NRNP 6645 FINAL EXAMNRNP 6645 A relapse prevention plan includes identifying triggers to the patient’s gambling and aA variety of coping strategies to avoid or successfully manage triggers without.reverting to gambling.B A relapse prevention plan should be completed during the initial stage of treatment..C The main focus of a relapse prevention plan is on changing behaviors..D The main focus of a relapse prevention plan is on cognitive or thought processes to.decrease the desire to gambleA The existential approach has a specific set of techniques used..B The existential relies on the patient to drive the therapeutic direction..The advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of the following is true about a relapse prevention plan?Which of the following is consistent with the psychotherapeutic approach used by existential psychotherapists?
C The existential therapist presents broad existential themes but avoids in-depth.questioning.D The existential psychotherapist is free to draw on techniques from other.psychotherapeutic models .A Shame drives a person to engage in treatment while guilt drives a person to avoid.treatment.B Shame causes a person to perceive self as a failure and guilt causes avoidance of.treatment.C Guilt causes a person to perceive himself as a loser and shame drives a person to.avoid treatment.D Shame drives avoidance from treatment, Guilt often motivates a person to seek.treatment.A Relapse indicates treatment failure..B Relapse is a persistent risk in addiction..C Relapse is a characteristic of all chronic medical diseases..D Relapse is the return to substance use or addictive behaviors after periods.of abstinence.A IPT is not an appropriate model for treating depression in older adults..B This is a common IPT issue with older adults during the initial sessions..C The advanced practice psychiatric nurse should consider using a standardized scale.to quantify the depression and use this to educate the patient and the family.D B and C.According to Dearing, Stuewig, and Tangney (2005), understanding the difference betweenguilt and shame and its impact on an individual’s motivation is critical to hope and the recovery process. Which of the following is true regarding guilt and shame?Which of the following is not consistent with what is known about relapse?The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) isworking with an older adult who does not realize she has depression. Which of the following is true?The patient in Dialectical Behavior Therapy (DBT) complains the skills being taught in DBTdon’t work, struggles with keeping diary cards, and doing assigned homework. This is consistent with which stage of treatment within the DBT model?
A Stage.1B Stage.2C Stage.3D Stage.4A Freedom.B Responsibili.tyC Authenticity.D Meaning.A In family-centered treatment, the family is the focus of treatment..B Family- centered treatment is appropriate to improve family interactions..C Family-centered treatment is appropriate to keep families engaged in services.D Family-centered treatment is appropriate to increase family knowledge about.mental health.A Focusing.B Body awareness.C Language of.responsibilityThe existential concept of an openness, readiness, and flexibility to grow and change, whichnecessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of the following?Which of the following is not consistent with a family-centered approach in child therapy?The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asksthe patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following?
D Empty-chair dialogue.A Given concerns about relapse it would be important to meet with the patient just this. one time and just for 10 minutes but meet in your office.B Remind the patient that one of the rules is not having contact outside of therapy.sessions.C Agree to meet with patient alone in the group room to resolve any outstanding.concerns from the group.D Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues,.but only this once and only for 10 minutes.A People are unique..B The whole is greater than the sum of its parts..C Mind, body, spirit work in a unified synergistic.fashion.D Dysfunctions such as a chemical imbalance.must beA People are unique..B The whole is greater than the sum of its parts..C Mind, body, spirit work in a unified synergistic.fashion.The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end ofthe session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame?Which of the following statements would not be consistent with the humanistic-existential concept of “holism” ?Which of the following statements would not be consistent with the humanistic-existential concept of “holism” ?
A Multidimensional addressing medical, psychosocial and mental.health issuesB Trauma-informed care..C 12-Step Peer Support GroupsD Dysfunctions such as a chemical imbalance must be.identified.A Life Review Therapy (LRT).B Reminiscence Therapy (RT).C A Mindfulness Strategy.D Interpersonal Psychotherapy.(IPT)A Projection.B Retroflecti.onC Confluenc.eD Deflection.Stigma of mental illness in the elderly:A Has contributed to psychiatric symptoms being expressed with. physical symptoms.B Is much more severe in baby boomers than in other elderly cohorts..C Is much less an issue in baby boomers than in other elderly cohorts.D Leads to more discussion of emotions in primary care settings..The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known asThe advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following?The most effective treatment for SUD with or without co-morbid psychiatric disorders is:
.D Cognitive Behavioral Therapy.A Valuing the significance of relationships.B Recognizing generalized psychobiological attributes and.healthcare needs.C Minimizing focus on societal roles and gender expectations..D All of the above.A Shame-Attacking.B Exposure Therapy.C Cognitive Rehearsal.D Guided relaxation and.meditationA jDrink a glass of water, tea, or.uice.B Name 6 colors you see wherever.you are.C Open and close your eyes..D A and B on.A Somatic approaches.Positive substance use disorder treatment out-comes unique to women can be strengthenedby which of the following.A specific type of CBT therapies aimed to reduce distress as a person experiences sensationwith danger is known as which of the following?Which of the following are “Help Now!” skills? Select all that apply.Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal.
B Talk therapies focused on cognitive.understandingC EMDR.D A and C.A Conduct Disorders.B Anxiety and Depression.C Depression and Psychosis.D Attention Deficit-Hyperactivity.DisordersA Patients can fail in therapy..B Patients are doing the best they can.•Question 20 of 101• Moving to another question will save this response.Question 20In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following?A Recognize the therapist is human and fallible..B Make every reasonable effort to provide competent treatment for the patient..C Share the rules for the DBT therapist with the patient during orientation to the. therapy.D The therapist agrees to use consultation and allow the patient to view this. directly if desired.Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders?When using a Dialectical Behavior Therapy (DBT) approach with a patient with BorderlinePersonality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients?
.C Patients need to do better, try harder and be more motived to change..D Patients may not have caused all their problems, but they need to solve.them anyway.A The patient is ready to focus on self-fulfillment.B The patient is ready to focus on self-efficacy.C The patient is ready to begin exposure.therapy.D The patient is ready to begin termination from.therapy.A The advanced practice psychiatric nurse needs to develop a checklist to determine.goals have been made and it is time to terminate.The advanced practice psychiatric nurse determines therapy goals attained,B terminate the therapeutic relationship, and schedule to meet the patient for coffee to.ease the transition out of therapy.C The advanced practice psychiatric nurse should set clear therapy goals, commend.patient on goal attainment and terminate the therapy.D Termination should occur by mutual decision between advanced practice psychiatric.nurse and patient based on the therapy goals attained.A The advanced practice psychiatric nurse needs to develop a checklist to determine.goals have been made and it is time to terminate.The advanced practice psychiatric nurse determines therapy goals attained,B terminate the therapeutic relationship, and schedule to meet the patient for coffee to.ease the transition out of therapy.C The advanced practice psychiatric nurse should set clear therapy goals, commend.patient on goal attainment and terminate the therapy.The patient in Dialectical Behavior Therapy with a history of self-harming through cutting,has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of the following?Strategies for terminating a therapy relationship with an older adult includes:Strategies for terminating a therapy relationship with an older adult includes:
D Termination should occur by mutual decision between advanced practice psychiatric.nurse and patient based on the therapy goals attained.A Congruence.B Unconditional positive.regardC Accurate empathic.understandingD All of the above.A Stage.1B Stage.2C Stage.3D Stage.4sing a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements whduring treatment..A Treatment needs to be readily accessible..B Psychotropic medication should be stopped prior to treatment..C Treatment does not need to be voluntary to be effective..D Drug use during treatment must be monitored continuously as lapses may occurThe person-centered therapist is expected to exhibit which of the following characteristics?The patient demonstrates the ability to regulate his emotions in such a way he can thinkthrough them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?Which of the following is not consistent with the Principles of Effective Treatment forAddiction according to the NIH?A Bi-weekly individual therapy sessions for the patient of about 1 hour each..
A Women seeking treatment for substance use disorder are more likely than men to.have experienced traumatic events.B Women are more apt to drop out of treatment than men..C Women are less likely than men to seek mental health services..D W.A Evidence suggests the substance use issues be addressed first as substances can.mask the issues and symptoms of PTSD.B Evidence suggests symptoms of PTSD be addressed before initiating any substance.abuse issues as PTSD symptoms are what typically trigger substance abuse.C Clinicians need to learn evidence-based treatment approaches to simultaneously.treat the underlying PTSA while addressing substance use.D Evidence suggests a low dose antipsychotic medication is most effective in treating.PTSD symptoms and can also minimize alcohol and other drug abuse.A Invite the patient to new ways of viewing a situation.B Guiding patient to develop more skills to achieve a greater.quality of life.C Engage the patient in change talk.D A and B.B Weekly group skills training sessions for the patient of 2.5 hours each..C Skills coaching via telephone or other electronic means as needed by the patient to. manage I vivo situationsD Team consultation to the therapist to maintain treatment fidelity and adherence.Evidence supports which of the following statements about women and addictions treatment?Which of the following statements would be consistent with Trauma-Informed Care whentreating patients with comorbid PTSD and Substance Use Disorder?he advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patientwith borderline personality disorder uses persuasive dialogue to do which of the following?A patient whose husband had recently died suddenly expresses remorse regarding anargument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?
A Focusing.B Dreamwork.C Empty-chair dialogue.D Language of.responsibilityA Schizophrenia.B New onset depression.C Bipolar Affective Disorder.D Borderline Personality.DisorderA Aggression.B Conduct.ProblemsC Social.WithdrawalD All of the.above.A CPT.B CPT-PE.C EMDR therapy.D Pharmacological.interventions.Evidence supports use of Dialectical Behavior Therapy patients with which of the followingdiagnoses?Problems in the preschool child’s self-regulation has been tied to subsequent issues withwhich of the following?Which of the following would not be a first-line intervention for an individual with PTSD?The advanced practice psychiatric nurse working with children/adolescents in psychotherapyis aware of which of the following?
A The basic structure of psychotherapy with children aligns with principles of.psychotherapy for adults.B The basic structure of psychotherapy with children for the most part is not aligned.with principles of psychotherapy for adults.C Engaging with the family precedes engagement with the child or adolescent in the.first family meeting.D Typically children are exited to engage in psychotherapy to improve the home.situation.A Address safety issues.B Promote symptoms.stabilizationC Process painful memories.D A and C.Humanistic-existential therapies focus more on process and this process is best described by which of the following?take not.A Shorter, more frequent sessions.B Summarizing previous sessions.C Quizzing patient on previous sessions.D Insist the patient bring a notebook andUsing a psychodynamic psychotherapy stage oriented model for the treatment of trauma,the advanced practice psychiatric nurse would do which of the following in Stage 1?When doing psychotherapy with older adult’s accommodations which target cognitivesymptoms and functional deficits include:A The content of the therapy.B The flow of action and reaction within the. session.C The pacing, timing, and tracking in the. session.D B and C.
