NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
MIDTERM EXAM 2 DIFFERENT VERSIONS 200 QS AND
ANSWERS
Most likely to be enhanced by the strategies of putting the pt at ease, finding the pt's
pain and expressing compassion, evaluation pt's insight, and showing expertise: -
ANSWER: RAPPORT
The factor most consistently associated with therapy outcome in psychotherapy
research: - ANSWER: STRENGTH OF THERAPEUTIC ALLIANCE
A set of feelings that a patient reenacts in the therapeutic relationship are called: -
ANSWER: TRANSFERENCE
Business executive hospitalized for bleeding ulcer repeatedly argues with a well-liked
head nurse and threatens to leave AMA. Best action for C&L psychiatrist is: -
ANSWER: LISTEN TO PT'S COMPLAINTS ACKNOWLEDGE HIS DISCOMFORT WITH THE
PASSIVE POSITION THAT HE IS UNACCUSTOMED TO
Common theme in psychotherapy in the elderly: - ANSWER: LOSS
As opposed to long-term psychotherapy, time-limited therapy more likely to: -
ANSWER: SELECT CENTRAL ISSUE AS FOCUS
For the treatment of pts with compulsive sexual behavior, the best results have been
seen with which of the following approaches? - ANSWER: TWELVE STEP GROUPS
Two most powerful predictors of outcome in any form of psychotherapy are -
ANSWER: EMPATHY AND THERAPEUTIC ALLIANCE
The best response to a pt who reports a fixed false belief that his neighbor is
poisoning his dog and sitting all day at the window monitoring is: - ANSWER:
EMPATHIZE WITH THE PT, BUT AVOID DIRECT CONFRONTATION ABOUT THE
DELUSION
Psychotherapy where pts realistically evaluate their interactions w others & therapist
offers direct advice/helps pts make decisions/ignores transference issues. - ANSWER:
INTERPERSONAL PSYCHOTHERAPY (IPT)
Most likely represents an acceptable boundary crossing by a therapist as opposed to
a boundary violation: - ANSWER: RECEIVING COOKIES AS AN EXPRESSION OF
GRATITUDE BY A PT NEAR TERMINATION
Therapeutic empathy is best described as the therapist's ability to: - ANSWER: GRASP
PT'S INNER EXPERIENCE FROM PT'S PERSPECTIVE
, Motivational interviewing often used as part of the treatment of which conditions? -
ANSWER: SUBSTANCE ABUSE
Therapeutic technique where therapist instructs the patient to hold onto a
symptom: - ANSWER: PARADOXICAL INTERVENTION
Without evident distress, pt calmly reports to the psychiatrist, "Since I was last here,
my significant other dumped me." The doctor responds by pointing out the
discrepancy between the pt's affect and the content described. This response is an
example of - ANSWER: CONFRONTATION
Psych resident dislikes alcoholic pts and avoids working with them. In discussing the
problem, says that pts are hopeless and unmotivated and she can't empathize with
them. Example of? - ANSWER: COUNTERTRANSFERENCE
Catharsis is: - ANSWER: VERBAL EXPRESSION OF SUPPRESSED TRAUMATIC
EXPERIENCES AND FEELINGS
Technique for OCD treatment - ANSWER: EXPOSURE AND RESPONSE
What is the best treatment for a 25-year-old woman with no past psychiatric history
and family history of depression, presenting 3 days after giving birth with
tearfulness, irritability, anxiety, insomnia, lack of energy, loss of appetite, and feeling
overwhelmed? - ANSWER: PSYCHOEDUCATION
Patient terminates treatment early from psychodynamic therapy with a resident who
is leaving in 2 months, how to interpret? - ANSWER: INTERPRET THAT THE PATIENT
MAY BE TRYING TO LEAVE THERAPY BEFORE THE RESIDENT LEAVES
Part of low-intensity telemedicine mental health services provided is? - ANSWER: IN-
PERSON, TELEPHONE, OR E-MAIL DOCTOR-TO-DOCTOR "CURBSIDE" CONSULTATION
How to create a safe, stigma free environment to prevent physician burnout? -
ANSWER: OFFER PERSONAL COUNSELING AND FINANCIAL COUNSELING SERVICES AT
THE SAME LOCATION TO REDUCE STIGMA
Kid with ADHD & ODD, what's the best psychotherapeutic approach? - ANSWER:
"WE SHOULD FIND OUT WHAT YOUR CHILD ENJOYS AND CREATE A BEHAVIORAL
REWARDS PROGRAM FOR YOUR CHILD AT HOME AND AT SCHOOL
Which is a characteristic of assertive community treatment (ACT) to treat the
severely mentally ill? - ANSWER: 24-HOUR-A-DAY MENTAL HEALTHCARE COVERAGE
What is closely associated with decreased outpatient psychotherapy dropout rate? -
