A relapse prevention plan includes identifying triggers to thepatient’s gambling and a A variety of coping strategies to avoid or successfully manage triggers without . reverting to gambling.B A relapse prevention plan should be completed during theinitial stage of treatment..C themain focus of a relapse prevention plan is on changing behaviors..D the main focus of a relapse prevention plan is on cognitive or thought processes to .decrease thedesire to gamble A theexistential approach has a specific set of techniques used..B theexistential relies on thepatient to drive thetherapeutic direction..
Course NRNP-6645-1- Psychotherapy with Multiple Modalities
Test Exam - Week 11 Status Completed Attempt Score 71 out of 100 points Time Elapsed 2 hour, 20 minutes out of 2 hours and 30 minutes
The advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of the following is true about a relapse prevention plan?
Which of the following is consistent with the psychotherapeutic approach used by existential psychotherapists?
According to Dearing, Stuewig, and Tangney (2005), understanding thedifference between guilt and shame and its impact on an individual’s motivation is critical to hope and therecovery process.Which of thefollowing is true regarding guilt and shame?C the existential therapist presents broad existential themes but avoids in-depth .questioning.
D the existential psychotherapist is free to draw on techniques from other .psychotherapeutic models .
Review Test Submission:
Exam - Week 11
A Shame drives a person to engage in treatment while guilt drives a person to avoid .treatment.
B Shame causes a person to perceive self as a failure and guilt causes avoidance of .treatment.
C Guilt causes a person to perceive himself as a loser and shame drives a person to .avoid treatment.
D Shame drives avoidance from treatment, Guilt often motivates a person to seek .treatment.A Relapse indicates treatment failure..B Relapse is a persistent risk in addiction..C Relapse is a characteristic of all chronic medical diseases..D Relapse is thereturn to substance use or addictive behaviors after periods .of abstinence.A IPT is not an appropriate model for treating depression in older adults..B This is a common IPT issue with older adults during theinitial sessions..C the advanced practice psychiatric nurse should consider using a standardized scale .to quantify thedepression and use this to educate thepatient and thefamily.D B and C .
Which of thefollowing is not consistent with what is known about relapse?
The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) is working with an older adult who does not realize she has depression. Which of thefollowing is true?
The patient in Dialectical Behavior Therapy (DBT) complains theskills being taught in DBT don’t work, struggles with keeping diary cards, and doing assigned homework. This is consistent with which stage of treatment within theDBT model?
The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of thefollowing?A Stage .1
B Stage .2
C Stage .3
D Stage .4
A Freedom .B Responsibili .ty C Authenticity .D Meaning .A In family-centered treatment, thefamily is thefocus of treatment..B Family- centered treatment is appropriate to improve family interactions..C Family-centered treatment is appropriate to keep families engaged in services .D Family-centered treatment is appropriate to increase family knowledge about .mental health.A Focusing .B Body awareness .C Language of .responsibility
Which of thefollowing is not consistent with a family-centered approach in child therapy?
The Gestalt therapist notices thepatient is fidgeting with fingers, legs are shaking and asks the patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of thefollowing?
A Given concerns about relapse it would be important to meet with thepatient just this . one time and just for 10 minutes but meet in your office.B Remind thepatient that one of therules is not having contact outside of therapy .sessions.
C Agree to meet with patient alone in thegroup room to resolve any outstanding .concerns from thegroup.
D Agree to meet with thepatient at Starbucks briefly to discuss theunresolved issues, .but only this once and only for 10 minutes.A People are unique..B thewhole is greater than thesum of its parts..C Mind, body, spirit work in a unified synergistic .fashion.
D Dysfunctions such as a chemical imbalance .must be A People are unique..B thewhole is greater than thesum of its parts..C Mind, body, spirit work in a unified synergistic .fashion.
The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to theadvanced practice psychiatric nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?
Which of thefollowing statements would not be consistent with thehumanistic-existential concept of “holism” ?
Which of thefollowing statements would not be consistent with thehumanistic-existential concept of “holism” ?
D Empty-chair dialogue .
A Life Review Therapy (LRT) .B Reminiscence Therapy (RT) .C A Mindfulness Strategy .D Interpersonal Psychotherapy .(IPT) A Projection .B Retroflecti .on
C Confluenc .e D Deflection .A Multidimensional addressing medical, psychosocial and mental .health issues B Trauma-informed care..C 12-Step Peer Support Groups
Stigma of mental illness in theelderly:
A Has contributed to psychiatric symptoms being expressed with .physical symptoms.B Is much more severe in baby boomers than in other elderly cohorts..C Is much less an issue in baby boomers than in other elderly cohorts .D Leads to more discussion of emotions in primary care settings..The advanced practice psychiatric nurse encourages theolder adult to recall long forgotten experiences, events which are memorable to theperson. This is known as
The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear thepatient has strong negative feelings towards her boss. theadvanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of thefollowing?
The most effective treatment for SUD with or without co-morbid psychiatric disorders is:
D Dysfunctions such as a chemical imbalance must be .identified.
A Valuing thesignificance of relationships .B Recognizing generalized psychobiological attributes and .healthcare needs.C Minimizing focus on societal roles and gender expectations..D All of theabove .A Shame-Attacking .B Exposure Therapy .C Cognitive Rehearsal .D Guided relaxation and .meditation A j Drink a glass of water, tea, or .uice.B Name 6 colors you see wherever .you are.C Open and close your eyes..D A and B on .A Somatic approaches .
Positive substance use disorder treatment out-comes unique to women can be strengthened by which of thefollowing.
A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of thefollowing?
Which of thefollowing are “Help Now!” skills? Select all that apply.
Practice guidelines for complex trauma and dissociative identity disorder caution that which of thefollowing may limit one’s ability to heal.
.D Cognitive Behavioral Therapy .
A Conduct Disorders .B Anxiety and Depression .C Depression and Psychosis .D Attention Deficit-Hyperactivity .Disorders A Patients can fail in therapy..B Patients are doing thebest they can.
Question 20 of 101
Moving to another question will save this response.Question 20 In following therules for theDialectical Behavior Therapy (DBT) therapist, thetherapist would not do which of thefollowing?
A Recognize thetherapist is human and fallible..B Make every reasonable effort to provide competent treatment for thepatient..C Share therules for theDBT therapist with thepatient during orientation to the .therapy.D the therapist agrees to use consultation and allow thepatient to view this .directly if desired.Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of thefollowing disorders?
When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder theadvanced practice psychiatric nurse knows which of thefollowing is inconsistent DBT assumptions about patients?
B Talk therapies focused on cognitive .understanding
C EMDR
.D A and C .
A thepatient is ready to focus on self-fulfillment .B thepatient is ready to focus on self-efficacy .C the patient is ready to begin exposure .therapy.
D the patient is ready to begin termination from .therapy.A the advanced practice psychiatric nurse needs to develop a checklist to determine .goals have been made and it is time to terminate.
The advanced practice psychiatric nurse determines therapy goals attained, B terminate thetherapeutic relationship, and schedule to meet thepatient for coffee to . ease thetransition out of therapy.C the advanced practice psychiatric nurse should set clear therapy goals, commend .patient on goal attainment and terminate thetherapy.
D Termination should occur by mutual decision between advanced practice psychiatric .nurse and patient based on thetherapy goals attained.A the advanced practice psychiatric nurse needs to develop a checklist to determine .goals have been made and it is time to terminate.
The advanced practice psychiatric nurse determines therapy goals attained, B terminate thetherapeutic relationship, and schedule to meet thepatient for coffee to . ease thetransition out of therapy.C the advanced practice psychiatric nurse should set clear therapy goals, commend .patient on goal attainment and terminate thetherapy.
The patient in Dialectical Behavior Therapy with a history of self-harming through cutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. theadvanced practice psychiatric nurse recognizes thepatient is ready for which of thefollowing?
Strategies for terminating a therapy relationship with an older adult includes:
Strategies for terminating a therapy relationship with an older adult includes:
.C Patients need to do better, try harder and be more motived to change..D Patients may not have caused all their problems, but they need to solve .them anyway.
A Congruence .B Unconditional positive .regard
C Accurate empathic .understanding D All of theabove .A Stage .1
B Stage .2
C Stage .3
D Stage .4 The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains thefour essential elements which includes all but which of thefollowing?during treatment..A Treatment needs to be readily accessible..B Psychotropic medication should be stopped prior to treatment..C Treatment does not need to be voluntary to be effective..D Drug use during treatment must be monitored continuously as lapses may occur
The person-centered therapist is expected to exhibit which of thefollowing characteristics?
The patient demonstrates theability to regulate his emotions in such a way he can think through them. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?
Which of thefollowing is not consistent with thePrinciples of Effective Treatment for Addiction according to theNIH?
A Bi-weekly individual therapy sessions for thepatient of about 1 hour each..D Termination should occur by mutual decision between advanced practice psychiatric .nurse and patient based on thetherapy goals attained.
A Women seeking treatment for substance use disorder are more likely than men to .have experienced traumatic events.B Women are more apt to drop out of treatment than men..C Women are less likely than men to seek mental health services..
D W .A Evidence suggests thesubstance use issues be addressed first as substances can .mask theissues and symptoms of PTSD.
B Evidence suggests symptoms of PTSD be addressed before initiating any substance .abuse issues as PTSD symptoms are what typically trigger substance abuse.
C Clinicians need to learn evidence-based treatment approaches to simultaneously .treat theunderlying PTSA while addressing substance use.
D Evidence suggests a low dose antipsychotic medication is most effective in treating .PTSD symptoms and can also minimize alcohol and other drug abuse.A Invite thepatient to new ways of viewing a situation .B Guiding patient to develop more skills to achieve a greater .quality of life.C Engage thepatient in change talk .D A and B .B Weekly group skills training sessions for thepatient of 2.5 hours each..C Skills coaching via telephone or other electronic means as needed by thepatient to .manage I vivo situations D Team consultation to thetherapist to maintain treatment fidelity and adherence .Evidence supports which of thefollowing statements about women and addictions treatment?
Which of thefollowing statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder?
he advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of thefollowing?
A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. theGestalt Therapist would likely use which of thefollowing techniques to complete unfinished business?
A Schizophrenia .B New onset depression .C Bipolar Affective Disorder .D Borderline Personality .Disorder A Aggression .B Conduct .Problems
C Social .Withdrawal
D All of the .above.
A CPT .
B CPT-PE
.C EMDR therapy .D Pharmacological .interventions.
Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing diagnoses?
Problems in thepreschool child’s self-regulation has been tied to subsequent issues with which of thefollowing?
Which of thefollowing would not be a first-line intervention for an individual with PTSD?
The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of thefollowing?A Focusing .B Dreamwork .C Empty-chair dialogue .D Language of .responsibility
A Address safety issues .B Promote symptoms .stabilization C Process painful memories .D A and C .Humanistic-existential therapies focus more on process and this process is best described by which of thefollowing?take not .A Shorter, more frequent sessions .B Summarizing previous sessions .C Quizzing patient on previous sessions .D Insist thepatient bring a notebook and
Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma, the advanced practice psychiatric nurse would do which of thefollowing in Stage 1?