A Interruptions.B Figure and ground.C Layers of personality.D Organismic self-.regulatioA Emotions precede and underlie physical sensations of.trauma,B Physical sensations precede and underlie emotions of.trauma.C Physical sensations and emotional sensations occur.simultaneously.D None of the above have anything to do with TRM..A Debriefing involves talking about the trauma immediately.after the event.B APA practice guidelines support use of debriefing due to.efficacy.C Debriefing may increase post trauma symptoms..D Debriefing does not prevent PTSD..A Artistic endeavors such as sculpting, drawing painting..B Movement therapies such as dance..C Tapping on acupressure points.D Cognitive skills such as thought stopping and guided.self-dialogueDysfunctional processes, developed early in life that people employ in an attempt to meettheir Needs, are referred to by the Gestalt therapist as which of the following?According to the Trauma Resiliency Model which of the following occurs?Which of the following is not consistent with what is currently known about debriefing?Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due totrauma. The advanced practice psychiatric nurse using SIT would do which of the following?
A Congruence.B Actualizing tendency.C Belief of human nature.D Accurate empathic.understandingA Validate the patient ‘s frustration while encouraging and reinforcing use.of skills.B Analyze the behaviors and consequences of the behaviors with the.patient.C Focus on behavioral control and management with emotions as a.contextual element.D All of the above.A Maintaining a therapeutic stance of neutrality..B Maintaining a therapeutic stance of.anonymity.C Maintaining a therapeutic stance of non-.intrusiveness.D A and C.A Do nothing, maintaining the child’s privacy protects the therapeutic relationship..B Decide what the parents need to know and give them a summary of the individual.The person-centered therapist who is genuine and authentic during the therapy session isexhibiting which psychological condition?The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taughtdon’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?The therapeutic frame supports the clinician in which of the following ways? Select all thatapply.One of the problems when meeting with children individually is that it can create secrets. Which of the following responses would the advanced practice psychiatric nurse do to address this concern?
session in with the child in the room.C Decide what the parents need to know and give them a summary privately to avoid.any awkwardness for the child.D Discuss with the child what he or she wants to share with the parents and facilitate.the process as needed.Others PPLs papersThe therapeutic frame supports the clinician in which…1. The therapeutic frame supports the clinician in which of the following ways? Select all thatapply.A . Maintaining a therapeutic stance of neutrality. B . Maintaining a therapeutic stance of anonymity.C . Maintaining a therapeutic stance of nonintrusiveness.D . A and C2. The advanced practice psychiatric nurse is working with a patient with who is chronicallysuicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following?A . Every time the patient has suicidal ideations hospitalization is recommended.B . To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating the hard work of change.C . To the chronically suicidal patient hospitalization frequent hospitalizations allow a safe place to learn new coping behaviors and promote change.D . The Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal patient.3. The concept of resiliency in child therapies is in direct contrast to which traditionalapproach for treating children?A . Family inclusionB . The concept of recoveryC . Problem-based therapyD . Interacting systems consideration4. Stigma of mental illness in the elderly:A . Has contributed to psychiatric symptoms being expressed with physical symptoms.B . Is much more severe in baby boomers than in other elderly cohorts.C . Is much less an issue in baby boomers than in other elderly cohorts D . Leads to more discussion of emotions in primary care settings.5. Which of the following is not consistent with the Psychoanalyst’s perspective when treatingand individual with a personality disorder?A . It is important to identify and then modify “core” problems when treating individuals with personality disorders.B . Personality structures are unconscious and thus mostly unavailable to the individual.
C . Personality products and processes are within the realm of awareness, accessible to the individual.D . Psychoanalytic therapy is an effective treatment for Borderline personality disorder6. Which of the following statements would not be consistent with the humanistic-existentialconcept of “holism” ?A People are unique.. B . The whole is greater than the sum of its parts.C . Mind, body, spirit work in a unified synergistic fashion.D . Dysfunctions such as a chemical imbalance must be identified.7. Which of the following is true about dream work from a Gestalt perspective?A . The individual tells the dream in past tenseB . Elements of the dream are viewed using standardized dream symbol meaning.C . A dream diary is required to capture all elements of the team.D . The characters and objects in the dream are projections of the individual whose dream it is.8. When the advanced practice psychiatric nurse builds a formulation when working with achild in therapy the advanced practice psychiatric nurse is doing which of the following?A . Formulation is a type of play therapy.B . Formulation is the child’s diagnosis.C . The formulation explains the contexts of the child and family situation, the child’s unique presentation, responses and narratives of the events that shaped the interpretation.D . The formulation is the treatment plan.9. In providing psychoeducation to patient’s in recovery, the advanced practice psychiatricnurse would not include which of the following?A . Recovery is a lifelong process of changeB . A patient is considered recovered after 5 years free of substance use.C . Recovery encompasses dimensions of health, home, purpose and community.D . Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions.10. Which best describes gerotranscendence? A Erik Erikson’s ninth stage of development. B . Emphasizes ongoing growth over decrementsC . Focuses on the transition to old-old (80 years and older).D . Focuses on letting go and coming to terms with end of one’s life11. The advanced practice psychiatric nurse is working with a group of patients in an outpatientsubstance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at anearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame?A . Given concerns about relapse it would be important to meet with the patient just this one time and just for 10 minutes but meet in your office.B . Remind the patient that one of the rules is not having contact outside of therapy sessions.C . Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group.D . Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only this once and only for 10 minutes.12. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?
A . Addiction B . ToleranceC . Withdraw al D . Dependen ce13. Which of the following describes the basic neurobiological pathways of the reward systemin the brain? A . Projections from the ventral tegmental area, through the median forebrain andterminate in the nucleus accumbens where there is a proliferation of dopamine neurons.B . Projections through the median forebrain, to the ventral tegmental area where there is aproliferation of dopamine neurons, to the nucleus accumbens.C . Projections from the nucleus accumbens to the median forebrains where there is aproliferation of dopamine neurons to the ventral tegmental area.D . Projections from the median forebrain through the ventral tegmental area to the nucleusaccumbens where there is a proliferation of dopamine neurons.14. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses?A . SchizophreniaB . New onset depressionC . Bipolar Affective DisorderD . Borderline Personality Disorder15. The existential concept of an openness, readiness, and flexibility to grow and change, whichnecessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creatingtheir own world is which of the following?A . FreedomB . Responsibili tyC . Authenticity D . Meaning16. Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, theadvanced practice psychiatric nurse would do which of the following in Stage 1?A . Address safety issuesB . Promote symptoms stabilizationC . Process painful memoriesD . A and C17. The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following?A Projection .B . Retroflecti onC . Confluenc e D . Deflection18. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?A . Validate the patient ‘s frustration while encouraging and reinforcing use of skills. B . Analyze the behaviors and consequences of the behaviors with the patient.C . Focus on behavioral control and management with emotions as a contextual element. D . All of the above
- An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?A . Belief of human natureB . Self-conceptC . Actualizing tendencyD . Fully functioning person20. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following?A . Bi-weekly individual therapy sessions for the patient of about 1 hour each.B . Weekly group skills training sessions for the patient of 2.5 hours each.C . Skills coaching via telephone or other electronic means as needed by the patient to manage Ivivo situationsD . Team consultation to the therapist to maintain treatment fidelity and adherenceShare QuestionAnswer & ExplanationSolved by verified expert1. The therapeutic frame supports the clinician in which of the following ways? Select all thatapply.D . A and CRationale: B is wrong because it should not be anonymous. Information should be disclosed.2. The advanced practice psychiatric nurse is working with a patient with who is chronicallysuicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following?B . To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating the hard work of change.Rationale: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that combines strategies like mindfulness, acceptance, and emotion regulation.3. The concept of resiliency in child therapies is in direct contrast to which traditionalapproach for treating children?C . Problem-based therapyRationale: Compared with the traditional study of child development, which has tended to portray ‘normal’ and ‘abnormal’ patterns, a resilience approach offers a more differentiated account. In professional practice, resilience means looking for strengths and opportunities to build on, rather than (or alongside) problems, deficits or psychopathology to be remedied or treated4. Stigma of mental illness in the elderly:A . Has contributed to psychiatric symptoms being expressed with physical symptoms. Rationale: According to Sartorius, stigma leads to discrimination in the provision of services for physical health problems in older people with mental disorders.
- Which of the following is not consistent with the Psychoanalyst’s perspective when treatingand individual with a personality disorder?C . Personality products and processes are within the realm of awareness, accessible to the individual.Rationale: Each level of awareness has a role to play in shaping human behavior and thought.6. Which of the following statements would not be consistent with the humanistic-existentialconcept of “holism” ?D . Dysfunctions such as a chemical imbalance must be identified.Rationale: Holism is the idea that various systems (e.g. physical, biological, social) should be viewed as wholes, not merely as a collection of parts.7. Which of the following is true about dream work from a Gestalt perspective?D . The characters and objects in the dream are projections of the individual whose dream it is.Rationale: In Gestalt Therapy, the client is asked to play component parts of the dream. .It helpsthe client to feel the part of him/herself that he/she has disowned and has projected onto objects of the dream. Disowned parts of the self are in the unconscious, and integration is the work of therapy.8. When the advanced practice psychiatric nurse builds a formulation when working with achild in therapy the advanced practice psychiatric nurse is doing which of the following?C . The formulation explains the contexts of the child and family situation, the child’s unique presentation, responses and narratives of the events that shaped the interpretation. Rationale: Formulation is a concise statement of the case. Unlike summary, it is a discussion about alternative ideas about diagnosis, aetiology, treatment and prognosis and of the arguments for and against each alternative.9. In providing psychoeducation to patient’s in recovery, the advanced practice psychiatricnurse would not include which of the following?B . A patient is considered recovered after 5 years free of substance use.Rationale: Recovery is a lifelong process that can take years to achieve.10. Which best describes gerotranscendence? A Erik Erikson’s ninth stage of development .B . Emphasizes ongoing growth over decrementsRationale: The theory that older people transcend the limited opinions and views of life they once held or wisdom comes with age11. The advanced practice psychiatric nurse is working with a group of patients in an outpatientsubstance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at anearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame?C . Agree to meet with patient alone in the group room to resolve any outstanding concernsfrom the group.
