Question

1.A family is in therapy because they have been unable to resolve conflicts and are arguing frequently. When using a strategic family therapy approach, which of the following directives might the PMHNP suggest to create a sense of togetherness?

	A.	Encourage the family to address concerns by writing letters to each other
	B.	Direct the family to temporarily become overly dependent on one another
	C.	Ask the family to engage in pleasant activities following the problem behavior
	D.	Exaggerate in a fun family ritual by preparing for the event in a specific order

2.During a family therapy session, the PMHNP hears the father say to the son, “You shouldn’t play video games where you shoot people.” According to the Bion school of thought, what is the content of the message that the father is trying to express?

	A.	“Violence is bad.”
	B.	“You should find other things to do with your time.”
	C.	“You’re better at other types of video games.”
	D.	“You will grow up and want to shoot people if you keep playing those games.”

3.Members of a therapy group have become aligned and are starting to take ownership of their group experience. They are sharing more and are being more open with each other. During the next session, the PMHNP decides to address termination of the group. Which of the following is the most appropriate response by the PMHNP when a group member expresses anxiety about termination?

	A.	Allow members to notice differences and experience conflict
	B.	Change the conversation when necessary to reduce conflict
	C.	Remind group members to focus on ways to cooperate
	D.	Lead a meditation break to get members back on track

4.A PMHNP has integrated group treatment into his practice. After the orientation phase, group members 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 a 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.	“Let’s have the group address this concern.”
	B.	“Would someone like to lead the discussion?”
	C.	“I think all of you are ready to leave the group.”
	D.	All of the above

5.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.	Helping differentiate the child who is less involved in the family fusion
	C.	A and B
	D.	None of the above

Answer 1

1. The correct answer is "C"

Because, pleasant activities together after a problematic behaviour brings both the people closer giving them time to think and understand each other's importance in their life. It also normalise the tense environment around them.

2. The correct answer is "A"

Because, the father is trying to explain to his son that violence is not a good thing and these type of games affect the brain in a negative way.

3. The correct answer is "C"

Because, To reduce stress and anxiety in group members, the best way is to remind them the very purpose of the meeting. To remind them to find ways to cooperate with group members.

4. The correct answer is "B"

Because, the whole point of the group discussion is to alleviate conflicts and create a friendly environment. So if the practitioner allows the group members to continue arguing with conflict then it is bad for the group. They should try and find a way to cooperate and find a common ground where they all can agree with each other. To achieve that, a healthy discussion is crucial and for a healthy debate someone should lead the conversation, unbiased.

5. The correct answer is "D"

Because, The parents should be counselled not to discriminate between their children. Giving more attention and concern to one child alters his/her personality and way of thinking.