NRNP 6645 Midterm Exam Week 6- Questions and Answers

  WALDEN UNIVERSITY NRNP – 6645 THE MAN FROM EASTLANDOS Psychotherapy with Multiple Modalities Midterm Exam - Week 6 65% Score To access this week's Midterm Exam, click on the Midterm Exam - Week 6 link. The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy? A Workbook exercises are only an adjunct to treatment. . B Workbook exercises simplify the real work in therapy. . C Treatment manuals consistently correlate positively with treatment outcome. . D Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic process. . According to Freud, failure to successfully accomplish the tasks of learning independence and control is associated with which of the following problematic traits? A Excessive dependency . B Orderliness . C Sexual identity issues . D Excessive guilt . During theinitial phase of family therapy one person is identified as “the problem”. thefamily therapist challenges linearity by which of thefollowing? A Asking the children how they would fix or deal with the problem person. . B Asking the person identified as the problem to meet privately prior to the . next meeting. C Asking the person identified as the problem how they think the problem could be fixed. . DAsking how others in the family are involved in or effected by “the . problem”. Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The advanced practice psychiatric nurse understands that from Erikson’s psychosocial stages perspective he is dealing with which psychosocial stage of development? A Intimacy vs. isolation . B Ego integrity vs. . despair C Generativity vs. . stagnation D Autonomy vs. . alienation While working with a patient who exhibits parasuicidal behaviors of cutting, theadvanced practice psychiatric nurse has thepatient sign a no-suicide contract. Which of thefollowing is true from a legal perspective about a no-suicidal contract? A This is a legally binding document . B It proves the therapist has good clinical judgment. . C It absolves the therapist of any responsibility should the patient . commit suicide. D It is not a substitute for good clinical judgment; accurate assessment . is imperative. Common patterns of behavior and experience derived from thesettings in which people live is known as which of thefollowing? D Family . structure The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes: A Problem-solving is the primary goal of . therapy B Understanding is the primary goal of . therapy. C Behavior change is the primary goal of . therapy D Family dialogue is encouraged. . Recommending or prescribing specific readings related to theindividual’s difficulties is known as which of thefollowing? The capacity to be alone is known as which of thefollowing? “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 . othe Hildegard Peplau developed thepsychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework? Which of thefollowing is not consistent with theunderlying assumptions of psychodynamic psychotherapy? A What has happened in the past determines what we do today. . B Psychodynamic psychotherapy is rooted in developmental theory . C By changing one’s thoughts, emotions and behaviors can be changed. . D Through understanding the past, the individual is impowered to make more . conscious decisions. The change agent in relational psychodynamic therapy is which of thefollowing? Emotional communication and affect D regulation . According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of thefollowing pathological outcomes? A Psychosis, addictions, . depression B Paranoia, obsessions, . compulsions C Phobias, psychosomatic . disorders D Inertia, creative inhibition . The quality of thetherapeutic relationship is most closely linked to which school of therapy? According to Freud’s Psychosexual stages development of sexual identity occurs during what age range? Which of thefollowing is not consistent with therapeutic process of thecorrective recapitulation of theprimary family group in group psychotherapy? A The therapeutic value is that early familial conflicts are simply relived. . B The therapeutic value is that early familial conflicts are relived correctively. . C Fixed roles must be constantly explored and challenged. . D Working out problems in the group setting is also working through unfinished . business from long ago. According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage? Evidenced based guidelines for patient treatment are based on which of thefollowing? A Consensus of expert panel . B Systematic reviews of case studies. . C Systematic reviews of randomized controlled . studies (RTC). D A and C . Which of thefollowing is consistent with Cognitive-Behavioral Therapy (CBT)? Check all that apply. CBT is a system of psychotherapy based on a theoretical framework which maintains A how an individual structures one’s experiences largely determines how one feels and behaves. . B Maladaptive thoughts relating to the “cognitive triad” are rooted in irrational or . illogical assumptions. C By changing one’s thoughts, emotions and behaviors can be changed. . D A and C . Yalom identifies eleven primary factors to describe thetherapeutic benefit of group psychotherapy. Which of thefollowing 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 . Which of thefollowing is consistent with literature regarding suicide. Check all that apply. A Assessing patient safety is of paramount importance for the advanced practice . psychiatric nurse during the initial patient contact. B More that half of those who commit suicide do not have known mental health . problem. C The highest risk factor for suicide is a relationship problem. . D Suicidality can be assessed by using reliable and valid self-report questionnaires. . What distinguishes psychoanalytic therapy from other types of therapies? A The focus on problem-solving . B The focus on irrational thoughts . C The focus on dreams and wishes . D The deep analysis of the patient relationship with the . therapist. Cognitive Behavioral Therapy (CBT) interventions focus on A The person’s relationships and family dynamics . B The person’s thoughts, beliefs, or behaviors . C The person’s understanding of how the past gets triggered and plays out . in the present D The person’s body, beliefs, images, and emotions to process trauma . Which of thefollowing is inconsistent with Socratic Dialogue basic rules for thetherapist? A The collaborative dialogue is goal-directed and specific. . B The therapist may use everyday experiences as therapeutic metaphors. . C Self-disclosure is frequently used to motivate the patient in problem . solving. D Socratic Dialogue questions should be framed in a way to elicit an . affirmative response. Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages? A Autonomy vs. self- . doubt B Industry vs. inferiority . C Identity vs. role . confusion D Intimacy vs. isolation . An advanced practice psychiatric nurse is sued for continuing to work with a patient despite thetreatment not working. theadvanced practice psychiatric nurse realizes that which of thefollowing will be considered in this case? A Was the standard of care followed? . B Was there harm to the patient? . C This is a frivolous lawsuit. The advanced practice psychiatric nurse cannot . be sued for this. D A and B . The decision to use supportive psychotherapy should be based on which of the following? Check all that apply. A Recent losses . B Present coping skills . C The patient’s ego strength and . weaknesses D Highest level of functioning previously . achieved Which of thefollowing is true about thetherapeutic benefit of groups in thedevelopment of socializing techniques? A Social learning is a therapeutic factor that operates in all therapy groups. . B Groups permit members to understand there is a huge discrepancy between their . intent and their actual impact on others. C Social skills learned in therapy groups can serve individuals well in future social . interactions outside of the group setting. D All of the above . Which of thefollowing is not consistent cross-cultural research related to mental health and mental illness. A Culture determines what is considered a psychiatric disorder. . B Neurobiological mechanisms linked to stress and trauma vary across cultures. . C Individuals from different cultural backgrounds vary in their interoceptive . awareness. D Individuals from different cultural backgrounds are similar in their . interoceptive awareness. For severe trauma and phobias it is recommended to teach thepatient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques? A It is appropriate to use relaxation techniques in between exposures . B It is appropriate to use relaxation techniques during the actual exposures conducted . by the therapist. C It is appropriate to use relaxation techniques after the exposures . D A and C . According to H. Peplau (1991) self-awareness for theadvanced practice psychiatric nurse A Is key to understanding others . B Increases likelihood therapist acts out their own agenda. . C Allows for nurse-patient boundaries to be safely ignored to better meet . patient needs. D Undermines objectivity . Recognizing that many factors may have contributed to a patient’s current situation is an example of which of thefollowing? A Hispanic woman whose mother recently died reports that she continues to hear thevoice of her deceased mother. theadvanced practice psychiatric nurse considering thewoman’s Hispanic culture determines which of thefollowing? A The woman is likely grieving according to her Hispanic social norms. . B The woman is psychotic as Hispanic people tend to somaticize conflicts. . C The woman is psychotic and needs to be hospitalized for further evaluation. . D The woman is clearly psychotic, and the advanced practice psychiatric nurse . prescribes an antipsychotic medication. It is important for thenew 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 Building a therapeutic toolbox for a variety of “fix it” solutions for a . variety of problems. In psychodynamic case formulation three personality organization levels have been identified along a continuum. A patient who primarily uses primitive defenses is likely to be in which personality range? When treating a family in which a child has been sexually abused theprimary goals include which of thefollowing? Check all that apply. A Ensure the abuse doesn’t recur . B Reduce the long-term effects of the . trauma C Preserve the integrity of the family at . all cost. D A and B . The challenges of a family therapist in working with families of different culture include which of thefollowing? Check all that apply. A Learning to respect diversity in each unique family. . B Developing a sensitivity to some of the issues faced by those in . other cultures. C Learning to recognize the therapist’s own blind spots and biases. . D Becoming an expert on ethnicity. . nternal resources include which of thefollowing? 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 Are intuitive and easily measured . Controlled studies of psychotherapy outcome have shown which of thefollowing? A The average person typically does not engage in psychotherapy . B The average person who receives psychotherapy is significantly improved. . C The average person who receives psychotherapy shows no significant improvement. . D The average person who receives psychotherapy shows some improvement, but . results are not statistically significant. In classical psychodynamic therapy the therapist’s role is which of the following? A Objective . B Subjective . C Participant- . Observer D Enmeshed . The advanced practice psychiatric nurse is working with a couple on conflict management. They report during a recent argument the husband threw a plate across the room. Based on the current advances in neuroscience the advanced practice psychiatric nurse explains: A People do things because of what happens in their brain. . B Biological events cause human actions. . C One can learn to activate their prefrontal cortex and retrain . emotional reactions. D Biological events always over-rides free will. . In supportive psychotherapy where thepatient is functioning at a child-like level in significant domains of life which basic strategy of dynamic supportive therapy would most likely be used? Diverting conflict between two people by involving a third is known as theconcept of: A Be a good parentEmotional A . reactivity . B Foster and protect the therapeuticRelationship . B alliancetriangles . C Hold and contain the Differentiation of patient C . self . D Provide a role model for D. Enmeshmentidentification . Which of thefollowing are consistent with research about adverse childhood