Rationale: This will prevent harm for the nurse and allows help from other patient from the group12. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?B . ToleranceRationale: A person may develop tolerance to a drug when the drug is used repeatedly.13. Which of the following describes the basic neurobiological pathways of the reward systemin the brain?A . Projections from the ventral tegmental area, through the median forebrain and terminate in the nucleus accumbens where there is a proliferation of dopamine neurons. Rationale: The reward pathway of the brain is connected to areas of the brain that control behavior and memory. It begins in the ventral tegmental area, where neurons release dopamine to make you feel pleasure. The brain begins to make connections between the activity and the pleasure, ensuring that we will repeat the behavior.14. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses?D . Borderline Personality DisorderRationale: DBT may be used to treat suicidal and other self-destructive behaviors.15. The existential concept of an openness, readiness, and flexibility to grow and change, whichnecessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creatingtheir own world is which of the following?A . FreedomRationale: Freedom allows person to choose alternatives.16. Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, theadvanced practice psychiatric nurse would do which of the following in Stage 1?C . Process painful memoriesRationale: The first few sessions of psychotherapy typically focus on understanding and taking a good relationship history, from childhood up to adulthood.17. The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following?D . DeflectionRationale: Deflection is attempting to draw attention away from oneself and put that attention onto another person. All ages may engage in deflection. Children try to deflect blame when they are in trouble for negative actions by pointing out a different negative action that a sibling did.18. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?
D . All of the aboveRationale: All choices are applicable19. An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?B . Self-conceptRationale: Self-concept is how a person perceive their behavior, abilities, and unique characteristics.20. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following?A . Bi-weekly individual therapy sessions for the patient of about 1 hour each.Rationale: Individual therapy usually involves weekly one-to-one sessions with a DBT therapist. Each session lasts approximately 45-60 minutes.. Which of the following is not consistent with…1. Which of the following is not consistent with recommendations for teaching Trauma Resiliency Model (TRM) skills?A.TRM self-care skills can be taught and used in any order.B.TRM skill may be taught in individual or group settingsC.To teach TRM skills, the therapist should be adept at using the skills themself.D. Teaching TRM is cost effective as only one teacher is needed individually or with groups.2. The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following?
A.The support is provided through case managementB.The support is designed to focus on clinical issues of the patientC.The DBT therapist in solo practice does not need a consultation group for support.D. The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use.3. In working with an older adult patient in the termination phase the advanced practice psychiatric nurse suggests it may be helpful to teach family members ways to support the patientand prevent relapse. This demonstrates which of the following?A.A major HIPPA violationB.Lack of confidence in the patient and the therapeutic process of CBTC. An appropriate strategy to solidify a supportive network for the patient.D.Resistance to terminating the therapeutic relationship.4. Which of the following is true about communication with children and adolescents?A. Communication is developmentally based.B.Offices should be free of toys or distractions.C.Speak to children in adult manner as it lets them know you take them seriously.D.Communicate at level lower than the child or adolescent to improve their self-esteem. - Practice guidelines for complex trauma and dissociative identity disorder caution that whichof the following may limit one’s ability to heal.A.Somatic approachesB.Talk therapies focused on cognitive understanding*C.EMDRD.A and C6. Which of the following trends life trends suggests advanced practice psychiatric nurse beprepared to provide mental health and illness treatment in a variety of community and non- traditional settings.A.More older men than women living alone.B.Greatest percentage of older adults living in nursing homes.C. Projected doubling of number of homeless adults between 2010 and 2050D.More older adults preferring to leave their homes to seek other living arrangements.7. Dialectical Behavior Therapists realize which of the following:A.Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSDB.Everyone diagnosed with PTSD can be diagnosed with comorbid borderline personality disorder.C. There are important overlapping symptoms and neuropsychological correlates that PTSD and borderline personality disorder have in common.D.DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts.
- Research support that children with serious emotional disorders (SED) are likely to havewhich of the following?A.Children with SEDs are likely to be severely impairedB.Children with SEDs are likely to have many community agencies involved in their care andsupport.C.Children with SEDs are likely to have a comorbid disorder.D.A and C9. Which of the following is a biologically based psychotherapy methodology used to treatpatients who have experienced trauma?A.Trauma Resiliency ModelB.Cognitive Behavioral TherapyC.Psychodynamic PsychotherapyD.Existential Psychotherapy10. Which of the following is not consistent with a family-centered approach in child therapy?A.In family-centered treatment, the family is the focus of treatment.B.Family- centered treatment is appropriate to improve family interactions.C.Family-centered treatment is appropriate to keep families engaged in servicesD.Family-centered treatment is appropriate to increase family knowledge about mental health.11. In working with children between the ages of about 7-11 years of age, the advanced practicepsychiatric nurse would include activities consistent with which of stage of Piaget’s stages of cognitive development?
A.SensorimotorB.PreoperationalC.Formal operationalD.Concrete operational12. The advanced practice psychiatric nurse working with a patient with borderline personalitydisorder is aware that which of the following attachment styles has been highly correlated withBorderline personality disorder?A.Secure attachment styleB.Unresolved attachment styleC.Preoccupied attachment styleD.Disorganized attachment style13. Which of the following medications may be recommended for patients with insomnia due toPTSD?A.Any antidepressant can offer as first-line treatment in adults for PTSD.B.Non-benzodiazepines such as trazodone (Desyrel)C.Prazosin (Minipress) may be helpful if nightmares are present.D.B and C14. According to the MacArthur Study of Successful Aging protective factors on mental and cognitive functioning and successful aging include:A.Positive mental attitude
B.Regularly scheduled activitiesC.ExerciseD.All the above15. The advanced practice psychiatric nurse is working with the patient on maintaining treatmentoutcomes and developing a guide for surviving difficult times. These strategies are consistent with which phase in the CBT process?A.Introductory phaseB.Middle phaseC.Late middle phaseD.Termination16. Strategies for terminating a therapy relationship with an older adult includes:A.The advanced practice psychiatric nurse needs to develop a checklist to determine goals havebeen made and it is time to terminate.B.The advanced practice psychiatric nurse determines therapy goals attained, terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy.C.The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goalattainment and terminate the therapy.D.Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained.17. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?A.Invite the patient to new ways of viewing a situation
B.Guiding patient to develop more skills to achieve a greater quality of life.C.Engage the patient in change talkD.A and B18. Which of the following would not be a first-line intervention for an individual with PTSD?A. CPTB.CPT-PEC.EMDR therapyD.Pharmacological interventions.19. Emotion-Focused therapy integrates which of the following?A.Person-centered therapy and Gestalt therapyB.Gestalt therapy and Neuroscience research of emotions.C.Neuroscience research of emotions and Person-centered therapy.D.Person-centered therapy, Gestalt therapy and Neuroscience research of emotions.20. Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following?A.Artistic endeavors such as sculpting, drawing painting.B.Movement therapies such as dance.C.Tapping on acupressure points
D.Cognitive skills such as thought stopping and guided self-dialogue.21. The purpose of Mindfulness-Based Stress Reduction in the older adult isA.To avoid using psychotropic medicationsB.To escape from stressful situations and relationshipsC.To learn to be present in the moment non-judgmentally.D.To avoid stigma of traditional psychotherapy22. The stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of the following?A.Cognitive Restructuring ModelB.Cognitive Resiliency ModelC.Community Resiliency ModelD.Cognitive Regeneration Model23. Which of the following is not an underlying assumption that differentiates child therapiesfrom adult psychotherapy?A.Family inclusionB.The concept of RecoveryC.The concept of ResiliencyD.Developmental considerations24. Which of the following is consistent with a Common Elements approach?
A.Common Elements involves use of individual treatment approaches that are part of many manualized treatmentB.Evidenced-based strategy is viewed in light of the actual intervention as well as diagnostic category.C.The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues.D.Is Common Elements method should not be used with child/adolescents with PTSD.25. Functional status refers toA.A person’s capacity to manage activities of daily living independentlyB.A person’s positive perspective on their own capabilitiesC.A person’s expected increase in dependency as one agesD.A person’s expected decrease in independence as one ages26. Which of the following is not true about self-regulation as it applies to therapy with children?A.Self-regulation is a developmental milestone of childhood in which the child controls behavior inthe service of socially desirable conduct.B.Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.C.Self-regulation mechanisms from a neuroscience perspective are basic mechanismspredominantly located in the globus pallidus.D.Self-regulation issues are often seen in various child psychopathology.27. Which of the following is not consistent with Eye Movement Desensitization andReprocessing (EMDR) literature in treating PTSD?
A.Treatment effects are long lasting.B.EMDR involves extended exposureC.EMDR treatment for trauma is less time intensive.D.The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event.28. Which of the following is true about Complementary and Alternative Medicine (CAM) Therapies and Older Adults?A.CAM therapies are a good alternative to conventional medicineB.CAM therapies can be used in conjunction with psychotherapy to provide effective, evidence- based treatments to older adults with psychiatric disorder.C.Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults.D.Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns.29. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following?A.Bi-weekly individual therapy sessions for the patient of about 1 hour each.B.Weekly group skills training sessions for the patient of 2.5 hours each.C.Skills coaching via telephone or other electronic means as needed by the patient to manage I vivosituationsD.Team consultation to the therapist to maintain treatment fidelity and adherence30. The primary source for constructive change in a humanistic-existential approach is which ofthe follow:
A.The patient’s motivationB.The therapist’s structureC.The therapist-patient relationshipD.The patient-family relationship31. The advanced practice psychiatric nurse working with children/adolescents in psychotherapyis aware of which of the following?A.The basic structure of psychotherapy with children aligns with principles of psychotherapy foradults.B.The basic structure of psychotherapy with children for the most part is not alignedwith principles of psychotherapy for adults.C.Engaging with the family precedes engagement with the child or adolescent in the first familymeeting.D.Typically children are exited to engage in psychotherapy to improve the home situation.32. When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients?A.Patients can fail in therapy.B.Patients are doing the best they can.C.Patients need to do better, try harder and be more motived to change.D.Patients may not have caused all their problems, but they need to solve them anyway. - A natural process whereby the individual is continually disturbed by the emergence of aneed, strives to restore equilibrium by constantly reorganizing and adapting to changingcircumstances in recognized by the Gestalt therapist as which of the following?A.Figure and groundB.Organismic self-regulationC.Layers of the personalityD.None of the above34. Which of the following does the advanced practice psychiatric nurse need to consider whentreating older adults with Substance Use Disorders?A.Co-existing medical or psychiatric disorderB.Age-related physiological and psychological changesC.Collaboration with primary care providersD.All of the above35. In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following?A.Recognize the therapist is human and fallible.B.Make every reasonable effort to provide competent treatment for the patient.C.Share the rules for the DBT therapist with the patient during orientation to the therapy.D.The therapist agrees to use consultation and allow the patient to view this directly if desired. ???36. According to Dearing, Stuewig, and Tangney (2005), understanding the difference betweenguilt and shame and its impact on an individual’s motivation is critical to hope and the recoveryprocess. Which of the following is true regarding guilt and shame?
