WALDEN UNIVERSITY NRNP – 6645 Psychotherapy with Multiple Modalities/Midterm Exam - Week 6

WALDEN UNIVERSITY NRNP – 6645 Psychotherapy with Multiple Modalities Midterm Exam - Week 6 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? According to Freud, failure to successfully accomplish the tasks of learning independence and control is associated with which of the following problematic traits? . During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following? . next meeting. C Asking the person identified as the problem how they think the problem could be fixed. . D Asking how others in the family are involved in or effected by “. thperoblem”. 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? While working with a patient who exhibits parasuicidal behaviors of cutting, the advanced practice psychiatric nurse has the patient sign a no-suicide contract. Which of the following is true from a legal perspective about a no-suicidal contract? Common patterns of behavior and experience derived from the settings in which people live is known as which of the following? The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes: Recommending or prescribing specific readings related to the individual’s difficulties is known as which of the following? The capacity to be alone is known as which of the following? “If I was in a relationship, all of my problems would be solved” is an example of which type of cognitive distortion? Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework? Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? The change agent in relational psychodynamic therapy is which of the following? According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes? The quality of the therapeutic 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 the following is not consistent with therapeutic process of the corrective recapitulation of the primary family group in group psychotherapy? 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 the following? Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? Check all that apply. Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors? Which of the following 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. Wha.t distinguishes psychoanalytic therapy from other types of therapies? Cognitive Behavioral Therapy (CBT) interventions focus on 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 Whic. h of the following is inconsistent with Socratic Dialogue basic rules for the therapist? Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages? An advanced practice psychiatric nurse is sued for continuing to work with a patient despite the treatment not working. The advanced practice psychiatric nurse realizes that which of the following will be considered in this case? The decision to use supportive psychotherapy should be based on which of the following? Check all that apply. Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques? Which of the following is not consistent cross-cultural research related to mental health and mental illness. For severe trauma and phobias it is recommended to teach the patient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques? According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following? A Hispanic woman whose mother recently died reports that she continues to hear the voice of her deceased mother. The advanced practice psychiatric nurse considering the woman’s Hispanic culture determines which of the following? It is important for the new nurse psychotherapist to become comfortable with which of the following? 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 the primary goals include which of the following? 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 the following? Check all that apply. A Learning to respect diversity in each unique family. . nternal resources include which of the following? Controlled studies of psychotherapy outcome have shown which of the following? A Objective . B Subjective . C Participant- . Observer D Enmeshed . 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 the patient 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 the concept of: . Which of the following 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 the patient 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 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 the wife calls the therapist 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 the following would be an appropriate response? A Manage transference . B Lend psychic structure . C Hold and contain the patient . D Foster and protect the therapeutic . alliance. Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following? 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 f individual therapy. Which of the following 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 .forgoal achievement. According to Structural Family Therapy model, family structure refers to which of the following? A Birth order. 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 the following? 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 the time he comes home late for the zillionth time I’m just beside my self … you know what I mean.” The CBT therapist responds saying “No, I don’t know what you mean. Please explain what you mean by “beside yourself”. The therapist is using a technique known as which of the following? 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 the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following? 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 the following? 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 the following? 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. The skilled psychotherapist assists the patient to stay in the Resilience Zone. Which of the following symptoms are consistent with hypoarousal? A Ask the individual how he or she feels about working with you. . B Automatically refer patient to a provider of the same or similar culture. . Research the individual’s culture and let the patient know you are an expert in that . culture. The Advanced practice psychiatric nurse explains her own culture to the patient to A Research demonstrates psychodynamic therapy is not effective. . B Research reflects inherent difficulties in experimental controlled design for this . approach. Most psychodynamic research consists of case studies which limits the ability to . generalize to other situations and populations. Psychodynamic techniques do not lend themselves to the precision required for a . clinical trial. According to Peplau’s Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following? During the middle phase of family therapy treatment much of the treatment is devoted to which of the following: 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 rsues. Which of the following 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 o. nmceajor issues have been addressed. Which of the following 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 A to Bowen, lack of differentiation in a family may be manifest as Which of the following is consistent research related to resilience and posttraumatic growth? . Which of the following 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 kes place during psychotherapy. Object relations theorists work from a framework which includes which of the following? 