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NURS 6650 Psychotherapy For Families And Groups Midterm & Final Exam Study Guide

NURS 6650 Psychotherapy For Families And Groups Midterm & Final Exam Study Guide

NURS 6650 Psychotherapy For Families And Groups Midterm & Final Exam Study Guide

The PMHNP is meeting with a husband and wife and observes that the husband is able to maintain his composure while the wife becomes more teary and emotional throughout the session. Which principle is used to describe this observation?

  1. Complementary relationship
  2. Symmetrical relationship

C.NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

D.
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.

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NURS 6650 Psychotherapy For Families And Groups Midterm & Final Exam Study Guide

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? NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

 

  1. Providing the

B.

  1. Getting the parents to think about their child as being hyperactive, rather than misbehaving

D.The PMHNP is working with a married couple in a family session setting.

The wife reports feeling upset because her husband does not pay attention to her. Which statement made by the PMHNP will challenge the wife to see things differently?

  1. “Why do you think your husband ignores you at home?”
  2. “How does it make you feel when your husband ignores you?”
  3. “How might you be contributing to your husband not paying you any attention?”

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

  1. “What can you say to your husband to get him to change his actions?”
    The PMHNP is working with a father and his teenage daughter. The father has full custody of his daughter as of recently. He reports that the two of them get into arguments all the time over curfew, chores, and the daughter’s lack of responsibility that “she gets from her mother.” The daughter feels like the father never listens to her. Which of the following actions taken by the PMHNP demonstrates unbalancing the relationship?
  2. Telling the father that he might be patient enough with the newness of having a teenage daughter in the house all the time
  3. Asking the daughter to describe how she feels about the transition of living with her father full time
  4. Inviting the father to speak directly to the daughter about what she can do to accommodate his lifestyle
  5. Recommending the father find a hobby outside of the house to give his daughter alone time
    A man calls a PMHNP to set up an initial appointment for family therapy. He explains, “My wife lost her job several months ago. She has been angry and less patient with the kids. All of the stress is taking a toll on me. I can’t focus at the office and I’m mentally exhausted at home.” Based on this phone contact, who would the PMHNP most likely choose to see for the first session?
  6. The husband alone
  7. The wife alone
  8. The couple alone
  9. The family as a unit
    The PMHNP is assessing a family that consists of a mother and a father and their daughter Rachel. The family is discussing the issue of time management in the home, particularly involving the daughter’s extracurricular schedule. The mother asks, “Rachel, how many times has your father been late to pick you up from soccer?” What does the PMHNP take away from this interaction?
  10. The family uses a fight or flight response to conflict.
  11. The family is dependent on one another.
  12. The family is involved in pairing.
  13. The family requires unfreezing.
    The PMHNP meets with the parents of a 3-year-old boy, who was adopted at 6 months of age. The parents ask the PMHNP if he will see the child individually for therapy sessions on a weekly basis, based on the fact that the parents are having difficulty getting their son to listen to them. Which statement made by the PMHNP supports the systems theory approach to treatment? NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide
  14. “It would be difficult for me to make sense of your child’s behavior without the rest of the family around.”
  15. “It would be better for us to meet as a group since your child likely has attachment issues.”

C.NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

D.
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?

  1. Ask the husband what he thinks the wife would say about his behavior
  2. Ask the couple to engage in negotiation
  3. Tell the husband to call the wife a nag three times a day
  4. A and C
    The PMHNP is working with a single mother and her adolescent son. The mother reports to the PMHNP that all she wants is for her son to call her when he is going to be late to dinner, so that she doesn’t worry about where he is. The son explains that his mom is “too paranoid” and calls or texts him constantly throughout the day, even if it doesn’t have to do with his whereabouts. How can the PMHNP advise the mother and son to accommodate one another?
  5. Recommend the mother to limit her texts and calls to her son throughout the day
  6. Recommend the son to send his mother a text when he is going to be late
  7. Recommend the mother and son to stop being so hard on one another

D.NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide
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?

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

  1. Make each member apologize to the other whenever sarcasm is used during the session
  2. Ask the family to point out when a statement is sarcastic so others know they are joking
  3. Listen for the use of sarcasm and, when it occurs, help members communicate more directly
  4. Have members put a quarter in the “sarcasm jar” each time a sarcastic statement is used
    The PMHNP is meeting with a set of parents and their 12-year-old son, who according to the parents is fearful of “nearly everything.” The son admits that he does not like to ride his bike, play with his friends, or participate in activities such as sports, in which he could hurt himself or become dirty. What does the PMHNP say to the son to personify the problem using externalizing conversation techniques?
  5. “What can you do when you become scared of something?”
  6. “How is being fearful controlling your life?”
  7. “How often does fear make you do what it wants you to do?”
  8. “Why do you feel so fearful?”
    A PMHNP is working with a mother and daughter to help them improve their communication skills. The mother explains that they have had numerous arguments caused by miscommunication lately. Using a structural family therapy approach, what is the appropriate response by the PMHNP? NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide
  9. “Perhaps ”
  10. “Please
  11. “I’m going to ask you to .”

