Georgette's LMR 2 Test Questions and Correct Solutions Graded A+

Group therapy scenario: Patient is resistant to sharing. What do we do? encourage them to keep coming because we encourage interpersonal learning and we also do individual sessions What is the goal of Cognitive Therapy? replace automatic negative thoughts with positive thoughts What is the goal of behavioral therapy? teach patient behavioral techniques What are some of the techniques used in behavioral therapy? Problem solving Role Playing Skills Training Relaxation Exposure What are the key components of Humanistic Therapy? 1. Person centered 2. Assumes people strive to achieve self actualization and self directed growth 3. Assumes people are naturally good What are key components of Interpersonal therapy? Focuses on interpersonal issues that are creating distress. What is one of the primary therapies used on marital conflicts? Interpersonal therapy Who does multisystematic family therapy target? Youths age 12-17 y/o with serious antisocial, problematic behavior and with serious criminal offenses by emposwering parents with resources and skills and reducing barriers to resources needed for effective management of their youth. MST typically uses a home-based model of service delivery. Why? To reduce barriers that keep families from accessing services. What is the technique of Strategic therapy that has to be used with caution? Paradoxical directive/intervention What is paradoxical directive --used in strategic therapy? A negative task that is assigned when family members are resistant to change and the member is expected to be non-compliant In solution focused therapy, what is the miracle question? It asks the client to imagine and discuss a possible world where problems are removed and issues addressed What is the goal of Solution-focused therapy ? To rework for the present situation solutions that have worked previously What other types of questions are asked in solution-focused therapy besides the miracle question? Exception-finding questions. Scaling questions What are key components of family system therapy / systemic family therapy? Triangles/Triangulation/ Self-differentiation What are key components of structural family therapy? Heirarchies and boundaries. What are key elements of mindfulness meditation? breath awareness Awareness of body sensation, thoughts, or sounds. A self-esteem building exercise can help promote resilience in children--yes or no? Yes When should we use closed ended questions with patients? When patient is unable to construct a chronological narrative Overall do we want to use open-ended or closed ended questions with patients? open-ended. In couples counseling, what do we do when only one of the partners shows up? reschedule until both can be present at the same time Scenario - a woman calls the office and reports to you that her 5 year old was sodomized by 15 year old what do we do ? insist that she not leave the 5 year old with older brother, report to CPS and arrange crisis therapy for the family. Is it normal for 3-6 year old kids to play with their genitals? Yes. This is the phallic stage of Freud. Is it normal for young boys 9-16 to develop swelling and tenderness under their nipples or experience breast enlargement? Yes and it usually disappears within 6 months What increases with Rheumatoid arthritis therefore what should we check if patient has RA? erythrocyte sedimentation rate level If a patient has a condition that we cannot treat, what should we do before referring them? Something-- think about what can we do for them before we refer them out. What may be causing an infant to produce a shrill cry? Intracranial pressure What can be the causes of decreased libido in an elderly female? If an elderly female patient presents with decreased sex drive it can be caused by decreased testosterone and decreased blood flow to the pelvic region How does alcohol dehydrogenase deficiency affect women vs. men? more likely to get drunk than men = more likely to develop alcohol induced liver problems than men What is the palmar reflex and how long does it last? Grasp reflex and it lasts up to 5-6 months What is the plantar reflex and how long does it last? The Babinski reflex and it lasts until 2 years old. Length of time to absorb a Phosphodiesterase type 5 (PDE5) medication? Absorbs very quickly after oral consumption Normocytic Macrocytic Anemia is a deficiency in what and what should we check? Folic Acid