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 g. oeondough in relationships. Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization? The change agent in relational psychodynamic therapy is which of the following? . Cross-cultural research supports which of the following? Which of the following is consistent with the aims of supportive psychotherapy? The goal in a holistic paradigm is to A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following? A Immediacy . B Abreaction . C Differentiatio n . D R. aepnptrochem Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy? . We all have preconceptions that are brought into every situation. As a nurse psychotherapist it is important to do which of the following? Groups with a greater sense of solidarity exhibit which of the following? Check all that apply. A Ask them what the minimum is that they need to do to satisfy the court order. . B Review the case and offer suggestions for solving the issue. . Acknowledge the forced nature of the therapy and encourage them to use this as an . opportunity to grow together as a family. 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 the following? A Cognitive therapy . B Behavioral therapy . C Systems-oriented . psychotherapy D None of the above The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following? A Labeling of Distortions . B Questioning the Evidence . C Advantages and Disadvantages . D Examining Options a. nAdlternatives “Everything always goes wrong for me” is an example of which type of cognitive distortion? The higher the overall levels of cohesiveness are associated with significantly better . total outcome than groups with low cohesiveness. Group member with little sense of belonging or attraction to a group is unlikely to . have a negative outcome. C The attraction to the group 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 the following? Which of the following is a responsible way for the therapist to safely set appropriate limits on availability. A Write a termination letter indicating only that the therapy is being terminated . effective immediately. Send a termination letter to the patient indicating therapist concern, reason for termination, reason for patient to continue in treatment and referral to another provider if patient wants to continue in treatment and put a copy of this in 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, the advanced 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 the clinical factor of universality by doing which of the following? 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 the patient; do for the patient 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 the advanced practice psychiatric nurse asks the client how he or she feels about working with you. This demonstrates which of the following? . When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture? According to Mahler’s stages of separation-individuation the phase 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 28: The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for the patient; do for the patient 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 the following is consistent with literature regarding suicide? Check all that apply: Answers: A. Assessing patient is of paramount importance for the advanced practice psychiatric nurse during the initial 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 the following? Answer: B. Ethnicity Question 31 The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following? Answer: B. Questioning the Evidence Question 32 Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? Answer: A. What happened in the past determine what we do today Question 33 The advanced practice psychiatric nurse is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The advanced practice psychiatric nurse recognizes the patient is a high suicide risk and recommends which of the following? Answer: B. Hospital psychiatric admission and suicide precautions. Question 34: Which of the following assumptions would the therapist be safe in making about cultural influences in a family? Answer: D. The cultural context of families is complicated by the fact that most families are influenced by multiple contexts. Question 35: The focus of exploration in a relational psychodynamic therapy includes which one of the following? Answer: C. Here and now Question 36 The CBT therapist ask the patient on the scale 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 the following best describes the difference 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 the following 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 the following? 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 the therapy 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 the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors? Answer: A. Catharsis Question 45: Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? 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 the contract given to the patient during the initial 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. The advanced practice psychiatric nurse considering the Hispanic woman's culture determines which of the following? A. The woman is likely grieving according to her Hispanic social norms Rationale: The woman is not necessarily being psychotic because she is still in the process of bereavement and grieving which is a stressful life event. Question : 47 Which of The following is consistent research related to posttraumatic growth? A. Resilience and Posttraumatic growth are inversely related Rationale: Across studies the results showed that high levels of resilience were associated with the lowest posttraumatic growth scores. The results imply that although growth and resilience are both salutogenic constructs they are inversely related. Question 48: Which of the following is not consistent with the current 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 the following is not consistent with the resilience 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 the model. Question 50: A family has been court-ordered to family therapy. The family does not want to participate in therapy. The advanced practice nurse using a solution focused therapy model would most likely do which of the following? B. Review the case and offer suggestions for solving the issue Rationale: Assessing and suggesting solutions are one of the jobs to be done by the nurse to help families and individuals to cope up with problems. Question 51: According to Freud, failure to successfully accomplish the task of learning independence and control is associated with which of the following 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 the following is consistent with the therapeutic benefit of imitative behavior? D. All of the above Rationale: Imitative behavior generally plays a more important role in the early stages of therapy as members identify with more senior members and the therapist. Behavior is learned by observing and imitating the behavior of others. Yalom also stated that finding out what we are not is progress toward finding out. Question 53: In classical psychodynamic Therapy, the therapist's role is which one of the following? C. Participant-Observer Rationale: The therapist plays this role by encouraging the client to talk about the emotions they are feeling and helping the client 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. The wife states that her husband must be having an affair because he comes home late from work . The advanced practice nurse recognizes as a cognitive distortion knowns as : D. Arbitrary Inference Rationale: Arbitrary inference is the process 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 the psychotherapeutic process is understanding, assessing and managing which of the following? 