When completing this exam, did you comply with Walden University’s Code of
Conduct including the expectations for academic integrity?
Selected Answer: Yes
Question 2
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?
Selected B.
Answer: The member is exhibiting bipolar behaviors.
Question 3
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?
Selected Answer: B.
Sandy is likely to view members of the group as friendly.
Question 4
A PMHNP has been holding group therapy sessions for several weeks and
notices that a patient is timid and predictable in his or her responses. When the
patient does speak, he or she avoids saying anything to contradict anyone in the
group. Based on this information, what is an appropriate question the PMHNP
should ask herself?
Selected D.
Answer: “What can I do to help the patient emerge from this
, protective shell?”
Question 5
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:
Selected C.
Answer: Achieving the pre-determined agenda by manipulating
questions and session content
Question 6
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?
Selected Answer: C.
Brief, problem-oriented group therapy
Question 7
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?
Selected A.
Answer: “How would you compare today’s meeting with last
week’s?”
Question 8
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?
Answer: B
A. The group did not expect to have time off, so it may take up to a month to get
, back into a routine.
B. The group members may believe that the group is not important to the
PMHNP.
C. The PMHNP's absence gave the members a reason to also be absent.
D. The group members feel let down, because the PMHNP cancelled a meeting.
Selected C.
Answer: The PMHNP’s absence gave the members a reason to also be
absent.
Question 9
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?
Selected D.
Answer: Silent members usually will hinder the group while hindering
their own growth within the group.
Question 10
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?
Selected C.
Answer: “You must feel comfortable with the group now to share this
with us.”
Question 11
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?
Selected C.
Answer: “Laura, can you explain from your perspective why you are
here?”
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