1.   A PMHNP is using a structural family therapy approach. During a family therapy session, a child says, “Is

that what you really mean?” Tracking the phrase, the PMHNP discovers that the family often uses sarcasm when communicating. What is appropriate next step by the PMHNP?

A.   Make each member apologize to the other whenever sarcasm is used during the session

B.   Ask the family to point out when a statement is sarcastic so others know they are joking

C.   Listen to the use of sarcasm and when it occurs, help members communicate more directly

D.   Have members put a quarter in the “sarcasm jar” each time a sarcasm statement is used