ANSWER: GREATER THERAPIST EXPERIENCE
MIDTERM EXAM 2 DIFFERENT VERSIONS 200 QS AND
ANSWERS
Most likely to be enhanced by the strategies of putting the pt at ease, finding the pt's
pain and expressing compassion, evaluation pt's insight, and showing expertise: -
ANSWER: RAPPORT
The factor most consistently associated with therapy outcome in psychotherapy
research: - ANSWER: STRENGTH OF THERAPEUTIC ALLIANCE
A set of feelings that a patient reenacts in the therapeutic relationship are called: -
ANSWER: TRANSFERENCE
Business executive hospitalized for bleeding ulcer repeatedly argues with a well-liked
head nurse and threatens to leave AMA. Best action for C&L psychiatrist is: -
ANSWER: LISTEN TO PT'S COMPLAINTS ACKNOWLEDGE HIS DISCOMFORT WITH THE
PASSIVE POSITION THAT HE IS UNACCUSTOMED TO
Common theme in psychotherapy in the elderly: - ANSWER: LOSS
As opposed to long-term psychotherapy, time-limited therapy more likely to: -
ANSWER: SELECT CENTRAL ISSUE AS FOCUS
For the treatment of pts with compulsive sexual behavior, the best results have been
seen with which of the following approaches? - ANSWER: TWELVE STEP GROUPS
Two most powerful predictors of outcome in any form of psychotherapy are -
ANSWER: EMPATHY AND THERAPEUTIC ALLIANCE
The best response to a pt who reports a fixed false belief that his neighbor is
poisoning his dog and sitting all day at the window monitoring is: - ANSWER:
EMPATHIZE WITH THE PT, BUT AVOID DIRECT CONFRONTATION ABOUT THE
DELUSION
Psychotherapy where pts realistically evaluate their interactions w others & therapist
offers direct advice/helps pts make decisions/ignores transference issues. - ANSWER:
INTERPERSONAL PSYCHOTHERAPY (IPT)
Most likely represents an acceptable boundary crossing by a therapist as opposed to
a boundary violation: - ANSWER: RECEIVING COOKIES AS AN EXPRESSION OF
GRATITUDE BY A PT NEAR TERMINATION
Therapeutic empathy is best described as the therapist's ability to: - ANSWER: GRASP
PT'S INNER EXPERIENCE FROM PT'S PERSPECTIVE
, Motivational interviewing often used as part of the treatment of which conditions? -
ANSWER: SUBSTANCE ABUSE
Therapeutic technique where therapist instructs the patient to hold onto a
symptom: - ANSWER: PARADOXICAL INTERVENTION
Without evident distress, pt calmly reports to the psychiatrist, "Since I was last here,
my significant other dumped me." The doctor responds by pointing out the
discrepancy between the pt's affect and the content described. This response is an
example of - ANSWER: CONFRONTATION
Psych resident dislikes alcoholic pts and avoids working with them. In discussing the
problem, says that pts are hopeless and unmotivated and she can't empathize with
them. Example of? - ANSWER: COUNTERTRANSFERENCE
Catharsis is: - ANSWER: VERBAL EXPRESSION OF SUPPRESSED TRAUMATIC
EXPERIENCES AND FEELINGS
Technique for OCD treatment - ANSWER: EXPOSURE AND RESPONSE
What is the best treatment for a 25-year-old woman with no past psychiatric history
and family history of depression, presenting 3 days after giving birth with
tearfulness, irritability, anxiety, insomnia, lack of energy, loss of appetite, and feeling
overwhelmed? - ANSWER: PSYCHOEDUCATION
Patient terminates treatment early from psychodynamic therapy with a resident who
is leaving in 2 months, how to interpret? - ANSWER: INTERPRET THAT THE PATIENT
MAY BE TRYING TO LEAVE THERAPY BEFORE THE RESIDENT LEAVES
Part of low-intensity telemedicine mental health services provided is? - ANSWER: IN-
PERSON, TELEPHONE, OR E-MAIL DOCTOR-TO-DOCTOR "CURBSIDE" CONSULTATION
How to create a safe, stigma free environment to prevent physician burnout? -
ANSWER: OFFER PERSONAL COUNSELING AND FINANCIAL COUNSELING SERVICES AT
THE SAME LOCATION TO REDUCE STIGMA
Kid with ADHD & ODD, what's the best psychotherapeutic approach? - ANSWER:
"WE SHOULD FIND OUT WHAT YOUR CHILD ENJOYS AND CREATE A BEHAVIORAL
REWARDS PROGRAM FOR YOUR CHILD AT HOME AND AT SCHOOL
Which is a characteristic of assertive community treatment (ACT) to treat the
severely mentally ill? - ANSWER: 24-HOUR-A-DAY MENTAL HEALTHCARE COVERAGE
What is closely associated with decreased outpatient psychotherapy dropout rate? -
ANSWER: GREATER THERAPIST EXPERIENCE
