NRNP MIDTERM QIUZLET
Question 28:
The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in
order to advocate for the patient; do for the patient what he or she cannot do for self, always with
an aim toward maximum independence and growth which is consistent with which basic strategy of
dynamic supportive therapy?
Answer: D. Maximize adaptive coping mechanisms
Question 29:
Which of the following is consistent with literature regarding suicide? Check all that apply:
Answers:
A. Assessing patient is of paramount importance for the advanced practice psychiatric nurse
during the initial patient contact
D. Suicidality can be assessed by using reliable and valid self-report questionnaires
Question 30:
Common ancestry through which individuals have evolved shared values and customs is knowns as
which of the following?
Answer: B. Ethnicity
Question 31
The therapist using a CBT approach in which the therapist encourages the patient to investigate
whether their thoughts are based on facts or assumptions is known as which of the following?
Answer: B. Questioning the Evidence
Question 32
Which of the following is not consistent with the underlying assumptions of psychodynamic
psychotherapy?
Answer: A. What happened in the past determine what we do today
Question 33
The advanced practice psychiatric nurse is meeting with a patient who is in the process of an
unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The
advanced practice psychiatric nurse recognizes the patient is a high suicide risk and recommends
which of the following?
Answer: B. Hospital psychiatric admission and suicide precautions.
Question 34:
Which of the following assumptions would the therapist be safe in making about cultural influences
in a family?
Answer: D. The cultural context of families is complicated by the fact that most families are
influenced by multiple contexts.
Question 35:
The focus of exploration in a relational psychodynamic therapy includes which one of the following?
Answer: C. Here and now
Question 36
The CBT therapist ask the patient on the scale of “0 -10 how would you rate your depression today?”
” And how that compare to 2 months ago?” This is an example of what type of question type in
Socratic dialogue?
Answer: D. This would not be a question consistent with Socratic Dialogue
Question 37
Which of the following best describes the difference between standards of care and practice
guidelines?
Answer: B. Standards of care are legally binding while practice guidelines are not.
Question 38:
Strategies for working with anxiety are central to all therapy approaches. Which strategy would be
consistent with a behavioral therapy approach?
Answer: A. Restructuring
Question 39:
Which of the following is consistent with Cognitive Behavioral Therapy (CBT)? Select all that apply:
Answer: D. A and C
Question 40:
According to Structural Family Therapy model, family structure refers to which of the following?
Answer: D. The way families are organized into subsystems separated by emotional boundaries
Question 41:
“They probably think I am stupid” is an example of which type of cognitive distortion?
Answer: B. Mind reading
Question 42:
In the therapy groups where group members gain through receiving help from group members and
giving help to group members, which of Yalom’s therapeutic benefits is being realized?
Answer: A. Altruism
Question 43:
A group member becomes angry with the group leader accusing the leader of being too controlling
and showing favoritism. This behavior is consistent with which of Yalom’s therapeutic factors?
Answer: A. Catharsis
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Question 44:
A group member is relieved to realize that others in the group share feelings of incompetency
similar to his own. This is an example of which of the following therapeutic factors?
Answer: B. Universality
Question 45:
Good practice habits that are relevant for legal and ethical professional responsibility include which
of the following? Check all that apply
A. It is essential that emergency coverage is in place
B. How patients contact you between sessions and emergencies should be included in the
contract given to the patient during the initial session
C. Explicitly stated whether you will be available for phone calls between sessions and adhere
to clear limits.
D. Check message at least once per day and call back within 24 hours.
Rationale: All are correct. These are all good practice habits that are relevant for legal and ethical
professional responsibility. Hence, improving health service and quality with prevention of legal and
ethical complaints.
Question 46:
A Hispanic woman whose mother recently died reports that she continues to hear voice of her
deceased mother. The advanced practice psychiatric nurse considering the Hispanic woman’s
culture determines which of the following?