experiences (ACE)? A Toxic stress in early childhood plays a role in intergenerational transmission of disparities in health outcome. . B Long-term sequelae related to neurobiological responses to childhood stress and trauma may be inherited by subsequent generations. . C Higher maternal ACE score have been associated with psychopathology in her offspring. . D All of the above. . The advanced practice psychiatric nurse helps thepatient to identify and name feelings, focus on somatic sensations associated with emotions, and encourages use of metaphor to describe feelings. This is consistent with which basic strategy of supportive psychodynamic therapy? A Make connections . B Decrease alexithymia . C Encourage patient activity . D Maximize adaptive coping mechanisms . The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts? A Id vs ego conflict . B Super ego actions to censor and restrain . C Psychic determinism . D Ego synchrony . A couple of weeks into family therapy thewife calls thetherapist and says “I need to tell you about something but you must promise me that you won’t say anything to my husband, and please don’t bring it up in therapy.” Which of thefollowing would be an appropriate response? A Usually I would not agree to keep a secret for anyone in the family but since are concerned I will this once. . B I appreciate you calling but you need to bring whatever this is to the therapy session. . C You can tell me but if there are concerns about your safety or anyone else, I cannot promise to keep this confidential. . D You can tell me, but you will need to bring this up yourself in the next therapy session . A basic strategy of dynamic supportive therapy in which the advanced practice psychiatric nurse assists the patient with reality testing, problem-solving, impulse control, affect modulation, interpersonal awareness, social skills, and empathy is most specifically known as which of the following? A Manage transference . B Lend psychic structure . C Hold and contain thepatient . D Foster and protect thetherapeutic alliance. . Over thepast 40 years many controlled studies of psychotherapy outcome have demonstrated which of thefollowing? A The outcome from group therapy is virtually identical to that of individual therapy. . B The outcome from group therapy is slightly less than outcome of individual therapy. . C The outcome from group therapy is significantly better than outcomes of individual therapy . D The outcome from group therapy is significantly less than outcomes of individual therapy. . Which of thefollowing 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 goal achievement. . According to Structural Family Therapy model, family structure refers to which of the following? A Birth order. . B How individuals in the family balance individuality and togetherness. . C How individuals in the family experience and express their real feelings. . DThe way families are organized into subsystems separated by emotional boundaries. . The process of a group member benefitting by observing the therapy of another member with similar problems is a phenomenon referred to as which of the following: A Modeling . B Spectator therapy . C Copy-cat phenomenon . D Universality . Good practice habits that are relevant for legal and ethical professional responsibility include which of thefollowing? Check all that apply. A It is essential that emergency coverage is in place. . B How the patient contacts you between sessions and in emergencies should be included in the contract given to the patient during the initial session. . C Explicitly state whether you will be available for phone calls between sessions and adhere to clear limits. . D Check messages at least once per day and call back within 24 hours. . The patient talking about her husband states “By thetime he comes home late for the zillionth time I’m just beside my self … you know what I mean.” theCBT therapist responds saying “No, I don’t know what you mean. Please explain what you mean by “beside yourself”. thetherapist is using a technique known as which of thefollowing? A Questioning the Evidence . B Downward Arrow . C Idiosyncratic Meaning . D Labeling of Distortions. . A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within theculture but such cultural patterns of distress and features of illness may be recognizable by theoutside observer is known as which of thefollowing? A Cultural syndrome . B Cultural formulation . C Cultural idiom of distress . D Cultural explanation or perceived cause . “They probably think I am stupid” is an example of which type of cognitive distortion? A Comparing . B Mind reading . C Objectifying the subjective . D Externalization of self- worth . Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of thefollowing? A Patients with primarily primitive defenses . B Patients with primarily mature defense mechanisms . C Patients with neurotic to healthy personality organization. . D Patients with the capability to engage in a therapeutic alliance . The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of thefollowing? Check all that apply. A Listening to what is important to the patient. . B Listening to what the meaning of a situation is in the moment. . C “Being with” the patient rather than “doing to” the patient. . D Acceptance, nonjudgmental attitude and empathy. . The skilled psychotherapist assists thepatient to stay in theResilience Zone. Which of the following symptoms are consistent with hypoarousal? A Pain, anxiety, fatigue . B Emptiness, emotional paralysis, emotional numbness . C Euphoria, irritability, panic . D Angry outbursts, anxiety, exhaustion . he advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following? A Ask theindividual how he or she feels about working with you. . B Automatically refer patient to a provider of thesame or similar culture. . C Research theindividual’s culture and let thepatient know you are an expert in that culture. . D theAdvanced practice psychiatric nurse explains her own culture to thepatient to minimize misunderstandings. . Which of the following is not consistent with evidence-based research on psychodynamic therapy? A Research demonstrates psychodynamic therapy is not effective. . B Research reflects inherent difficulties in experimental controlled design for this approach. . C Most psychodynamic research