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 the following? A. Biomedical model B. Psychosocial framework C. Overdeterminism D. Resiliency Question 4 A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. The advanced practice psychiatric nurse recognizes this behavior as which of the following? A. Avoidance B. A sign the patient has met goals. C. The patient is ready to talk about termination of therapy. D. The patient is bored because the sessions have not been very interesting. Question 5 Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following 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 the Stages of the Family Life Cycle the key 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 7 It is important for the new 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. Bui Question 8 Internal resources include which of the following? 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. Question 9 When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following 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 Question 10 Which of the following 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 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 the change of others. Question 12 Optimal family development is thought to take place in which of the following 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 the patient; do for the patient 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 Question 14 Which of the following is true about the CBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action. B. Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost. C. Primary thinking views the social 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 the following? A. Make the unconscious conscious B. Resolve ruptures in the therapeutic alliance. C. Provide interpretation based on past experiences D. Provide interpretation of wish/defense conflicts. Question 17 Yalom states the group therapy analogue to relationship in individual therapy is which of the following? 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 the concept of: A. Emotional reactivity B. Relationship triangles C. Differentiation of self D. Enmeshment Question 19 According to Erikson's Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following 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 the clinical factor of universality by doing which of the following? 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. Question 22 Groups with a greater sense of solidarity exhibit which of the following? 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 the following 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 the following? 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. Question 25 The concept that reminds us that families are open systems, and our interpretations are shaped by assumptions we absorb from the culture is known as: A. Constructivism B. Systems Theory C. Attachment Theory D. Social Constructionism Question 26 According to Benner's role acquisition model, the advanced 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 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. Share Question Answer & Explanation Solved by verified expert #2 - C. Imparting behavior #3 - B. Psychosocial framework #4 - A. Avoidance #5 - C. The distinctions among these factors are arbitrary. #6 - D. Accepting emotional and financial responsibility for self. #7 - A. Learning to be directive to help the patient feel better. #8 - C. Internal resources include the person's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. #9 - A. The therapist should consider the unique subculture of the family. #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 the unconscious 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 the cultural 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. The central 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. The patient'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 the following factors. A. Emphasis on the past; 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, the working alliance. D. Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships. Question 32 A group member becomes angry with the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors? A. Catharsis B. Interpersonal learning C. Development of socializing techniques D. The corrective recapitulation of the primary family group. Question 33 Which of the following 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. Question 34 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. Question 39 Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? 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. 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 the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following? A. Cultural syndrome B. Cultural formulation C. Cultural idiom of distress D. Cultural explanation or perceived cause Question 44 Hildegard Peplau developed the psychodynamic 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 the following pathological outcomes? A. Psychosis, addictions, depression B. Paranoia, obsessions, compulsions C. Phobias, psychosomatic disorders D. Inertia, creative inhibition Question 46 Which of the following is a responsible way for the therapist 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 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. Oral B. Anal C. Latency D. Phallic/Oedipal Question 49 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. Question 53 The quality of the therapeutic relationship is most closely linked to which school of therapy? A. Freudian B. Gestalt C. CBT D. None of the above Share Question 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 the patient 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 the patient relationship with the therapist. 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 the following? 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. Step-by-step explanation 6. For severe trauma and phobias it is recommended to teach the patient 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 7. A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. The advanced practice psychiatric nurse recognizes this behavior as which of the following? A. Avoidance B. A sign the patient has met goals. C. The patient is ready to talk about termination of therapy. D. The patient is bored because the sessions 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 the past gets triggered and plays out in the present D. The person's body, beliefs, images, and emotions to process trauma 9. The therapist using a CBT approach says to the patient: "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 the Stages of the Family Life Cycle the key emotional process of transition for single young adults is: Question 11 Evidenced based guidelines for patient treatment are based on which of the following? 