1. The concept of multigenerational transmission process in family system therapy approach means? ANS -Dysfunction has been present for several generations The lower the level of family adaptation, the more likely the development of a triangle refers to Triangles; The level of differentiation of the parents is usually equal to the level of differentiation for the entire family refers to nuclear family emotional system; Parents transmits their own level of differentiation on the most susceptible child refers to family projection process. 2. Protect the person's______ when he or she is committed to a mental hospital. ANS - freedoms or rights. 3. Mr Thomas is a 56 years old client you have been seeing for several weeks of therapy. While discussing his current concerns of marital stress, he lies on the floor and assumes the fetal position. This is most likely an example of? ANS -Immature regressive defense mechanism. 4. A client is displaying low self esteem, poor self control, self-doubt, and a high level of dependency. These behaviors indicate developmental failure of which of stage of development? ANS -Early childhood. 5. Mrs. White has been in therapy for 3 months. She has shown much improvement in functioning and insight. She is to discontinue therapy sessions within the next 2weeks. In today's session, after discussing termination, she suddenly began to regress back to the original symptoms that brought her to treatment. She is now hesitant to be discharged and wants to continue therapy as she continues to display increase regressive defense mechanisms. How will the PMHNP best describe Mrs. White's behavior? ANS -A sign of normal resistance to termination seen in the termination phase of therapy. 6. What are the four elements needed to be present for a malpractice lawsuit ? ANS - Duty of care Breach of stand of care injury injury must be related to breech of standard of care. 7. Mrs. Jackson is voluntarily admitted to the inpatient psychiatric unit. After 24 hours, she decides that she wants to leave because she does not feel the facility can help her. What is the best action by PMHNP that reflects the legal right of the client? ANS -Explain to client that she's unable to leave until PMHNP has completed further assessment. 8. Primary prevention care practices are an essential aspect of the PMHNP role. Which is the best example of a primary prevention care strategy for community behavioral health? ANS -Parenting skilled classes for pregnant adolescents. 9. Why is group therapy beneficial? it allows participants to acquire the _____ ANS -curative factors. 10. When working with a dysfunctional family you find that the mother, Sarah, worries excessively and is resistant to change. PMHNP gave Sarah a paradoxical directive to worry extremely well for 1 hour per day, knowing that he will likely be non-compliant, and