A. The woman is likely grieving according to her Hispanic social norms
Rationale: The woman is not necessarily being psychotic because she is still in the process of
bereavement and grieving which is a stressful life event.
Question : 47
Which of The following is consistent research related to posttraumatic growth?
A. Resilience and Posttraumatic growth are inversely related
Rationale: Across studies the results showed that high levels of resilience were associated with the
lowest posttraumatic growth scores. The results imply that although growth and resilience are both
salutogenic constructs they are inversely related.
Question 48:
Which of the following is not consistent with the current research related to psychotherapy and
psychotropic medication?
C. Studies comparing medications with psychotherapy found both produce psychological but
brain changes are different for medications than psychotherapy
Rationale: Both medications and psychotherapy has same changes if used together or individually.
Question 49
Which of the following is not consistent with the resilience model proposed by Miller-Krauss?
C. We feel our best when we have a strong sympathetic system to regulate emotions
Rationale: This was not mentioned in the model.
Question 50:
A family has been court-ordered to family therapy. The family does not want to participate in
therapy. The advanced practice nurse using a solution focused therapy model would most likely do
which of the following?
B. Review the case and offer suggestions for solving the issue
Rationale: Assessing and suggesting solutions are one of the jobs to be done by the nurse to help
families and individuals to cope up with problems.
Question 51:
According to Freud, failure to successfully accomplish the task of learning independence and control
is associated with which of the following problematic traits?
A. Excessive dependency
Rationale: Developing this control to accomplish things leads to a sense of accomplishment and
independence. Failure to this will lead to dependence
Question 52:
According to Yalom, which of the following is consistent with the therapeutic benefit of imitative
behavior?
D. All of the above
Rationale: Imitative behavior generally plays a more important role in the early stages of therapy as
members identify with more senior members and the therapist. Behavior is learned by observing
and imitating the behavior of others. Yalom also stated that finding out what we are not is progress
toward finding out.
Question 53:
In classical psychodynamic Therapy, the therapist’s role is which one of the following?
C. Participant-Observer
Rationale: The therapist plays this role by encouraging the client to talk about the emotions they are
feeling and helping the client to identify recurring patterns in their thoughts, emotions, and
behaviors.
Question 54:
The advance psychiatric nurse is working with couple using a Cognitive Behavioral Family therapy
model. The wife states that her husband must be having an affair because he comes home late from
work . The advanced practice nurse recognizes as a cognitive distortion knowns as :
D. Arbitrary Inference
Rationale: Arbitrary inference is the process of drawing a conclusion without sufficient evidence, or
without any evidence at all.
Question 55:
According to Peplau s’ Interpersonal Relations Model for nursing, a cornerstone for the
psychotherapeutic process is understanding, assessing and managing which of the following?
B. Anxiety
Rationale: Assessing, and managing anxiety is a cornerstone of Peplau’s Interpersonal
Didactic instruction about mental health, mental illness and general psychodynamics is a
strategy which supports which therapeutic group factor?
A. Imitative behavior
B. Interpersonal learning
C. Imparting of information
D. Development of socializing techniques
Question 3
Recognizing that many factors may have contributed to a patient’s current situation is an
example of which of the following?
A. Biomedical model
B. Psychosocial framework
C. Overdeterminism
D. Resiliency
Question 4
A patient being treated with supportive psychodynamic psychotherapy has been missing
sessions and coming late when coming to sessions. The advanced practice psychiatric nurse
recognizes this behavior as which of the following?
A. Avoidance
B. A sign the patient has met goals.
C. The patient is ready to talk about termination of therapy.
D. The patient is bored because the sessions have not been very interesting.
Question 5
Yalom identifies eleven primary factors to describe the therapeutic benefit of group
psychotherapy. Which of the following statements is not consistent with these factors?
