PSYCHOTHERAPY FOR THE ADVANCED
PRACTICE PSYCHIATRIC NURSE SECOND
EDITION BY KATHLEEN WHEELER TEST
BANK EXAMINATION TEST 2026 FULL
QUESTIONS AND ACCURATE SOLUTIONS
GRADED A+
⩥ Contextual factors. Answer: The alliance, the relationship, the
personal and interpersonal skills of the therapist, client agency, and
extra-therapeutic factors; primary determinants of therapeutic outcome
⩥ Value imposition. Answer: Refers to counselors' behavior in directly
attempting to define a client's values, attitudes, beliefs, and behaviors
⩥ Ego Strength. Answer: The ability to manage life realistically
⩥ Countertransference. Answer: The process of therapists seeing in their
clients patterns of their own behavior, overidentifying with clients, or
meeting their own needs through their clients; triggered when we
respond defensively, or when we lose our ability to be present in a
relationship because our own issues become involved
,⩥ Ethical decisions. Answer: In order to come to this type of decision -
consult with colleagues, keep yourself informed about laws affecting
your practice, keep up to date in your specialty field, stay abreast of
developments in ethical practice, reflect on the impact your values have
on your practice, and be willing to engage in honest self-examination
⩥ Mandatory ethics. Answer: The view of ethical practice that deals
with the minimum level of professional practice
⩥ Aspirational ethics. Answer: A higher level of ethical practice that
addresses doing what is in the best interests of clients
⩥ Positive ethics. Answer: An approach taken by practitioners who want
to do their best for clients rather than simply meet minimum standards to
stay out of trouble
⩥ Ways to think through ethical problems. Answer: Identify the problem
or dilemma; This will help you decide whether the problem is mainly
ethical, legal, professional, clinical, or moral. Identify the potential
issues. Evaluate the rights, responsibilities, and welfare of all those who
are involved in the situation. Look at the relevant ethics codes for
general guidance on the matter. Consider whether your own values and
ethics are consistent with or in conflict with the relevant guidelines.
Consider the applicable laws and regulations, and determine how they
may have a bearing on an ethical dilemma. Seek consultation from more
than one source to obtain various perspectives on the dilemma, and
document in the client's record what suggestions you received from this
,consultation. Brainstorm various possible courses of action. Enumerate
the consequences of various decisions, and reflect on the implications of
each course of action for your client.
Decide on what appears to be the best possible course of action. Once
the course of action has been implemented, follow up to evaluate the
outcomes and to determine whether further action is necessary.
Document the reasons for the actions you took as well as your
evaluation measures.
⩥ Professional maturity. Answer: Implies that you are open to
questioning and discussing your quandaries with colleagues
⩥ Informed consent. Answer: The right of clients to be informed about
their therapy and to make autonomous decisions pertaining to it; it is an
ethical and legal requirement that is an integral part of the therapeutic
process
⩥ Confidentiality. Answer: An ethical concept, and in most states it is
the legal duty of therapists not to disclose information about a client; this
is central to developing a trusting and productive client-therapist
relationship
⩥ Privileged communication. Answer: A legal concept that generally
bars the disclosure of confidential communications in a legal
proceeding; the specifics of this privilege vary from state to state;
generally speaking, the legal concept of this term does not apply to
, group counseling, couples counseling, family therapy, or child and
adolescent therapy
⩥ When do we break confidentiality?. Answer: Child abuse, sexual
abuse under the age of 16, abuse of the elderly, abuse of dependent
adults, and danger to self or others; All mental health practitioners and
interns need to be aware of their duty to report in these situations and to
know the limitations of confidentiality
⩥ Assessment. Answer: Consists of evaluating the relevant factors in a
client's life to identify themes for further exploration in the counseling
process
⩥ Diagnosis. Answer: Sometimes part of the assessment process, this is
the analysis and explanation of a client's problems; It may include an
explanation of the causes of the client's difficulties, an account of how
these problems developed over time, a classification of any disorders, a
specification of preferred treatment procedure, and an estimate of the
chances for a successful resolution
⩥ What is the purpose of diagnosing someone?. Answer: To identify
disruptions in a client's present behavior and lifestyle; once problem
areas are clearly identified, the counselor and client are able to establish
the goals of the therapy process, and then a treatment plan can be
tailored to the unique needs of the client; a diagnosis provides a working
hypothesis that guides the practitioner in understanding the client;