During family therapy, a husband says to his spouse, “When you ignore me, I can’t help but shout.” Using an emotionally focused family therapy approach, the PMHNP comments to the husband, “You feel like you are invisible and need to be heard.” Why does the PMHNP make this comment?

  1. To assist the couple in creating new attachment patterns
  2. To get the couple to recognize an intimate attachment
  3. To help the client capture an elusive emotional experience
  4. To align with the client as a gesture of supportiveness
    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?
  5. Encourage the family to address concerns by writing letters to each other

B.

  1. 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

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

In a 2- to 3-page paper, address the following:

  • Explain the group’s processes and stage of formation.
  • Explain curative factors that occurred in the group. Include how these factors might impact client progress.
  • Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

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Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., & … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034-1042. doi:10.1002/da.20877

Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990-2010. Journal of Child Psychology & Psychiatry, 54(7), 707-723. doi:10.1111/jcpp.12058

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Bonhote, K., Romano-Egan, J., & Cornwell, C. (1999). Altruism and creative expressions in a long-term older adult psychotherapy group. Issues in Mental Health Nursing, 20(6), 603-617.  doi:10.1080/016128499248394

Cheston, R., & Jones, R. (2009). A small-scale study comparing the impact of psycho-education and exploratory psychotherapy groups on newcomers to a group for people with dementia. Aging & Mental Health, 13(3), 420-425. doi:10.1080/13607860902879409

Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73-77. doi:10.1080/08975353.2014.881696

Conoley, C., Graham, J., Neu, T., Craig, M., O’Pry, A., Cardin, S., & … Parker, R. (2003). Solution-focused family therapy with three aggressive and oppositional-acting children: An N=1 empirical study. Family Process, 42(3), 361-374.  PMID: 14606200

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Crane-Okada, R. (2012). The concept of presence in group psychotherapy: An operational definition. Perspectives in Psychiatric Care, 48(3), 156-164. doi:10.1111/j.1744-6163.2011.00320.x

de Castro, S., & Guterman, J. (2008). Solution-focused therapy for families coping with suicide. Journal of Marital & Family Therapy, 34(1), 93-106. doi: 10.111/j.1752-0606.2008.00055.x.

Escudero, V., Friedlander, M. L., Boogmans, E., & Loots, G. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49(1), 26-37. doi:10.1037/a0026747

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20-30. doi:10.1002/anzf.104

Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20-30. doi:10.1002/anzf.1043

Gamble, J., & O’ Lawrence, H. (2016). An overview of the efficacy of the 12-step group therapy for substance abuse treatment. Journal of Health & Human Services Administration, 39(1), 142-160.  

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Himelhoch, S., Medoff, D., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis. AIDS Patient Care & Stds, 21(10), 732-739.

Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change. Innovations in Clinical Neuroscience, 8(11), 20-23.

Kim, J. W., Choi, Y. S., Shin, K. C., Kim, O. H., Lee, D. Y., Jung, M. H., & … Choi, I. (2012). The effectiveness of continuing group psychotherapy for outpatients with alcohol dependence: 77-month outcomes. Alcoholism: Clinical & Experimental Research, 36(4), 686-692. doi:10.1111/j.1530-0277.2011.01643.x

Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients. Health Science Journal, 8(3), 400-408.

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

L’Abate, L. (2015). Highlights from 60 years of practice, research, and teaching in family therapy. American Journal of Family Therapy, 43(2), 180-196. doi:10.1080/01926187.2014.100236

Lego, S. (1998). The application of Peplau’s theory to group psychotherapy. Journal of Psychiatric and Mental Health Nursing, 5(3), 193-196. doi:10.1046/j.1365-2850.1998.00129.x

Lerner, M. D., McLeod, B. D., & Mikami, A. Y. (2013). Preliminary evaluation of an observational measure of group cohesion for group psychotherapy. Journal of Clinical Psychology, 69(3), 191-208. doi:10.1002/jclp.21933

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Leszcz, M., & Kobos, J. C. (2008). Evidence-based group psychotherapy: Using AGPA’s practice guidelines to enhance clinical effectiveness. Journal of Clinical Psychology, 64(11), 1238-1260. doi:10.1002/jclp.2053

Marmarosh, C. L. (2014). Empirical research on attachment in group psychotherapy: Moving the field forward. Psychotherapy, 51(1), 88-92. doi:10.1037/a003252

McGillivray, J. A., & Evert, H. T. (2014). Group cognitive behavioural therapy program shows potential in reducing symptoms of depression and stress among young people with ASD. Journal of Autism and Developmental Disorders, 44(8), 2041-2051. doi:10.1007/s10803-014-2087-9

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

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McNeil, S. N., Herschberger, J. K., & Nedela, M. N. (2013). Low-income families with potential adolescent gang involvement: A structural community family therapy integration model. American Journal of Family Therapy, 41(2), 110-120. doi:10.1080/01926187.2011.649110

Méndez, N. A., Qureshi, M. E., Carnerio, R., & Hort, F. (2014). The intersection of Facebook and structural family therapy volume 1. American Journal of Family Therapy, 42(2), 167-174.  doi:10.1080/01926187.2013.794046 

Mojta, C., Falconier, M. K., & Huebner, A. J. (2014). Fostering self-awareness in novice therapists using internal family systems therapy. American Journal of Family Therapy, 42(1), 67-78. doi:10.1080/01926187.2013.772870

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective. Family Process, 52(2), 207-215. doi:10.1111/famp.12025

Papero, D. V. (2014). Assisting the two-person system: An approach based on the Bowen theory. Australian & New Zealand Journal of Family Therapy, 35(4), 386-397. doi:10.1002/anzf.1079

Patterson, T. (2014). A cognitive behavioral systems approach to family therapy. Journal of Family Psychotherapy, 25(2), 132-144. doi:10.1080/08975353.2014.910023

Perry, A. (2014). Cognitive behavioral therapy with couples and families. Sexual & Relationship Therapy, 29(3), 366-367. doi:10.1080/14681994.2014.909024

Pessagno, R. A., & Hunker, D. (2013). Using short-term group psychotherapy as an evidence-based intervention for first-time mothers at risk for postpartum depression. Perspectives in Psychiatric Care, 49(3), 202-209. doi:10.1111/j.1744-6163.2012.00350.x

Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22(2), 128-147. doi:10.1080/08975353.2011.578036

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NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Rice, A. (2015). Common therapeutic factors in bereavement groups. Death Studies, 39(3), 165-172. doi:10.1080/07481187.2014.946627

Ryan, W. J., Conti, R. P., & Simon, G. M. (2013). Presupposition compatibility facilitates treatment fidelity in therapists learning structural family therapy. American Journal of Family Therapy, 41(5), 403-414. doi:10.1080/01926187.2012.727673 

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225-233.

Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16(3), 294-310.  doi:10.1007/s10567-013-0142-2

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam Study Guide

Say?n, A., Candansayar, S., & Welkin, L. (2013). Group psychotherapy in women with a history of sexual abuse: What did they find helpful? Journal of Clinical Nursing, 22(23/24), 3249-3258. doi:10.1111/jocn.1216 

Sheehan, A. H., & Friedlander, M. L. (2015). Therapeutic alliance and retention in brief strategic family therapy: A mixed-methods study. Journal of Marital and Family Therapy, 41(4), 415-427. doi:10.1111/jmft.12113

?Szapocznik, J., Muir, J. A., Duff, J. H., Schwartz, S. J., & Brown, C. H. (2015). Brief strategic family therapy: Implementing evidence-based models in community settings. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 25(1), 121-133. doi:10.1080/10503307.2013.856044

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam

Tasca, G. A. (2014). Attachment and group psychotherapy: Introduction to a special section. Psychotherapy, 51(1), 53-56. doi:10.1037/a0033015 

Tasca, G. A., Francis, K., & Balfour, L. (2014). Group psychotherapy levels of interventions: A clinical process commentary. Psychotherapy, 51(1), 25-29. doi:10.1037/a0032520 

Wang, C., Tzeng, D., & Chung, W. (2014). The effect of early group psychotherapy on depressive symptoms and quality of life among residents of an apartment building for seniors. Psychogeriatrics: The Official Journal of the Japanese Psychogeriatric Society, 14(1), 38-46. doi:10.1111/psyg.12037

Washington, K. T., Wittenberg-Lyles, E., Parker Oliver, D., Baldwin, P. K., Tappana, J., Wright, J. H., & Demiris, G. (2014). Rethinking family caregiving: Tailoring cognitive–behavioral therapies to the hospice experience. Health & Social Work, 39(4), 244-250. doi:hsw/hlu031

NURS 6650 Psychotherapy For Families And Groups Midterm And Final Exam

Watkins, R., Cheston, R., Jones, K., & Gilliard, J. (2006). ‘Coming out’ with Alzheimer’s disease: Changes in awareness during a psychotherapy group for people with dementia. Aging & Mental Health, 10(2), 166-176. PMID: 16517492

Yildiran, H., & Holt, R. R. (2015). Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities. British Journal of Learning Disabilities, 43(1), 49-54. doi:10.1111/bld.12085