9. In providing psychoeducation to patient's in recovery, theadvanced practice psychiatric
nurse would not include which of thefollowing?
A . Recovery
... [Show More] is a lifelong process of change
B . 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 decrements
C . Focuses on thetransition to old-old (80 years and older).
D . Focuses on letting go and coming to terms with end of one's life
11. The advanced practice psychiatric nurse is working with a group of patients in an outpatient
substance abuse treatment program. One patient comes to theadvanced practice psychiatric
nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a
nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears
relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?
A . Given concerns about relapse it would be important to meet with thepatient just this one time
and just for 10 minutes but meet in your office.
B . Remind thepatient that one of therules is not having contact outside of therapy sessions.
C . Agree to meet with patient alone in thegroup room to resolve any outstanding concerns from
thegroup.
D . Agree to meet with thepatient at Starbucks briefly to discuss theunresolved issues, but only
this once and only for 10 minutes.
12. The situation in which increasing amounts of a substance is needed to achieve thesame
desired effect is known as which of thefollowing?
A . Addiction
B . Tolerance
C . Withdraw al
D . Dependen ce
13. Which of thefollowing describes thebasic neurobiological pathways of thereward system
in thebrain? A . Projections from theventral tegmental area, through themedian forebrain and
terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.
B . Projections through themedian forebrain, to theventral tegmental area where there is a
proliferation of dopamine neurons, to thenucleus accumbens.
C . Projections from thenucleus accumbens to themedian forebrains where there is a
proliferation of dopamine neurons to theventral tegmental area.
D . Projections from themedian forebrain through theventral tegmental area to thenucleus
accumbens where there is a proliferation of dopamine neurons.
14. Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
diagnoses?
A . Schizophrenia
B . New onset depression
C . Bipolar Affective Disorder
D . Borderline Personality Disorder
15. 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 thefollowing?
A . Freedom
B . Responsibili ty
C . Authenticity D . Meaning
16. Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma,
theadvanced practice psychiatric nurse would do which of thefollowing in Stage 1?
A . Address safety issues
B . Promote symptoms stabilization
C . Process painful memories
D . A and C
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 thepatient has strong negative feelings
towards her boss. theadvanced practice psychiatric nurse working within a Gestaltframework,
recognizes this as an interruption consistent with which of thefollowing?
A Projection .
B . Retroflecti on
C . Confluenc e
D . Deflection
18. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills
taught don't work, theprocess is taking too long, and is struggling to complete homework.
theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
A . Validate thepatient 's frustration while encouraging and reinforcing use of skills.
B . Analyze thebehaviors and consequences of thebehaviors with thepatient.
C . Focus on behavioral control and management with emotions as a contextual element.
D . All of theabove
19. An organized, consistent set of perceptions about theself, 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 nature
B . Self-concept
C . Actualizing tendency
D . Fully functioning person
20. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approachwith
a patient with Borderline Personality Disorder explains thefour essential elements which
includes all but which of thefollowing?
A . Bi-weekly individual therapy sessions for thepatient of about 1 hour each.
B . Weekly group skills training sessions for thepatient of 2.5 hours each.
C . Skills coaching via telephone or other electronic means as needed by thepatient to manage I
vivo situations
D . Team consultation to thetherapist to maintain treatment fidelity and adherence
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1. The therapeutic frame supports theclinician in which of thefollowing ways? Select all that
apply.
D . A and C
Rationale: 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 chronically
suicidal. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT)
approach realizes which of thefollowing?
B . To thechronically suicidal patient, hospitalization reinforces thestatus quo and
abdicating thehard 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 traditional
approach for treating children?
C . Problem-based therapy
Rationale: Compared with thetraditional 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
treated
4. Stigma of mental illness in theelderly:
A . Has contributed to psychiatric symptoms being expressed with physical symptoms.
Rationale: According to Sartorius, stigma leads to discrimination in theprovision of services for
physical health problems in older people with mental disorders.
Health Science ScienceNursingNURSING NRNP 6645
5. Which of thefollowing is not consistent with thePsychoanalyst's perspective when treating
and individual with a personality disorder?
C . Personality products and processes are within therealm of awareness, accessible to
theindividual.