A. Therapeutic change is an intricate interplay of human experiences.
B. The distinctions among these factors are well delineated.
C. The distinctions among these factors are arbitrary.
D. The factors are interdependent
Question 6
According to the Stages of the Family Life Cycle the key emotional process of transition for
single young adults is:
A. Commitment to a new system.
B. Accepting the shifting generational roles.
C. Accepting new members into the system.
D. Accepting emotional and financial responsibility for self.
Question 7
It is important for the new nurse psychotherapist to become comfortable with which of the
following?
A. Learning to be directive to help the patient feel better.
B. Letting the psychotherapeutic process unfold over time.
C. Helping the patient feel better is the main goal of psychotherapy
D. Bui
Question 8
Internal resources include which of the following?
A. Internal resources are more tangible than external resources
B. Internal resources consist of the person’s ability to manage primarily negative emotions
C. Internal resources include the person’s ability to self-soothe, demonstrate adequate impulse
control, and regulate moods.
D.
Question 9
When assessing families of a different culture from the therapist for treatment, the therapist
should consider which of the following with respect to culture?
A. The therapist should consider the unique subculture of the family.
B. The therapist should consider assumptions of the larger cultural background of the family.
C. The therapist should ask the family to share their experiences and traditions
D. All of the above
Question 10
Which of the following is consistent with use of direct advice as a strategy of imparting of
information?
A. Specific advice-giving supports intimate group engagement.
B. The most effective form of direct advice is direct suggestion.
C. Direct advice is often an important clue in elucidation of interpersonal pathology in the
group.
D. The least effective form of direct advice was a series of alternative suggestion for g
Question 11
“If I was in a relationship, all of my problems would be solved” is an example of which type of
cognitive distortion?
A. Fallacy of attachment
B. Fallacy of worrying
C. Fallacy of perfect effect
D. Fallacy of the change of others.
Question 12
Optimal family development is thought to take place in which of the following circumstances?
A. Family members are differentiated, anxiety is low, and partners maintain emotional contact
with their own families.
B. Family members lack differentiation, anxiety is low, and partners maintain emotional contact
with their own families.
C. Family members are differentiated, anxiety is moderate, and partners reduce emotional
contact with their parents and siblings.
D. Family members lack differentiation, avoid anxiety and partners avoid emotional contact with
parents and siblings.
Question 13
The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons
in order to advocate for the patient; do for the patient what he or she cannot do for self, always
with an aim toward maximum independence and growth which is consistent with which basic
strategy of dynamic supportive therapy?
A. Make connections
B. Encourage patient activity
C. Manipulate the environment
D. Maximize adaptive coping mechanisms
Question 14
Which of the following is true about the CBT cognitive processes of primary and secondary
thinking?
A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever
part of human action.
B. Secondary thinking recognizes the indeterminate, negative and irrational thinking as
foremost.
C. Primary thinking views the social and cultural world in determinate, positive and rational
terms.
D. B and C
Question 15
According to Freud’s Psychosexual stages development of sexual identity occurs during what age
range?
A. 18 months to 3 years
B. 3 years to 6 years
C. 6 years to 12 years
D. 13 years to 20 years
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Question 16
The aim in relational psychodynamic therapy is which of the following?
A. Make the unconscious conscious
B. Resolve ruptures in the therapeutic alliance.
C. Provide interpretation based on past experiences
D. Provide interpretation of wish/defense conflicts.
Question 17
Yalom states the group therapy analogue to relationship in individual therapy is which of the
following?
A. Universality
B. Cohesiveness
C. Social microcosm
D. The corrective emotional experience
Question 18
Diverting conflict between two people by involving a third is known as the concept of:
A. Emotional reactivity
B. Relationship triangles
C. Differentiation of self
D. Enmeshment
Question 19
According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict
is associated with which of the following pathological outcomes?
A. Psychosis, addictions, depression
B. Paranoia, obsessions, compulsions
C. Phobias, psychosomatic disorders
D. Inertia, creative inhibition
Question 20
The goal in a holistic paradigm is to
A. Cure
B. Minimize symptoms
C. Eliminate symptoms with medication
D.