A.Shame drives a person to engage in treatment while guilt drives a person to avoid treatment.B.Shame causes a person to perceive self as a failure and guilt causes avoidance of treatment.C.Guilt causes a person to perceive himself as a loser and shame drives a person to avoid treatment.D.Shame drives avoidance from treatment, Guilt often motivates a person to seek treatment.37. Which of the following is true about use of medications and/or psychotherapy in treatment ofPTSD?A.Medications alone can cure PTSDB.Medication may be a helpful as an adjunctive treatment but is not a first-line treatmentC.Medication directly promotes new learning and processing.D.Medications assuage the guilt, grief and interpersonal difficulties specifically in patients with PTSD.38. Research suggests that psychodynamic therapeutic approaches are effective for somechildren, particularly those with which of the following disorders?A.Conduct DisordersB.Anxiety and DepressionC.Depression and PsychosisD.Attention Deficit-Hyperactivity Disorders39. A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills?A.
TrackingB.Resourcing and resource intensificationC.GroundingD.Gesturing40. During your second CBT session with an older adult the patient expresses to you comfortwith the CBT model and begins to ask questions about how the therapy works. Thisindicates which of the following?A.It is time to move to the middle phase of CBTB.This comment seems contradictory, perhaps the patient has a dementia.C.The patient is just trying to rush through the therapy, a type of resistance.D.The patient clearly needs at least one more introductory/early phase session.41. Dysfunctional processes, developed early in life that people employ in an attempt to meettheir Needs, are referred to by the Gestalt therapist as which of the following?A.InterruptionsB.Figure and groundC.Layers of personalityD.Organismic self-regulation42. Using a Common elements approach with a child with ADHD who despite stimulant medication continues to exhibit frequent angry outbursts, opposition and aggression the advanced practice psychiatric nurse begin with which of the following?A.Stop the medication as it clearly is not working.
B.Adjust medication as it clearly isn’t working.C.Explore inpatient treatment where the environment could be more closely controlled andmonitored.D.Review the best available evidence for behavioral, cognitive or psychoeducation intervention toaugment the medication and address these behavioral/regulation issues.43. When doing psychotherapy with older adult’s accommodations which target cognitivesymptoms and functional deficits include:A.Shorter, more frequent sessionsB.Summarizing previous sessionsC.Quizzing patient on previous sessionsD.Insist the patient bring a notebook and take note44. When doing psychotherapy with older adult’s accommodations which target cognitivesymptoms and functional deficits include:A.Shorter, more frequent sessionsB.Summarizing previous sessionsC.Quizzing patient on previous sessionsD.Insist the patient bring a notebook and take note45. The underlying assumptions of Trauma Resiliency Model therapy include which of the following?A.Human response to threat are subcortical in nature.B.Response to trauma is likely transient and should go away with or without treatment.
C.The mind has no bias; thus, we make sense of the world in a symmetrical manner.D.Current psychiatric concepts adequately account for the impact of multiple or long-term46. Addiction is now recognized as which of the following?A.A preventable personality disorderB.A family disorder due to poor parentingC.A volitional behavior that can be managed independently’D.A primary disease of the brain’s neurocircuitry.47. The advanced practice psychiatric nurse is using a Dialectical Behavior Therapy (DBT) approach with a patient who has experienced trauma. In which stage of the DBT model would the advanced practice psychiatric nurse begin exposure therapy?A.Stage 1B.Stage 2C.Stage 3D.Stage 448. A specific type of CBT therapies aimed to reduce distress as a person experiencessensation with danger is known as which of the following?A.Shame-AttackingB.Exposure TherapyC.Cognitive Rehearsal
D.Guided relaxation and meditation49. Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder?A.Evidence suggests the substance use issues be addressed first as substances can mask the issues and symptoms of PTSD.B.Evidence suggests symptoms of PTSD be addressed before initiating any substance abuse issuesas PTSD symptoms are what typically trigger substance abuse.C.Clinicians need to learn evidence-based treatment approaches to simultaneously treat theunderlying PTSA while addressing substance use.D.Evidence suggests a low dose antipsychotic medication is most effective in treating PTSD symptoms and can also minimize alcohol and other drug abuse.50. Which of the following activities is not consistent with the first phase of the eight-phase protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with apatient who has PTSD?A.DesensitizationB.Identification of targets.C.Screening for use of EMDRD.Screening for affect tolerance and dissociation51. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses?A.SchizophreniaB.New onset depression
C.Bipolar Affective DisorderD.Borderline Personality Disorder52. Which therapy approach has been shown to be effective in reducing depressive symptoms and suicidality in older adult with co-existing personality disorders?A.Dialectical Behavior Therapy (DBT)B.Ecosystem-Focused Therapy (EFT)C.Cognitive Behavioral Therapy for Executive Dysfunction (CBT-MD)D.D.Problem Adaptation Therapy (PATH)53. Which of the following is a philosophical approach to psychotherapy which deals withuniversal themes of life?A.Gestalt TherapyB.PsychoanalysisC.Existential psychotherapyD.Person-Centered Psychotherapy54. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient diagnosed with a personality disorder explains that for success in treatment, the patientmust attend the individual and group skills sessions consistently. It is explained to the patient that if four sessions are missed consecutively the treatment will end. Which of the following is true about this rule?A.This is a guideline, not a requirement.B.It gives the patient control over his or her commitment to treatmentC.
This is one of the optional rules for Dialectical Behavior Therapy and may be done at the therapist’s discretion.D.This is a therapeutic strategy to exert control over the patient and therapy process.55. Which of the following is consistent with Trauma Resiliency Model (TRM) therapy?A.TRM therapy facilitates patient’s awareness of pleasant, unpleasant, and neutral body sensations.B.TRM acknowledges negative affect and it’s accompanying unpleasant physical sensations.C.TRM therapist teaches patient techniques to intentionally modulate negative emotions by shifting away from negative sensations.D.All of the above56. The advanced practice psychiatric nurse working with the older adult cohort recognizes:A.As a group, the elderly, regardless of specific age, race or experiences have similar issues.B.This is basically the baby boomer generation, with great empowerment and entitlementC.This enlightened cohort sees no stigma with mental health diagnosis or treatment.D.There is great diversity with individual variation and cohort effects57. Evidence-based therapeutic modalities for treating older adults with anxiety include which ofthe following:A.Cognitive Behavioral Therapy, Relaxation training, BiofeedbackB.Dialectical Behavior Therapy, Reminiscence Therapy, BiofeedbackC.Guided Imagery, Music Therapy, YogaD.A and C - The patient in Dialectical Behavior Therapy with a history of self-harming through cutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of the following?A.The patient is ready to focus on self-fulfillmentB.The patient is ready to focus on self-efficacyC.The patient is ready to begin exposure therapy.D.The patient is ready to begin termination from therapy.59. Which of the following screening tools is geared toward screening pregnant women for alcohol and drug abuseA.CAGE-AIDB.CRAFFTC.TWEAKD. UNCOPE60. Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event?A.Tell me about your childhood.B.Tell me what happened last week.C.Let’s just focus on the here and now.D.Tell me the story as if it were happening now.61. Recovery, according to behavioral health leaders, is considered a lifelong process that encompasses which four major dimensions:
A.Health, Wealth, Relationships, SleepB.Health, Home, Purpose and CommunityC.Purpose, Personality, Health, RelationshipsD.Community, Relationships, Wealth, Health62. Which of the following are “Help Now!” skills? Select all that apply.A.Drink a glass of water, tea, or juice.B.Name 6 colors you see wherever you are.C.Open and close your eyes.D.A and B only.63. The loss of control over the intense urge to take a drug even at the expense of adverseconsequences is known as which of the following?A.ToleranceB.WithdrawalC.AddictionD.A craving64. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?A.AddictionB.
ToleranceC.WithdrawalD.Dependence65. In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structuredapproach includes which of the following?A.Relaxation skillsB.Problem solving skillsC.Constructing the trauma narrativeD.Psychoeducation with child and parent about trauma response and what causes it.66. The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of the following?A.FreedomB.ResponsibilityC.AuthenticityD.Meaning67. The advanced practice psychiatric nurse using supportive psychotherapy with a patient with apreoccupied attachment style would use which of the following interventions?A.Active interventions to facilitate emotional expression and connection. ???B.Supportive interventions to help the patient contain overwhelming emotions.
C.Any interventions on the psychodynamic continuum with not customizations.D.None of the above. Attachment style has no bearing on psychodynamic therapy.68. In working with an older female patient, the advanced practice psychiatric nurse notices thepatient seems to respond superficially reminding the advanced practice psychiatric nurse of herown mother and finds herself looking forward to their sessions, which recently have been goinglonger than scheduled. The advanced practice psychiatric nurse recognizes this asA.GerotransferenceB.TranscendenceC.CountertransferenceD.A sign of a close therapeutic relationship69. Problems in the preschool child’s self-regulation has been tied to subsequent issues with which of the following?A.AggressionB.Conduct ProblemsC.Social WithdrawalD.All of the above.70. The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goalsof therapy, and arrives at a commitment to the treatment. Assumptions and principles of theDBT model are explained. This is consistent with which stage of treatment within the DBTmodel?A.PretreatmentB.Stage 1C.
Stage 2D.Stage 371. Evidence supports which of the following statements about women and addictions treatment?A.Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.B.Women are more apt to drop out of treatment than men.C.Women are less likely than men to seek mental health services.D.Women are less likely than men to participate in group therapy.72. The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following?A.FocusingB.Body awarenessC.Language of responsibilityD.Empty-chair dialogue73. The advanced practice psychiatric nurse realizes which of the following with respect toindividuals with personality disorders of traits?A.Often these individuals will see their problems as independent of their own behaviors.B.These individuals will often describe themselves as a victim.C.These individuals often present for treatment at the request of a significant other or other externalpressure.
D.All the above.74. McGovern et al (2014) have found which of the following therapeutic approaches helpful Inworking with post-stroke patients experiencing depression?A.Interpersonal Therapy for Mild Cognitive Impairment (IPT-CT)B.Problem-Solving Therapy for Executive Dysfunction (PST-ED)C.Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)D.Ecosystem-Focused therapy (EFT)75. The Dialectical Behavior Therapy (DBT) therapist addresses life-threatening behaviors and therapy-interfering behaviors with the patient. This is consistent with which stage of treatment within the DBT model?A.PretreatmentB.Stage 1C.Stage 2D.Stage 376. In child psychotherapy consideration of systems that promote a child’s ongoing developmentinclude which of the following?A.PeersB.FamilyC.SchoolD.Community - The advanced practice psychiatric nurse encourages the older adult to recall long forgottenexperiences, events which are memorable to the person. This is known asA.Life Review Therapy (LRT)B.Reminiscence Therapy (RT)C.A Mindfulness StrategyD.Interpersonal Psychotherapy (IPT)78. The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The advanced practice psychiatric nurse using the DBT model would do which of the following?A.Do nothing different.B.Increase the frequency and intensity of contact.C.Decrease the frequency and intensity of contact.D.Express concern to the patient about premature distancing and regression79. Which of the following is not consistent with a family-centered approach in working with children/adolescents?A.The family is the focus of the treatmentB.Family treatment is appropriate to improve family interactions.C.Family treatment is appropriate to keep families engaged in services.D.Family treatment is appropriate to increase family knowledge about mental health.