Rationale: Each level of awareness has a role to play in shaping human behavior and thought.
6. Which of thefollowing statements would not be consistent with thehumanistic-existential
concept of "holism" ?
D . Dysfunctions such as a chemical imbalance must be identified.
Rationale: Holism is theidea that various systems (e.g. physical, biological, social) should be
viewed as wholes, not merely as a collection of parts.
7. Which of thefollowing is true about dream work from a Gestalt perspective?
D . thecharacters and objects in thedream are projections of theindividual whose dream it
is.
Rationale: In Gestalt Therapy, theclient is asked to play component parts of thedream. .It helps
theclient to feel thepart of him/herself that he/she has disowned and has projected onto objects
of thedream. Disowned parts of theself are in theunconscious, and integration is thework of
therapy.
8. When theadvanced practice psychiatric nurse builds a formulation when working with a
child in therapy theadvanced practice psychiatric nurse is doing which of thefollowing?
C . theformulation explains thecontexts of thechild and family situation, thechild's unique
presentation, responses and narratives of theevents that shaped theinterpretation.
Rationale: Formulation is a concise statement of thecase. Unlike summary, it is a discussion
about alternative ideas about diagnosis, aetiology, treatment and prognosis and of thearguments
for and against each alternative.
9. In providing psychoeducation to patient's in recovery, theadvanced practice psychiatric
nurse would not include which of thefollowing?
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 decrements
Rationale: thetheory that older people transcend thelimited opinions and views of life they
once held or wisdom comes with age
11. The advanced practice psychiatric nurse is working with a group of patients in an outpatient
substance abuse treatment program. One patient comes to theadvanced practice psychiatric
nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a
nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears
relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?
C . Agree to meet with patient alone in thegroup room to resolve any outstanding concerns
from thegroup.
Rationale: This will prevent harm for thenurse and allows help from other patient from
thegroup
12. The situation in which increasing amounts of a substance is needed to achieve thesame
desired effect is known as which of thefollowing?
B . Tolerance
Rationale: A person may develop tolerance to a drug when thedrug is used repeatedly.
13. Which of thefollowing describes thebasic neurobiological pathways of thereward system
in thebrain?
A . Projections from theventral tegmental area, through themedian forebrain and
terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.
Rationale: thereward pathway of thebrain is connected to areas of thebrain that control
behavior and memory. It begins in theventral tegmental area, where neurons release dopamine
to make you feel pleasure. thebrain begins to make connections between theactivity and
thepleasure, ensuring that we will repeat thebehavior.
14. Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
diagnoses?
D . Borderline Personality Disorder
Rationale: 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, which
necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating
their own world is which of thefollowing?
A . Freedom
Rationale: Freedom allows person to choose alternatives.
16. Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma,
theadvanced practice psychiatric nurse would do which of thefollowing in Stage 1?
C . Process painful memories
Rationale: thefirst 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 thepatient has strong negative feelings
towards her boss. theadvanced practice psychiatric nurse working within a Gestaltframework,
recognizes this as an interruption consistent with which of thefollowing?
D . Deflection
Rationale: 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 theskills
taught don't work, theprocess is taking too long, and is struggling to complete homework.
theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
D . All of theabove
Rationale: All choices are applicable
19. An organized, consistent set of perceptions about theself, 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-concept
Rationale: 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 thefour essential elements which
includes all but which of thefollowing?
A . Bi-weekly individual therapy sessions for thepatient 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 thefollowing is not consistent with...
1. Which of thefollowing is not consistent with recommendations for teachingTrauma
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 settings
C.
To teach TRM skills, thetherapist should be adept at using theskills 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 thedifficult patient need support. This supportincludes
which of thefollowing?
A.
The support is provided through case management
B.
The support is designed to focus on clinical issues of thepatient
C.
The DBT therapist in solo practice does not need a consultation group for support.
D. thesupport includes a consultation group to treat thetherapist by using thesame skills thepatient
is asked to use.
3. In working with an older adult patient in thetermination phase theadvanced practice
psychiatric nurse suggests it may be helpful to teach family members ways to support thepatient
and prevent relapse. This demonstrates which of thefollowing?