consists of case studies which limits theability to generalize to other situations and populations. . D Psychodynamic techniques do not lend themselves to theprecision required for a clinical trial. . According to Peplau’s Interpersonal Relations Model for nursing, a cornerstone for thepsychotherapeutic process is understanding, assessing, and managing which of thefollowing? During themiddle phase of family therapy treatment much of thetreatment is devoted to which of thefollowing: A Identifying major conflicts and focusing on structures that perpetuate them. . B The therapist serving as a conduit for most of the communication to keep conflict at a minimum during the session. . C Helping the family members to deal more constructively with each other in the sessions. . D Preventing family members from feeling anxiety as they are working through their issues. . Which of thefollowing is consistent regarding termination in brief psychodynamic therapy? A The termination date is set within 10 weeks of anticipated termination. . B The termination date is set in the beginning of treatment within 30 sessions . C The termination date is set in the beginning of treatment within 60 sessions. . D The termination date is flexible and is set mutually by the therapist and patient once major issues have been addressed. . Which of thefollowing is true about Automatic Thought Records (ATR)? Check all that apply. A The ATR is a key component of CBT . B This is a homework technique in which troubling situations and resulting emotions and thoughts are captured. . C The therapist and patient work on clarification and development of “rational” responses to challenge the original responses. . D All the above . According to Bowen, lack of differentiation in a family may be manifest as A Emotional overinvolvement . B Emotional distance . Which of thefollowing is consistent research related to resilience and posttraumatic growth? A Resilience and posttraumatic growth are inversely related. . B There is a curvilinear relationship between posttraumatic growth and resilience. . C Moderate resilience and emotional intelligence is associated with the most growth. . D All of the above . Which of thefollowing is not consistent with current research related to psychotherapy and psychotropic medication? A Research suggests that psychotherapy enhances the effects of psychotropic medication. . B Studies comparing medication with psychotherapy found both produce similar physiological changes in the brain. . C Studies comparing medication with psychotherapy found both produce physiological changes but brain changes are different for medications than for psychotherapy. . D Research suggests psychotropic medications may interfere with the learning that takes place during psychotherapy. . Object relations theorists work from a framework which includes which of thefollowing? 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. . Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization? A Practicing . The change agent in relational psychodynamic therapy is which of thefollowing? A Insight . B Interpretation of past experiences . C Exploration of genetic roots of the problem . D Mindfulness . Cross-cultural research supports which of thefollowing? A Culture determines what is considered a psychiatric disorder . B Neurobiological mechanisms linked to stress and trauma are consistent across cultures . C Neurobiological mechanisms linked to stress and trauma vary across cultures . D A and B . E A and C . Which of thefollowing is consistent with theaims of supportive psychotherapy? A Restructure defenses . B Strengthen defenses . C Promote problem- solving . D B and C . The goal in a holistic paradigm is to A Cure . B Minimize symptoms . C Eliminate symptoms with medication . D Heal . A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of thefollowing? Which of thefollowing is true regarding thedifference between brief and long-term psychodynamic psychotherapy? A Brief psychotherapy is more effective than long-term psychodynamic psychotherapy. . B Long-term psychodynamic psychotherapy is more effective than brief psychotherapy. . C There is no qualitative difference between brief and long-term psychodynamic psychotherapy. . D Brief and long-term psychodynamic psychotherapy cannot be compared. . We all have preconceptions that are brought into every situation. As a nurse psychotherapist it is important to do which of thefollowing? A Eliminate all preconceptions before meeting with the patient. . B Always be transparent with the patient regarding any preconceptions. . C Be aware of preconceptions, what they are and how they influence our work. . D Discuss preconceptions you have with the patient as others likely have similar preconceptions about the patient. . Groups with a greater sense of solidarity exhibit which of thefollowing? 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 . A family has been court-ordered to family therapy. The family does not want to participate in therapy. The advanced practice psychiatric nurse using a solution focused therapy model would most likely do which of the following? A Ask them what theminimum is that they need to do to satisfy thecourt order. . B Review thecase and offer suggestions for solving theissue. . C Acknowledge theforced nature of thetherapy and encourage them to use this as an opportunity to grow together as a family. . D Refuse to see them as clearly, they don’t want to be there, and therapy won’t help them. . An engaged cohesive therapeutic relationship is necessary in all psychotherapies except which of thefollowing? A Cognitive therapy . B Behavioral therapy . C Systems-oriented psychotherapy . D None of the above . The therapist using a CBT approach in which thetherapist encourages thepatient to investigate whether their thoughts are based on facts or assumptions is known as which of thefollowing? A Labeling of Distortions . B Questioning the Evidence . C Advantages and Disadvantages . D Examining Options and Alternatives . “Everything always goes wrong for me” is an example of which type of cognitive distortion? A All or nothing . B Personalization . C Overgeneralizati on . D Emotional reasoning . Which of the following are consistent with findings related to levels of cohesiveness in groups? A thehigher theoverall levels of cohesiveness