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 the following is true about the CBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action. B. Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost. C. Primary thinking views the social and cultural world in determinate, positive and rational terms. D. B and C Question 13 Internal resources include which of the following? 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 Question 14 According to Benner's role acquisition model, the advanced 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 15 According to H. Peplau (1991) self-awareness for the advanced 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 the new 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. Question 18 In classical psychodynamic therapy the therapist's role is which of the following? A. Objective B. Subjective C. Participant-Observer D. Enmeshed Question 19 If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment. A. The health care provider B. The managed care company. C. The individual at the managed care company who failed to authorize necessary treatment. D. All of the above Question 20 Which of the following is not consistent with therapeutic process of the corrective recapitulation of the primary 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. Share Question Answer & Explanation Solved by verified expert Question 11 Evidenced based guidelines for patient treatment are based on which of the following? A. Consensus of expert panel Question 12 Which of the following is true about the CBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action. Question 13 Internal resources include which of the following? C. Internal resources include the person's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. Question 14 According to Benner's role acquisition model, the advanced 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? C. Competency/proficiency Question 15 According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse A. Is key to understanding others Question 16 It is important for the new nurse psychotherapist to become comfortable with which of the following? B. Letting the psychotherapeutic process unfold over time. Question 18 In classical psychodynamic therapy the therapist's role is which of the following? A C. Participant-Observer Question 19 If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment.. C. The individual at the managed care company who failed to authorize necessary treatment. Question 20 Which of the following is not consistent with therapeutic process of the corrective recapitulation of the primary family group in group psychotherapy? C. Fixed roles must be constantly explored and challenged. Question 55 The patient talking about her husband states "By the time he comes home late for the zillionth time I'm just beside my self ... you know what I mean." The CBT therapist responds saying "No, I don't know what you mean. Please explain what you mean by "beside yourself". The therapist is using a technique known as which of the following? A. Questioning the Evidence B. Downward Arrow C. Idiosyncratic Meaning D. Labeling of Distortions. Question 57 In relational psychodynamic psychotherapy the therapist helps the patient with which of the following? A. To understand the patient's impact on others. B. To deepen the patient's understanding of others. C. Both A and B D. Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy. Question 58 Role play in the context of the therapy session is an example of which of the following behavioral techniques: A. Bibliotherapy B. Behavioral rehearsal C. Contingency management D. Cognitive restructuring Question 59 Which of the following is not consistent with the underlying 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. Question 61 "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 Question 62 Which of the following best describes the difference between standards of care and practice guidelines? A. Practice guidelines are legally binding while standards of care are not. B. Standards of care are legally binding while practice guidelines are not. C. There is no difference between standards of care and practice guidelines. D. Practice guidelines should be followed as written while standards of care are more flexible. Question 63 The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking," If this is true then what happens?" A. Idiosyncratic Meaning B. Labeling of distortions, C. Downward Arrow D. Questioning the Evidence Question 64 In general, the lower the patient is on Maslow's hierarchy of needs A. The less active the therapist must be. B. The more active the therapist must be. C. The more neutral the therapist must be. D. The more enmeshed the therapist must be. Question 65 A descriptive/biological approach of specialized knowledge that treats individuals as members of a diagnostic group is based on A. A biomedical model B. A holistic model C. A recovery model D. A resilience model Question 66 According to Mahler's stages of separation-individuation the phase of "normal autism" occurs during what age range? A. Birth to 1 month B. 10 to 16 months C. 16 to 24 months D. 24 to 36 months Question 67 Psychodynamic psychotherapy interventions focus on which of the following? A. The person's thoughts beliefs and behaviors B. The person's relationships and family dynamics C. The person's emotions and thoughts, deepening understanding of triggers form the past played out in the present. D. The person's body, beliefs, images, and emotions to process trauma Question 68 When working with a couple the therapist observes the wife seems to have more power in the relationship and the husband seems disengaged. The advanced practice psychiatric nurse can safely assume which of the following based on the couple's Appalachian culture/roots? A. This is a culturally consistent framework where the wife is typically the decision maker in the family. B. This is not culturally consistent with Appalachian norms and is an issue for the couple's therapy. C. The couple is aware of the gender inequality in the family and is fine with it. D. The advanced practice psychiatric nurse cannot assume any of the above and needs to further assess roles in the relationship. Question 70 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 Science 6640 Share Question Answer & Explanation Solved by verified expert 55. B. Downward Arrow 57. D. Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy. 58.B. Behavioral rehearsal 59. A. What has happened in the past determines what we do today. 61. D. Externalization of self-worth 62. D. Practice guidelines should be followed as written while standards of care are more flexible. 63. C. Downward Arrow 64. A. The less active the therapist must be. 65. A. A biomedical model 66. D. 24 to 36 months 67. C. The person's emotions and thoughts, deepening understanding of triggers form the past played out in the present. 68. D. The advanced practice psychiatric nurse cannot assume any of the above and needs to further assess roles in the relationship. 70. A. Recent losses B. Present coping skills