When doing psychotherapy with older adult’s accommodations which target cognitive
symptoms and functional deficits include:
A thecontent of thetherapy .B the flow of action and reaction within the .session.C the pacing, timing, and tracking in the .session.D B and C .A the basic structure of psychotherapy with children aligns with principles of .psychotherapy for adults.
B the basic structure of psychotherapy with children for themost part is not aligned .with principles of psychotherapy for adults.
C Engaging with thefamily precedes engagement with thechild or adolescent in the .first family meeting.
D Typically children are exited to engage in psychotherapy to improve thehome .situation.
A Interruptions .B Figure and ground .C Layers of personality .D Organismic self- .regulatio A Emotions precede and underlie physical sensations of .trauma,
B Physical sensations precede and underlie emotions of .trauma.
C Physical sensations and emotional sensations occur .simultaneously.D None of theabove have anything to do with TRM..A Debriefing involves talking about thetrauma immediately .after theevent.
B APA practice guidelines support use of debriefing due to .efficacy.C Debriefing may increase post trauma symptoms..D Debriefing does not prevent PTSD..A Artistic endeavors such as sculpting, drawing painting..B Movement therapies such as dance..C Tapping on acupressure points .D Cognitive skills such as thought stopping and guided .self-dialogue Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by theGestalt therapist as which of thefollowing?
According to theTrauma Resiliency Model which of thefollowing occurs?
Which of thefollowing is not consistent with what is currently known about debriefing?
Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. theadvanced practice psychiatric nurse using SIT would do which of thefollowing?
A Congruence .B Actualizing tendency .C Belief of human nature .D Accurate empathic .understanding A Validate thepatient ‘s frustration while encouraging and reinforcing use .of skills.
B Analyze thebehaviors and consequences of thebehaviors with the .patient.
C Focus on behavioral control and management with emotions as a .contextual element.D All of theabove .A Maintaining a therapeutic stance of neutrality..B Maintaining a therapeutic stance of .anonymity.
C Maintaining a therapeutic stance of non- .intrusiveness.D A and C .A Do nothing, maintaining thechild’s privacy protects thetherapeutic relationship..B Decide what theparents need to know and give them a summary of theindividual .The person-centered therapist who is genuine and authentic during thetherapy session is exhibiting which psychological condition?
The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills taught don’t work, theprocess is taking too long, and is struggling to complete homework. theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
The therapeutic frame supports theclinician in which of thefollowing ways? Select all that apply.
One of theproblems when meeting with children individually is that it can create secrets. Which of thefollowing responses would theadvanced practice psychiatric nurse do to address this concern?
Others PPLs papers The therapeutic frame supports theclinician in which...
- The therapeutic frame supports theclinician in which of thefollowing ways? Select all that
- The advanced practice psychiatric nurse is working with a patient with who is chronically
- The concept of resiliency in child therapies is in direct contrast to which traditional
apply.A . Maintaining a therapeutic stance of neutrality.B . Maintaining a therapeutic stance of anonymity.C . Maintaining a therapeutic stance of nonintrusiveness.D . A and C
suicidal. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of thefollowing?A . Every time thepatient has suicidal ideations hospitalization is recommended.B . To thechronically suicidal patient, hospitalization reinforces thestatus quo and abdicating thehard work of change.C . To thechronically suicidal patient hospitalization frequent hospitalizations allow a safe place to learn new coping behaviors and promote change.D . theAdvanced practice psychiatric nurse should not be using DBT with a chronically suicidal patient.
approach for treating children?A . Family inclusion B . theconcept of recovery C . Problem-based therapy D . Interacting systems consideration
4. Stigma of mental illness in theelderly:
A . Has contributed to psychiatric symptoms being expressed with physical symptoms.B . Is much more severe in baby boomers than in other elderly cohorts.C . Is much less an issue in baby boomers than in other elderly cohorts D . Leads to more discussion of emotions in primary care settings.
- Which of thefollowing is not consistent with thePsychoanalyst's perspective when treating
and individual with a personality disorder?A . It is important to identify and then modify "core" problems when treating individuals with personality disorders.B . Personality structures are unconscious and thus mostly unavailable to theindividual.session in with thechild in theroom.
C Decide what theparents need to know and give them a summary privately to avoid .any awkwardness for thechild.
D Discuss with thechild what he or she wants to share with theparents and facilitate .the process as needed.
C . Personality products and processes are within therealm of awareness, accessible to theindividual.D . Psychoanalytic therapy is an effective treatment for Borderline personality disorder
- Which of thefollowing statements would not be consistent with thehumanistic-existential
- Which of thefollowing is true about dream work from a Gestalt perspective?
- When theadvanced practice psychiatric nurse builds a formulation when working with a
- In providing psychoeducation to patient's in recovery, theadvanced practice psychiatric
- Which best describes gerotranscendence? A Erik Erikson's ninth stage of development .
- The advanced practice psychiatric nurse is working with a group of patients in an outpatient
- The situation in which increasing amounts of a substance is needed to achieve thesame
concept of "holism" ?A People are unique.. B . thewhole is greater than thesum of its parts.C . Mind, body, spirit work in a unified synergistic fashion.D . Dysfunctions such as a chemical imbalance must be identified.
A . theindividual tells thedream in past tense B . Elements of thedream are viewed using standardized dream symbol meaning.C . A dream diary is required to capture all elements of theteam.D . thecharacters and objects in thedream are projections of theindividual whose dream it is.
child in therapy theadvanced practice psychiatric nurse is doing which of thefollowing?A . Formulation is a type of play therapy.B . Formulation is thechild's diagnosis.C . theformulation explains thecontexts of thechild and family situation, thechild's unique presentation, responses and narratives of theevents that shaped theinterpretation.D . theformulation is thetreatment plan.
nurse would not include which of thefollowing?A . Recovery is a lifelong process of change B . A patient is considered recovered after 5 years free of substance use.C . Recovery encompasses dimensions of health, home, purpose and community.D . Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions.
B . Emphasizes ongoing growth over decrements C . Focuses on thetransition to old-old (80 years and older).D . Focuses on letting go and coming to terms with end of one's life
substance abuse treatment program. One patient comes to theadvanced practice psychiatric nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?A . Given concerns about relapse it would be important to meet with thepatient just this one time and just for 10 minutes but meet in your office.B . Remind thepatient that one of therules is not having contact outside of therapy sessions.C . Agree to meet with patient alone in thegroup room to resolve any outstanding concerns from thegroup.D . Agree to meet with thepatient at Starbucks briefly to discuss theunresolved issues, but only this once and only for 10 minutes.
desired effect is known as which of thefollowing?
A . Addiction B . Tolerance C . Withdraw al D . Dependen ce
- Which of thefollowing describes thebasic neurobiological pathways of thereward system
- Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
- The existential concept of an openness, readiness, and flexibility to grow and change, which
- Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma,
- The advanced practice psychiatric nurse is working with a patient who states she believes
- The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills
in thebrain? A . Projections from theventral tegmental area, through themedian forebrain and terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.B . Projections through themedian forebrain, to theventral tegmental area where there is a proliferation of dopamine neurons, to thenucleus accumbens.C . Projections from thenucleus accumbens to themedian forebrains where there is a proliferation of dopamine neurons to theventral tegmental area.D . Projections from themedian forebrain through theventral tegmental area to thenucleus accumbens where there is a proliferation of dopamine neurons.
diagnoses?A . Schizophrenia B . New onset depression C . Bipolar Affective Disorder D . Borderline Personality Disorder
necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of thefollowing?A . Freedom B . Responsibili ty C . Authenticity D . Meaning
theadvanced practice psychiatric nurse would do which of thefollowing in Stage 1?A . Address safety issues B . Promote symptoms stabilization C . Process painful memories D . A and C
her boss hates her. After some discussion, it is clear thepatient has strong negative feelings towards her boss. theadvanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of thefollowing?A Projection .B . Retroflecti on C . Confluenc e D . Deflection
taught don't work, theprocess is taking too long, and is struggling to complete homework.theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?A . Validate thepatient 's frustration while encouraging and reinforcing use of skills.B . Analyze thebehaviors and consequences of thebehaviors with thepatient.C . Focus on behavioral control and management with emotions as a contextual element.D . All of theabove
- An organized, consistent set of perceptions about theself, continually influenced by
- The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with
experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?A . Belief of human nature B . Self-concept C . Actualizing tendency D . Fully functioning person
a patient with Borderline Personality Disorder explains thefour essential elements which includes all but which of thefollowing?A . Bi-weekly individual therapy sessions for thepatient of about 1 hour each.B . Weekly group skills training sessions for thepatient of 2.5 hours each.C . Skills coaching via telephone or other electronic means as needed by thepatient to manage I vivo situations D . Team consultation to thetherapist to maintain treatment fidelity and adherence
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- The therapeutic frame supports theclinician in which of thefollowing ways? Select all that
apply.D . A and C Rationale: B is wrong because it should not be anonymous. Information should be disclosed.
- The advanced practice psychiatric nurse is working with a patient with who is chronically
suicidal. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of thefollowing?B . To thechronically suicidal patient, hospitalization reinforces thestatus quo and abdicating thehard work of change.Rationale: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that combines strategies like mindfulness, acceptance, and emotion regulation.
- The concept of resiliency in child therapies is in direct contrast to which traditional
approach for treating children?C . Problem-based therapy Rationale: Compared with thetraditional study of child development, which has tended to portray 'normal' and 'abnormal' patterns, a resilience approach offers a more differentiated account. In professional practice, resilience means looking for strengths and opportunities to build on, rather than (or alongside) problems, deficits or psychopathology to be remedied or treated
4. Stigma of mental illness in theelderly:
A . Has contributed to psychiatric symptoms being expressed with physical symptoms.Rationale: According to Sartorius, stigma leads to discrimination in theprovision of services for physical health problems in older people with mental disorders.ScienceNursingNURSING NRNP 6645 Health Science
- Which of thefollowing is not consistent with thePsychoanalyst's perspective when treating
and individual with a personality disorder?C . Personality products and processes are within therealm of awareness, accessible to theindividual.Rationale: Each level of awareness has a role to play in shaping human behavior and thought.
- Which of thefollowing statements would not be consistent with thehumanistic-existential
concept of "holism" ?D . Dysfunctions such as a chemical imbalance must be identified.Rationale: Holism is theidea that various systems (e.g. physical, biological, social) should be viewed as wholes, not merely as a collection of parts.
- Which of thefollowing is true about dream work from a Gestalt perspective?
D . thecharacters and objects in thedream are projections of theindividual whose dream it is.Rationale: In Gestalt Therapy, theclient is asked to play component parts of thedream. .It helps theclient to feel thepart of him/herself that he/she has disowned and has projected onto objects of thedream. Disowned parts of theself are in theunconscious, and integration is thework of therapy.