Question 21
In multi-cultural groups, therapists must address the clinical factor of universality by doing
which of the following?
A. Assist group members in learning about the cultural differences.
B. Minimize the cultural differences within the group.
C. Help the group move past a focus on concrete cultural differences to transcultural human
responses to situations.
D. The therapist should do nothing as that would be interfering in the group process.
Question 22
Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.
A. Higher rate of attendance
B. Acceptance for a variable level of active participation
C. A concrete system for measuring cohesiveness
D. A and B
Question 23
There is evidence that suggests certain individuals may obtain greater benefit from group
therapy than from other approaches. These include which of the following individuals? Check all
that apply.
A. Individuals dealing with stigma
B. Individuals dealing with social isolation
C. Individuals seeking new coping skills
D. B and C only
Question 24
Object relations theorists work from a framework which includes which of the following?
A. The central motivating force in development is the drive for gratification.
B. Primary maternal preoccupation will lead to development of a false sense of self.
C. The central motivating force in development is that people are primarily motived to seek
other people.
D. The good enough mother creates a dynamic in which the person feels never good enough in
relationships.
Question 25
The concept that reminds us that families are open systems, and our interpretations are shaped
by assumptions we absorb from the culture is known as:
A. Constructivism
B. Systems Theory
C. Attachment Theory
D. Social Constructionism
Question 26
According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-5
years of experience who coordinates complex care and sees situations as wholes with long term
solutions, is functioning at which level of competency?
A. Novice
B. Advanced beginner
C. Competency/ proficiency
D. Expert
Question 27
The decision to use supportive psychotherapy should be based on which of the following?
Check all that apply:
A. Recent losses
B. Present coping skills
C. The patient’s ego strength and weaknesses
D. Highest level of functioning previously achieved.
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#2 – C. Imparting behavior
#3 – B. Psychosocial framework
#4 – A. Avoidance
#5 – C. The distinctions among these factors are arbitrary.
#6 – D. Accepting emotional and financial responsibility for self.
#7 – A. Learning to be directive to help the patient feel better.
#8 – C. Internal resources include the person’s ability to self-soothe, demonstrate adequate
impulse control, and regulate moods.
#9 – A. The therapist should consider the unique subculture of the family.
#10 – A. Specific advice-giving supports intimate group engagement.
#11 – C. Fallacy of perfect effect
#12 – A. Family members are differentiated, anxiety is low, and partners maintain emotional
contact with their own families.
#13 – B. Encourage patient activity
#14 – D. B and C
#15 – B. 3 years to 6 years
#16 – A. Make the unconscious conscious
#17 – C. Social microcosm
#18 – B. Relationship triangles
#19 – C. Phobias, psychosomatic disorders
#20 – C. Eliminate symptoms with medication
#21 – A. Assist group members in learning about the cultural differences.
#22 – A. Higher rate of attendance, B. Acceptance for a variable level of active participation, C. A
concrete system for measuring cohesiveness
#23 – A. Individuals dealing with stigma and B. Individuals dealing with social isolation
#24 – C. The central motivating force in development is that people are primarily motived to
seek other people.
#25 – D. Social Constructionism
#26 – D. Expert
#27 – A. Recent losses, B. Present coping skills, C. The patient’s ego strength and weaknesses
Question 31 Factors that distinguish psychodynamic therapy from…
Question 31
Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which
of the following factors.
A.
Emphasis on the past; Focus on expression of emotion; Emphasis on transference
B.
Focus on here and now, focus on current relationships, exploration of intra psychic issues.
C.
Emphasis on here and now; exploring and working with resistance to treatment, the working
alliance.
D.
Identification of patterns in actions, thoughts, feelings, experiences; Focus on current
relationships.
Question 32
A group member becomes angry with the group leader accusing the leader of being too
controlling and showing favoritism. This behavior is consistent with which of Yalom’s
therapeutic factors?
A.
Catharsis
B.
