ANCC Domain 4 Practice Questions

ANCC Domain 4 Practice Questions

The risk of being overly empathetic as a therapist is commonly characterized by which of the following responses by the client?

• re-enacted attachment with merger and fusion
• re-enacted attachment with understanding and change
• re-enacted attachment with alienation and isolation
• re-enacted attachment with dependency and acting-out

(Ans- D

The literature on group outcomes has revealed that negative group outcomes have been associated with which of the following qualities in group leaders?

• leaders who initiate discussions of feelings
• leaders with a timid interpersonal style
• leaders who are overly confrontational
• leaders who reveal too much about their personal experience

(Ans- C

When screening potential female clients for an incest survivor's group, which client would you exclude from selection to the group?

• 36-year-old divorcee who brings a signed consent form to consult with

her individual therapist.

• 26-year-oldse her husband is concerned about her lack of interest in

sex. 1 / 2

• 50-year-old third grade teacher who last attended a sexual abuse group

when flashbacks recurred.

• 18-year-old college freshman who is talking openly about her incest

experience for the first time.(Ans- B

When working with a family in therapy, you plan to address differentiation of self, triangles, and genograms. What family therapy approach will you be utilizing?

• Strategic family therapy
• Emotionally focused family therapy
• Systemic family therapy
• Structural family therapy

(Ans- C

In evaluating a 9-year-old girl referred by the school for evaluation of behavioral problems, which of the following reported behaviors raises the greatest concern?

• Difficulty staying on task during school day
• Incomplete and late homework assignments
• Seeming to daydream looking out classroom window
• Chasing boys with provocatively posturing hips on playground

(Ans- D

As a PMHNP using Family Systems theory, you know that families seek equilibrium in the face of change. This is an example of which concept?

• Homeostasis
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