are associated with significantly better total outcome than groups with low cohesiveness. . B Group member with little sense of belonging or attraction to a group is unlikely to have a negative outcome. . C theattraction to thegroup is a powerful determinant of outcome. . D A and C . The advanced practice psychiatric nurse solution focused therapy with a family will do which of thefollowing? A Focus on the etiology of the problem . B Focus on problem formation . C Clearly define the problem for the family and then focus on potential solutions for the . family. D Help the family amplify exceptions to their problem and recognize effective solutions already in their repertoire. . Which of thefollowing is a responsible way for thetherapist to safely set appropriate limits on availability. A The therapist just needs to notify either in person or by mail that they will not be available at certain times. . B The therapist has an answering machine that clearly states that if this is an emergency, the patient should go to the ED or call a crises hotline. . C Ask another therapist to cover for vacations and time off, as this is for emergency only specifics about patients should not be shared. . D Both A and B . A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled appointments. The therapist should do which of the following? A Write a termination letter indicating only that thetherapy is being terminated effective immediately. . Send a termination letter to thepatient indicating therapist concern, reason for B termination,provider if patient wants to continue in treatment and put a copy of this in reason for patient to continue in treatment and referral to another the patient . chart. C Make sure patient not in crisis and refer to a specific provider. . D B and C . According to Benner’s role acquisition model, theadvanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long-term solutions, is functioning at which level of competency? n multi-cultural groups, therapists must address theclinical factor of universality by doing which of thefollowing? 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. . The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for thepatient; do for thepatient 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 . When working with a client of unfamiliar culture theadvanced practice psychiatric nurse asks theclient how he or she feels about working with you. This demonstrates which of thefollowing? A Insecurity on the side of advanced practice psychiatric nurse and confuses the focus of the relationship. . B Respect and may open up a dialogue about the experience for the patient. . C Ignorance on the side of the advanced practice psychiatric nurse and undermines the therapeutic relationship . D A novice mistake, the patient should be transferred to a provider of similar culture . When assessing families of a different culture from thetherapist for treatment, thetherapist should consider which of thefollowing 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 . According to Mahler’s stages of separation-individuation thephase of “normal autism” occurs during what age range? Additional Related question dug up from various sources while working on this crap shoot of a paper by other people Question: 27 According to Mahler's stage of separation-individuation the phase of "normal autism" occurs during what age range? Answer: A: Birth to 1 month Question 28: The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for thepatient; do for thepatient 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 thefollowing is consistent with literature regarding suicide? Check all that apply: Answers: A. Assessing patient is of paramount importance for theadvanced practice psychiatric nurse during theinitial 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 thefollowing? Answer: B. Ethnicity Question 31 The therapist using a CBT approach in which thetherapist encourages thepatient to investigate whether their thoughts are based on facts or assumptions is known as which of thefollowing? Answer: B. Questioning theEvidence Question 32 Which of thefollowing is not consistent with theunderlying assumptions of psychodynamic psychotherapy? Answer: A. What happened in thepast determine what we do today Question 33 The advanced practice psychiatric nurse is meeting with a patient who is in theprocess of an unwanted divorce. thepatient endorses persistent suicidal ideations, with strong intent. theadvanced practice psychiatric nurse recognizes thepatient is a high suicide risk and recommends which of thefollowing? Answer: B. Hospital psychiatric admission and suicide precautions. Question 34: Which of thefollowing assumptions would thetherapist be safe in making about cultural influences in a family? Answer: D. The cultural context of families is complicated by thefact that most families are influenced by multiple contexts. Question 35: The focus of exploration in a relational psychodynamic therapy includes which one of thefollowing? Answer: C. Here and now Question 36 The CBT therapist ask thepatient on thescale 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 thefollowing best describes thedifference 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 thefollowing 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 thefollowing? 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 thetherapy 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 thegroup leader accusing theleader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors? Answer: A. Catharsis Question 44: A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factors? Answer: B. Universality Question 45: Good practice habits that are relevant for legal and ethical professional responsibility include which of thefollowing? 