Interpersonal learning
C.
Development of socializing techniques
D.
The corrective recapitulation of the primary family group.
Question 33
Which of the following is not consistent with current research related to psychotherapy and
psychotropic medication?
A.
Research suggests that psychotherapy enhances the effects of psychotropic medication.
B.
Studies comparing medication with psychotherapy found both produce similar physiological
changes in the brain.
C.
Studies comparing medication with psychotherapy found both produce physiological changes
but brain changes are different for medications than for psychotherapy.
D.
Research suggests psychotropic medications may interfere with the learning that takes place
during psychotherapy.
Question 34
The advanced practice psychiatric nurse realizes which of the following regarding workbook
exercises in therapy?
A.
Workbook exercises are only an adjunct to treatment.
B.
Workbook exercises simplify the real work in therapy.
C.
Treatment manuals consistently correlate positively with treatment outcome.
D.
Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic
process.
Question 39
Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist?
A.
The collaborative dialogue is goal-directed and specific.
B.
The therapist may use everyday experiences as therapeutic metaphors.
C.
Self-disclosure is frequently used to motivate the patient in problem solving.
D.
Socratic Dialogue questions should be framed in a way to elicit an affirmative response.
Question 40
A group of co-occurring, relatively invariant symptoms found in a specific cultural group,
community or context, which may or may not be recognized as an illness within the culture but
such cultural patterns of distress and features of illness may be recognizable by the outside
observer is known as which of the following?
A.
Cultural syndrome
B.
Cultural formulation
C.
Cultural idiom of distress
D.
Cultural explanation or perceived cause
Question 44
Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing
based on which theorist’s framework?
A.
Eric Erickson
B.
Sigmund Freud
C.
Margaret Mahler
D.
Harry Stack Sullivan
Question 45
According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict
is associated with which of the following pathological outcomes?
A.
Psychosis, addictions, depression
B.
Paranoia, obsessions, compulsions
C.
Phobias, psychosomatic disorders
D.
Inertia, creative inhibition
Question 46
Which of the following is a responsible way for the therapist to safely set appropriate limits on
availability.
A.
The therapist just needs to notify either in person or by mail that they will not be available at
certain times.
B.
The therapist has an answering machine that clearly states that if this is an emergency, the
patient should go to the ED or call a crises hotline.
C.
Ask another therapist to cover for vacations and time off, as this is for emergency only specifics
about patients should not be shared.
D.
Both A and B
Question 48
According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and
jealousy failed to successfully manage anxiety during which stage?
A.
Oral
B.
Anal
C.
Latency
D.
Phallic/Oedipal
Question 49
The advanced practice psychiatric nurse is working with a couple on conflict management. They
report during a recent argument the husband threw a plate across the room. Based on the
current advances in neuroscience the advanced practice psychiatric nurse explains:
A.
People do things because of what happens in their brain.
B.
Biological events cause human actions.
C.
One can learn to activate their prefrontal cortex and retrain emotional reactions.
D.
Biological events always over-rides free will.
Question 53
The quality of the therapeutic relationship is most closely linked to which school of therapy?
A.
Freudian
B.
Gestalt
C.
CBT
D.
None of the above
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31. A
32. D
33. D
34. D
39. C
40. A
44. D
45. B
46. D
48. D
49. C
53. B
1. The advanced practice psychiatric nurse helps the patient to identify and name feelings, focus on
somatic sensations associated with emotions, and encourages use of metaphor to describe feelings.
This is consistent with which basic strategy of supportive psychodynamic therapy?
A. Make connections
B. Decrease alexithymia
C. Encourage patient activity
D. Maximize adaptive coping mechanisms
2. Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial
stages?
A. Autonomy vs. self-doubt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Intimacy vs. isolation
3. What distinguishes psychoanalytic therapy from other types of therapies?
A. The focus on problem-solving
B. The focus on irrational thoughts
C. The focus on dreams and wishes
D. The deep analysis of the patient relationship with the therapist.
4. Strategies for working with anxiety are central to all therapy approaches. Which strategy would
be consistent with a behavioral therapy approach?