- The Gestalt Therapist working with a patient notices that every time a sensitive issue comeup the patient will change the topic and tell a joke. The therapist recognizes this interruption aswhich of the following?A.IntrojectionB.ProjectionC.DeflectionD.Retroflection81. The patient demonstrates the ability to regulate his emotions in such a way he can think through them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?A.Stage 1B.Stage 2C.Stage 3D.Stage 482. n working with a patient with borderline personality disorder, the Dialectical Behavior Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are the highest priority for treatment. Which of the following would be inconsistent with DBT therapy?A.The patient must agree to reduce self-harming behaviors as a goal for therapy.B.The patient must agree to work with the therapist before acting on self-harming urges.C.If the patient engages in the self-harming behavior and is admitted to the hospital the therapistcan continue to support the patient through scheduled telephone or in-person sessions.D.
If the patient engages in the self-harming behavior and is admitted to the hospital the therapistsuspends direct consultation with the patient until 24 hours after the patient is discharged fromthe hospital.83. Sleep disturbances are common for those who have experienced trauma. Which ofthe following would not be recommended when teaching patients about good sleephygiene?A.Regular daily exerciseB.Avoid napping during the day.C.Maintain a quiet cool bedroomD.Put bedroom TV on a timer so it will automatically go off after you are asleep.84. Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?A.Clarify explicitly the boundaries of the therapeutic relationship.B.The therapist will maintain confidentiality within the limits of the law and ethical practice.C.Explain a professional relationship is based on mutual respect and the desire to help the patient.D.Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.85. Which of the following are psychotherapeutic techniques used in person centeredpsychotherapy?A.A highly structured approach is used.B.Process interventions are widely used.C.Directive, interpretive techniques are used.D.A nondirective-facilitative counseling approach is used. - A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?A.FocusingB.DreamworkC.Empty-chair dialogueD.Language of responsibility87. According to a Gestalt framework, to uncritically accept others’ beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctional processknown as which of the following:A.ConfluenceB.ProjectionC.IntrojectionD.Retroflection88. Which of the following is not consistent with the Cognitive Behavioral therapist perspective when treating and individual with a personality disorder?A.It is important to identify and then modify “core “problems when treating individuals with personality disorders.B.Personality structures are unconscious and mostly unavailable to the individual.C.Personality products and processes are within the realm of awareness, mostly accessible to the individual.D.Dysfunctional behaviors, thoughts and feelings are largely due to the function of schemas.
- The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?A.Validate the patient ‘s frustration while encouraging and reinforcing use of skills.B.Analyze the behaviors and consequences of the behaviors with the patient.C.Focus on behavioral control and management with emotions as a contextual element.D.All of the above90. The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?A.This indicates the change(s) really did not takeB.The patient is unconsciously sabotaging the therapy.C.This indicates process is trying to force a change too fast.D.As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.91. Which of the following is consistent with the psychotherapeutic approach used byexistential psychotherapists?A.The existential approach has a specific set of techniques used.B.The existential relies on the patient to drive the therapeutic direction.C.The existential therapist presents broad existential themes but avoids in-depth questioning.D.The existential psychotherapist is free to draw on techniques from other psychotherapeuticmodels .
- This theoretically and clinically complex psychotherapeutic approach which recognizes the unity of humans as integrated wholes, not divided into parts, taken out of context, or generalized,is known as which of the following?A.Gestalt PsychotherapyB.Person-Centered TherapyC.Existential PsychotherapyD.Emotion-focused Therapy93. Which of the following describes the basic neurobiological pathways of the reward system inthe brain?A.Projections from the ventral tegmental area, through the median forebrain and terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.B.Projections through the median forebrain, to the ventral tegmental area where there is aproliferation of dopamine neurons, to the nucleus accumbens.C.Projections from the nucleus accumbens to the median forebrains where there is a proliferationof dopamine neurons to the ventral tegmental area.D.Projections from the median forebrain through the ventral tegmental area to the nucleus accumbens where there is a proliferation of dopamine neurons.94. Which of the following is not consistent with a “traditional” treatment frame?A.Enforcing established starting and ending times for each session.B.Establishing and enforcing a clear policy in regard to payment.C.Canceling sessions if the patient arrives under the influence of alcohol or psychoactive drugs.D.Disclosing home or cellular phone number of therapist for emergency use only.
- Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH?A.Treatment needs to be readily accessible.B.Psychotropic medication should be stopped prior to treatment.C.Treatment does not need to be voluntary to be effective.D.Drug use during treatment must be monitored continuously as lapses may occur duringtreatment.96. Which of the following is not consistent with the Psychoanalyst’s perspective when treating and individual with a personality disorder?A.It is important to identify and then modify “core” problems when treating individuals withpersonality disorders.B.Personality structures are unconscious and thus mostly unavailable to the individual.C.Personality products and processes are within the realm of awareness, accessible to the individual.D.Psychoanalytic therapy is an effective treatment for Borderline personality disorder97. The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at anearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame?A.Given concerns about relapse it would be important to meet with the patient just this one timeand just for 10 minutes but meet in your office.B.Remind the patient that one of the rules is not having contact outside of therapy sessions.C.
Agree to meet with patient alone in the group room to resolve any outstanding concerns from thegroup.D.Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only thisonce and only for 10 minutes.98. Which best describes gerotranscendence?A.Erik Erikson’s ninth stage of developmentB.Emphasizes ongoing growth over decrementsC.Focuses on the transition to old-old (80 years and older).D.Focuses on letting go and coming to terms with end of one’s life99. Critical goals in addiction treatment include improving impulse control, reducing craving, and promoting and adaptive social environment. Evidenced based skills that can bestimpact these goals include:A.Life Review TherapyB.Contingency ManagementC.Motivational InterviewingD.Interpersonal PsychotherapyE. B & C100. Critical goals in addiction treatment include improving impulse control, reducingcraving, and promoting and adaptive social environment. Evidenced based skills that can best impact these goals include:A.Life Review TherapyB.
Contingency ManagementC.Motivational InterviewingD.Interpersonal PsychotherapyE. B & CShare QuestionComments (1)Answer & ExplanationSolved by verified expert1. A2. B3. A4. A5. A6. B7. C8. A9. D10. D11. D12. B13. A14. B15. B16. B17. A18. C19. C20. D21. A22. C23. B24. B25. A26. C27. D28. B29. B30. C31. A - D33. B34. B35. D36. A37. B38. C39. A40. D41. C42. D43. D44. D45. C46. A47. A48. A49. B50. A51. A52. A53. C54. C55. B56. A57. C58. D59. A60. B61. B62. D63. A64. C65. B66. B67. A68. B69. B70. A71. C72. C73. C74. A75. B76. B77. C
- D79. A80. B81. D82. A83. B84. B85. B86. A87. A88. C89. D90. A91. A92. B93. D94. D95. B96. C97. A98. A99. A100. DIn providing psychoeducation to patient’s in recovery, the advanced…In providing psychoeducation to patient’s in recovery, the advanced practice psychiatric nurse would not include which of the following?A. Recovery is a lifelong process of changeB. A patient is considered recovered after 5 years free of substance use.C. Recovery encompasses dimensions of health, home, purpose and community.D. Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions.Step-by-step explanationInterpersonal Psychotherapy is always time limited. It improves the performance; the inter relationships.It helps to solve the problems by communication.It is very helpful in resolving any issue.I hope this will help youThank you!