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 thecontract given to thepatient during theinitial 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. theadvanced practice psychiatric nurse considering theHispanic woman's culture determines which of thefollowing? A. The woman is likely grieving according to her Hispanic social norms Rationale: thewoman is not necessarily being psychotic because she is still in theprocess of bereavement and grieving which is a stressful life event. Question : 47 Which of thefollowing is consistent research related to posttraumatic growth? A. Resilience and Posttraumatic growth are inversely related Rationale: Across studies theresults showed that high levels of resilience were associated with thelowest posttraumatic growth scores. theresults imply that although growth and resilience are both salutogenic constructs they are inversely related. Question 48: Which of thefollowing is not consistent with thecurrent 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 thefollowing is not consistent with theresilience 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 themodel. Question 50: A family has been court-ordered to family therapy. thefamily does not want to participate in therapy. theadvanced practice nurse using a solution focused therapy model would most likely do which of thefollowing? B. Review thecase and offer suggestions for solving theissue Rationale: Assessing and suggesting solutions are one of thejobs to be done by thenurse to help families and individuals to cope up with problems. Question 51: According to Freud, failure to successfully accomplish thetask of learning independence and control is associated with which of thefollowing 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 thefollowing is consistent with thetherapeutic benefit of imitative behavior? D. All of theabove Rationale: Imitative behavior generally plays a more important role in theearly stages of therapy as members identify with more senior members and thetherapist. Behavior is learned by observing and imitating thebehavior of others. Yalom also stated that finding out what we are not is progress toward finding out. Question 53: In classical psychodynamic Therapy, thetherapist's role is which one of thefollowing? C. Participant-Observer Rationale: thetherapist plays this role by encouraging theclient to talk about theemotions they are feeling and helping theclient 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. thewife states that her husband must be having an affair because he comes home late from work . theadvanced practice nurse recognizes as a cognitive distortion knowns as : D. Arbitrary Inference Rationale: Arbitrary inference is theprocess 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 thepsychotherapeutic process is understanding, assessing and managing which of thefollowing? 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 thefollowing? A. Biomedical model B. Psychosocial framework C. Overdeterminism D. Resilien cy Question 4 A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. theadvanced practice psychiatric nurse recognizes this behavior as which of thefollowing? A. Avoidance B. A sign thepatient has met goals. C. The patient is ready to talk about termination of therapy. D. The patient is bored because thesessions have not been very interesting. Question 5 Yalom identifies eleven primary factors to describe thetherapeutic benefit of group psychotherapy. Which of thefollowing 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 theStages of theFamily Life Cycle thekey emotional process of transition for single young adults is: A. Commitment to a new system. B. Accepting theshifting generational roles. C. Accepting new members into thesystem. D. Accepting emotional and financial responsibility for self. Question 7 It is important for thenew nurse psychotherapist to become comfortable with which of thefollowing? A. Learning to be directive to help thepatient feel better. B. Letting thepsychotherapeutic process unfold over time. C. Helping thepatient feel better is themain goal of psychotherapy D. Bui Question 8 Internal resources include which of thefollowing? A. Internal resources are more tangible than external resources B. Internal resources consist of theperson's ability to manage primarily negative emotions C. Internal resources include theperson's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. D. Question 9 When assessing families of a different culture from thetherapist for treatment, thetherapist should consider which of thefollowing with respect to culture? A. The therapist should consider theunique subculture of thefamily. B. The therapist should consider assumptions of thelarger cultural background of thefamily. C. The therapist should ask thefamily to share their experiences and traditions D. All of theabove Question 10 Which of thefollowing 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 thegroup. 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 thechange of others. Question 12 Optimal family development is thought to take place in which of thefollowing 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 thepatient; do for thepatient 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 theenvironment D. Maximize adaptive coping mechanisms Question 14 Which of thefollowing is true about theCBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes theindeterminate, negative and irrational thinking as forever part of human action. B. Secondary thinking recognizes theindeterminate, negative and irrational thinking as foremost. C. Primary thinking views thesocial 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 thefollowing? A. Make theunconscious conscious B. Resolve ruptures in thetherapeutic alliance. C. Provide interpretation based on past experiences D. Provide interpretation of wish/defense conflicts. Question 17 Yalom states thegroup therapy analogue to relationship in individual therapy is which of thefollowing? 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 theconcept of: A. Emotional reactivity B. Relationship triangles C. Differentiation of self D. Enmeshme nt Question 19 According to Erikson's Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of thefollowing 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 theclinical factor of universality by doing which of thefollowing? A. Assist group members in learning about thecultural differences. B. Minimize thecultural differences within thegroup. C. Help thegroup 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 thegroup process. Question 22 Groups with a greater sense of solidarity exhibit which of thefollowing? 