A. Restructuring
B. Interpretations
C. Desensitization
D. Exploring wishes
5. Good practice habits that are relevant for legal and ethical professional responsibility include
which of the following? Check all that apply.
A. It is essential that emergency coverage is in place.
B. How the patient contacts you between sessions and in emergencies should be included in the
contract given to the patient during the initial session.
C. Explicitly state whether you will be available for phone calls between sessions and adhere to
clear limits.
D. Check messages at least once per day and call back within 24 hours.
Step-by-step explanation
6. For severe trauma and phobias it is recommended to teach the patient some relation techniques
prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques?
A. It is appropriate to use relaxation techniques in between exposures
B. It is appropriate to use relaxation techniques during the actual exposures conducted by the
therapist.
C. It is appropriate to use relaxation techniques after the exposures
D. A and C
7. A patient being treated with supportive psychodynamic psychotherapy has been missing sessions
and coming late when coming to sessions. The advanced practice psychiatric nurse recognizes this
behavior as which of the following?
A. Avoidance
B. A sign the patient has met goals.
C. The patient is ready to talk about termination of therapy.
D. The patient is bored because the sessions have not been very interesting.
8. Cognitive Behavioral Therapy (CBT) interventions focus on
A. The person’s relationships and family dynamics
B. The person’s thoughts, beliefs, or behaviors
C. The person’s understanding of how the past gets triggered and plays out in the present
D. The person’s body, beliefs, images, and emotions to process trauma
9. The therapist using a CBT approach says to the patient: “You say you become depressed. Explain
to me what depressed feels like to you.” This is an example of what question type in Socratic
Dialogue?
A. Memory question
B. Translation question
C. Application question
D. Interpretation question
10. According to the Stages of the Family Life Cycle the key emotional process of transition for single
young adults is:
A. Commitment to a new system.
B. Accepting the shifting generational roles.
C. Accepting new members into the system.
D. Accepting emotional and financial responsibility for self.
Question 11
Evidenced based guidelines for patient treatment are based on which of the following?
A.
Consensus of expert panel
B.
Systematic reviews of case studies.
C.
Systematic reviews of randomized controlled studies (RTC).
D.
A and C
Question 12
Which of the following is true about the CBT cognitive processes of primary and secondary
thinking?
A.
Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part
of human action.
B.
Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost.
C.
Primary thinking views the social and cultural world in determinate, positive and rational terms.
D.
B and C
Question 13
Internal resources include which of the following?
A.
Internal resources are more tangible than external resources
B.
Internal resources consist of the person’s ability to manage primarily negative emotions
C.
Internal resources include the person’s ability to self-soothe, demonstrate adequate impulse
control, and regulate moods.
D.
Are intuitive and easily measured
Question 14
According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-5
years of experience, who coordinates complex care and sees situations as wholes with longterm solutions, is functioning at which level of competency?
A.
Novice
B.
Advanced beginner
C.
Competency/proficiency
D.
Expert
Question 15
According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse
A.
Is key to understanding others
B.
Increases likelihood therapist acts out their own agenda.
C.
Allows for nurse-patient boundaries to be safely ignored to better meet patient needs.
D.
Undermines objectivity
Question 16
It is important for the new nurse psychotherapist to become comfortable with which of the
following?
A.
Learning to be directive to help the patient feel better.
B.
Letting the psychotherapeutic process unfold over time.
C.
Helping the patient feel better is the main goal of psychotherapy
D.
Building a therapeutic toolbox for a variety of “fix it” solutions for a variety of problems.
Question 18
In classical psychodynamic therapy the therapist’s role is which of the following?
A.
Objective
B.
Subjective
C.
Participant-Observer
D.
Enmeshed
Question 19
If a health care professional terminates treatment because of managed care failure to authorize
the session who is liable for harm based upon abandonment of the treatment.