- When theadvanced practice psychiatric nurse builds a formulation when working with a
child in therapy theadvanced practice psychiatric nurse is doing which of thefollowing?C . theformulation explains thecontexts of thechild and family situation, thechild's unique presentation, responses and narratives of theevents that shaped theinterpretation.Rationale: Formulation is a concise statement of thecase. Unlike summary, it is a discussion about alternative ideas about diagnosis, aetiology, treatment and prognosis and of thearguments for and against each alternative.
- In providing psychoeducation to patient's in recovery, theadvanced practice psychiatric
nurse would not include which of thefollowing?B . A patient is considered recovered after 5 years free of substance use.
Rationale: Recovery is a lifelong process that can take years to achieve.
- Which best describes gerotranscendence? A Erik Erikson's ninth stage of development .
B . Emphasizes ongoing growth over decrements Rationale: thetheory that older people transcend thelimited opinions and views of life they once held or wisdom comes with age
- The advanced practice psychiatric nurse is working with a group of patients in an outpatient
substance abuse treatment program. One patient comes to theadvanced practice psychiatric nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?C . Agree to meet with patient alone in thegroup room to resolve any outstanding concerns from thegroup.
Rationale: This will prevent harm for thenurse and allows help from other patient from thegroup
- The situation in which increasing amounts of a substance is needed to achieve thesame
desired effect is known as which of thefollowing?B . Tolerance Rationale: A person may develop tolerance to a drug when thedrug is used repeatedly.
- Which of thefollowing describes thebasic neurobiological pathways of thereward system
in thebrain?A . Projections from theventral tegmental area, through themedian forebrain and terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.Rationale: thereward pathway of thebrain is connected to areas of thebrain that control behavior and memory. It begins in theventral tegmental area, where neurons release dopamine to make you feel pleasure. thebrain begins to make connections between theactivity and thepleasure, ensuring that we will repeat thebehavior.
- Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
diagnoses?D . Borderline Personality Disorder Rationale: DBT may be used to treat suicidal and other self-destructive behaviors.
- The existential concept of an openness, readiness, and flexibility to grow and change, which
necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of thefollowing?A . Freedom
Rationale: Freedom allows person to choose alternatives.
- Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma,
theadvanced practice psychiatric nurse would do which of thefollowing in Stage 1?C . Process painful memories Rationale: thefirst few sessions of psychotherapy typically focus on understanding and taking a good relationship history, from childhood up to adulthood.
- The advanced practice psychiatric nurse is working with a patient who states she believes
her boss hates her. After some discussion, it is clear thepatient has strong negative feelings towards her boss. theadvanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of thefollowing?D . Deflection Rationale: Deflection is attempting to draw attention away from oneself and put that attention onto another person. All ages may engage in deflection. Children try to deflect blame when they are in trouble for negative actions by pointing out a different negative action that a sibling did.
- The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills
taught don't work, theprocess is taking too long, and is struggling to complete homework.theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
D . All of theabove
Rationale: All choices are applicable
- An organized, consistent set of perceptions about theself, continually influenced by
experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?B . Self-concept Rationale: Self-concept is how a person perceive their behavior, abilities, and unique characteristics.
- The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with
a patient with Borderline Personality Disorder explains thefour essential elements which includes all but which of thefollowing?A . Bi-weekly individual therapy sessions for thepatient of about 1 hour each.Rationale: Individual therapy usually involves weekly one-to-one sessions with a DBT therapist.Each session lasts approximately 45-60 minutes.
. Which of thefollowing is not consistent with...
- Which of thefollowing is not consistent with recommendations for teaching Trauma
Resiliency Model (TRM) skills?
A.TRM self-care skills can be taught and used in any order.
B.TRM skill may be taught in individual or group settings
C.To teach TRM skills, thetherapist should be adept at using theskills themself.
- Teaching TRM is cost effective as only one teacher is needed individually or with groups.
- The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior
Therapy (DBT) is that therapists treating thedifficult patient need support. This support includes which of thefollowing?
A.The support is provided through case management
B.The support is designed to focus on clinical issues of thepatient
C.The DBT therapist in solo practice does not need a consultation group for support.
- thesupport includes a consultation group to treat thetherapist by using thesame skills thepatient
is asked to use.
- In working with an older adult patient in thetermination phase theadvanced practice
psychiatric nurse suggests it may be helpful to teach family members ways to support thepatient and prevent relapse. This demonstrates which of thefollowing?
A.A major HIPPA violation
B.Lack of confidence in thepatient and thetherapeutic process of CBT
- An appropriate strategy to solidify a supportive network for thepatient.
D.Resistance to terminating thetherapeutic relationship.
- Which of thefollowing is true about communication with children and adolescents?
- Communication is developmentally based.
B.Offices should be free of toys or distractions.
C.Speak to children in adult manner as it lets them know you take them seriously.
D.Communicate at level lower than thechild or adolescent to improve their self-esteem.
- Practice guidelines for complex trauma and dissociative identity disorder caution that which
of thefollowing may limit one's ability to heal.
A.Somatic approaches
B.Talk therapies focused on cognitive understanding*****
C.
EMDR
D.A and C
- Which of thefollowing trends life trends suggests advanced practice psychiatric nurse be
prepared to provide mental health and illness treatment in a variety of community and non- traditional settings.
A.More older men than women living alone.
B.Greatest percentage of older adults living in nursing homes.
- Projected doubling of number of homeless adults between 2010 and 2050
D.More older adults preferring to leave their homes to seek other living arrangements.
7. Dialectical Behavior Therapists realize which of thefollowing:
A.Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSD
B.Everyone diagnosed with PTSD can be diagnosed with comorbid borderline personality disorder.
- There are important overlapping symptoms and neuropsychological correlates that PTSD and
borderline personality disorder have in common.
D.DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts.
- Research support that children with serious emotional disorders (SED) are likely to have
which of thefollowing?
A.Children with SEDs are likely to be severely impaired
B.Children with SEDs are likely to have many community agencies involved in their care and support.
C.Children with SEDs are likely to have a comorbid disorder.
D.A and C
- Which of thefollowing is a biologically based psychotherapy methodology used to treat
patients who have experienced trauma?
A.Trauma Resiliency Model
B.Cognitive Behavioral Therapy
C.Psychodynamic Psychotherapy
D.Existential Psychotherapy
- Which of thefollowing is not consistent with a family-centered approach in child therapy?
A.In family-centered treatment, thefamily is thefocus of treatment.
B.Family- centered treatment is appropriate to improve family interactions.
C.Family-centered treatment is appropriate to keep families engaged in services
D.Family-centered treatment is appropriate to increase family knowledge about mental health.
- In working with children between theages of about 7-11 years of age, theadvanced practice
psychiatric nurse would include activities consistent with which of stage of Piaget's stages of cognitive development?
A.Sensorimotor
B.Preoperational
C.Formal operational
D.Concrete operational
- The advanced practice psychiatric nurse working with a patient with borderline personality
disorder is aware that which of thefollowing attachment styles has been highly correlated with Borderline personality disorder?
A.Secure attachment style
B.Unresolved attachment style
C.Preoccupied attachment style
D.Disorganized attachment style
- Which of thefollowing medications may be recommended for patients with insomnia due to
PTSD?
A.Any antidepressant can offer as first-line treatment in adults for PTSD.
B.Non-benzodiazepines such as trazodone (Desyrel)
C.Prazosin (Minipress) may be helpful if nightmares are present.
D.B and C
- According to theMacArthur Study of Successful Aging protective factors on mental and
cognitive functioning and successful aging include:
A.Positive mental attitude
B.Regularly scheduled activities
C.Exercise
D.All theabove
- The advanced practice psychiatric nurse is working with thepatient on maintaining treatment
outcomes and developing a guide for surviving difficult times. These strategies are consistent with which phase in theCBT process?
A.Introductory phase
B.Middle phase
C.Late middle phase
D.Termination
- Strategies for terminating a therapy relationship with an older adult includes:
A.The advanced practice psychiatric nurse needs to develop a checklist to determine goals have been made and it is time to terminate.
B.The advanced practice psychiatric nurse determines therapy goals attained, terminate thetherapeutic relationship, and schedule to meet thepatient for coffee to ease thetransition out of therapy.
C.The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate thetherapy.
D.Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on thetherapy goals attained.
- The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient
with borderline personality disorder uses persuasive dialogue to do which of thefollowing?
A.Invite thepatient to new ways of viewing a situation
B.Guiding patient to develop more skills to achieve a greater quality of life.
C.Engage thepatient in change talk
D.A and B
- Which of thefollowing would not be a first-line intervention for an individual with PTSD?
A.
CPT
B.
CPT-PE
C.EMDR therapy
D.Pharmacological interventions.
- Emotion-Focused therapy integrates which of thefollowing?
A.Person-centered therapy and Gestalt therapy
B.Gestalt therapy and Neuroscience research of emotions.
C.Neuroscience research of emotions and Person-centered therapy.
D.Person-centered therapy, Gestalt therapy and Neuroscience research of emotions.
- Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to
trauma. theadvanced practice psychiatric nurse using SIT would do which of thefollowing?
A.Artistic endeavors such as sculpting, drawing painting.
B.Movement therapies such as dance.
C.Tapping on acupressure points
D.Cognitive skills such as thought stopping and guided self-dialogue.
- The purpose of Mindfulness-Based Stress Reduction in theolder adult is
A.To avoid using psychotropic medications
B.To escape from stressful situations and relationships
C.To learn to be present in themoment non-judgmentally.
D.To avoid stigma of traditional psychotherapy
- The stabilization skills and concepts that form thefoundation of Trauma Resiliency
Model stand alone as a model in and of itself called CRM. CRM stands for which of thefollowing?
A.Cognitive Restructuring Model
B.Cognitive Resiliency Model
C.Community Resiliency Model
D.Cognitive Regeneration Model
- Which of thefollowing is not an underlying assumption that differentiates child therapies
from adult psychotherapy?
A.Family inclusion
B.The concept of Recovery
C.The concept of Resiliency
D.Developmental considerations
- Which of thefollowing is consistent with a Common Elements approach?
A.Common Elements involves use of individual treatment approaches that are part of many manualized treatment
B.Evidenced-based strategy is viewed in light of theactual intervention as well as diagnostic category.
C.The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues.
D.Is Common Elements method should not be used with child/adolescents with PTSD.
- Functional status refers to
A.A person's capacity to manage activities of daily living independently
B.A person's positive perspective on their own capabilities
C.A person's expected increase in dependency as one ages
D.A person's expected decrease in independence as one ages
- Which of thefollowing is not true about self-regulation as it applies to therapy with children?
A.Self-regulation is a developmental milestone of childhood in which thechild controls behavior in theservice of socially desirable conduct.
B.Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.
C.Self-regulation mechanisms from a neuroscience perspective are basic mechanisms predominantly located in theglobus pallidus.
D.Self-regulation issues are often seen in various child psychopathology.