Which best describes gerotranscendence?A Erik Erikson’s ninth stage of developmentB. Emphasizes ongoing growth over decrementsC. Focuses on the transition to old-old (80 years andolder).D. Focuses on letting go and coming to terms with endof one’s lifeThe advanced practice psychiatric nurse is working with a group of patients in an outpatientsubstance abuse treatment program. One patient comes to the advanced practicepsychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame?A. Given concerns about relapse it would be important to meet with the patient just this one time and just for 10 minutes but meet in your office.B. Remind the patient that one of the rules is not having contact outside of therapysessions.C. Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group.D. Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues,but only this once and only for 10 minutes.The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?A. AddictionB. ToleranceC. WithdrawalD. DependenceWhich of the following describes the basic neurobiological pathways of the reward system inthe brain?A. Projections from the ventral tegmental area, through the median forebrain andterminate in the nucleus accumbens where there is a proliferation of dopamine neurons.B. Projections through the median forebrain, to the ventral tegmental area where thereis a proliferation of dopamine neurons, to the nucleus accumbens.C. Projections from the nucleus accumbens to the median forebrains where there is aproliferation of dopamine neurons to the ventral tegmental area.D. Projections from the median forebrain through the ventral tegmental area to thenucleus accumbens where there is a proliferation of dopamine neurons.Evidence supports use of Dialectical Behavior Therapy patients with which of the following
diagnoses?A. SchizophreniaB. New onset depressionC. Bipolar Affective DisorderD. Borderline Personality DisorderThe existential concept of an openness, readiness, and flexibility to grow and change, whichnecessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of the following?A. FreedomB. ResponsibilityC. AuthenticityD. MeaningUsing a psychodynamic psychotherapy stage oriented model for the treatment of trauma,the advanced practice psychiatric nurse would do which of the following in Stage 1?A. Address safety issuesB. Promote symptoms stabilizationC. Process painful memoriesD. A and CThe advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelingstowards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following?A Projection.B. RetroflectionC. ConfluenceD. DeflectionThe patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taughtdon’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?A. Validate the patient ‘s frustration while encouraging and reinforcing useof skills.B. Analyze the behaviors and consequences of the behaviors with thepatient.C. Focus on behavioral control and management with emotions as acontextual element.D. All of the aboveAn organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?A. Belief of human
natureB. Self-conceptC. Actualizing tendencyD. Fully functioning personThe advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach witha patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following?A. Bi-weekly individual therapy sessions for the patient of about 1 hour each.B. Weekly group skills training sessions for the patient of 2.5 hours each.C. Skills coaching via telephone or other electronic means as needed by the patient tomanage I vivo situationsD. Team consultation to the therapist to maintain treatment fidelity and adherencThe advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline characterstructure is which of the following?A. Expressive psychotherapyB. Supportive psychotherapyC. PsychoanalyticpsychotherapyD. A combination of all of the above.The advanced practice psychiatric nurse working with a patient with borderline personalitydisorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder?A. Secure attachment styleB. Unresolved attachment styleC. Preoccupied attachmentstyleD. Disorganized attachment styleThe advanced practice psychiatric nurse using supportive psychotherapy with a patient witha preoccupied attachment style would use which of the following interventions?A. Active interventions to facilitate emotional expression and connection.B. Supportive interventions to help the patient contain overwhelmingemotions.C. Any interventions on the psychodynamic continuum with notcustomizations.D. None of the above. Attachment style has no bearing on psychodynamic therapy.The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The
advanced practice psychiatric nurse using the DBT model would do which of the following?A. Do nothing different.B. Increase the frequency and intensity of contact.C. Decrease the frequency and intensity of contact.D. Express concern to the patient about premature distancing and regressionWhich of the following is not consistent with the Cognitive Behavioral therapist perspective when treating and individual with a personality disorder?A. It is important to identify and then modify “core “problems when treating individualswith personality disorders.B. Personality structures are unconscious and mostly unavailable to the individual.C. Personality products and processes are within the realm of awareness, mostly accessible to the individual.D. Dysfunctional behaviors, thoughts and feelings are largely due to the function of schemas.Strategies for terminating a therapy relationship with an older adult includes:A. The advanced practice psychiatric nurse needs to develop a checklist to determinegoals have been made and it is time to terminate.B. The advanced practice psychiatric nurse determines therapy goals attained, terminate the therapeutic relationship, and schedule to meet the patient for coffee toease the transition out of therapy.C. The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate the therapy.D. Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained.The most effective treatment for SUD with or without co-morbid psychiatric disorders is:A. Multidimensional addressing medical, psychosocial and mentalhealth issuesB. Trauma-informed care.C. 12-Step Peer Support GroupsD. Cognitive Behavioral TherapyThe stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of the following?A. Cognitive Restructuring ModelB. Cognitive Resiliency ModelC. Community Resiliency ModelD. Cognitive Regeneration ModelThe advanced practice psychiatric nurse working with a patient with SUD provides a $25 voucher for a retail purchase in recognition of one month’s sobriety and clean drug screens.This intervention is most consistent with which therapeutic approach?A. Motivational InterviewingB. Contingency Management
C. Dialectical Behavioral TherapyD. Cognitive Behavioral Coping SkillsA patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which ofthe following techniques to complete unfinished business?A. FocusingB. DreamworkC. Empty-chair dialogueD. Language of responsibilityAccording to Dearing, Stuewig, and Tangney (2005), understanding the difference between guilt and shame and its impact on an individual’s motivation is critical to hope and the recovery process. Which of the following is true regarding guilt and shame?A. Shame drives a person to engage in treatment while guilt drives a person to avoid treatment.B. Shame causes a person to perceive self as a failure and guilt causes avoidance oftreatment.C. Guilt causes a person to perceive himself as a loser and shame drives a person to avoid treatment.D. Shame drives avoidance from treatment, Guilt often motivates a person to seektreatmentA natural process whereby the individual is continually disturbed by the emergence of aneed, strives to restore equilibrium by constantly reorganizing and adapting to changingcircumstances in recognized by the Gestalt therapist as which of the following?A. Figure and groundB. Organismic self- regulationC. Layers of the personalityD. None of the aboveWhich of the following would not be a first-line intervention for an individual with PTSD?A. CPTB. CPT-PEC. EMDR therapyD. Pharmacological interventions.The mother of a 6-year-old is concerned that the child seems to always want to pretendwhen playing. Which would be an appropriate response to the mother?A. This shows some regression as most children of this age are in the concrete operational stage and play should be more realistic.B. This is an appropriate activity for a child of this age consistent with Piaget’s sensorimotor stage.C. Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development.D. Pretend play shows the ability to think abstractly which indicates cognitive ability
consistent with the formal operational stage of cognitive development. Techniques used by the Gestalt therapist include which of the following?A. The ability to provide homeworkB. The ability to craft creative experimentsC. The ability to establish an authentic I-Thou relationship with the patient.D. B and CWhen doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include:A. Shorter, more frequent sessionsB. Summarizing previous sessionsC. Quizzing patient on previous sessionsD. Insist the patient bring a notebook and take noteThe advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of the following is true about a relapse prevention plan?A. A relapse prevention plan includes identifying triggers to the patient’s gambling anda variety of coping strategies to avoid or successfully manage triggers without reverting to gambling.B. A relapse prevention plan should be completed during the initial stage of treatment.C. The main focus of a relapse prevention plan is on changing behaviors.D. The main focus of a relapse prevention plan is on cognitive or thought processes todecrease the desire to gambleWhich of the following is not true about self-regulation as it applies to therapy with children?A. Self-regulation is a developmental milestone of childhood in which the child controls behavior in the service of socially desirable conduct.B. Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.C. Self-regulation mechanisms from a neuroscience perspective are basic mechanisms predominantly located in the globus pallidus.D. Self-regulation issues are often seen in various child psychopathology.Which of the following is not consistent with a “traditional” treatment frame?A. Enforcing established starting and ending times for each session.B. Establishing and enforcing a clear policy in regard to payment.C. Canceling sessions if the patient arrives under the influence of alcohol orpsychoactive drugs.D. Disclosing home or cellular phone number of therapist for emergency useonly.Which of the following is consistent with Life Review Therapy?
A. Appropriate for cognitively intact to moderately impaired olderadults.B. Focuses on past event or experiences, not current events.C. The patient is typically self-focused, usually experiencing a lifeevent trigger.D. Results in decreased isolationThe advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in the acronym PRACTICErepresents which therapeutic component of this therapeutic approach?A. ExposureB. EducationC. EnergizingD. Enhancing safetyShare QuestionAnswer & ExplanationSolved by verified expertRated HelpfulAnswers are posted below.Step-by-step explanationIn providing psychoeducation to patient’s in recovery, the advanced practice psychiatric nurse would not include which of the following?Answer: B. A patient is considered recovered after 5 years free of substance use.Which best describes gerotranscendence?Answer: C. Focuses on the transition to old-old (80 years andolder).The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at anearby Starbucks to clarify a couple of questions that came up at the end ofthe session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame?Answer: B. Remind the patient that one of the rules is not having contact outside of therapysessions.The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?Answer: B. ToleranceWhich of the following describes the basic neurobiological pathways of the reward system inthe brain?Answer: B. Projections through the median forebrain, to the ventral tegmental area where there
is a proliferation of dopamine neurons, to the nucleus accumbens.Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses?Answer: D. Borderline Personality DisorderThe existential concept of an openness, readiness, and flexibility to grow and change, whichnecessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of the following?Answer: A. FreedomUsing a psychodynamic psychotherapy stage oriented model for the treatment of trauma,the advanced practice psychiatric nurse would do which of the following in Stage 1?Answer: C. Process painful memoriesThe advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelingstowards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following?Answer: A Projection.The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taughtdon’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?Answer: D. All of the aboveAn organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?Answer: B. Self-conceptThe advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach witha patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following?Answer: A. Bi-weekly individual therapy sessions for the patient of about 1 hour each.The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline characterstructure is which of the following?Answer: D. A combination of all of the above.The advanced practice psychiatric nurse working with a patient with borderline personalitydisorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder?Answer: C. Preoccupied attachment style
The advanced practice psychiatric nurse using supportive psychotherapy with a patient witha preoccupied attachment style would use which of the following interventions?Answer: B. Supportive interventions to help the patient contain overwhelmingemotions.The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The advanced practice psychiatric nurse using the DBT model would do which of the following? Answer: A. Do nothing different.Which of the following is not consistent with the Cognitive Behavioral therapist perspective when treating and individual with a personality disorder?Answer: B. Personality structures are unconscious and mostly unavailable to the individual.Strategies for terminating a therapy relationship with an older adult includes:Answer: C. The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate the therapy.The most effective treatment for SUD with or without co-morbid psychiatric disorders is:Answer: D. Cognitive Behavioral TherapyThe stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of the following? Answer: C. Community Resiliency ModelThe advanced practice psychiatric nurse working with a patient with SUD provides a $25 voucher for a retail purchase in recognition of one month’s sobriety and clean drug screens.This intervention is most consistent with which therapeutic approach?Answer: B. Contingency ManagementA patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which ofthe following techniques to complete unfinished business?Answer: C. Empty-chair dialogueAccording to Dearing, Stuewig, and Tangney (2005), understanding the difference between guilt and shame and its impact on an individual’s motivation is critical to hope and the recovery process. Which of the following is true regarding guilt and shame?Answer: D. Shame drives avoidance from treatment, Guilt often motivates a person to seektreatmentA natural process whereby the individual is continually disturbed by the emergence of aneed, strives to restore equilibrium by constantly reorganizing and adapting to changingcircumstances in recognized by the Gestalt therapist as which of the following?
Answer: B. Organismic self- regulationWhich of the following would not be a first-line intervention for an individual with PTSD?Answer: C. EMDR therapyThe mother of a 6-year-old is concerned that the child seems to always want to pretendwhen playing. Which would be an appropriate response to the mother?Answer: C. Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development.Techniques used by the Gestalt therapist include which of the following?Answer: D. B and CWhen doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include:Answer: A. Shorter, more frequent sessionsThe advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of the following is true about a relapse prevention plan?Answer: A. A relapse prevention plan includes identifying triggers to the patient’s gambling and a variety of coping strategies to avoid or successfully manage triggers withoutreverting to gambling.Which of the following is not true about self-regulation as it applies to therapy with children? Answer: B. Self-regulation is a pivotal developmental process of integrating emotion, memoryand behavior.Which of the following is not consistent with a “traditional” treatment frame? Answer: D. Disclosing home or cellular phone number of therapist for emergency useonly.Which of the following is consistent with Life Review Therapy?Answer: B. Focuses on past event or experiences, not current events.The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in the acronym PRACTICErepresents which therapeutic component of this therapeutic approach?Answer: D. Enhancing safetyQuestion 61The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?
