The PMHNP is performing an intake assessment on parents who had their son later in life

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The PMHNP is performing an intake assessment on parents who had their son later in life. Since their son left for

college 6 months ago, the couple reports arguing a lot and not getting along in general. When applying the theory of the family life cycle; what does the PMHNP say in response to this concern?

A.   These sorts of experiences can be normal. You are going through a major transition period that is forcing you to question or readjust your relationship

B.   It’s very common for people who have children later in life to experience this kind of relationship turbulence once children move out of the house

C.   This in an issue that can be worked out by reconstructing the events of your lives up until the point at which your son left for college

D.   None of the above

 
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A PMHNP has integrated group treatment into his practice

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A PMHNP has integrated group treatment into his practice. After the orientation phase, group member have been

exchanging ideas. One member says “I think you should confront your son and ask why he is so disrespectful.” Another member responds by saying, “That is terrible idea. If you confront him, he will just be angry with you.” The first member then replies, “You are not the expert here!” The rest of the group members then start taking sides as the debate continues. What step should the PMHNP take to help group development?

A.   Allow members to notice differences and experience conflict

B.   Change the conversation when necessary to reduce conflict

C.   Remind groups members to focus on ways to cooperate

D.   Lead a meditation breaks to get members back on track.

 
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The PMHNP is working with a married couple who are having trouble communicating.

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The PMHNP is working with a married couple who are having trouble communicating. The wife wants to ask for things

from the husband, but she doesn’t want to be perceived as a nag. The husband wants to tell the wife that he needs alone time, but doesn’t want to hurt her feelings. Which PRETEND technique can the PMHNP use with the couple?

A.   Ask the husband what he thinks the wife would say about his behavior

B.   Ask the couple to engage in negotiation

C.   Tell the husband to call the wife a nag three times a d ay

D.   A & C

 
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A group member realizes he gets anxious when making small talk

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A group member realizes he gets anxious when making small talk and tends to talk only about himself. Using the

PRINCIPAL OF DEVELOPMENT OF SOCIALIZING TECHANIQUES, what might the PMHNP recommend that the group do?

A.   Give the member feedback on what the group participants have noticed about his interaction style, for example if he does in fact talk only about himself when he seems anxious

B.   Share emotions about similar struggles to improve cohesiveness

C.   Reflect on ways they can work together to achieve catharsis

D.   Discuss how original family unity might relate to the problem

 
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