- Which of thefollowing is not consistent with Eye Movement Desensitization and
Reprocessing (EMDR) literature in treating PTSD?
A.Treatment effects are long lasting.
B.EMDR involves extended exposure
C.EMDR treatment for trauma is less time intensive.
D.The aim is to reduce thesubject distress and strengthen adaptive beliefs related to thetraumatic event.
- Which of thefollowing is true about Complementary and Alternative Medicine (CAM)
Therapies and Older Adults?
A.CAM therapies are a good alternative to conventional medicine
B.CAM therapies can be used in conjunction with psychotherapy to provide effective, evidence- based treatments to older adults with psychiatric disorder.
C.Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults.
D.Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns.
- The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with
a patient with Borderline Personality Disorder explains thefour essential elements which includes all but which of thefollowing?
A.Bi-weekly individual therapy sessions for thepatient of about 1 hour each.
B.Weekly group skills training sessions for thepatient of 2.5 hours each.
C.Skills coaching via telephone or other electronic means as needed by thepatient to manage I vivo situations
D.Team consultation to thetherapist to maintain treatment fidelity and adherence
- The primary source for constructive change in a humanistic-existential approach is which of
thefollow:
A.The patient's motivation
B.The therapist's structure
C.The therapist-patient relationship
D.The patient-family relationship
- The advanced practice psychiatric nurse working with children/adolescents in psychotherapy
is aware of which of thefollowing?
A.The basic structure of psychotherapy with children aligns with principles of psychotherapy for adults.
B.The basic structure of psychotherapy with children for themost part is not aligned with principles of psychotherapy for adults.
C.Engaging with thefamily precedes engagement with thechild or adolescent in thefirst family meeting.
D.Typically children are exited to engage in psychotherapy to improve thehome situation.
- When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline
Personality Disorder theadvanced practice psychiatric nurse knows which of thefollowing is inconsistent DBT assumptions about patients?
A.Patients can fail in therapy.
B.Patients are doing thebest they can.
C.Patients need to do better, try harder and be more motived to change.
D.Patients may not have caused all their problems, but they need to solve them anyway.
- A natural process whereby theindividual is continually disturbed by theemergence of a
need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by theGestalt therapist as which of thefollowing?
A.Figure and ground
B.Organismic self-regulation
C.Layers of thepersonality
D.None of theabove
- Which of thefollowing does theadvanced practice psychiatric nurse need to consider when
treating older adults with Substance Use Disorders?
A.Co-existing medical or psychiatric disorder
B.Age-related physiological and psychological changes
C.Collaboration with primary care providers
D.All of theabove
- In following therules for theDialectical Behavior Therapy (DBT) therapist, thetherapist
would not do which of thefollowing?
A.Recognize thetherapist is human and fallible.
B.Make every reasonable effort to provide competent treatment for thepatient.
C.Share therules for theDBT therapist with thepatient during orientation to thetherapy.
D.The therapist agrees to use consultation and allow thepatient to view this directly if desired. ???
- According to Dearing, Stuewig, and Tangney (2005), understanding thedifference between
guilt and shame and its impact on an individual's motivation is critical to hope and therecovery process. Which of thefollowing is true regarding guilt and shame?
A.Shame drives a person to engage in treatment while guilt drives a person to avoid treatment.
B.Shame causes a person to perceive self as a failure and guilt causes avoidance of treatment.
C.Guilt causes a person to perceive himself as a loser and shame drives a person to avoid treatment.
D.Shame drives avoidance from treatment, Guilt often motivates a person to seek treatment.
- Which of thefollowing is true about use of medications and/or psychotherapy in treatment of
PTSD?
A.Medications alone can cure PTSD
B.Medication may be a helpful as an adjunctive treatment but is not a first-line treatment
C.Medication directly promotes new learning and processing.
D.Medications assuage theguilt, grief and interpersonal difficulties specifically in patients with PTSD.
- Research suggests that psychodynamic therapeutic approaches are effective for some
children, particularly those with which of thefollowing disorders?
A.Conduct Disorders
B.Anxiety and Depression
C.Depression and Psychosis
D.Attention Deficit-Hyperactivity Disorders
- A Trauma Resiliency Model therapist encourages thepatient to describe the"felt sense" of
internal or external body sensations associated with resilience, stress, and release. This is known as which of thefollowing Trauma Resiliency Model skills?
A.
Tracking
B.Resourcing and resource intensification
C.Grounding
D.Gesturing
- During your second CBT session with an older adult thepatient expresses to you comfort
with theCBT model and begins to ask questions about how thetherapy works. This indicates which of thefollowing?
A.It is time to move to themiddle phase of CBT
B.This comment seems contradictory, perhaps thepatient has a dementia.
C.The patient is just trying to rush through thetherapy, a type of resistance.
D.The patient clearly needs at least one more introductory/early phase session.
- Dysfunctional processes, developed early in life that people employ in an attempt to meet
their Needs, are referred to by theGestalt therapist as which of thefollowing?
A.Interruptions
B.Figure and ground
C.Layers of personality
D.Organismic self-regulation
- Using a Common elements approach with a child with ADHD who despite stimulant
medication continues to exhibit frequent angry outbursts, opposition and aggression theadvanced practice psychiatric nurse begin with which of thefollowing?
A.Stop themedication as it clearly is not working.
B.Adjust medication as it clearly isn't working.
C.Explore inpatient treatment where theenvironment could be more closely controlled and monitored.
D.Review thebest available evidence for behavioral, cognitive or psychoeducation intervention to augment themedication and address these behavioral/regulation issues.
- When doing psychotherapy with older adult's accommodations which target cognitive
symptoms and functional deficits include:
A.Shorter, more frequent sessions
B.Summarizing previous sessions
C.Quizzing patient on previous sessions
D.Insist thepatient bring a notebook and take note
- When doing psychotherapy with older adult's accommodations which target cognitive
symptoms and functional deficits include:
A.Shorter, more frequent sessions
B.Summarizing previous sessions
C.Quizzing patient on previous sessions
D.Insist thepatient bring a notebook and take note
- The underlying assumptions of Trauma Resiliency Model therapy include which of
thefollowing?
A.Human response to threat are subcortical in nature.
B.Response to trauma is likely transient and should go away with or without treatment.
C.The mind has no bias; thus, we make sense of theworld in a symmetrical manner.
D.Current psychiatric concepts adequately account for theimpact of multiple or long-term
- Addiction is now recognized as which of thefollowing?
A.A preventable personality disorder
B.A family disorder due to poor parenting
C.A volitional behavior that can be managed independently'
D.A primary disease of thebrain's neurocircuitry.
- The advanced practice psychiatric nurse is using a Dialectical Behavior Therapy (DBT)
approach with a patient who has experienced trauma. In which stage of theDBT model would theadvanced practice psychiatric nurse begin exposure therapy?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4
- A specific type of CBT therapies aimed to reduce distress as a person experiences
sensation with danger is known as which of thefollowing?
A.Shame-Attacking
B.Exposure Therapy
C.Cognitive Rehearsal
D.Guided relaxation and meditation
- Which of thefollowing statements would be consistent with Trauma-Informed Care when
treating patients with comorbid PTSD and Substance Use Disorder?
A.Evidence suggests thesubstance use issues be addressed first as substances can mask theissues and symptoms of PTSD.
B.Evidence suggests symptoms of PTSD be addressed before initiating any substance abuse issues as PTSD symptoms are what typically trigger substance abuse.
C.Clinicians need to learn evidence-based treatment approaches to simultaneously treat theunderlying PTSA while addressing substance use.
D.Evidence suggests a low dose antipsychotic medication is most effective in treating PTSD symptoms and can also minimize alcohol and other drug abuse.
- Which of thefollowing activities is not consistent with thefirst phase of theeight-phase
protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient who has PTSD?
A.Desensitization
B.Identification of targets.
C.Screening for use of EMDR
D.Screening for affect tolerance and dissociation
- Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
diagnoses?
A.Schizophrenia
B.New onset depression
C.Bipolar Affective Disorder
D.Borderline Personality Disorder
- Which therapy approach has been shown to be effective in reducing depressive symptoms
and suicidality in older adult with co-existing personality disorders?
A.Dialectical Behavior Therapy (DBT)
B.Ecosystem-Focused Therapy (EFT)
C.Cognitive Behavioral Therapy for Executive Dysfunction (CBT-MD)
D.
- Problem Adaptation Therapy (PATH)
- Which of thefollowing is a philosophical approach to psychotherapy which deals with
universal themes of life?
A.Gestalt Therapy
B.Psychoanalysis
C.Existential psychotherapy
D.Person-Centered Psychotherapy
- The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient
diagnosed with a personality disorder explains that for success in treatment, thepatient must attend theindividual and group skills sessions consistently. It is explained to thepatient that if four sessions are missed consecutively thetreatment will end. Which of thefollowing is true about this rule?
A.This is a guideline, not a requirement.
B.It gives thepatient control over his or her commitment to treatment C.
This is one of theoptional rules for Dialectical Behavior Therapy and may be done at thetherapist's discretion.
D.This is a therapeutic strategy to exert control over thepatient and therapy process.
- Which of thefollowing is consistent with Trauma Resiliency Model (TRM) therapy?
A.TRM therapy facilitates patient's awareness of pleasant, unpleasant, and neutral body sensations.
B.TRM acknowledges negative affect and it's accompanying unpleasant physical sensations.
C.TRM therapist teaches patient techniques to intentionally modulate negative emotions by shifting away from negative sensations.
D.All of theabove
- The advanced practice psychiatric nurse working with theolder adult cohort recognizes:
A.As a group, theelderly, regardless of specific age, race or experiences have similar issues.
B.This is basically thebaby boomer generation, with great empowerment and entitlement
C.This enlightened cohort sees no stigma with mental health diagnosis or treatment.
D.There is great diversity with individual variation and cohort effects
- Evidence-based therapeutic modalities for treating older adults with anxiety include which of
thefollowing:
A.Cognitive Behavioral Therapy, Relaxation training, Biofeedback
B.Dialectical Behavior Therapy, Reminiscence Therapy, Biofeedback
C.Guided Imagery, Music Therapy, Yoga
D.A and C
- The patient in Dialectical Behavior Therapy with a history of self-harming through cutting,
has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. theadvanced practice psychiatric nurse recognizes thepatient is ready for which of thefollowing?
A.The patient is ready to focus on self-fulfillment
B.The patient is ready to focus on self-efficacy
C.The patient is ready to begin exposure therapy.
D.The patient is ready to begin termination from therapy.
- Which of thefollowing screening tools is geared toward screening pregnant women for
alcohol and drug abuse
A.
CAGE-AID
B.
CRAFFT
C.
TWEAK
D.
UNCOPE
- Which of thefollowing statements is consistent with a humanistic-existential approach when
thepatient starts talking about past event?
A.Tell me about your childhood.
B.Tell me what happened last week.
C.Let's just focus on thehere and now.
D.Tell me thestory as if it were happening now.
