The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for the patient; do for the patient
... [Show More] what he or she cannot do for self, always with an aim toward maximum independence and growth which is consistent with which basic strategy of dynamic supportive therapy?
Answer: D. Maximize adaptive coping mechanisms
Question 29:
Which of the following is consistent with literature regarding suicide? Check all that apply:
Answers:
A. Assessing patient is of paramount importance for the advanced practice psychiatric nurse during the initial patient contact
D. Suicidality can be assessed by using reliable and valid self-report questionnaires
Question 30:
Common ancestry through which individuals have evolved shared values and customs is knowns as which of the following?
Answer: B. Ethnicity
Question 31
The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following? Answer: B. Questioning the Evidence
Question 32
Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy?
Answer: A. What happened in the past determine what we do today
Question 33
The advanced practice psychiatric nurse is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The advanced practice psychiatric nurse recognizes the patient is a high suicide risk and recommends which of the following?
Answer: B. Hospital psychiatric admission and suicide precautions.
Question 34:
Which of the following assumptions would the therapist be safe in making about cultural influences in a family?
Answer: D. The cultural context of families is complicated by the fact that most families are influenced by multiple contexts.
Question 35:
The focus of exploration in a relational psychodynamic therapy includes which one of the following?
Answer: C. Here and now
Question 36
The CBT therapist ask the patient on the scale of "0 -10 how would you rate your depression today?" " And how that compare to 2 months ago?" This is an example of what type of question type in Socratic dialogue?
Answer: D. This would not be a question consistent with Socratic Dialogue
Question 37
Which of the following best describes the difference between standards of care and practice guidelines?
Answer: B. Standards of care are legally binding while practice guidelines are not.
Question 38:
Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach?
Answer: A. Restructuring
Question 39:
Which of the following is consistent with Cognitive Behavioral Therapy (CBT)? Select all that apply:
Answer: D. A and C
Question 40:
According to Structural Family Therapy model, family structure refers to which of the following?
Answer: D. The way families are organized into subsystems separated by emotional boundaries
Question 41:
"They probably think I am stupid" is an example of which type of cognitive distortion?
Answer: B. Mind reading
Question 42:
In the therapy groups where group members gain through receiving help from group members and giving help to group members, which of Yalom's therapeutic benefits is being realized?
Answer: A. Altruism
Question 43:
A group member becomes angry with the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors?
Answer: A. Catharsis
Question 45:
Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? Check all that apply
A. It is essential that emergency coverage is in place
B. How patients contact you between sessions and emergencies should be included in the contract given to the patient during the initial session
C. Explicitly stated whether you will be available for phone calls between sessions and adhere to clear limits.
D. Check message at least once per day and call back within 24 hours.
Rationale: All are correct. These are all good practice habits that are relevant for legal and ethical professional responsibility. Hence, improving health service and quality with prevention of legal and ethical complaints.
Question 46:
A Hispanic woman whose mother recently died reports that she continues to hear voice of her deceased mother. The advanced practice psychiatric nurse considering the Hispanic woman's culture determines which of the following?
A. The woman is likely grieving according to her Hispanic social norms
Rationale: The woman is not necessarily being psychotic because she is still in the process of bereavement and grieving which is a stressful life event.
Question : 47
Which of The following is consistent research related to posttraumatic growth?
A. Resilience and Posttraumatic growth are inversely related
Rationale: Across studies the results showed that high levels of resilience were associated with the lowest posttraumatic growth scores. The results imply that although growth and resilience are both salutogenic constructs they are inversely related.
Question 48:
Which of the following is not consistent with the current research related to psychotherapy and psychotropic medication?
C. Studies comparing medications with psychotherapy found both produce psychological but brain changes are different for medications than psychotherapy
Rationale: Both medications and psychotherapy has same changes if used together or individually.
Question 49
Which of the following is not consistent with the resilience model proposed by Miller-Krauss?
C. We feel our best when we have a strong sympathetic system to regulate emotions
Rationale: This was not mentioned in the model.
Question 50:
A family has been court-ordered to family therapy. The family does not want to participate in therapy. The advanced practice nurse using a solution focused therapy model would most likely do which of the following?
B. Review the case and offer suggestions for solving the issue
Rationale: Assessing and suggesting solutions are one of the jobs to be done by the nurse to help families and individuals to cope up with problems.
Question 51:
According to Freud, failure to successfully accomplish the task of learning independence and control is associated with which of the following problematic traits?
A. Excessive dependency
Rationale: Developing this control to accomplish things leads to a sense of accomplishment and independence. Failure to this will lead to dependence
Question 52:
According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior?
D. All of the above
Rationale: Imitative behavior generally plays a more important role in the early stages of therapy as members identify with more senior members and the therapist. Behavior is learned by observing and imitating the behavior of others. Yalom also stated that finding out what we are not is progress toward finding out.
Question 53:
In classical psychodynamic Therapy, the therapist's role is which one of the following?
C. Participant-Observer
Rationale: The therapist plays this role by encouraging the client to talk about the emotions they are feeling and helping the client to identify recurring patterns in their thoughts, emotions, and behaviors.
Question 54:
The advance psychiatric nurse is working with couple using a Cognitive Behavioral Family therapy model. The wife states that her husband must be having an affair because he comes home late from work . The advanced practice nurse recognizes as a cognitive distortion knowns as :
D. Arbitrary Inference
Rationale: Arbitrary inference is the process of drawing a conclusion without sufficient evidence, or without any evidence at all.
Question 55:
According to Peplau s' Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing and managing which of the following?
B. Anxiety
Rationale: Assessing, and managing anxiety is a cornerstone of Peplau's Interpersonal
Didactic instruction about mental health, mental illness and general psychodynamics is a strategy which supports which therapeutic group factor?
