NURS 6650 FINAL EXAM 3 – QUESTION AND
ANSWERS
Q ANSWER 1
Group participation is an important aspect of how successful group therapy will be. The
PMHNP recognizes that the gender of group participants can play a role in the
likelihood of group participation. Which statement about gender and group composition
does the PMHNP take into account?
A Men display more intimacy and less competition in all-male groups.
.
B Women display less intimacy and more competition in all-female groups.
.
C Men in evenly mixed groups are more self-disclosing and less aggressive.
.
D Women in evenly mixed groups are equally as active as they are in all-female
. groups
Q ANSWER 2
During his second group therapy session, a member, who was quiet the previous week,
becomes very judgmental. He criticizes another member by saying, “Mary, you are
always late because you don’t respect our group.” Then he adds, “In fact, all of you are
disrespectful and uncaring.” What is an appropriate step by the PMHNP?
A To learn the underlying meaning of the statements
.
B To ask about his actual motivations and aspirations
.
C To help reveal the impact of the behavior on others
.
D All of the above
.
Q ANSWER 3
PMHNP is putting together a heterogeneous, interactional therapy group. During an
initial screening, a patient explains that he is unemployed because he keeps getting
fired from new jobs after several months. The therapist asks, “Why do you think those
companies let you go?” The patient’s reply is, “Those companies are all terrible. They
don’t know how to treat employees.” After asking the patient if he thought about his role
in getting fired, the patient says, “Why should I? I am not part of the problem.” Based on
this information, what is an appropriate observation by the PMHNP?
A. The patient is able to participate in the group task and would benefit
from it.
, B. The patient is able to participate in the group task but may be
harmed by it.
C. The patient should decide if he would feel comfortable joining group
therapy.
D. The patient will likely not benefit from group therapy and should not
join.
Q ANSWER 4
The PMHNP
recognizes that
hostility is
unavoidable in a
group and
acknowledges that a
frequent source of
hostility can be
parataxic distortions.
Which situation is
likely to present a
parataxic distortion
within the group?
A Peggy, a 54-
. year-old
woman,
acting as a
surrogate to
Susan, who
is a younger
and newer
member of
the group
B Jerry, a
. Mexican
medical
doctor who
denies his
heritage and
Carlos, a
proud
Mexican
warehouse
employee
C Spencer, a
. Caucasian
politician
, with a
history of
substance
abuse, and
a Caucasian
therapist
D A successful
. entrepreneur
and an
aspiring
spoken-word
poet
Q ANSWER 5
During a first group
therapy session, a
member is outgoing
and participates
actively. Based on
this information, what
is an appropriate
prediction about this
group member by the
PMHNP?
The member may be
influential
Q ANSWER 6
A patient in group
therapy named Ted
shares personal
information for the
first time. He seems
nervous but
continues to talk.
How might the
PMHNP use
nonverbal positive
reinforcement to
support Ted’s feeling
more comfortable?
A Staring
. intently at
Ted while
raising an
eyebrow
ANSWERS
Q ANSWER 1
Group participation is an important aspect of how successful group therapy will be. The
PMHNP recognizes that the gender of group participants can play a role in the
likelihood of group participation. Which statement about gender and group composition
does the PMHNP take into account?
A Men display more intimacy and less competition in all-male groups.
.
B Women display less intimacy and more competition in all-female groups.
.
C Men in evenly mixed groups are more self-disclosing and less aggressive.
.
D Women in evenly mixed groups are equally as active as they are in all-female
. groups
Q ANSWER 2
During his second group therapy session, a member, who was quiet the previous week,
becomes very judgmental. He criticizes another member by saying, “Mary, you are
always late because you don’t respect our group.” Then he adds, “In fact, all of you are
disrespectful and uncaring.” What is an appropriate step by the PMHNP?
A To learn the underlying meaning of the statements
.
B To ask about his actual motivations and aspirations
.
C To help reveal the impact of the behavior on others
.
D All of the above
.
Q ANSWER 3
PMHNP is putting together a heterogeneous, interactional therapy group. During an
initial screening, a patient explains that he is unemployed because he keeps getting
fired from new jobs after several months. The therapist asks, “Why do you think those
companies let you go?” The patient’s reply is, “Those companies are all terrible. They
don’t know how to treat employees.” After asking the patient if he thought about his role
in getting fired, the patient says, “Why should I? I am not part of the problem.” Based on
this information, what is an appropriate observation by the PMHNP?
A. The patient is able to participate in the group task and would benefit
from it.
, B. The patient is able to participate in the group task but may be
harmed by it.
C. The patient should decide if he would feel comfortable joining group
therapy.
D. The patient will likely not benefit from group therapy and should not
join.
Q ANSWER 4
The PMHNP
recognizes that
hostility is
unavoidable in a
group and
acknowledges that a
frequent source of
hostility can be
parataxic distortions.
Which situation is
likely to present a
parataxic distortion
within the group?
A Peggy, a 54-
. year-old
woman,
acting as a
surrogate to
Susan, who
is a younger
and newer
member of
the group
B Jerry, a
. Mexican
medical
doctor who
denies his
heritage and
Carlos, a
proud
Mexican
warehouse
employee
C Spencer, a
. Caucasian
politician
, with a
history of
substance
abuse, and
a Caucasian
therapist
D A successful
. entrepreneur
and an
aspiring
spoken-word
poet
Q ANSWER 5
During a first group
therapy session, a
member is outgoing
and participates
actively. Based on
this information, what
is an appropriate
prediction about this
group member by the
PMHNP?
The member may be
influential
Q ANSWER 6
A patient in group
therapy named Ted
shares personal
information for the
first time. He seems
nervous but
continues to talk.
How might the
PMHNP use
nonverbal positive
reinforcement to
support Ted’s feeling
more comfortable?
A Staring
. intently at
Ted while
raising an
eyebrow