- Recovery, according to behavioral health leaders, is considered a lifelong process that
encompasses which four major dimensions:
A.Health, Wealth, Relationships, Sleep
B.Health, Home, Purpose and Community
C.Purpose, Personality, Health, Relationships
D.Community, Relationships, Wealth, Health
- Which of thefollowing are "Help Now!" skills? Select all that apply.
A.Drink a glass of water, tea, or juice.
B.Name 6 colors you see wherever you are.
C.Open and close your eyes.
D.A and B only.
- The loss of control over theintense urge to take a drug even at theexpense of adverse
consequences is known as which of thefollowing?
A.Tolerance
B.Withdrawal
C.Addiction
D.A craving
- The situation in which increasing amounts of a substance is needed to achieve thesame
desired effect is known as which of thefollowing?
A.Addiction B.
Tolerance
C.Withdrawal
D.Dependence
- In using trauma-focused cognitive behavioral therapy with a child exposed to domestic
violence theadvanced practice psychiatric nurse realizes thefirst component of this structured approach includes which of thefollowing?
A.Relaxation skills
B.Problem solving skills
C.Constructing thetrauma narrative
D.Psychoeducation with child and parent about trauma response and what causes it.
- The existential concept of an openness, readiness, and flexibility to grow and change,
which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of thefollowing?
A.Freedom
B.Responsibility
C.Authenticity
D.Meaning
- The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a
preoccupied attachment style would use which of thefollowing interventions?
A.Active interventions to facilitate emotional expression and connection. ???
B.Supportive interventions to help thepatient contain overwhelming emotions.
C.Any interventions on thepsychodynamic continuum with not customizations.
D.None of theabove. Attachment style has no bearing on psychodynamic therapy.
- In working with an older female patient, theadvanced practice psychiatric nurse notices
thepatient seems to respond superficially reminding theadvanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. theadvanced practice psychiatric nurse recognizes this as
A.Gerotransference
B.Transcendence
C.Countertransference
D.A sign of a close therapeutic relationship
- Problems in thepreschool child's self-regulation has been tied to subsequent issues with
which of thefollowing?
A.Aggression
B.Conduct Problems
C.Social Withdrawal
D.All of theabove.
- The Dialectical Behavior Therapy (DBT) therapist meets with theclient, negotiates thegoals
of therapy, and arrives at a commitment to thetreatment. Assumptions and principles of theDBT model are explained. This is consistent with which stage of treatment within theDBT model?
A.Pretreatment
B.Stage 1 C.
Stage 2
D.Stage 3
- Evidence supports which of thefollowing statements about women and addictions treatment?
A.Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.
B.Women are more apt to drop out of treatment than men.
C.Women are less likely than men to seek mental health services.
D.Women are less likely than men to participate in group therapy.
- The Gestalt therapist notices thepatient is fidgeting with fingers, legs are shaking and asks
thepatient "What are you experiencing right now in your body?" This is a type of creative experimentation known as which of thefollowing?
A.Focusing
B.Body awareness
C.Language of responsibility
D.Empty-chair dialogue
- The advanced practice psychiatric nurse realizes which of thefollowing with respect to
individuals with personality disorders of traits?
A.Often these individuals will see their problems as independent of their own behaviors.
B.These individuals will often describe themselves as a victim.
C.These individuals often present for treatment at therequest of a significant other or other external pressure.
D.All theabove.
- McGovern et al (2014) have found which of thefollowing therapeutic approaches helpful In
working with post-stroke patients experiencing depression?
A.Interpersonal Therapy for Mild Cognitive Impairment (IPT-CT)
B.Problem-Solving Therapy for Executive Dysfunction (PST-ED)
C.Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
D.Ecosystem-Focused therapy (EFT)
- The Dialectical Behavior Therapy (DBT) therapist addresses life-threatening behaviors and
therapy-interfering behaviors with thepatient. This is consistent with which stage of treatment within theDBT model?
A.Pretreatment
B.Stage 1
C.Stage 2
D.Stage 3
- In child psychotherapy consideration of systems that promote a child's ongoing development
include which of thefollowing?
A.Peers
B.Family
C.School
D.Community
- The advanced practice psychiatric nurse encourages theolder adult to recall long forgotten
experiences, events which are memorable to theperson. This is known as
A.Life Review Therapy (LRT)
B.Reminiscence Therapy (RT)
C.A Mindfulness Strategy
D.Interpersonal Psychotherapy (IPT)
- The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy,
interdependence and self-dependence. At times, thepatient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced.theadvanced practice psychiatric nurse using theDBT model would do which of thefollowing?
A.Do nothing different.
B.Increase thefrequency and intensity of contact.
C.Decrease thefrequency and intensity of contact.
D.Express concern to thepatient about premature distancing and regression
- Which of thefollowing is not consistent with a family-centered approach in working with
children/adolescents?
A.The family is thefocus of thetreatment
B.Family treatment is appropriate to improve family interactions.
C.Family treatment is appropriate to keep families engaged in services.
D.Family treatment is appropriate to increase family knowledge about mental health.
- The Gestalt Therapist working with a patient notices that every time a sensitive issue come
up thepatient will change thetopic and tell a joke. thetherapist recognizes this interruption as which of thefollowing?
A.Introjection
B.Projection
C.Deflection
D.Retroflection
- The patient demonstrates theability to regulate his emotions in such a way he can think
through them. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4
- n working with a patient with borderline personality disorder, theDialectical Behavior
Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are thehighest priority for treatment. Which of thefollowing would be inconsistent with DBT therapy?
A.The patient must agree to reduce self-harming behaviors as a goal for therapy.
B.The patient must agree to work with thetherapist before acting on self-harming urges.
C.If thepatient engages in theself-harming behavior and is admitted to thehospital thetherapist can continue to support thepatient through scheduled telephone or in-person sessions.
D.
If thepatient engages in theself-harming behavior and is admitted to thehospital thetherapist suspends direct consultation with thepatient until 24 hours after thepatient is discharged from thehospital.
- Sleep disturbances are common for those who have experienced trauma. Which of
thefollowing would not be recommended when teaching patients about good sleep hygiene?
A.Regular daily exercise
B.Avoid napping during theday.
C.Maintain a quiet cool bedroom
D.Put bedroom TV on a timer so it will automatically go off after you are asleep.
- Which of thefollowing is not consistent with theDialectical Behavior Therapy approach to
boundary maintenance?
A.Clarify explicitly theboundaries of thetherapeutic relationship.
B.The therapist will maintain confidentiality within thelimits of thelaw and ethical practice.
C.Explain a professional relationship is based on mutual respect and thedesire to help thepatient.
D.Maintain a rigid distant relationship with thepatient to avoid any mixed messages to thepatient.
- Which of thefollowing are psychotherapeutic techniques used in person centered
psychotherapy?
A.A highly structured approach is used.
B.Process interventions are widely used.
C.Directive, interpretive techniques are used.
D.A nondirective-facilitative counseling approach is used.
- A patient whose husband had recently died suddenly expresses remorse regarding an
argument they had shortly before his death. theGestalt Therapist would likely use which of thefollowing techniques to complete unfinished business?
A.Focusing
B.Dreamwork
C.Empty-chair dialogue
D.Language of responsibility
- According to a Gestalt framework, to uncritically accept others' beliefs and standards
without discriminating and assimilating what belongs to self or not, is a dysfunctional process
known as which of thefollowing:
A.Confluence
B.Projection
C.Introjection
D.Retroflection
- Which of thefollowing is not consistent with theCognitive Behavioral therapist perspective
when treating and individual with a personality disorder?
A.It is important to identify and then modify "core "problems when treating individuals with personality disorders.
B.Personality structures are unconscious and mostly unavailable to theindividual.
C.Personality products and processes are within therealm of awareness, mostly accessible to theindividual.
D.Dysfunctional behaviors, thoughts and feelings are largely due to thefunction of schemas.
- The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills taught
don't work, theprocess is taking too long, and is struggling to complete homework. theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
A.Validate thepatient 's frustration while encouraging and reinforcing use of skills.
B.Analyze thebehaviors and consequences of thebehaviors with thepatient.
C.Focus on behavioral control and management with emotions as a contextual element.
D.All of theabove
- The advanced practice psychiatric nurse notices in working with a patient with a dissociative
disorder that theperson appears to be doing worse after significant gains are made. theadvanced practice psychiatric nurse explains thereason for this is likely which of thefollowing?
A.This indicates thechange(s) really did not take
B.The patient is unconsciously sabotaging thetherapy.
C.This indicates process is trying to force a change too fast.
D.As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.
- Which of thefollowing is consistent with thepsychotherapeutic approach used by
existential psychotherapists?
A.The existential approach has a specific set of techniques used.
B.The existential relies on thepatient to drive thetherapeutic direction.
C.The existential therapist presents broad existential themes but avoids in-depth questioning.
D.The existential psychotherapist is free to draw on techniques from other psychotherapeutic models .
- This theoretically and clinically complex psychotherapeutic approach which recognizes
theunity of humans as integrated wholes, not divided into parts, taken out of context, or generalized, is known as which of thefollowing?
A.Gestalt Psychotherapy
B.Person-Centered Therapy
C.Existential Psychotherapy
D.Emotion-focused Therapy
- Which of thefollowing describes thebasic neurobiological pathways of thereward system in
thebrain?
A.Projections from theventral tegmental area, through themedian forebrain and terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.
B.Projections through themedian forebrain, to theventral tegmental area where there is a proliferation of dopamine neurons, to thenucleus accumbens.
C.Projections from thenucleus accumbens to themedian forebrains where there is a proliferation of dopamine neurons to theventral tegmental area.
D.Projections from themedian forebrain through theventral tegmental area to thenucleus accumbens where there is a proliferation of dopamine neurons.
- Which of thefollowing is not consistent with a "traditional" treatment frame?
A.Enforcing established starting and ending times for each session.
B.Establishing and enforcing a clear policy in regard to payment.
C.Canceling sessions if thepatient arrives under theinfluence of alcohol or psychoactive drugs.
D.Disclosing home or cellular phone number of therapist for emergency use only.
- Which of thefollowing is not consistent with thePrinciples of Effective Treatment for
Addiction according to theNIH?
A.Treatment needs to be readily accessible.
B.Psychotropic medication should be stopped prior to treatment.
C.Treatment does not need to be voluntary to be effective.
D.Drug use during treatment must be monitored continuously as lapses may occur during treatment.
- Which of thefollowing is not consistent with thePsychoanalyst's perspective when treating
and individual with a personality disorder?
A.It is important to identify and then modify "core" problems when treating individuals with personality disorders.
B.Personality structures are unconscious and thus mostly unavailable to theindividual.
C.Personality products and processes are within therealm of awareness, accessible to theindividual.
D.Psychoanalytic therapy is an effective treatment for Borderline personality disorder
- The advanced practice psychiatric nurse is working with a group of patients in an outpatient
substance abuse treatment program. One patient comes to theadvanced practice psychiatric nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?