A.
A major HIPPA violation
B.
Lack of confidence in thepatient and thetherapeutic process of CBT
C. An appropriate strategy to solidify a supportive network for thepatient.
D.
Resistance to terminating thetherapeutic relationship.
4. Which of thefollowing 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 thechild or adolescent to improve their self-esteem.
5. Practice guidelines for complex trauma and dissociative identity disorder caution that which
of thefollowing may limit one's ability to heal.
A.
Somatic approaches
B.
Talk therapies focused on cognitive understanding*****
C.
EMDR
D.
A and C
6. Which of thefollowing trends life trends suggests advanced practice psychiatric nurse be
prepared 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 2050
D.
More older adults preferring to leave their homes to seek other living arrangements.
7. Dialectical Behavior Therapists realize which of thefollowing:
A.
Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSD
B.
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.
8. Research support that children with serious emotional disorders (SED) are likely to have
which of thefollowing?
A.
Children with SEDs are likely to be severely impaired
B.
Children with SEDs are likely to have many community agencies involved in their care and
support.
C.
Children with SEDs are likely to have a comorbid disorder.
D.
A and C
9. Which of thefollowing is a biologically based psychotherapy methodology used to treat
patients who have experienced trauma?
A.
Trauma Resiliency Model
B.
Cognitive Behavioral Therapy
C.
Psychodynamic Psychotherapy
D.
Existential Psychotherapy
10. Which of thefollowing is not consistent with a family-centered approach in child therapy?
A.
In family-centered treatment, thefamily is thefocus 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.
11. In working with children between theages of about 7-11 years of age, theadvanced practice
psychiatric nurse would include activities consistent with which of stage of Piaget's stages of
cognitive development?
A.
Sensorimotor
B.
Preoperational
C.
Formal operational
D.
Concrete operational
12. The advanced practice psychiatric nurse working with a patient with borderline personality
disorder is aware that which of thefollowing attachment styles has been highly correlated with
Borderline personality disorder?
A.
Secure attachment style
B.
Unresolved attachment style
C.
Preoccupied attachment style
D.
Disorganized attachment style
13. Which of thefollowing 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
14. According to theMacArthur Study of Successful Aging protective factors on mental and
cognitive functioning and successful aging include:
A.
Positive mental attitude
B.
Regularly scheduled activities
C.
Exercise
D.
All theabove
15. The advanced practice psychiatric nurse is working with thepatient on maintaining treatment
outcomes and developing a guide for surviving difficult times. These strategies are consistent
with which phase in theCBT process?
A.
Introductory phase
B.
Middle phase
C.
Late middle phase
D.
Termination
16. 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 have
been made and it is time to terminate.
B.
The advanced practice psychiatric nurse determines therapy goals attained, terminate
thetherapeutic relationship, and schedule to meet thepatient for coffee to ease thetransition out
of therapy.
C.
The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal
attainment and terminate thetherapy.
D.
Termination should occur by mutual decision between advanced practice psychiatric nurse and
patient based on thetherapy 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 thefollowing?
A.
Invite thepatient to new ways of viewing a situation
B.
Guiding patient to develop more skills to achieve a greater quality of life.
C.
Engage thepatient in change talk
D.
A and B
18. Which of thefollowing would not be a first-line intervention for an individual with PTSD?
A.
CPT
B.
CPT-PE
C.
EMDR therapy
D.
Pharmacological interventions.
19. Emotion-Focused therapy integrates which of thefollowing?
A.
Person-centered therapy and Gestalt therapy
B.
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. theadvanced practice psychiatric nurse using SIT would do which of thefollowing?
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 theolder adult is
A.
To avoid using psychotropic medications
B.
To escape from stressful situations and relationships
C.
To learn to be present in themoment non-judgmentally.
D.
To avoid stigma of traditional psychotherapy
22. The stabilization skills and concepts that form thefoundation of Trauma Resiliency
Model stand alone as a model in and of itself called CRM. CRM stands for which of
thefollowing?
A.
Cognitive Restructuring Model
B.
Cognitive Resiliency Model
C.
Community Resiliency Model
D.
Cognitive Regeneration Model
23. Which of thefollowing is not an underlying assumption that differentiates child therapies
from adult psychotherapy?