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 thefollowing 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 thefollowing? A. The central motivating force in development is thedrive 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 theperson 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 theculture is known as: A. Constructivism B. Systems Theory C. Attachment Theory D. Social Constructionism Question 26 According to Benner's role acquisition model, theadvanced practice psychiatric nurse with 2-5 years of experience who coordinates complex care and sees situations as wholes with long term solutions, is functioning at which level of competency? A. Novice B. Advanced beginner C. Competency/ proficiency D. Expert Question 27 The decision to use supportive psychotherapy should be based on which of thefollowing? Check all that apply: A. Recent losses B. Present coping skills C. The patient's ego strength and weaknesses D. Highest level of functioning previously achieved. Health ScienceNursingNRNP Share QuScience estio664n 5 Answer & Explanation Solved by verified expert #2 - C. Imparting behavior #3 - B. Psychosocial framework #4 - A. Avoidance #5 - C. thedistinctions among these factors are arbitrary. #6 - D. Accepting emotional and financial responsibility for self. #7 - A. Learning to be directive to help thepatient feel better. #8 - C. Internal resources include theperson's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. #9 - A. thetherapist should consider theunique subculture of thefamily. #10 - A. Specific advice-giving supports intimate group engagement. #11 - C. Fallacy of perfect effect #12 - A. Family members are differentiated, anxiety is low, and partners maintain emotional contact with their own families. #13 - B. Encourage patient activity #14 - D. B and C #15 - B. 3 years to 6 years #16 - A. Make theunconscious conscious #17 - C. Social microcosm #18 - B. Relationship triangles #19 - C. Phobias, psychosomatic disorders #20 - C. Eliminate symptoms with medication #21 - A. Assist group members in learning about thecultural differences. #22 - A. Higher rate of attendance, B. Acceptance for a variable level of active participation, C. A concrete system for measuring cohesiveness #23 - A. Individuals dealing with stigma and B. Individuals dealing with social isolation #24 - C. thecentral motivating force in development is that people are primarily motived to seek other people. #25 - D. Social Constructionism #26 - D. Expert #27 - A. Recent losses, B. Present coping skills, C. thepatient's ego strength and weaknesses Question 31 Factors that distinguish psychodynamic therapy from... Question 31 Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of thefollowing factors. A. Emphasis on thepast; Focus on expression of emotion; Emphasis on transference B. Focus on here and now, focus on current relationships, exploration of intra psychic issues. C. Emphasis on here and now; exploring and working with resistance to treatment, theworking alliance. D. Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships. Question 32 A group member becomes angry with thegroup leader accusing theleader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors? A. Catharsi s B. Interpersonal learning C. Development of socializing techniques D. The corrective recapitulation of theprimary family group. Question 33 Which of thefollowing is not consistent with current research related to psychotherapy and psychotropic medication? A. Research suggests that psychotherapy enhances theeffects of psychotropic medication. B. Studies comparing medication with psychotherapy found both produce similar physiological changes in thebrain. C. Studies comparing medication with psychotherapy found both produce physiological changes but brain changes are different for medications than for psychotherapy. D. Research suggests psychotropic medications may interfere with thelearning that takes place during psychotherapy. Question 34 The advanced practice psychiatric nurse realizes which of thefollowing regarding workbook exercises in therapy? A. Workbook exercises are only an adjunct to treatment. B. Workbook exercises simplify thereal work in therapy. C. Treatment manuals consistently correlate positively with treatment outcome. D. Use of workbook exercises and approaches promotes creativity and flexibility in thetherapeutic process. Question 39 Which of thefollowing is inconsistent with Socratic Dialogue basic rules for thetherapist? A. The collaborative dialogue is goal-directed and specific. B. The therapist may use everyday experiences as therapeutic metaphors. C. Self-disclosure is frequently used to motivate thepatient in problem solving. D. Socratic Dialogue questions should be framed in a way to elicit an affirmative response. Question 40 A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within theculture but such cultural patterns of distress and features of illness may be recognizable by theoutside observer is known as which of thefollowing? A. Cultural syndrome B. Cultural formulation C. Cultural idiom of distress D. Cultural explanation or perceived cause Question 44 Hildegard Peplau developed thepsychodynamic interpersonal model for psychiatric nursing based on which theorist's framework? A. Eric Erickson B. Sigmund Freud C. Margaret Mahler D. Harry Stack Sullivan Question 45 According to Erikson's Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of thefollowing pathological outcomes? A. Psychosis, addictions, depression B. Paranoia, obsessions, compulsions C. Phobias, psychosomatic disorders D. Inertia, creative inhibition Question 46 Which of thefollowing is a responsible way for thetherapist to safely set appropriate limits on availability. A. The therapist just needs to notify either in person or by mail that they will not be available at certain times. B. The therapist has an answering machine that clearly states that if this is an emergency, thepatient should go to theED or call a crises hotline. C. Ask another therapist to cover for vacations and time off, as this is for emergency only specifics about patients should not be shared. D. Both A and B Question 48 According to Freud's Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage? A. Ora l B. Ana l C. Latenc y D. Phallic/Oedipal Question 49 The advanced practice psychiatric nurse is working with a couple on conflict management. They report during a recent argument thehusband threw a plate across theroom. Based on thecurrent advances in neuroscience theadvanced practice psychiatric nurse