36 (Mandatory) (1 point) Adrienne has just

36 (Mandatory) (1 point) Adrienne has just finished describing how devastated she was at the recent loss of her mother. Which of the following responses by the PMHNP would NOT be a barrier to therapeutic communication? 36 options: a) “I know how you feel. I lost my mother recently, too.” b) “Well, it’s better to have loved and lost, if you know what I mean.” c) “When did she die? Of what? Does anyone else in your family have that problem?” d) “It sounds like it’s been a really tough period for you.” 37 (Mandatory) (1 point) In a peer supervision group a PMHNP is discussing a recent self-disclosure to a client. The group is most likely to the appropriateness of the behavior if: 37 options: a) The PMHNP has been using a humanistic theoretical approach. b) The PMHNP-client relationship was in the termination phase. c) The PMHNP-client relationship was in the working phase. d) The PMHNP-client relationship was in the orientation phase. 38 (Mandatory) (1 point) Which of the following characteristics is most indicative of success in a mental health team? 38 options: a) A team leader with a decisive authoritarian approach b) A set of firm rules and regulations to cover most situations that could arise c) Many diverse philosophies of treatment d) Open communication 39 (Mandatory) (1 point) Which of the following is most true about a psychiatric and mental health advanced practice PMHNP who testifies in court on behalf of a child who has been sexually abused? 39 options: a) The PMHNP is functioning as an advocate for the child. b) The PMHNP is functioning as a case manager for the child. c) The PMHNP is exceeding her capabilities as a psychiatric and mental health advanced practice PMHNP. d) The PMHNP is functioning as a Psychiatric Liaison PMHNP 40 (Mandatory) (1 point) Which of the following is NOT true? 40 options: a) Milieu therapy implies that all activity is therapeutic. b) A therapeutic environment cannot exist without community meetings. c) Token communities use privileges to reward appropriate behavior. d) The physical environment is an important part of the milieu. 41 (Mandatory) (1 point) To which of the following values would the PMHNP working within the therapeutic milieu probably NOT subscribe? 41 options: a) The need for accessible team members and cooperative working relationships b) Empowerment of clients and staff to make decisions that affect the group c) Emphasis on the individual at the expense of the group d) Encouragement of risk taking and growth 42 (Mandatory) (1 point) Carmine d’Angelo is a 29-year-old client with a diagnosis of Schizophrenia, Paranoid Type. When he is denied off-unit privileges at a community meeting, he becomes hostile and accuses certain community members of “having it in for me.” What would be the most appropriate response of the PMHNP? 42 options: a) Ignore the behavior because it is inappropriate. b) Confront Mr. D’Angelo with his inappropriate behavior and put him in seclusion. c) Meet with him at their usual time and clarify his misperceptions. d) Ask the community members that he accused to have nothing more to do with him. 43 (Mandatory) (1 point) In a therapy group, a client makes inappropriate demands of the psychiatric and mental health advanced practice PMHNP who is the group therapist. The psychiatric and mental health advanced practice PMHNP responds assertively and effectively resolves the problem to the satisfaction of all concerned. What curative factor, according to Yalom does this situation exemplify? 43 options: a) Altruism b) Catharsis c) Interpersonal Learning d) Universality 44 (Mandatory) (1 point) Mrs. C. S. is an extremely shy individual who was admitted to the hospital with a depressive disorder. What characteristics of therapy groups will best serve her needs? 44 options: a) The realization that no one else in the group has anything like the problem she has b) The fact that two members of the group are talking constantly without interruption will protect her from feeling like she must participate c) The experience of being left alone by other group members will protect her autonomy and decrease her performance anxiety. d) The fact that others support one another in learning to change will encourage her to take the risks needed to grow 45 (Mandatory) (1 point) After a particularly difficult community meeting, the staff of a unit sit down and begin to talk about which clients were seated in close proximity and who agreed with whom on the issues that came up. What is the staff discussing? 45 options: a) Gossip b) Rank and Status c) Group Content d) Group Process 46 (Mandatory) (1 point) A PMHNP group has convened to make decisions about renovation plans for a psychiatric unit. One of the members is discussing how little the hospital ever pays attention to input from PMHNP staff. Which member role is this participant exhibiting? 46 options: a) Maintenance role b) Task role c) Individual role d) Gatekeeper role 47 (Mandatory) (1 point) A psychiatric and mental health advanced practice PMHNP notes that members of her therapy group have become most supportive of one another and very attached to the group. Which stage of group development do these behaviors signify? 47 options: a) Forming b) Storming c) Norming d) Performing 48 (Mandatory) (1 point) Which of the following best summarizes the family therapist’s position on how mental illness occurs? 48 options: a) The symptomatic person is the innocent victim of other members of the family. b) If other family members are given education and support, they can help the symptomatic person. c) The symptomatic person is the result of pathology throughout the entire family system. d) If other family members set limits and confront the symptomatic person with reality, they can help him or her. 49 (Mandatory) (1 point) When the PMHNP asks potentially suicidal clients to relinquish any sharp objects they have in their possession, which ethical principle is being utilized? 49 options: a) Autonomy b) Beneficence c) Nonmaleficence d) Justice 50 (Mandatory) (1 point) In an assertiveness group, a PMHNP encourages a client to role play a distressing interaction she has had repeatedly with her mother-in-law. The PMHNP has the client play herself while the PMHNP plays the mother-in-law. Which methods of learning are exemplified in this situation? 50 options: a) Lecture b) Experiential c) Self-instruction d) Audio presentation

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