A PMHNP is using a structural family therapy approach.

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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

 
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The PMHNP is meeting with a family composed of two parents and their two children

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1.   The PMHNP is meeting with a family composed of two parents and their two children. The PMHNP observes that

the mother projects her concerns onto one of the children, and that child seems to conform to the parents way of thinking. The other child seems to be less involved in the family’s fusion. What action taken by the PMHNP demonstrates the use of the Bowen Family Systems therapy model?

A.   Helping differentiate the child who is conforming to the parents

B.   Help differentiate the child who is less involved in the family fusion

C.   A&B

D.   None of above

 
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The PMHNP works with a husband and a wife, but in separate sessions,

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1.   The PMHNP works with a husband and a wife, but in separate sessions, to address marital issues. One day,

the wife asks the PMHNP how her husband is progressing with his therapy. Which response made by the PMHNP is most appropriate?

A.   I am sorry, but I cannot discuss his treatment with you, as it is private

B.   I can only speak to you about his sessions if your husband gives me permission to

C.   You are welcome to ask him about his sessions yourself

D.   All the above

 
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1.   During family therapy, a husband says to his spouse,

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1.   During family therapy, a husband says to his spouse, “when you ignore me, I can’t help but shout.” Using

an emotionally focused therapy approach, the PMHNP comments to the husband, “You feel like you are invisible and need to be heard.” Why does the PMHNP make this comment?

A.   To assist the couple in creating new attachment patterns

B.   To get the couple to recognize an intimate attachment

C.   To help the client capture an elusive emotional experience

D.   To align with the client as a gesture of supportiveness

 
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