A.Invite the patient to new ways of viewing a situationB.Guiding patient to develop more skills to achieve a greater quality of life.C.Engage the patient in change talkD.A and BQuestion 62Which of the following is true about use of medications and/or psychotherapy in treatment ofPTSD?A.Medications alone can cure PTSDB.Medication may be a helpful as an adjunctive treatment but is not a first-line treatmentC.Medication directly promotes new learning and processing.D.Medications assuage the guilt, grief and interpersonal difficulties specifically in patients with PTSD.Question 63Which of the following is not consistent with recommendations for teaching Trauma Resiliency Model (TRM) skills?A.TRM self-care skills can be taught and used in any order.B.TRM skill may be taught in individual or group settingsC.To teach TRM skills, the therapist should be adept at using the skills themself.D.Teaching TRM is cost effective as only one teacher is needed individually or with groups.Question 64
Which of the following statements would not be consistent with the humanistic-existential concept of “holism” ?A.People are unique.B.The whole is greater than the sum of its parts.C.Mind, body, spirit work in a unified synergistic fashion.D.Dysfunctions such as a chemical imbalance must be identified.Question 65One of the problems when meeting with children individually is that it can create secrets. Whichof the following responses would the advanced practice psychiatric nurse do to address this concern?A.Do nothing, maintaining the child’s privacy protects the therapeutic relationship.B.Decide what the parents need to know and give them a summary of the individual session in withthe child in the room.C.Decide what the parents need to know and give them a summary privately to avoid anyawkwardness for the child.D.Discuss with the child what he or she wants to share with the parents and facilitate the process as needed.Question 66When the advanced practice psychiatric nurse builds a formulation when working with a child intherapy the advanced practice psychiatric nurse is doing which of the following?A.Formulation is a type of play therapy.B.Formulation is the child’s diagnosis.C.
The formulation explains the contexts of the child and family situation, the child’s unique presentation, responses and narratives of the events that shaped the interpretation.D.The formulation is the treatment plan.Question 67The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known asA.Life Review Therapy (LRT)B.Reminiscence Therapy (RT)C.A Mindfulness StrategyD.Interpersonal Psychotherapy (IPT)Question 68Which of the following activities is not consistent with the first phase of the eight-phase protocolfor Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient whohas PTSD?A.DesensitizationB.Identification of targets.C.Screening for use of EMDRD.Screening for affect tolerance and dissociationQuestion 69The advanced practice psychiatric nurse working with a child exposed to a traumatic event usingtrauma-focused cognitive behavioral therapy recognizes E in the acronym PRACTICE representswhich therapeutic component of this therapeutic approach?A.Exposure
B.EducationC.EnergizingD.Enhancing safetyQuestion 70When doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include:A.Shorter, more frequent sessionsB.Summarizing previous sessionsC.Quizzing patient on previous sessionsD.Insist the patient bring a notebook and take noteQuestion 71The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following?A.IntrojectionB.ProjectionC.DeflectionD.RetroflectionQuestion 72
Review of child specific Evidence Based Practices (EBP) demonstrate progress in some treatment areas however there is still much work to be done particularly in use of EBPs guidedby diagnostic criteria in children with which of the following disorders?A. ADHDB.AnxietyC.Bipolar DisorderD.Adolescent DepressionQuestion 73Recovery, according to behavioral health leaders, is considered a lifelong process that encompasses which four major dimensions:A.Health, Wealth, Relationships, SleepB.Health, Home, Purpose and CommunityC.Purpose, Personality, Health, RelationshipsD.Community, Relationships, Wealth, HealthQuestion 74Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders?A.Conduct DisordersB.Anxiety and DepressionC.Depression and PsychosisD.
Attention Deficit-Hyperactivity DisordersQuestion 76Strategies for terminating a therapy relationship with an older adult includes:A.The advanced practice psychiatric nurse needs to develop a checklist to determine goals havebeen made and it is time to terminate.B.The advanced practice psychiatric nurse determines therapy goals attained, terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy.C.The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goalattainment and terminate the therapy.D.Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained.Question 77Dysregulation of this area of the brain is associated with memory problems and this person maybe unable to integrate memories into the present and personal memory into identity, and thoughtto underlie symptoms of flashbacks, nightmares, avoidances and dissociation.A.Locus coeruleusB.CerebellumC.ThalamusD.HypothalamusQuestion 78The situation in which increasing amounts of a substance is needed to achieve the same desiredeffect is known as which of the following?A.Addiction
B.ToleranceC.WithdrawalD.DependenceQuestion 79The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline characterstructure is which of the following?A.Expressive psychotherapyB.Supportive psychotherapyC.Psychoanalytic psychotherapyD.A combination of all of the above.Question 80In working with an older female patient, the advanced practice psychiatric nurse notices the patient seems to respond superficially reminding the advanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been goinglonger than scheduled. The advanced practice psychiatric nurse recognizes this asA.GerotransferenceB.TranscendenceC.CountertransferenceD.A sign of a close therapeutic relationshipQuestion 81
A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is knownas which of the following Trauma Resiliency Model skills?A.TrackingB.Resourcing and resource intensificationC.GroundingD.GesturingQuestion 82Which of the following is not consistent with what is known about relapse?A.Relapse indicates treatment failure.B.Relapse is a persistent risk in addiction.C.Relapse is a characteristic of all chronic medical diseases.D.Relapse is the return to substance use or addictive behaviors after periods of abstinence.Question 83Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?A.Clarify explicitly the boundaries of the therapeutic relationship.B.The therapist will maintain confidentiality within the limits of the law and ethical practice.C.Explain a professional relationship is based on mutual respect and the desire to help the patient.D.Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.
Question 84Practice guidelines for complex trauma and dissociative identity disorder caution that which ofthe following may limit one’s ability to heal.A.Somatic approachesB.Talk therapies focused on cognitive understandingC.EMDRD.A and CQuestion 85Dysfunctional processes, developed early in life that people employ in an attempt to meettheir Needs, are referred to by the Gestalt therapist as which of the following?A.InterruptionsB.Figure and groundC.Layers of personalityD.Organismic self-regulationQuestion 86Which of the following is true about communication with children and adolescents?A.Communication is developmentally based.B.Offices should be free of toys or distractions.C.Speak to children in adult manner as it lets them know you take them seriously. D.
Communicate at level lower than the child or adolescent to improve their self-esteem.Question 87Evidence supports which of the following statements about women and addictions treatment?A.Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.B.Women are more apt to drop out of treatment than men.C.Women are less likely than men to seek mental health services.D.Women are less likely than men to participate in group therapy.Question 88The patient demonstrates the ability to regulate his emotions in such a way he can think through them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?A.Stage 1B.Stage 2C.Stage 3D.Stage 4Question 89The underlying assumptions of Trauma Resiliency Model therapy include which of the following?A.Human response to threat are subcortical in nature.B.Response to trauma is likely transient and should go away with or without treatment. C.
The mind has no bias; thus, we make sense of the world in a symmetrical manner.D.Current psychiatric concepts adequately account for the impact of multiple or long-termQuestion 90The person-centered therapist is expected to exhibit which of the following characteristics?A.CongruenceB.Unconditional positive regardC.Accurate empathic understandingD.All of the aboveQuestion 91Which of the following would not be a first-line intervention for an individual with PTSD?A. CPTB.CPT-PEC.EMDR therapyD.Pharmacological interventions.Question 92Problems in the preschool child’s self-regulation has been tied to subsequent issues with which of the following?A.AggressionB.Conduct ProblemsC.
Social WithdrawalD.All of the above.Question 93The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model? Pg 514/678A.PretreatmentB.Stage 1C.Stage 2D.Stage 3Question 94Which of the following are psychotherapeutic techniques used in person centeredpsychotherapy?A.A highly structured approach is used.B.Process interventions are widely used.C.Directive, interpretive techniques are used.D.A nondirective-facilitative counseling approach is used.Question 95The advanced practice psychiatric nurse working with children/adolescents in psychotherapy isaware of which of the following?A.The basic structure of psychotherapy with children aligns with principles of psychotherapy foradults.
B.The basic structure of psychotherapy with children for the most part is not alignedwith principles of psychotherapy for adults.C.Engaging with the family precedes engagement with the child or adolescent in the first familymeeting.D.Typically children are exited to engage in psychotherapy to improve the home situation.Question 96Positive symptoms of dissociation include which of the following?A.FlashbacksB.Memory problemsC.Inability to sense or control parts of the bodyD.B and CQuestion 97The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?A.This indicates the change(s) really did not takeB.The patient is unconsciously sabotaging the therapy.C.This indicates process is trying to force a change too fast.D.As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.Question 98
Which of the following is consistent with a Common Elements approach?A.Common Elements involves use of individual treatment approaches that are part of many manualized treatmentB.Evidenced-based strategy is viewed in light of the actual intervention as well as diagnostic category.C.The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues.D.Is Common Elements method should not be used with child/adolescents with PTSD.Question 99The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taughtdon’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?A.Validate the patient ‘s frustration while encouraging and reinforcing use of skills.B.Analyze the behaviors and consequences of the behaviors with the patient.C.Focus on behavioral control and management with emotions as a contextual element.D.All of the aboveQuestion 100An organized, consistent set of perceptions about the self, continually influenced by experienceand its interpretation which includes self-worth, self-image and ideal self, is which key conceptof person-centered therapy?A.Belief of human natureB.Self-conceptC.
Actualizing tendencyD.Fully functioning personShare QuestionAnswer & ExplanationSolved by verified expertRated HelpfulAnswers are posted below.Step-by-step explanationQuestion 61The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patientwith borderline personality disorder uses persuasive dialogue to do which of the following?Answer: D. A and B Question 62Which of the following is true about use of medications and/or psychotherapy in treatment ofPTSD?Answer: B. Medication may be a helpful as an adjunctive treatment but is not a first-line treatmentQuestion 63Which of the following is not consistent with recommendations for teaching Trauma Resiliency Model (TRM) skills?Answer: D. Teaching TRM is cost effective as only one teacher is needed individually or with groups.Question 64Which of the following statements would not be consistent with the humanistic-existentialconcept of “holism” ?Answer: D. Dysfunctions such as a chemical imbalance must be identified. Question 65One of the problems when meeting with children individually is that it can create secrets. Whichof the following responses would the advanced practice psychiatric nurse do to address this concern?Answer: C. Decide what the parents need to know and give them a summary privately to avoidany awkwardness for the child. Question 66When the advanced practice psychiatric nurse builds a formulation when working with a child intherapy the advanced practice psychiatric nurse is doing which of the following?Answer: D. The formulation is the treatment plan.
