Entries by Munene david

Gregory is a middle-aged veteran participant in a group

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; […]

 

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During the first group meeting, a client states, “I am here because I am very shy

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? 1.     The client is using the ego defense mechanism of “projection,” which must be […]

 

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The PMHNP is meeting with an older married couple

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 […]

 

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A PMHNP has been holding group therapy sessions for several weeks

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 […]

 

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