PRACTICE PSYCHIATRIC NURSE SECOND
EDITION BY KATHLEEN WHEELER TEST
BANK EXAMINATION TEST 2026 FULL
QUESTIONS AND ACCURATE SOLUTIONS
GRADED A+
⩥ Contextual factors. Answer: The alliance, the relationship, the
personal and interpersonal skills of the therapist, client agency, and
extra-therapeutic factors; primary determinants of therapeutic outcome
⩥ Value imposition. Answer: Refers to counselors' behavior in directly
attempting to define a client's values, attitudes, beliefs, and behaviors
⩥ Ego Strength. Answer: The ability to manage life realistically
⩥ Countertransference. Answer: The process of therapists seeing in their
clients patterns of their own behavior, overidentifying with clients, or
meeting their own needs through their clients; triggered when we
respond defensively, or when we lose our ability to be present in a
relationship because our own issues become involved
,⩥ Ethical decisions. Answer: In order to come to this type of decision -
consult with colleagues, keep yourself informed about laws affecting
your practice, keep up to date in your specialty field, stay abreast of
developments in ethical practice, reflect on the impact your values have
on your practice, and be willing to engage in honest self-examination
⩥ Mandatory ethics. Answer: The view of ethical practice that deals
with the minimum level of professional practice
⩥ Aspirational ethics. Answer: A higher level of ethical practice that
addresses doing what is in the best interests of clients
⩥ Positive ethics. Answer: An approach taken by practitioners who want
to do their best for clients rather than simply meet minimum standards to
stay out of trouble
⩥ Ways to think through ethical problems. Answer: Identify the problem
or dilemma; This will help you decide whether the problem is mainly
ethical, legal, professional, clinical, or moral. Identify the potential
issues. Evaluate the rights, responsibilities, and welfare of all those who
are involved in the situation. Look at the relevant ethics codes for
general guidance on the matter. Consider whether your own values and
ethics are consistent with or in conflict with the relevant guidelines.
Consider the applicable laws and regulations, and determine how they
may have a bearing on an ethical dilemma. Seek consultation from more
than one source to obtain various perspectives on the dilemma, and
document in the client's record what suggestions you received from this
,consultation. Brainstorm various possible courses of action. Enumerate
the consequences of various decisions, and reflect on the implications of
each course of action for your client.
Decide on what appears to be the best possible course of action. Once
the course of action has been implemented, follow up to evaluate the
outcomes and to determine whether further action is necessary.
Document the reasons for the actions you took as well as your
evaluation measures.
⩥ Professional maturity. Answer: Implies that you are open to
questioning and discussing your quandaries with colleagues
⩥ Informed consent. Answer: The right of clients to be informed about
their therapy and to make autonomous decisions pertaining to it; it is an
ethical and legal requirement that is an integral part of the therapeutic
process
⩥ Confidentiality. Answer: An ethical concept, and in most states it is
the legal duty of therapists not to disclose information about a client; this
is central to developing a trusting and productive client-therapist
relationship
⩥ Privileged communication. Answer: A legal concept that generally
bars the disclosure of confidential communications in a legal
proceeding; the specifics of this privilege vary from state to state;
generally speaking, the legal concept of this term does not apply to
, group counseling, couples counseling, family therapy, or child and
adolescent therapy
⩥ When do we break confidentiality?. Answer: Child abuse, sexual
abuse under the age of 16, abuse of the elderly, abuse of dependent
adults, and danger to self or others; All mental health practitioners and
interns need to be aware of their duty to report in these situations and to
know the limitations of confidentiality
⩥ Assessment. Answer: Consists of evaluating the relevant factors in a
client's life to identify themes for further exploration in the counseling
process
⩥ Diagnosis. Answer: Sometimes part of the assessment process, this is
the analysis and explanation of a client's problems; It may include an
explanation of the causes of the client's difficulties, an account of how
these problems developed over time, a classification of any disorders, a
specification of preferred treatment procedure, and an estimate of the
chances for a successful resolution
⩥ What is the purpose of diagnosing someone?. Answer: To identify
disruptions in a client's present behavior and lifestyle; once problem
areas are clearly identified, the counselor and client are able to establish
the goals of the therapy process, and then a treatment plan can be
tailored to the unique needs of the client; a diagnosis provides a working
hypothesis that guides the practitioner in understanding the client;