A.Given concerns about relapse it would be important to meet with thepatient just this one time and just for 10 minutes but meet in your office.
B.Remind thepatient that one of therules is not having contact outside of therapy sessions.C.
Agree to meet with patient alone in thegroup room to resolve any outstanding concerns from thegroup.
D.Agree to meet with thepatient at Starbucks briefly to discuss theunresolved issues, but only this once and only for 10 minutes.
- Which best describes gerotranscendence?
A.Erik Erikson's ninth stage of development
B.Emphasizes ongoing growth over decrements
C.Focuses on thetransition to old-old (80 years and older).
D.Focuses on letting go and coming to terms with end of one's life
- Critical goals in addiction treatment include improving impulse control, reducing craving,
and promoting and adaptive social environment. Evidenced based skills that can best impact
these goals include:
A.Life Review Therapy
B.Contingency Management
C.Motivational Interviewing
D.Interpersonal Psychotherapy
- B & C
- Critical goals in addiction treatment include improving impulse control, reducing
craving, and promoting and adaptive social environment. Evidenced based skills that can best
impact these goals include:
A.Life Review Therapy B.
Contingency Management
C.Motivational Interviewing
D.Interpersonal Psychotherapy
- B & C
Share Question Comments (1) Answer & Explanation Solved by verified expert
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- A
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ScienceNursingNURSING NUR6650 Health Science
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Step-by-step explanation Interpersonal Psychotherapy is always time limited. It improves theperformance; theinter relationships.
It helps to solve theproblems by communication.It is very helpful in resolving any issue.I hope this will help you Thank you!
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100. D
In providing psychoeducation to patient's in recovery, theadvanced...In providing psychoeducation to patient's in recovery, theadvanced practice psychiatric nurse would not include which of thefollowing?
- Recovery is a lifelong process of change
- A patient is considered recovered after 5 years free of substance use.
- Recovery encompasses dimensions of health, home, purpose and community.
- Recovery applies to recovery from mental disorder, substance use disorders and
behavioral addictions.
Which best describes gerotranscendence?A Erik Erikson's ninth stage of development
- Emphasizes ongoing growth over decrements
- Focuses on thetransition to old-old (80 years and
- Focuses on letting go and coming to terms with end
older).
of one's life
The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to theadvanced practice psychiatric nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at theend of thesession and fears relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?
- Given concerns about relapse it would be important to meet with thepatient just this
- Remind thepatient that one of therules is not having contact outside of therapy
- Agree to meet with patient alone in thegroup room to resolve any outstanding
- Agree to meet with thepatient at Starbucks briefly to discuss theunresolved issues,
one time and just for 10 minutes but meet in your office.
sessions.
concerns from thegroup.
but only this once and only for 10 minutes.
The situation in which increasing amounts of a substance is needed to achieve thesame desired effect is known as which of thefollowing?
- Addiction
- Tolerance
- Withdrawal
- Dependence
Which of thefollowing describes thebasic neurobiological pathways of thereward system in thebrain?
- Projections from theventral tegmental area, through themedian forebrain and
- Projections through themedian forebrain, to theventral tegmental area where there
terminate in thenucleus accumbens where there is a proliferation of dopamine neurons.
is a proliferation of dopamine neurons, to thenucleus accumbens.
- Projections from thenucleus accumbens to themedian forebrains where there is a
- Projections from themedian forebrain through theventral tegmental area to
proliferation of dopamine neurons to theventral tegmental area.
thenucleus accumbens where there is a proliferation of dopamine neurons.
Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing
diagnoses?
- Schizophrenia
- New onset depression
- Bipolar Affective Disorder
- Borderline Personality Disorder
The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of thefollowing?
- Freedom
- Responsibility
- Authenticity
- Meaning
Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma, theadvanced practice psychiatric nurse would do which of thefollowing in Stage 1?
- Address safety issues
- Promote symptoms stabilization
- Process painful memories
- A and C
The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear thepatient has strong negative feelings towards her boss. theadvanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of thefollowing?
A Projection.
- Retroflection
- Confluence
- Deflection
The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills taught don't work, theprocess is taking too long, and is struggling to complete homework.theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
- Validate thepatient 's frustration while encouraging and reinforcing use
- Analyze thebehaviors and consequences of thebehaviors with
- Focus on behavioral control and management with emotions as a
- All of theabove
of skills.
thepatient.
contextual element.
An organized, consistent set of perceptions about theself, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?
- Belief of human
nature
- Self-concept
- Actualizing tendency
- Fully functioning person
The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains thefour essential elements which includes all but which of thefollowing?
- Bi-weekly individual therapy sessions for thepatient of about 1 hour each.
- Weekly group skills training sessions for thepatient of 2.5 hours each.
- Skills coaching via telephone or other electronic means as needed by thepatient to
manage I vivo situations
- Team consultation to thetherapist to maintain treatment fidelity and adherenc
The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes thepsychodynamic treatment of choice for those with borderline character structure is which of thefollowing?
- Expressive psychotherapy
- Supportive psychotherapy
- Psychoanalytic
- A combination of all of theabove.
psychotherapy
The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of thefollowing attachment styles has been highly correlated with Borderline personality disorder?
- Secure attachment style
- Unresolved attachment style
- Preoccupied attachment
- Disorganized attachment style
style
The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of thefollowing interventions?
- Active interventions to facilitate emotional expression and connection.
- Supportive interventions to help thepatient contain overwhelming
- Any interventions on thepsychodynamic continuum with not
- None of theabove. Attachment style has no bearing on
emotions.
customizations.
psychodynamic therapy.
The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, thepatient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The
advanced practice psychiatric nurse using theDBT model would do which of thefollowing?
- Do nothing different.
- Increase thefrequency and intensity of contact.
- Decrease thefrequency and intensity of contact.
- Express concern to thepatient about premature distancing and regression
Which of thefollowing is not consistent with theCognitive Behavioral therapist perspective when treating and individual with a personality disorder?
- It is important to identify and then modify "core "problems when treating individuals
- Personality structures are unconscious and mostly unavailable to theindividual.
- Personality products and processes are within therealm of awareness, mostly
- Dysfunctional behaviors, thoughts and feelings are largely due to thefunction of schemas.
with personality disorders.
accessible to theindividual.
Strategies for terminating a therapy relationship with an older adult includes:
- The advanced practice psychiatric nurse needs to develop a checklist to determine
- The advanced practice psychiatric nurse determines therapy goals attained,
- The advanced practice psychiatric nurse should set clear therapy goals, commend
- Termination should occur by mutual decision between advanced practice psychiatric
goals have been made and it is time to terminate.
terminate thetherapeutic relationship, and schedule to meet thepatient for coffee to ease thetransition out of therapy.
patient on goal attainment and terminate thetherapy.
nurse and patient based on thetherapy goals attained.
The most effective treatment for SUD with or without co-morbid psychiatric disorders is:
- Multidimensional addressing medical, psychosocial and mental
- Trauma-informed care.
- 12-Step Peer Support Groups
- Cognitive Behavioral Therapy
health issues
The stabilization skills and concepts that form thefoundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of thefollowing?
- Cognitive Restructuring Model
- Cognitive Resiliency Model
- Community Resiliency Model
- Cognitive Regeneration Model
The advanced practice psychiatric nurse working with a patient with SUD provides a $25 voucher for a retail purchase in recognition of one month's sobriety and clean drug screens.This intervention is most consistent with which therapeutic approach?
- Motivational Interviewing
- Contingency Management
- Dialectical Behavioral Therapy
- Cognitive Behavioral Coping Skills
A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. theGestalt Therapist would likely use which of thefollowing techniques to complete unfinished business?
- Focusing
- Dreamwork
- Empty-chair dialogue
- Language of responsibility
According to Dearing, Stuewig, and Tangney (2005), understanding thedifference between guilt and shame and its impact on an individual's motivation is critical to hope and therecovery process. Which of thefollowing is true regarding guilt and shame?
- Shame drives a person to engage in treatment while guilt drives a person to avoid
- Shame causes a person to perceive self as a failure and guilt causes avoidance of
- Guilt causes a person to perceive himself as a loser and shame drives a person to
- Shame drives avoidance from treatment, Guilt often motivates a person to seek
treatment.
treatment.
avoid treatment.
treatment
A natural process whereby theindividual is continually disturbed by theemergence of a need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by theGestalt therapist as which of thefollowing?
- Figure and ground
- Organismic self- regulation
- Layers of thepersonality
- None of theabove
Which of thefollowing would not be a first-line intervention for an individual with PTSD?
A. CPT
B. CPT-PE
- EMDR therapy
- Pharmacological interventions.
The mother of a 6-year-old is concerned that thechild seems to always want to pretend when playing. Which would be an appropriate response to themother?
- This shows some regression as most children of this age are in theconcrete
- This is an appropriate activity for a child of this age consistent with Piaget's
- Pretend play is an appropriate activity for a child in thePreoperational stage of
- Pretend play shows theability to think abstractly which indicates cognitive ability
operational stage and play should be more realistic.
sensorimotor stage.
cognitive development.
consistent with theformal operational stage of cognitive development.Techniques used by theGestalt therapist include which of thefollowing?
- The ability to provide homework
- The ability to craft creative experiments
- The ability to establish an authentic I-Thou relationship with
- B and C
thepatient.
When doing psychotherapy with older adult's accommodations which target cognitive
symptoms and functional deficits include:
- Shorter, more frequent sessions
- Summarizing previous sessions
- Quizzing patient on previous sessions
- Insist thepatient bring a notebook and take note
The advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of thefollowing is true about a relapse prevention plan?
- A relapse prevention plan includes identifying triggers to thepatient's gambling and
- A relapse prevention plan should be completed during theinitial stage of treatment.
- The main focus of a relapse prevention plan is on changing behaviors.
- The main focus of a relapse prevention plan is on cognitive or thought processes to
a variety of coping strategies to avoid or successfully manage triggers without reverting to gambling.
decrease thedesire to gamble
Which of thefollowing is not true about self-regulation as it applies to therapy with children?
- Self-regulation is a developmental milestone of childhood in which thechild controls
- Self-regulation is a pivotal developmental process of integrating emotion, memory
- Self-regulation mechanisms from a neuroscience perspective are basic mechanisms
- Self-regulation issues are often seen in various child psychopathology.
behavior in theservice of socially desirable conduct.
and behavior.
predominantly located in theglobus pallidus.
Which of thefollowing is not consistent with a "traditional" treatment frame?
- Enforcing established starting and ending times for each session.
- Establishing and enforcing a clear policy in regard to payment.
- Canceling sessions if thepatient arrives under theinfluence of alcohol or
- Disclosing home or cellular phone number of therapist for emergency use
psychoactive drugs.
only.
Which of thefollowing is consistent with Life Review Therapy?
- Appropriate for cognitively intact to moderately impaired older
- Focuses on past event or experiences, not current events.
- The patient is typically self-focused, usually experiencing a life
- Results in decreased isolation
adults.
event trigger.
