which is the best
response by the PMHNP?
• Question
70
1 out of 1 points
A client
has attended five group therapy sessions yet has not engaged verbally with
others in the group. The PMHNP has identified the client as a “silent member.”
Which statement is true about silent members as related to group therapy?
• Question
71
1 out of 1 points
A
narcissistic patient was unhappy that other members did not seem concerned
about his or her dating problems, which the patient spent half the session
talking about. The patient confronted the group by saying, “All of you are rude
and uncaring!” When group members ignored this comment, the patient said, “And
no one said anything nice about my new haircut either!” What is an appropriate
response by the PMHNP?
• Question
72
1 out of 1 points
According
to Dr. Carlson, since Adler talked about how the social setting in which we
live influences our lives, the best way parents can change their children’s
behavior is to change:
• Question
73
1 out of 1 points
In the
parent consultation session, the parent discusses her son “Blake” who has
changed since his 13th birthday. Dr. Carlson discusses the power conflict that
the parent appears to be getting into with her son. When they discuss
approaches they can use to help Blake experience increased responsibility, Dr.
Carlson explains that the parent must make a commitment with her son by
agreeing to:
• Question
74
0 out of 1 points
A PMHNP
is evaluating a patient who has problems with authority and has trouble
accepting criticism. The patient is aware of these problems and wants to
change. Based on this, what is an appropriate action by the PMHNP?
• Question
75
1 out of 1 points
A PMHNP
has a therapy group in which many members have been dropping out over the past
several weeks. Members have complained that they do not feel part of the group.
What is an appropriate step for the PMHNP to take?
• Question
76
0 out of 0 points
When
completing this exam, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?