A. Imitative behavior
B. Interpersonal learning
C. Imparting of information
D. Development of socializing techniques Question 3
Recognizing that many factors may have contributed to a patient's current situation is an example of which of the following?
A. Biomedical model
B. Psychosocial framework
C. Overdeterminism
D. Resiliency Question 4
A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. The advanced practice psychiatric nurse recognizes this behavior as which of the following?
A. Avoidance
B. A sign the patient has met goals.
C. The patient is ready to talk about termination of therapy.
D. The patient is bored because the sessions have not been very interesting. Question 5
Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors?
A. Therapeutic change is an intricate interplay of human experiences.
B. The distinctions among these factors are well delineated.
C. The distinctions among these factors are arbitrary.
D. The factors are interdependent Question 6
According to the Stages of the Family Life Cycle the key emotional process of transition for single young adults is:
A. Commitment to a new system.
B. Accepting the shifting generational roles.
C. Accepting new members into the system.
D. Accepting emotional and financial responsibility for self. Question 7
It is important for the new nurse psychotherapist to become comfortable with which of the following?
A. Learning to be directive to help the patient feel better.
B. Letting the psychotherapeutic process unfold over time.
C. Helping the patient feel better is the main goal of psychotherapy
D. Bui
Question 8
Internal resources include which of the following?
A. Internal resources are more tangible than external resources
B. Internal resources consist of the person's ability to manage primarily negative emotions
C. Internal resources include the person's ability to self-soothe, demonstrate adequate impulse control, and regulate moods.
D.
Question 9
When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture?
A. The therapist should consider the unique subculture of the family.
B. The therapist should consider assumptions of the larger cultural background of the family.
C. The therapist should ask the family to share their experiences and traditions
D. All of the above Question 10
Which of the following is consistent with use of direct advice as a strategy of imparting of information?
A. Specific advice-giving supports intimate group engagement.
B. The most effective form of direct advice is direct suggestion.
C. Direct advice is often an important clue in elucidation of interpersonal pathology in the group.
D. The least effective form of direct advice was a series of alternative suggestion for g Question 11
"If I was in a relationship, all of my problems would be solved" is an example of which type of cognitive distortion?
A. Fallacy of attachment
B. Fallacy of worrying
C. Fallacy of perfect effect
D. Fallacy of the change of others. Question 12
Optimal family development is thought to take place in which of the following circumstances?
A. Family members are differentiated, anxiety is low, and partners maintain emotional contact with their own families.
B. Family members lack differentiation, anxiety is low, and partners maintain emotional contact with their own families.
C. Family members are differentiated, anxiety is moderate, and partners reduce emotional contact with their parents and siblings.
D. Family members lack differentiation, avoid anxiety and partners avoid emotional contact with parents and siblings.
Question 13
The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for the patient; do for the patient what he or she cannot do for self, always with an aim toward maximum independence and growth which is consistent with which basic strategy of dynamic supportive therapy?
A. Make connections
B. Encourage patient activity
C. Manipulate the environment
D. Maximize adaptive coping mechanisms Question 14
Which of the following is true about the CBT cognitive processes of primary and secondary thinking?
A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action.
B. Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost.
C. Primary thinking views the social and cultural world in determinate, positive and rational terms.
D. B and C Question 15
According to Freud's Psychosexual stages development of sexual identity occurs during what age range?
A. 18 months to 3 years
B. 3 years to 6 years
C. 6 years to 12 years
D. 13 years to 20 years Question 16
The aim in relational psychodynamic therapy is which of the following?
A. Make the unconscious conscious
B. Resolve ruptures in the therapeutic alliance.
C. Provide interpretation based on past experiences
D. Provide interpretation of wish/defense conflicts. Question 17
Yalom states the group therapy analogue to relationship in individual therapy is which of the following?
A. Universality
B. Cohesiveness
C. Social microcosm
D. The corrective emotional experience Question 18
Diverting conflict between two people by involving a third is known as the concept of:
A. Emotional reactivity
B. Relationship triangles
C. Differentiation of self
D. Enmeshment Question 19
According to Erikson's Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes?
A. Psychosis, addictions, depression
B. Paranoia, obsessions, compulsions
C. Phobias, psychosomatic disorders
D. Inertia, creative inhibition Question 20
The goal in a holistic paradigm is to
A. Cure
B. Minimize symptoms
C. Eliminate symptoms with medication D.
Question 21
In multi-cultural groups, therapists must address the clinical factor of universality by doing which of the following?
A. Assist group members in learning about the cultural differences.
B. Minimize the cultural differences within the group.
C. Help the group move past a focus on concrete cultural differences to transcultural human responses to situations.
D. The therapist should do nothing as that would be interfering in the group process.
Question 22
Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.
A. Higher rate of attendance
B. Acceptance for a variable level of active participation
C. A concrete system for measuring cohesiveness
D. A and B
Question 23
There is evidence that suggests certain individuals may obtain greater benefit from group therapy than from other approaches. These include which of the following individuals? Check all that apply.
A. Individuals dealing with stigma
B. Individuals dealing with social isolation
C. Individuals seeking new coping skills
D. B and C only Question 24
Object relations theorists work from a framework which includes which of the following?
A. The central motivating force in development is the drive for gratification.
B. Primary maternal preoccupation will lead to development of a false sense of self.
C. The central motivating force in development is that people are primarily motived to seek other people.
D. The good enough mother creates a dynamic in which the person feels never good enough in relationships.
Question 25
The concept that reminds us that families are open systems, and our interpretations are shaped by assumptions we absorb from the culture is known as:
A. Constructivism
B. Systems Theory
C. Attachment Theory [Show Less]