The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in theacronym PRACTICE represents which therapeutic component of this therapeutic approach?
- Exposure
- Education
- Energizing
- Enhancing safety
Share Question Answer & Explanation Solved by verified expert
Rated Helpful Answers are posted below.Step-by-step explanation In providing psychoeducation to patient's in recovery, theadvanced practice psychiatric nurse would not include which of thefollowing?Answer: B. A patient is considered recovered after 5 years free of substance use.
Which best describes gerotranscendence?
Answer: C. Focuses on thetransition to old-old (80 years and
older).
The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to theadvanced practice psychiatric nurse after thegroup session and asks if theadvanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at theend of the session and fears relapse. Which of thefollowing would be consistent with thetraditional therapeutic frame?Answer: B. Remind thepatient that one of therules is not having contact outside of therapy sessions.
The situation in which increasing amounts of a substance is needed to achieve thesame desired effect is known as which of thefollowing?
Answer: B. Tolerance
Which of thefollowing describes thebasic neurobiological pathways of thereward system in thebrain?Answer: B. Projections through themedian forebrain, to theventral tegmental area where there ScienceNursingNRNP 6645 Health Science
is a proliferation of dopamine neurons, to thenucleus accumbens.
Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing diagnoses?
Answer: D. Borderline Personality Disorder
The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of thefollowing?
Answer: A. Freedom
Using a psychodynamic psychotherapy stage oriented model for thetreatment of trauma, theadvanced practice psychiatric nurse would do which of thefollowing in Stage 1?
Answer: C. Process painful memories
The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear thepatient has strong negative feelings towards her boss. theadvanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of thefollowing?
Answer: A Projection.
The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills taught don't work, theprocess is taking too long, and is struggling to complete homework.theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
Answer: D. All of theabove
An organized, consistent set of perceptions about theself, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?
Answer: B. Self-concept
The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains thefour essential elements which includes all but which of thefollowing?Answer: A. Bi-weekly individual therapy sessions for thepatient of about 1 hour each.
The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes thepsychodynamic treatment of choice for those with borderline character structure is which of thefollowing?
Answer: D. A combination of all of theabove.
The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of thefollowing attachment styles has been highly correlated with Borderline personality disorder?
Answer: C. Preoccupied attachment
style
The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of thefollowing interventions?
Answer: B. Supportive interventions to help thepatient contain overwhelming
emotions.
The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, thepatient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced.theadvanced practice psychiatric nurse using theDBT model would do which of thefollowing?
Answer: A. Do nothing different.
Which of thefollowing is not consistent with theCognitive Behavioral therapist perspective when treating and individual with a personality disorder?Answer: B. Personality structures are unconscious and mostly unavailable to theindividual.
Strategies for terminating a therapy relationship with an older adult includes:
Answer: C. theadvanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate thetherapy.
The most effective treatment for SUD with or without co-morbid psychiatric disorders is:
Answer: D. Cognitive Behavioral Therapy
The stabilization skills and concepts that form thefoundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of thefollowing?
Answer: C. Community Resiliency Model
The advanced practice psychiatric nurse working with a patient with SUD provides a $25 voucher for a retail purchase in recognition of one month's sobriety and clean drug screens.This intervention is most consistent with which therapeutic approach?
Answer: B. Contingency Management
A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. theGestalt Therapist would likely use which of thefollowing techniques to complete unfinished business?
Answer: C. Empty-chair dialogue
According to Dearing, Stuewig, and Tangney (2005), understanding thedifference between guilt and shame and its impact on an individual's motivation is critical to hope and therecovery process. Which of thefollowing is true regarding guilt and shame?Answer: D. Shame drives avoidance from treatment, Guilt often motivates a person to seek treatment
A natural process whereby theindividual is continually disturbed by theemergence of a need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by theGestalt therapist as which of thefollowing?
Answer: B. Organismic self- regulation
Which of thefollowing would not be a first-line intervention for an individual with PTSD?
Answer: C. EMDR therapy
The mother of a 6-year-old is concerned that thechild seems to always want to pretend when playing. Which would be an appropriate response to themother?Answer: C. Pretend play is an appropriate activity for a child in thePreoperational stage of cognitive development.
Techniques used by theGestalt therapist include which of thefollowing?
Answer: D. B and C
When doing psychotherapy with older adult's accommodations which target cognitive
symptoms and functional deficits include:
Answer: A. Shorter, more frequent sessions
The advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of thefollowing is true about a relapse prevention plan?Answer: A. A relapse prevention plan includes identifying triggers to thepatient's gambling and a variety of coping strategies to avoid or successfully manage triggers without reverting to gambling.
Which of thefollowing is not true about self-regulation as it applies to therapy with children?Answer: B. Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.
Which of thefollowing is not consistent with a "traditional" treatment frame?Answer: D. Disclosing home or cellular phone number of therapist for emergency use only.
Which of thefollowing is consistent with Life Review Therapy?
Answer: B. Focuses on past event or experiences, not current events.
The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in theacronym PRACTICE represents which therapeutic component of this therapeutic approach?
Answer: D. Enhancing safety
Question 61 The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of thefollowing?
A.Invite thepatient to new ways of viewing a situation
B.Guiding patient to develop more skills to achieve a greater quality of life.
C.Engage thepatient in change talk
D.A and B
Question 62 Which of thefollowing is true about use of medications and/or psychotherapy in treatment of PTSD?
A.Medications alone can cure PTSD
B.Medication may be a helpful as an adjunctive treatment but is not a first-line treatment
C.Medication directly promotes new learning and processing.
D.Medications assuage theguilt, grief and interpersonal difficulties specifically in patients with PTSD.
Question 63 Which of thefollowing is not consistent with recommendations for teaching Trauma Resiliency Model (TRM) skills?
A.TRM self-care skills can be taught and used in any order.
B.TRM skill may be taught in individual or group settings
C.To teach TRM skills, thetherapist should be adept at using theskills themself.
D.Teaching TRM is cost effective as only one teacher is needed individually or with groups.
Question 64
Which of thefollowing statements would not be consistent with thehumanistic-existential concept of "holism" ?
A.People are unique.
B.The whole is greater than thesum of its parts.
C.Mind, body, spirit work in a unified synergistic fashion.
D.Dysfunctions such as a chemical imbalance must be identified.
Question 65 One of theproblems when meeting with children individually is that it can create secrets. Which of thefollowing responses would theadvanced practice psychiatric nurse do to address this concern?
A.Do nothing, maintaining thechild's privacy protects thetherapeutic relationship.
B.Decide what theparents need to know and give them a summary of theindividual session in with thechild in theroom.
C.Decide what theparents need to know and give them a summary privately to avoid any awkwardness for thechild.
D.Discuss with thechild what he or she wants to share with theparents and facilitate theprocess as needed.
Question 66 When theadvanced practice psychiatric nurse builds a formulation when working with a child in therapy theadvanced practice psychiatric nurse is doing which of thefollowing?
A.Formulation is a type of play therapy.
B.Formulation is thechild's diagnosis.C.
The formulation explains thecontexts of thechild and family situation, thechild's unique presentation, responses and narratives of theevents that shaped theinterpretation.
D.The formulation is thetreatment plan.
Question 67 The advanced practice psychiatric nurse encourages theolder adult to recall long forgotten experiences, events which are memorable to theperson. This is known as
A.Life Review Therapy (LRT)
B.Reminiscence Therapy (RT)
C.A Mindfulness Strategy
D.Interpersonal Psychotherapy (IPT)
Question 68 Which of thefollowing activities is not consistent with thefirst phase of theeight-phase protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient who has PTSD?
A.Desensitization
B.Identification of targets.
C.Screening for use of EMDR
D.Screening for affect tolerance and dissociation
Question 69 The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in theacronym PRACTICE represents which therapeutic component of this therapeutic approach?
A.Exposure
B.Education
C.Energizing
D.Enhancing safety
Question 70 When doing psychotherapy with older adult's accommodations which target cognitive symptoms
and functional deficits include:
A.Shorter, more frequent sessions
B.Summarizing previous sessions
C.Quizzing patient on previous sessions
D.Insist thepatient bring a notebook and take note
Question 71 The Gestalt Therapist working with a patient notices that every time a sensitive issue come up thepatient will change thetopic and tell a joke. thetherapist recognizes this interruption as which of thefollowing?
A.Introjection
B.Projection
C.Deflection
D.Retroflection
Question 72
Review of child specific Evidence Based Practices (EBP) demonstrate progress in some treatment areas however there is still much work to be done particularly in use of EBPs guided by diagnostic criteria in children with which of thefollowing disorders?
A.
ADHD
B.Anxiety
C.Bipolar Disorder
D.Adolescent Depression
Question 73 Recovery, according to behavioral health leaders, is considered a lifelong process that
encompasses which four major dimensions:
A.Health, Wealth, Relationships, Sleep
B.Health, Home, Purpose and Community
C.Purpose, Personality, Health, Relationships
D.Community, Relationships, Wealth, Health
Question 74 Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of thefollowing disorders?
A.Conduct Disorders
B.Anxiety and Depression
C.Depression and Psychosis D.
Attention Deficit-Hyperactivity Disorders
Question 76
Strategies for terminating a therapy relationship with an older adult includes:
A.The advanced practice psychiatric nurse needs to develop a checklist to determine goals have been made and it is time to terminate.
B.The advanced practice psychiatric nurse determines therapy goals attained, terminate thetherapeutic relationship, and schedule to meet thepatient for coffee to ease thetransition out of therapy.
C.The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate thetherapy.
D.Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on thetherapy goals attained.
Question 77 Dysregulation of this area of thebrain is associated with memory problems and this person may be unable to integrate memories into thepresent and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation.
A.Locus coeruleus
B.Cerebellum
C.Thalamus
D.Hypothalamus
Question 78 The situation in which increasing amounts of a substance is needed to achieve thesame desired effect is known as which of thefollowing?
A.Addiction
B.Tolerance
C.Withdrawal
D.Dependence
Question 79 The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes thepsychodynamic treatment of choice for those with borderline character structure is which of thefollowing?
A.Expressive psychotherapy
B.Supportive psychotherapy
C.Psychoanalytic psychotherapy
D.A combination of all of theabove.
Question 80 In working with an older female patient, theadvanced practice psychiatric nurse notices thepatient seems to respond superficially reminding theadvanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. theadvanced practice psychiatric nurse recognizes this as
A.Gerotransference
B.Transcendence
C.Countertransference
D.A sign of a close therapeutic relationship
Question 81
A Trauma Resiliency Model therapist encourages thepatient to describe the"felt sense" of internal or external body sensations associated with resilience, stress, and release. This is known as which of thefollowing Trauma Resiliency Model skills?
A.Tracking
B.Resourcing and resource intensification
C.Grounding
D.Gesturing
Question 82 Which of thefollowing is not consistent with what is known about relapse?
A.Relapse indicates treatment failure.
B.Relapse is a persistent risk in addiction.
C.Relapse is a characteristic of all chronic medical diseases.