A.
Family inclusion
B.
The concept of Recovery
C.
The concept of Resiliency
D.
Developmental considerations
24. Which of thefollowing is consistent with a Common Elements approach?
A.
Common Elements involves use of individual treatment approaches that are part of many
manualized treatment
B.
Evidenced-based strategy is viewed in light of theactual 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 to
A.
A person's capacity to manage activities of daily living independently
B.
A person's positive perspective on their own capabilities
C.
A person's expected increase in dependency as one ages
D.
A person's expected decrease in independence as one ages
26. Which of thefollowing is not true about self-regulation as it applies to therapy with children?
A.
Self-regulation is a developmental milestone of childhood in which thechild controls behavior in
theservice 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 theglobus pallidus.
D.
Self-regulation issues are often seen in various child psychopathology.
27. Which of thefollowing 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 thesubject distress and strengthen adaptive beliefs related to thetraumatic
event.
28. Which of thefollowing is true about Complementary and Alternative Medicine(CAM)
Therapies and Older Adults?
A.
CAM therapies are a good alternative to conventional medicine
B.
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 thefour essential elements which
includes all but which of thefollowing?
A.
Bi-weekly individual therapy sessions for thepatient of about 1 hour each.
B.
Weekly group skills training sessions for thepatient of 2.5 hours each.
C.
Skills coaching via telephone or other electronic means as needed by thepatient to manage I vivo
situations
D.
Team consultation to thetherapist to maintain treatment fidelity and adherence
30. The primary source for constructive change in a humanistic-existential approach is which of
thefollow:
A.
The patient's motivation
B.
The therapist's structure
C.
The therapist-patient relationship
D.
The patient-family relationship
31. The advanced practice psychiatric nurse working with children/adolescents in psychotherapy
is aware of which of thefollowing?
A.
The basic structure of psychotherapy with children aligns with principles of psychotherapy for
adults.
B.
The basic structure of psychotherapy with children for themost part is not aligned
with principles of psychotherapy for adults.
C.
Engaging with thefamily precedes engagement with thechild or adolescent in thefirst family
meeting.
D.
Typically children are exited to engage in psychotherapy to improve thehome situation.
32. When using a Dialectical Behavior Therapy (DBT) approach with a patient withBorderline
Personality Disorder theadvanced practice psychiatric nurse knows which of thefollowing is
inconsistent DBT assumptions about patients?
A.
Patients can fail in therapy.
B.
Patients are doing thebest 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.
33. A natural process whereby theindividual is continually disturbed by theemergence of a
need, strives to restore equilibrium by constantly reorganizing and adapting to changing
circumstances in recognized by theGestalt therapist as which of thefollowing?
A.
Figure and ground
B.
Organismic self-regulation
C.
Layers of thepersonality
D.
None of theabove
34. Which of thefollowing does theadvanced 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 theabove
35. In following therules for theDialectical Behavior Therapy (DBT) therapist, thetherapist
would not do which of thefollowing?
A.
Recognize thetherapist is human and fallible.
B.
Make every reasonable effort to provide competent treatment for thepatient.
C.
Share therules for theDBT therapist with thepatient during orientation to thetherapy.
D.
The therapist agrees to use consultation and allow thepatient to view this directly if desired. ???
36. According to Dearing, Stuewig, and Tangney (2005), understanding thedifference between
guilt and shame and its impact on an individual's motivation is critical to hope and therecovery
process. Which of thefollowing 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 thefollowing is true about use of medications and/or psychotherapy in treatment of
PTSD?
A.
Medications alone can cure PTSD
B.
Medication may be a helpful as an adjunctive treatment but is not a first-line treatment
C.
Medication directly promotes new learning and processing.
D.
Medications assuage theguilt, grief and interpersonal difficulties specifically in patients with
PTSD.
38. Research suggests that psychodynamic therapeutic approaches are effective forsome
children, particularly those with which of thefollowing disorders?
A.
Conduct Disorders
B.
Anxiety and Depression
C.
Depression and Psychosis
D.