Question 67The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known asAnswer: B. Reminiscence Therapy (RT) Question 68Which of the following activities is not consistent with the first phase of the eight-phase protocolfor Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient whohas PTSD?Answer: A. Desensitization Question 69The advanced practice psychiatric nurse working with a child exposed to a traumatic event usingtrauma-focused cognitive behavioral therapy recognizes E in the acronym PRACTICE representswhich therapeutic component of this therapeutic approach?Answer: D. Enhancing safety Question 70When doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include:Answer: A. Shorter, more frequent sessions Question 71The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following?Answer: C. Deflection Question 72Review of child specific Evidence Based Practices (EBP) demonstrate progress in some treatment areas however there is still much work to be done particularly in use of EBPs guidedby diagnostic criteria in children with which of the following disorders?Answer: C. Bipolar Disorder Question 73Recovery, according to behavioral health leaders, is considered a lifelong process that encompasses which four major dimensions:Answer: B. Health, Home, Purpose and Community Question 74Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders?Answer: B. Anxiety and Depression Question 76Strategies for terminating a therapy relationship with an older adult includes:
Answer: D. Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained. Question 77Dysregulation of this area of the brain is associated with memory problems and this person maybe unable to integrate memories into the present and personal memory into identity, and thoughtto underlie symptoms of flashbacks, nightmares, avoidances and dissociation.Answer: C. Thalamus Question 78The situation in which increasing amounts of a substance is needed to achieve the same desiredeffect is known as which of the following?Answer: B. Tolerance Question 79The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline characterstructure is which of the following?Answer: D. A combination of all of the above. Question 80In working with an older female patient, the advanced practice psychiatric nurse notices the patient seems to respond superficially reminding the advanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been goinglonger than scheduled. The advanced practice psychiatric nurse recognizes this asAnswer: C. Countertransference Question 81A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is knownas which of the following Trauma Resiliency Model skills?Answer: A. Tracking Question 82Which of the following is not consistent with what is known about relapse?Answer: A. Relapse indicates treatment failure. Question 83Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?Answer: D. Maintain a rigid distant relationship with the patient to avoid any mixed messages tothe patient.Question 84Practice guidelines for complex trauma and dissociative identity disorder caution that which ofthe following may limit one’s ability to heal.
Answer: C. EMDR Question 85Dysfunctional processes, developed early in life that people employ in an attempt to meettheir Needs, are referred to by the Gestalt therapist as which of the following?Answer: D. Organismic self-regulation Question 86Which of the following is true about communication with children and adolescents?Answer: C. Speak to children in adult manner as it lets them know you take them seriously. Question 87Evidence supports which of the following statements about women and addictions treatment?Answer: A. Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events. Question 88The patient demonstrates the ability to regulate his emotions in such a way he can think through them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?Answer: C. Stage 3 Question 89The underlying assumptions of Trauma Resiliency Model therapy include which of the following?Answer: A. Human response to threat are subcortical in nature. Question 90The person-centered therapist is expected to exhibit which of the following characteristics?Answer: A. Congruence Question 91Which of the following would not be a first-line intervention for an individual with PTSD?Answer: D. Pharmacological interventions. Question 92Problems in the preschool child’s self-regulation has been tied to subsequent issues with which of the following?Answer: D. All of the above. Question 93The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model? Pg 514/678Answer: A. Pretreatment
Question 94Which of the following are psychotherapeutic techniques used in person centeredpsychotherapy?Answer: D. A nondirective-facilitative counseling approach is used. Question 95The advanced practice psychiatric nurse working with children/adolescents in psychotherapy isaware of which of the following?Answer: B. The basic structure of psychotherapy with children for the most part is not aligned with principles of psychotherapy for adults. Question 96Positive symptoms of dissociation include which of the following?Answer: A. Flashbacks Question 97The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?Answer: D. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss. Question 98Which of the following is consistent with a Common Elements approach?Answer: C. The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues. Question 99The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taughtdon’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?Answer: D. All of the above Question 100An organized, consistent set of perceptions about the self, continually influenced by experienceand its interpretation which includes self-worth, self-image and ideal self, is which key conceptof person-centered therapy?Answer: B. Self-concept - nrnp 6645 final exam quizlet
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NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
NRNP-6645-13/NRNP-6645S-13-Psychotherapy Mult Modalities-2021-Fall-QTR-Term-wks-1-thru-11-(08/30/2021-11/14/2021)-PT27
Question 1
The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following?NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
A. Introjection
B. Projection
C. Deflection
D. Retroflection
Question 2
A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?
A. Focusing
B. Dreamwork
C. Empty-chair dialogue
D. Language of responsibility
Question 3
In child psychotherapy consideration of systems that promote a child’s ongoing development include which of the following?
A. Peers
B. Family
C. School
D. Community
Question 4
Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life?
A. Gestalt Therapy
B. Psychoanalysis
C. Existential psychotherapy
D. Person-Centered Psychotherapy
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Question 5
The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?
A. Validate the patient ‘s frustration while encouraging and reinforcing use of skills.
B. Analyze the behaviors and consequences of the behaviors with the patient.
C. Focus on behavioral control and management with emotions as a contextual element.
D. All of the above
Question 7
Which of the following is not consistent with Eye Movement Desensitization and Reprocessing (EMDR) literature in treating PTSD?
A. Treatment effects are long lasting.
B. EMDR involves extended exposure
C. EMDR treatment for trauma is less time intensive.
D. The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event.
Question 8
In working with an older adult female patient, the advanced practice psychiatric nurse notices that the patient starts bringing her baked goods, and says “You remind me so much of my daughter, you are so easy to talk to.” The advanced practice psychiatric nurse recognizes this as
A. Gerotranscendence
B. Transference
C. Countertransference
D. Time for termination
Question 9
The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?
A. Addiction
B. Tolerance
C. Withdrawal
D. Dependence
Question 10
Which of the following therapeutic approaches would be a better choice for an older adult who presents with chronic depression, mild cognitive impairment expressing concerns about a negative life event and perceives himself as helpless?
A. Interpersonal Psychotherapy (IPT)
B. Cognitive Behavioral Therapy (CBT)
C. Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
D. Reminiscence Therapy (RT)
D
Question 11
Stigma of mental illness in the elderly:
A. Has contributed to psychiatric symptoms being expressed with physical symptoms.
B. Is much more severe in baby boomers than in other elderly cohorts.
C. Is much less an issue in baby boomers than in other elderly cohorts
D. Leads to more discussion of emotions in primary care settings.
Question 12
The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition?
A. Congruence
B. Actualizing tendency
C. Belief of human nature NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
D. Accurate empathic understanding
Question 13
Which of the following is not consistent with a family-centered approach in child therapy?
A. In family-centered treatment, the family is the focus of treatment.
B. Family- centered treatment is appropriate to improve family interactions.
C. Family-centered treatment is appropriate to keep families engaged in services
D. Family-centered treatment is appropriate to increase family knowledge about mental health.
Question 14
Which of the following does the advanced practice psychiatric nurse need to consider when treating older adults with Substance Use Disorders?
A. Co-existing medical or psychiatric disorder
B. Age-related physiological and psychological changes
C. Collaboration with primary care providers
D. All of the above NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
Question 15
Which of the following is true about the therapeutic alliance when working with children?
A. The therapeutic alliance is a core factor that creates change in therapy.
B. The therapeutic alliance/bond with the child is all that is really needed.
C. The advanced practice psychiatric nurse must develop a strong therapeutic alliance with the child’s parents prior to attempting to engage the child in therapy.
D. As the therapy is really about the child, parents/family, the advanced practice psychiatric nurse focuses on facilitating healthy family interactions.
Question 16
The underlying assumptions of Trauma Resiliency Model therapy include which of the following?
A. Human response to threat are subcortical in nature.
B. Response to trauma is likely transient and should go away with or without treatment.
C. The mind has no bias; thus, we make sense of the world in a symmetrical manner.
D. Current psychiatric concepts adequately account for the impact of multiple or long-term
Question 17
The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following?
A. The support is provided through case management
B. The support is designed to focus on clinical issues of the patient
C. The DBT therapist in solo practice does not need a consultation group for support.
D. The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use.
Question 31
The advanced practice psychiatric nurse realizes which of the following with respect to individuals with personality disorders of traits?
A. Often these individuals will see their problems as independent of their own behaviors.
B. These individuals will often describe themselves as a victim.
C. These individuals often present for treatment at the request of a significant other or other external pressure.
D. All the above.
Question 32
Addiction is now recognized as which of the following?
A. A preventable personality disorder
B. A family disorder due to poor parenting
C. A volitional behavior that can be managed independently’
D. A primary disease of the brain’s neurocircuitry.
Question 40
Which of the following are psychotherapeutic techniques used in person centered psychotherapy?
A. A highly structured approach is used.
B. Process interventions are widely used.
C. Directive, interpretive techniques are used.
D. A nondirective-facilitative counseling approach is used.
Question 41
When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation?
A. Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.
B. Use MI to contract for attendance at several different groups to find the right “fit” and encourage attendance.
C. Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.
D. A and B only
Question 42
The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?
A. This indicates the change(s) really did not take
B. The patient is unconsciously sabotaging the therapy.
C. This indicates process is trying to force a change too fast.
D. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.
Question 43
Which of the following medications may be recommended for patients with insomnia due to PTSD?
A. Any antidepressant can offer as first-line treatment in adults for PTSD.
B. Non-benzodiazepines such as trazodone (Desyrel)
C. Prazosin (Minipress) may be helpful if nightmares are present.
D. B and C
Question 44
Which of the following is not true about self-regulation as it applies to therapy with children?
A. Self-regulation is a developmental milestone of childhood in which the child controls behavior in the service of socially desirable conduct.
B. Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.
C. Self-regulation mechanisms from a neuroscience perspective are basic mechanisms predominantly located in the globus pallidus.
D. Self-regulation issues are often seen in various child psychopathology.
Question 45
Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following?
A. Artistic endeavors such as sculpting, drawing painting.
B. Movement therapies such as dance.
C. Tapping on acupressure points
D. Cognitive skills such as thought stopping and guided self-dialogue.
Question 48
The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?
A. Invite the patient to new ways of viewing a situation
B. Guiding patient to develop more skills to achieve a greater quality of life.
C. Engage the patient in change talk
D. A and B
Question 55
Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?
A. Clarify explicitly the boundaries of the therapeutic relationship.
B. The therapist will maintain confidentiality within the limits of the law and ethical practice.
C. Explain a professional relationship is based on mutual respect and the desire to help the patient.
D. Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.
Question 98
One of the problems when meeting with children individually is that it can create secrets. Which of the following responses would the advanced practice psychiatric nurse do to address this concern?
A. Do nothing, maintaining the child’s privacy protects the therapeutic relationship.
B. Decide what the parents need to know and give them a summary of the individual session in with the child in the room.
C. Decide what the parents need to know and give them a summary privately to avoid any awkwardness for the child.
D. Discuss with the child what he or she wants to share with the parents and facilitate the process as needed.
D
Question 99
Sleep disturbances are common for those who have experienced trauma. Which of the following would not be recommended when teaching patients about good sleep hygiene?NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
A. Regular daily exercise
B. Avoid napping during the day.
C. Maintain a quiet cool bedroom
D. Put bedroom TV on a timer so it will automatically go off after you are asleep.
Question 100
Which best describes gerotranscendence?
A. Erik Erikson’s ninth stage of development
B. Emphasizes ongoing growth over decrements
C. Focuses on the transition to old-old (80 years and older). NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
D. Focuses on letting go and coming to terms with end of one’s life NRNP 6645: Psychotherapy with Multiple Modalities Final Exam