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- Question^2 1 out of 1 points
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- Question 1 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s 0 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
2022/2023 UPDATE NURS 6650 FINAL EXAM
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- Question^3 1 out of 1 points - Question^4 1 out of 1 points
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member? Select ed Answe r:
B.
The member is exhibiting bipolar behaviors. 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? Select ed Answe r:
B.
Sandy is likely to view members of the group as friendly. A PMHNP has been holding group therapy sessions for several
2022/2023 UPDATE NURS 6650 FINAL EXAM
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- Question^5 1 out of 1 points - Question^6 1 out of 1 points
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shell?” 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: Select ed Answe r:
C.
Achieving the pre-determined agenda by manipulating questions and session content 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? Select ed Answer:
2022/2023 UPDATE NURS 6650 FINAL EXAM
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- Question^7 1 out of 1 points
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C.
B
rief, problem-oriented group therapy 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? Select ed Answe r:
A.
“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
2022/2023 UPDATE NURS 6650 FINAL EXAM
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Select ed Answe r:
C.
The PMHNP’s absence gave the members a reason to also be absent. 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? Select ed Answe r:
D.
Silent members usually will hinder the group while hindering their own growth within the group. 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
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- Question^11 1 out of 1 points
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confessed that she has been depressed and cutting herself. What is the best response by the PMHNP? Select ed Answe r:
C.
“You must feel comfortable with the group now to share this with us.” 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? Select ed Answe r:
C.
“Laura, can you explain from your perspective why you are here?”
2022/2023 UPDATE NURS 6650 FINAL EXAM
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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? Select ed Answe r:
C.
Men in evenly mixed groups are more self- disclosing and less aggressive. 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? Select ed Answe r:
A.
Narcotics Anonymous
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- Question^15 1 out of 1 points - Question^16 1 out of 1 points
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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? Select ed Answe r:
D.
Jane is showing signs of regression due to the termination phase. 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? D Select ed Answer:
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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? Answer: AThe client has a fear of losing his or her identity. Select ed Answe r:
D.
The client lacks effective communication skills. 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
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patient said, “And no one said anything nice about my new haircut either!” What is an appropriate response by the PMHNP? Answer : B Select ed Answe r:
D.
Allowing group members to continue to ignore the patient’s rant, because it is inappropriate 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? B A."I am sorry to hear you feel overwhelmed, and I have several
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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? Select ed Answe r:
D.
Tell the group it is OK that Eve does not yet feel safe enough to share 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? Select ed Answe r:
D.
Altruism
2022/2023 UPDATE NURS 6650 FINAL EXAM
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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? Select ed Answe r:
C.
Refer the patient to another therapist who has a suitable therapy group 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? Select ed Answer:
2022/2023 UPDATE NURS 6650 FINAL EXAM
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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? Select ed Answe r:
D.
All of the above 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.
2022/2023 UPDATE NURS 6650 FINAL EXAM
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Based on this information, what recommendation by the PMHNP would most benefit the patient? Select ed Answe r:
B.
Group therapy 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? Select ed Answe r:
C.
“Subgrouping can cause issues with loyalty. For example, what if Jack told you something that made you feel uncomfortable. Would you be able to address that in group?”
2022/2023 UPDATE NURS 6650 FINAL EXAM
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