Attention Deficit-Hyperactivity Disorders
39. A Trauma Resiliency Model therapist encourages thepatient to describe the"felt sense" of
internal or external body sensations associated with resilience, stress, and release. This is known
as which of thefollowing Trauma Resiliency Model skills?
A.
Tracking
B.
Resourcing and resource intensification
C.
Grounding
D.
Gesturing
40. During your second CBT session with an older adult thepatient expresses to you comfort
with theCBT model and begins to ask questions about how thetherapy works. This indicates
which of thefollowing?
A.
It is time to move to themiddle phase of CBT
B.
This comment seems contradictory, perhaps thepatient has a dementia.
C.
The patient is just trying to rush through thetherapy, 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 meet
their Needs, are referred to by theGestalt therapist as which of thefollowing?
A.
Interruptions
B.
Figure and ground
C.
Layers of personality
D.
Organismic self-regulation
42. Using a Common elements approach with a child with ADHD who despite stimulant
medication continues to exhibit frequent angry outbursts, opposition and aggression
theadvanced practice psychiatric nurse begin with which of thefollowing?
A.
Stop themedication as it clearly is not working.
B.
Adjust medication as it clearly isn't working.
C.
Explore inpatient treatment where theenvironment could be more closely controlled and
monitored.
D.
Review thebest available evidence for behavioral, cognitive or psychoeducation intervention to
augment themedication and address these behavioral/regulation issues.
43. When doing psychotherapy with older adult's accommodations which target cognitive
symptoms and functional deficits include:
A.
Shorter, more frequent sessions
B.
Summarizing previous sessions
C.
Quizzing patient on previous sessions
D.
Insist thepatient bring a notebook and take note
44. When doing psychotherapy with older adult's accommodations which target cognitive
symptoms and functional deficits include:
A.
Shorter, more frequent sessions
B.
Summarizing previous sessions
C.
Quizzing patient on previous sessions
D.
Insist thepatient bring a notebook and take note
45. The underlying assumptions of Trauma Resiliency Model therapy include which of
thefollowing?
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 theworld in a symmetrical manner.
D.
Current psychiatric concepts adequately account for theimpact of multiple or long-term
46. Addiction is now recognized as which of thefollowing?
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 thebrain'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 theDBT modelwould
theadvanced practice psychiatric nurse begin exposure therapy?
A.
Stage 1
B.
Stage 2
C.
Stage 3
D.
Stage 4
48. A specific type of CBT therapies aimed to reduce distress as a personexperiences
sensation with danger is known as which of thefollowing?
A.
Shame-Attacking
B.
Exposure Therapy
C.
Cognitive Rehearsal
D.
Guided relaxation and meditation
49. Which of thefollowing statements would be consistent with Trauma-Informed Carewhen
treating patients with comorbid PTSD and Substance Use Disorder?
A.
Evidence suggests thesubstance use issues be addressed first as substances can mask theissues
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
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 thefollowing activities is not consistent with thefirst phase of theeight-phase
protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with a
patient who has PTSD?
A.
Desensitization
B.
Identification of targets.
C.
Screening for use of EMDR
D.
Screening for affect tolerance and dissociation
51. Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
diagnoses?
A.
Schizophrenia
B.
New onset depression
C.
Bipolar Affective Disorder
D.
Borderline Personality Disorder
52. 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 thefollowing 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
54. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient
diagnosed with a personality disorder explains that for success in treatment, thepatient must
attend theindividual and group skills sessions consistently. It is explained to thepatient that if
four sessions are missed consecutively thetreatment will end. Which of thefollowing is true
about this rule?
A.
This is a guideline, not a requirement.
B.
It gives thepatient control over his or her commitment to treatment
C.
This is one of theoptional rules for Dialectical Behavior Therapy and may be done at
thetherapist's discretion.
D.
This is a therapeutic strategy to exert control over thepatient and therapy process.
55. Which of thefollowing 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 theabove
56. The advanced practice psychiatric nurse working with theolder adult cohort recognizes:
A.
As a group, theelderly, regardless of specific age, race or experiences have similar issues.
B.
This is basically thebaby boomer generation, with great empowerment and entitlement
C.
This enlightened cohort sees no stigma with mental health diagnosis or treatment.
D.
There is great diversity with individual variation and cohort effects
57. Evidence-based therapeutic modalities for treating older adults with anxiety include which of
thefollowing:
A.
Cognitive Behavioral Therapy, Relaxation training, Biofeedback
B.
Dialectical Behavior Therapy, Reminiscence Therapy, Biofeedback
C.
Guided Imagery, Music Therapy, Yoga
D.
A and C
58. 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. theadvanced practice psychiatric
nurse recognizes thepatient is ready for which of thefollowing?
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.
59. Which of thefollowing screening tools is geared toward screening pregnant women for
alcohol and drug abuse
A.
CAGE-AID
B.
CRAFFT
C.
TWEAK
D.
UNCOPE
60. Which of thefollowing statements is consistent with a humanistic-existential approach when
thepatient starts talking about past event?
A.
Tell me about your childhood.
B.
Tell me what happened last week.
C.
Let's just focus on thehere and now.
D.
Tell me thestory 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, Sleep
B.
Health, Home, Purpose and Community
C.
Purpose, Personality, Health, Relationships
D.
Community, Relationships, Wealth, Health
62. Which of thefollowing 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 theintense urge to take a drug even at theexpense of adverse
consequences is known as which of thefollowing?
A.
Tolerance
B.
Withdrawal
C.
Addiction
D.
A craving
64. The situation in which increasing amounts of a substance is needed to achieve thesame
desired effect is known as which of thefollowing?
A.
Addiction
B.
Tolerance
C.
Withdrawal
D.
Dependence
65. In using trauma-focused cognitive behavioral therapy with a child exposed to domestic
violence theadvanced practice psychiatric nurse realizes thefirst component of this structured
approach includes which of thefollowing?
A.
Relaxation skills
B.
Problem solving skills
C.
Constructing thetrauma narrative
D.
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 thefollowing?
A.
Freedom
B.
Responsibility
C.
Authenticity
D.
Meaning
67. The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a
preoccupied attachment style would use which of thefollowing interventions?
A.
Active interventions to facilitate emotional expression and connection. ???
B.
Supportive interventions to help thepatient contain overwhelming emotions.
C.
Any interventions on thepsychodynamic continuum with not customizations.
D.
None of theabove. Attachment style has no bearing on psychodynamic therapy.
68. In working with an older female patient, theadvanced practice psychiatric nurse notices
thepatient seems to respond superficially reminding theadvanced practice psychiatric nurse of
her own mother and finds herself looking forward to their sessions, which recently have been
going longer than scheduled. theadvanced practice psychiatric nurse recognizes this as
A.
Gerotransference
B.
Transcendence
C.
Countertransference
D.
A sign of a close therapeutic relationship
69. Problems in thepreschool child's self-regulation has been tied to subsequent issues with
which of thefollowing?
A.
Aggression
B.
Conduct Problems
C.
Social Withdrawal
D.
All of theabove.
70. The Dialectical Behavior Therapy (DBT) therapist meets with theclient, negotiates thegoals
of therapy, and arrives at a commitment to thetreatment. Assumptions and principles of theDBT
model are explained. This is consistent with which stage of treatment within theDBTmodel?
A.
Pretreatment
B.
Stage 1
C.
Stage 2
D.
Stage 3
71. Evidence supports which of thefollowing statements about women and addictionstreatment?
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 thepatient is fidgeting with fingers, legs are shaking and asks
thepatient "What are you experiencing right now in your body?" This is a type of creative
experimentation known as which of thefollowing?
A.
Focusing
B.
Body awareness
C.
Language of responsibility
D.
Empty-chair dialogue
73. The advanced practice psychiatric nurse realizes which of thefollowing 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 therequest of a significant other or other external
pressure.
D.
All theabove.
74. McGovern et al (2014) have found which of thefollowing therapeutic approaches helpful In
working 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 behaviorsand
therapy-interfering behaviors with thepatient. This is consistent with which stage of treatment
within theDBT model?
A.
Pretreatment
B.
Stage 1
C.
Stage 2
D.
Stage 3
76. In child psychotherapy consideration of systems that promote a child's ongoing development
include which of thefollowing?
A.
Peers
B.
Family
C.
School
D.