D.Relapse is thereturn to substance use or addictive behaviors after periods of abstinence.
Question 83 Which of thefollowing is not consistent with theDialectical Behavior Therapy approach to boundary maintenance?
A.Clarify explicitly theboundaries of thetherapeutic relationship.
B.The therapist will maintain confidentiality within thelimits of thelaw and ethical practice.
C.Explain a professional relationship is based on mutual respect and thedesire to help thepatient.
D.Maintain a rigid distant relationship with thepatient to avoid any mixed messages to thepatient.
Question 84 Practice guidelines for complex trauma and dissociative identity disorder caution that which of thefollowing may limit one's ability to heal.
A.Somatic approaches
B.Talk therapies focused on cognitive understanding
C.
EMDR
D.A and C
Question 85 Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by theGestalt therapist as which of thefollowing?
A.Interruptions
B.Figure and ground
C.Layers of personality
D.Organismic self-regulation
Question 86 Which of thefollowing is true about communication with children and adolescents?
A.Communication is developmentally based.
B.Offices should be free of toys or distractions.
C.Speak to children in adult manner as it lets them know you take them seriously.D.
Communicate at level lower than thechild or adolescent to improve their self-esteem.
Question 87 Evidence supports which of thefollowing statements about women and addictions treatment?
A.Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.
B.Women are more apt to drop out of treatment than men.
C.Women are less likely than men to seek mental health services.
D.Women are less likely than men to participate in group therapy.
Question 88 The patient demonstrates theability to regulate his emotions in such a way he can think through them. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4
Question 89 The underlying assumptions of Trauma Resiliency Model therapy include which of thefollowing?
A.Human response to threat are subcortical in nature.
B.Response to trauma is likely transient and should go away with or without treatment.C.
The mind has no bias; thus, we make sense of theworld in a symmetrical manner.
D.Current psychiatric concepts adequately account for theimpact of multiple or long-term
Question 90 The person-centered therapist is expected to exhibit which of thefollowing characteristics?
A.Congruence
B.Unconditional positive regard
C.Accurate empathic understanding
D.All of theabove
Question 91 Which of thefollowing would not be a first-line intervention for an individual with PTSD?
A.
CPT
B.
CPT-PE
C.EMDR therapy
D.Pharmacological interventions.
Question 92 Problems in thepreschool child's self-regulation has been tied to subsequent issues with which of thefollowing?
A.Aggression
B.Conduct Problems C.
Social Withdrawal
D.All of theabove.
Question 93 The Dialectical Behavior Therapy (DBT) therapist meets with theclient, negotiates thegoals of therapy, and arrives at a commitment to thetreatment. Assumptions and principles of theDBT model are explained. This is consistent with which stage of treatment within theDBT model? Pg
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A.Pretreatment
B.Stage 1
C.Stage 2
D.Stage 3
Question 94 Which of thefollowing are psychotherapeutic techniques used in person centered psychotherapy?
A.A highly structured approach is used.
B.Process interventions are widely used.
C.Directive, interpretive techniques are used.
D.A nondirective-facilitative counseling approach is used.
Question 95 The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of thefollowing?
A.The basic structure of psychotherapy with children aligns with principles of psychotherapy for adults.
B.The basic structure of psychotherapy with children for themost part is not aligned with principles of psychotherapy for adults.
C.Engaging with thefamily precedes engagement with thechild or adolescent in thefirst family meeting.
D.Typically children are exited to engage in psychotherapy to improve thehome situation.
Question 96 Positive symptoms of dissociation include which of thefollowing?
A.Flashbacks
B.Memory problems
C.Inability to sense or control parts of thebody
D.B and C
Question 97 The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that theperson appears to be doing worse after significant gains are made. theadvanced practice psychiatric nurse explains thereason for this is likely which of thefollowing?
A.This indicates thechange(s) really did not take
B.The patient is unconsciously sabotaging thetherapy.
C.This indicates process is trying to force a change too fast.
D.As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.
Question 98
Which of thefollowing is consistent with a Common Elements approach?
A.Common Elements involves use of individual treatment approaches that are part of many manualized treatment
B.Evidenced-based strategy is viewed in light of theactual intervention as well as diagnostic category.
C.The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues.
D.Is Common Elements method should not be used with child/adolescents with PTSD.
Question 99 The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills taught don't work, theprocess is taking too long, and is struggling to complete homework.theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
A.Validate thepatient 's frustration while encouraging and reinforcing use of skills.
B.Analyze thebehaviors and consequences of thebehaviors with thepatient.
C.Focus on behavioral control and management with emotions as a contextual element.
D.All of theabove
Question 100 An organized, consistent set of perceptions about theself, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?
A.Belief of human nature
B.Self-concept C.
Actualizing tendency
D.Fully functioning person
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Rated Helpful Answers are posted below.Step-by-step explanation Question 61 The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of thefollowing?
Answer: D. A and B
Question 62 Which of thefollowing is true about use of medications and/or psychotherapy in treatment of PTSD?Answer: B. Medication may be a helpful as an adjunctive treatment but is not a first-line treatment
Question 63 Which of thefollowing is not consistent with recommendations for teaching Trauma Resiliency Model (TRM) skills?Answer: D. Teaching TRM is cost effective as only one teacher is needed individually or with groups.
Question 64 Which of thefollowing statements would not be consistent with thehumanistic-existential concept of "holism" ?
Answer: D. Dysfunctions such as a chemical imbalance must be identified.
Question 65 One of theproblems when meeting with children individually is that it can create secrets. Which of thefollowing responses would theadvanced practice psychiatric nurse do to address this concern?Answer: C. Decide what theparents need to know and give them a summary privately to avoid any awkwardness for thechild.
Question 66 When theadvanced practice psychiatric nurse builds a formulation when working with a child in therapy theadvanced practice psychiatric nurse is doing which of thefollowing?
Answer: D. theformulation is thetreatment plan.
ScienceNursingNRNP 6645 Health Science
Question 67 The advanced practice psychiatric nurse encourages theolder adult to recall long forgotten experiences, events which are memorable to theperson. This is known as
Answer: B. Reminiscence Therapy (RT)
Question 68 Which of thefollowing activities is not consistent with thefirst phase of theeight-phase protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient who has PTSD?
Answer: A. Desensitization
Question 69 The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in theacronym PRACTICE represents which therapeutic component of this therapeutic approach?
Answer: D. Enhancing safety
Question 70 When doing psychotherapy with older adult's accommodations which target cognitive symptoms
and functional deficits include:
Answer: A. Shorter, more frequent sessions
Question 71 The Gestalt Therapist working with a patient notices that every time a sensitive issue come up thepatient will change thetopic and tell a joke. thetherapist recognizes this interruption as which of thefollowing?
Answer: C. Deflection
Question 72 Review of child specific Evidence Based Practices (EBP) demonstrate progress in some treatment areas however there is still much work to be done particularly in use of EBPs guided by diagnostic criteria in children with which of thefollowing disorders?
Answer: C. Bipolar Disorder
Question 73 Recovery, according to behavioral health leaders, is considered a lifelong process that
encompasses which four major dimensions:
Answer: B. Health, Home, Purpose and Community
Question 74 Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of thefollowing disorders?
Answer: B. Anxiety and Depression
Question 76
Strategies for terminating a therapy relationship with an older adult includes:
Answer: D. Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on thetherapy goals attained.
Question 77 Dysregulation of this area of thebrain is associated with memory problems and this person may be unable to integrate memories into thepresent and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation.
Answer: C. Thalamus
Question 78 The situation in which increasing amounts of a substance is needed to achieve thesame desired effect is known as which of thefollowing?
Answer: B. Tolerance
Question 79 The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes thepsychodynamic treatment of choice for those with borderline character structure is which of thefollowing?
Answer: D. A combination of all of theabove.
Question 80 In working with an older female patient, theadvanced practice psychiatric nurse notices thepatient seems to respond superficially reminding theadvanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. theadvanced practice psychiatric nurse recognizes this as
Answer: C. Countertransference
Question 81 A Trauma Resiliency Model therapist encourages thepatient to describe the"felt sense" of internal or external body sensations associated with resilience, stress, and release. This is known as which of thefollowing Trauma Resiliency Model skills?
Answer: A. Tracking
Question 82 Which of thefollowing is not consistent with what is known about relapse?
Answer: A. Relapse indicates treatment failure.
Question 83 Which of thefollowing is not consistent with theDialectical Behavior Therapy approach to boundary maintenance?Answer: D. Maintain a rigid distant relationship with thepatient to avoid any mixed messages to thepatient.
Question 84 Practice guidelines for complex trauma and dissociative identity disorder caution that which of thefollowing may limit one's ability to heal.
Answer: C. EMDR
Question 85 Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by theGestalt therapist as which of thefollowing?
Answer: D. Organismic self-regulation
Question 86 Which of thefollowing is true about communication with children and adolescents?Answer: C. Speak to children in adult manner as it lets them know you take them seriously.
Question 87 Evidence supports which of thefollowing statements about women and addictions treatment?Answer: A. Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events.
Question 88 The patient demonstrates theability to regulate his emotions in such a way he can think through them. theadvanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment?
Answer: C. Stage 3
Question 89 The underlying assumptions of Trauma Resiliency Model therapy include which of thefollowing?
Answer: A. Human response to threat are subcortical in nature.
Question 90 The person-centered therapist is expected to exhibit which of thefollowing characteristics?
Answer: A. Congruence
Question 91 Which of thefollowing would not be a first-line intervention for an individual with PTSD?
Answer: D. Pharmacological interventions.
Question 92 Problems in thepreschool child's self-regulation has been tied to subsequent issues with which of thefollowing?
Answer: D. All of theabove.
Question 93 The Dialectical Behavior Therapy (DBT) therapist meets with theclient, negotiates thegoals of therapy, and arrives at a commitment to thetreatment. Assumptions and principles of theDBT model are explained. This is consistent with which stage of treatment within theDBT model? Pg
514/678
Answer: A. Pretreatment
Question 94 Which of thefollowing are psychotherapeutic techniques used in person centered psychotherapy?
Answer: D. A nondirective-facilitative counseling approach is used.
Question 95 The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of thefollowing?Answer: B. thebasic structure of psychotherapy with children for themost part is not aligned with principles of psychotherapy for adults.
Question 96 Positive symptoms of dissociation include which of thefollowing?
Answer: A. Flashbacks
Question 97 The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that theperson appears to be doing worse after significant gains are made. theadvanced practice psychiatric nurse explains thereason for this is likely which of thefollowing?Answer: D. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.
Question 98 Which of thefollowing is consistent with a Common Elements approach?Answer: C. theCommon Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues.
Question 99 The patient in Dialectical Behavior Therapy (DBT) expresses frustration that theskills taught don't work, theprocess is taking too long, and is struggling to complete homework.theadvanced practice psychiatric nurse using a DBT model would do which of thefollowing?
Answer: D. All of theabove
Question 100 An organized, consistent set of perceptions about theself, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy?