son is flunking math. I think we should pull him out of football, but I don’t get any support in
that decision. What would you do if you were us?” The PMHNP recognizes this as what?
The PMHNP is meeting with a family consisting of two parents and their 10-
year-old son. The parents are concerned about the child’s behavior. “He keeps disobeying us. All
he does is misbehave,” the mother cries. The PMHNP meets individually with the son for a few
sessions to learn more about his behavior and identifies that he is participating in attention-
seeking behaviors. When the PMHNP invites the parents and son back to a family group setting,
what action made by the PMHNP supports the use of constructivism?
During the initial assessment of a newly married couple, the PMHNP learns
that they ... to come to family therapy in order to address their communication problems. Which
of the following actions taken by the PMHNP demonstrates the use of the solutions-focused
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 he doesn’t
want to hurt her feelings. Which pretend technique can the PMHNP use with the couple?
The PMHNP is working with a family composed of two parents and their 16-
year-old son. The parents report they have been experiencing conflict regarding the son’s defiant
behavior in the home. Which action will the PMHNP employ as part of the early phase of the
The PMHNP wants to identify the unique outcomes of a married couple who
are having arguments about finances. In particular, the wife is concerned about her husband
splurging without consulting her. What question will the PMHNP ask to arrive at the unique
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 the appropriate next
step by the PMHNP?
The PMHNP is working with parents who argue about ways to discipline their
school-aged son. The PMHNP initiates enactment, telling the parents to discuss the disciplinary
choices directly with each other. At what point does the PMHNP determine that the parents are
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?