Basis however the parents cannot agree on ways to

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basis. However, the parents cannot agree on ways to discipline and deal with the daughter. This leads to arguments between them. What does the PMHNP do to support the strategic use of rituals? 44. Answer for: The PMHNP is meeting with a mother and father for the first time in a family session. As soon as the session begins, the mother says, “I don’t know what to do anymore. Our 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? 45. Answer for: 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? 46. Answer for: 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 approach? 47. Answer for: 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? 48. Answer for: 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 therapy? 49. Answer for: 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 Answer for will the PMHNP ask to arrive at the unique outcomes? 50. Answer for: 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? 51. Answer for: 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 demonstrating enmeshment? 52. Answer for: Members of a therapy group have become aligned and are starting to take

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