Community
77. The advanced practice psychiatric nurse encourages theolder adult to recall long forgotten
experiences, events which are memorable to theperson. This is known as
A.
Life Review Therapy (LRT)
B.
Reminiscence Therapy (RT)
C.
A Mindfulness Strategy
D.
Interpersonal Psychotherapy (IPT)
78. The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy,
interdependence and self-dependence. At times, thepatient seems bored with therapy, and
reports dealing quickly and effectively with self-harming urges that have resurfaced.
theadvanced practice psychiatric nurse using theDBT model would do which of
thefollowing?
A.
Do nothing different.
B.
Increase thefrequency and intensity of contact.
C.
Decrease thefrequency and intensity of contact.
D.
Express concern to thepatient about premature distancing and regression
79. Which of thefollowing is not consistent with a family-centered approach in working with
children/adolescents?
A.
The family is thefocus of thetreatment
B.
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.
80. The Gestalt Therapist working with a patient notices that every time a sensitive issue come
up thepatient will change thetopic and tell a joke. thetherapist recognizes this interruption as
which of thefollowing?
A.
Introjection
B.
Projection
C.
Deflection
D.
Retroflection
81. The patient demonstrates theability to regulate his emotions in such a way he can think
through them. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy
approach recognizes this ability is consistent with which stage of treatment?
A.
Stage 1
B.
Stage 2
C.
Stage 3
D.
Stage 4
82. n working with a patient with borderline personality disorder, theDialectical Behavior
Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be
solved and are thehighest priority for treatment. Which of thefollowing 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 thetherapist before acting on self-harming urges.
C.
If thepatient engages in theself-harming behavior and is admitted to thehospital thetherapist
can continue to support thepatient through scheduled telephone or in-person sessions.
D.
If thepatient engages in theself-harming behavior and is admitted to thehospital thetherapist
suspends direct consultation with thepatient until 24 hours after thepatient is discharged from
thehospital.
83. Sleep disturbances are common for those who have experienced trauma. Which of
thefollowing would not be recommended when teaching patients about good sleep
hygiene?
A.
Regular daily exercise
B.
Avoid napping during theday.
C.
Maintain a quiet cool bedroom
D.
Put bedroom TV on a timer so it will automatically go off after you are asleep.
84. Which of thefollowing is not consistent with theDialectical Behavior Therapy approach to
boundary maintenance?
A.
Clarify explicitly theboundaries of thetherapeutic relationship.
B.
The therapist will maintain confidentiality within thelimits of thelaw and ethical practice.
C.
Explain a professional relationship is based on mutual respect and thedesire to help thepatient.
D.
Maintain a rigid distant relationship with thepatient to avoid any mixed messages to thepatient.
85. Which of thefollowing 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.
86. A patient whose husband had recently died suddenly expresses remorse regarding an
argument they had shortly before his death. theGestalt Therapist would likely use which of
thefollowing techniques to complete unfinished business?
A.
Focusing
B.
Dreamwork
C.
Empty-chair dialogue
D.
Language of responsibility
87. 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 process
known as which of thefollowing:
A.
Confluence
B.
Projection
C.
Introjection
D.
Retroflection
88. Which of thefollowing is not consistent with theCognitive 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 theindividual.
C.
Personality products and processes are within therealm of awareness, mostly accessible to
theindividual.
D.
Dysfunctional behaviors, thoughts and feelings are largely due to thefunction of schemas.
89. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskillstaught
don't work, theprocess is taking too long, and is struggling to complete homework. theadvanced
practice psychiatric nurse using a DBT model would do which of thefollowing?
A.
Validate thepatient 's frustration while encouraging and reinforcing use of skills.
B.
Analyze thebehaviors and consequences of thebehaviors with thepatient.
C.
Focus on behavioral control and management with emotions as a contextual element.
D.
All of theabove
90. The advanced practice psychiatric nurse notices in working with a patient with a dissociative
disorder that theperson appears to be doing worse after significant gains are made. theadvanced
practice psychiatric nurse explains thereason for this is likely which of thefollowing?
A.
This indicates thechange(s) really did not take
B.
The patient is unconsciously sabotaging thetherapy.
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. [Show Less]