27 Jun A PMHNP is evaluating a patient who has problems
Question
Question 4
A PMHNP is evaluating a patient who has problems with authority and has trouble accepting criticism. The patient is aware of these problems and wants to change. Based on this, what is an appropriate action by the PMHNP?
A. Treat the patient in individual therapy rather than in group therapy
B. Accept the patient for inclusion as a group therapy member
C. Have the patient start group therapy if he or she can resolve problems with authority
D. Ask the patient to start group therapy if he or she takes full responsibility for the problems
Question 7
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?
A. Sandy is likely to resist engagement and devalue the group.
B. Sandy is likely to view members of the group as friendly.
C. Sandy is likely to be passive aggressive during group.
D. Sandy is likely to prematurely view members of the group as hostile.
Question 9
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?
A. Silent members can progress as much as others in the group if they are able to process vicariously through other members in the group.
B. Silent members are silent because they have attended group therapy before and most likely have lost trust in self-disclosure to others.
C. Silent members have learned to observe the behaviors of others; this allows them to make effective contributions and promote growth within the group.
D. Silent members usually will hinder the group while hindering their own growth within the group.
Question 11
A patient has attended three group therapy sessions and has remained silent throughout each. The patient has, however, been listening to the other members. When the therapist makes eye contact with the patient, he or she forces a smile but has clenched fists. What is the most appropriate response by the PMHNP to help the patient?
A. “Your clenched fists indicate that you might be tense or angry about something.”
B. “If you do not feel comfortable speaking, I think it would be best if you just listen.”
C. “Today, we are all going to focus on what you want to get out of group therapy.”
D. “Since it is our fourth therapy session, I expect everyone to join in the conversation.”
Question 10
Two PMHNPs are in charge of a therapy group that has experienced several maladaptive interpersonal dramas lately. One of the patients has been described by other members as argumentative. After a particularly awkward session, one of the therapists feels that his own interpersonal distortion of the session may be clouding his observation. What is an appropriate step by that PMHNP?
A. Be candid with members of the group about his personal dilemma
B. Take a leave from the co-therapy group until the problem is resolved
C. Compare his reaction to the session with the other therapist’s reaction
D. Suggest that the argumentative group member come to individual therapy
Question 12
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?
A. The client is using the ego defense mechanism of “projection,” which must be addressed to get to the root of the problem.
B. The client may benefit from individual therapy, because he or she is shy and this could hinder group therapy.
C. The client is aware of his or her current issue and will do very well in group therapy.
D. The client suffers from boredom, which is a serious condition that must be addressed and treated
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