explains: A. People do things because of what happens in their brain. B. Biological events cause human actions. C. One can learn to activate their prefrontal cortex and retrain emotional reactions. D. Biological events always over-rides free will. Question 53 The quality of thetherapeutic relationship is most closely linked to which school of therapy? A. Freudia n B. Gestal t C. CB T D. None of theabove Health ScienceNursingNURS Share QuScience estio664n 0 Answer & Explanation Solved by verified expert 31. A 32. D 33. D 34. D 39. C 40. A 44. D 45. B 46. D 48. D 49. C 53. B 1. The advanced practice psychiatric nurse helps thepatient to identify and name feelings, focus on somatic sensations associated with emotions, and encourages use of metaphor to describe feelings. This is consistent with which basic strategy of supportive psychodynamic therapy? A. Make connections B. Decrease alexithymia C. Encourage patient activity D. Maximize adaptive coping mechanisms 2. Schizoid personality is a pathological outcome associated with which of Erickson's psychosocial stages? A. Autonomy vs. self-doubt B. Industry vs. inferiority C. Identity vs. role confusion D. Intimacy vs. isolation 3. What distinguishes psychoanalytic therapy from other types of therapies? A. The focus on problem-solving B. The focus on irrational thoughts C. The focus on dreams and wishes D. The deep analysis of thepatient relationship with thetherapist. 4. Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach? A. Restructuring B. Interpretations C. Desensitization D. Exploring wishes 5. Good practice habits that are relevant for legal and ethical professional responsibility include which of thefollowing? Check all that apply. A. It is essential that emergency coverage is in place. B. How thepatient contacts you between sessions and in emergencies should be included in thecontract given to thepatient during theinitial session. C. Explicitly state whether you will be available for phone calls between sessions and adhere to clear limits. D. Check messages at least once per day and call back within 24 hours. Step-by-step explanation 6. For severe trauma and phobias it is recommended to teach thepatient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques? A. It is appropriate to use relaxation techniques in between exposures B. It is appropriate to use relaxation techniques during theactual exposures conducted by thetherapist. C. It is appropriate to use relaxation techniques after theexposures D. A and C 7. A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. theadvanced practice psychiatric nurse recognizes this behavior as which of thefollowing? A. Avoidance B. A sign thepatient has met goals. C. The patient is ready to talk about termination of therapy. D. The patient is bored because thesessions have not been very interesting. 8. Cognitive Behavioral Therapy (CBT) interventions focus on A. The person's relationships and family dynamics B. The person's thoughts, beliefs, or behaviors C. The person's understanding of how thepast gets triggered and plays out in thepresent D. The person's body, beliefs, images, and emotions to process trauma 9. The therapist using a CBT approach says to thepatient: "You say you become depressed. Explain to me what depressed feels like to you." This is an example of what question type in Socratic Dialogue? A. Memory question B. Translation question C. Application question D. Interpretation question 10. According to theStages of theFamily Life Cycle thekey 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 11 Evidenced based guidelines for patient treatment are based on which of thefollowing? A. Consensus of expert panel B. Systematic reviews of case studies. C. Systematic reviews of randomized controlled studies (RTC). D. A and C Question 12 Which of thefollowing is true about theCBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes theindeterminate, negative and irrational thinking as forever part of human action. B. Secondary thinking recognizes theindeterminate, negative and irrational thinking as foremost. C. Primary thinking views thesocial and cultural world in determinate, positive and rational terms. D. B and C Question 13 Internal resources include which of thefollowing? A. Internal resources are more tangible than external resources B. Internal resources consist of theperson's ability to manage primarily negative emotions C. Internal resources include theperson's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. D. Are intuitive and easily measured Question 14 According to Benner's role acquisition model, theadvanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long- term solutions, is functioning at which level of competency? A. Novic e B. Advanced beginner C. Competency/proficien cy D. Expert Question 15 According to H. Peplau (1991) self-awareness for theadvanced practice psychiatric nurse A. Is key to understanding others B. Increases likelihood therapist acts out their own agenda. C. Allows for nurse-patient boundaries to be safely ignored to better meet patient needs. D. Undermines objectivity Question 16 It is important for thenew nurse psychotherapist to become comfortable with which of thefollowing? A. Learning to be directive to help thepatient feel better. B. Letting thepsychotherapeutic process unfold over time. C. Helping thepatient feel better is themain goal of psychotherapy D. Building a therapeutic toolbox for a variety of "fix it" solutions for a variety of problems. Question 18 In classical psychodynamic therapy thetherapist's role is which of thefollowing? A. Objectiv e B. Subjective C. ParticipantObserver D. Enmeshed Question 19 If a health care professional terminates treatment because of managed care failure to authorize thesession who is liable for harm based upon abandonment of thetreatment. A. The health care provider B. The managed care company. C. The individual at themanaged care company who failed to authorize necessary treatment. D. All of theabove Question 20 Which of thefollowing is not consistent with therapeutic process of thecorrective recapitulation of theprimary family group in group psychotherapy? A. The therapeutic value is that early familial conflicts are simply relived. B. The therapeutic value is that early familial conflicts are relived correctively. C. Fixed roles must be constantly e