Question 1
Which one of the following is the primary focus of interpersonal therapy (IPT)?
A) Anxiety management
B) Belief systems
C) Faulty cognitions
D) Social interaction
E) Unconscious conflicts
Correct Answer: D) social interaction
Rationale: Interpersonal therapy (IPT) is based on the assumption that psychiatric
disorders are influenced by interpersonal interactions and the social context.
Question 2
A patient tells the psychiatric advanced practice nurse she is going to try supplementing her
selective serotonin reuptake inhibitor (SSRI) with St. John's wort. Which action should the
psychiatric advanced practice nurse take first?
A) Assess the patient for depression and risk for suicide.
B) Suggest that aromatherapy may produce even better results.
C) Advise her of the danger of serotonin syndrome.
D) Suggest she consider decreasing the dosage of her antidepressant.
E) Encourage her to try yoga instead.
Correct Answer: C) advise her of the danger of serotonin syndrome
Rationale: The first priority is patient safety. St. John's wort can increase serotonin levels,
and combining it with an SSRI puts the patient at high risk for the potentially life-
threatening condition of serotonin syndrome.
Question 3
Which of the following is NOT a technique used in cognitive therapy?
A) Reattribution
B) Role-playing
C) Abreaction
D) Developing alternatives
E) Validity testing
,Correct Answer: C) Abreaction
Rationale: Abreaction, the intense emotional release after recalling a painful experience, is a
technique associated with psychoanalysis, not cognitive therapy.
Question 4
The psychiatric advanced practice nurse is developing the care plan for an 8-year-old child with
intermittent explosive disorder. Based on Piaget's theory, which of the following goals would be
appropriate for a child in the concrete operational stage?
A) The child will connect consequences of his behavior with the behavior itself.
B) The child will generalize the consequences of his anger and aggression to different situations.
C) The child will identify situations in which he is likely to feel abandoned.
D) The child will experience an increase in autonomous behavior.
E) The child will understand abstract ethical principles.
Correct Answer: A) connect consequences of his behavior with the behavior itself.
Rationale: An 8-year-old is in the concrete operational stage (7-12 years) and can apply
logical thinking to concrete events. A key goal would be to help the child connect their
specific behavior with its immediate consequence.
Question 5
In Cognitive Behavioral Therapy, it is often helpful to view people as separate from their
problems and behaviors. This empowers them to make changes in their thought patterns and
behaviors. Which type of therapy would utilize this approach?
A) Psychoanalysis
B) Narrative Therapy
C) Strategic Therapy
D) Psychodynamic therapy
E) Milieu Therapy
Correct Answer: B) Narrative Therapy
Rationale: Narrative Therapy is a type of CBT that views people as separate from their
problems, allowing them to "externalize" the issue and gain distance from it.
Question 6
Characteristics of cognitive-behavioral therapy (CBT) include which of the following? (Select all
,that apply.)
A) Not time limited
B) Active
C) Directive
D) Collaborative
E) Unstructured
Correct Answer: B) active, C) directive, D) collaborative.
Rationale: CBT is an active, directive, and collaborative form of therapy that is typically
time-limited and structured.
Question 7
Which theorist is considered the "father of CBT" and developed the cognitive model of
depression?
A) Albert Ellis
B) B.F. Skinner
C) Aaron Beck
D) Ivan Pavlov
E) Carl Rogers
Correct Answer: C) Aaron Beck
Rationale: Aaron Beck developed the cognitive model of depression and is widely considered
the "father of CBT."
Question 8
Who developed Rational Emotive Behavior Therapy (REBT), a precursor to CBT, and the theory
of behavior change based on disputing irrational beliefs?
A) Aaron Beck
B) Albert Ellis
C) B.F. Skinner
D) John B. Watson
E) Harry Stack Sullivan
Correct Answer: B) Albert Ellis
, Rationale: Albert Ellis developed the cognitive rational emotive theory and the theory of
behavior change.
Question 9
Which researcher is known for studying operant conditioning, where voluntary behaviors are
learned through consequences and reinforcement?
A) Ivan Pavlov
B) John B. Watson
C) Aaron Beck
D) B.F. Skinner
E) Albert Bandura
Correct Answer: D) Skinner
Rationale: B.F. Skinner researched operant conditioning, in which voluntary behaviors are
learned through consequences and reinforcement.
Question 10
In operant conditioning, what is negative reinforcement?
A) The application of a reward to increase a behavior.
B) The application of a punishment to decrease a behavior.
C) The removal of an objectionable or aversive stimulus to increase a behavior.
D) The withholding of a reward to decrease a behavior.
E) The modeling of a desired behavior.
Correct Answer: C) The removal of an objectionable or aversive stimulus.
Rationale: Negative reinforcement involves the removal of an aversive stimulus to
strengthen a behavior.
Question 11
Who is credited with identifying the 12 factors that make groups therapeutic?
A) Aaron Beck
B) Irvin Yalom
C) Carl Rogers
D) Sigmund Freud
E) B.F. Skinner