A.
The health care provider
B.
The managed care company.
C.
The individual at the managed care company who failed to authorize necessary treatment.
D.
All of the above
Question 20
Which of the following is not consistent with therapeutic process of the corrective
recapitulation of the primary family group in group psychotherapy?
A.
The therapeutic value is that early familial conflicts are simply relived.
B.
The therapeutic value is that early familial conflicts are relived correctively.
C.
Fixed roles must be constantly explored and challenged.
D.
Working out problems in the group setting is also working through unfinished business from
long ago.
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Question 11
Evidenced based guidelines for patient treatment are based on which of the following?
A.
Consensus of expert panel
Question 12
Which of the following is true about the CBT cognitive processes of primary and secondary
thinking?
A.
Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part
of human action.
Question 13
Internal resources include which of the following?
C.
Internal resources include the person’s ability to self-soothe, demonstrate adequate impulse
control, and regulate moods.
Question 14
According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-5
years of experience, who coordinates complex care and sees situations as wholes with longterm solutions, is functioning at which level of competency?
C.
Competency/proficiency
Question 15
According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse
A.
Is key to understanding others
Question 16
It is important for the new nurse psychotherapist to become comfortable with which of the
following?
B.
Letting the psychotherapeutic process unfold over time.
Question 18
In classical psychodynamic therapy the therapist’s role is which of the following?
A
C.
Participant-Observer
Question 19
If a health care professional terminates treatment because of managed care failure to authorize
the session who is liable for harm based upon abandonment of the treatment..
C.
The individual at the managed care company who failed to authorize necessary treatment.
Question 20
Which of the following is not consistent with therapeutic process of the corrective
recapitulation of the primary family group in group psychotherapy?
C.
Fixed roles must be constantly explored and challenged.
Question 55
The patient talking about her husband states “By the time he comes home late for the zillionth
time I’m just beside my self … you know what I mean.” The CBT therapist responds saying “No, I
don’t know what you mean. Please explain what you mean by “beside yourself”. The therapist is
using a technique known as which of the following?
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A.
Questioning the Evidence
B.
Downward Arrow
C.
Idiosyncratic Meaning
D.
Labeling of Distortions.
Question 57
In relational psychodynamic psychotherapy the therapist helps the patient with which of the
following?
A.
To understand the patient’s impact on others.
B.
To deepen the patient’s understanding of others.
C.
Both A and B
D.
Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy.
Question 58
Role play in the context of the therapy session is an example of which of the following
behavioral techniques:
A.
Bibliotherapy
B.
Behavioral rehearsal
C.
Contingency management
D.
Cognitive restructuring
Question 59
Which of the following is not consistent with the underlying assumptions of psychodynamic
psychotherapy?
A.
What has happened in the past determines what we do today.
B.
Psychodynamic psychotherapy is rooted in developmental theory
C.
By changing one’s thoughts, emotions and behaviors can be changed.
D.
Through understanding the past, the individual is impowered to make more conscious
decisions.
Question 61
“They probably think I am stupid” is an example of which type of cognitive distortion?
A.
Comparing
B.
Mind reading
C.
Objectifying the subjective
D.
Externalization of self-worth
Question 62
Which of the following best describes the difference between standards of care and practice
guidelines?
A.
Practice guidelines are legally binding while standards of care are not.
B.
Standards of care are legally binding while practice guidelines are not.
C.
There is no difference between standards of care and practice guidelines.
D.
Practice guidelines should be followed as written while standards of care are more flexible.
Question 63
The technique used by the CBT therapist to help the individual uncover underlying assumptions
in logic and sequence through careful questioning by the therapist asking,” If this is true then
what happens?”
A.
Idiosyncratic Meaning
B.
Labeling of distortions,
C.
Downward Arrow
D.
Questioning the Evidence
Question 64
In general, the lower the patient is on Maslow’s hierarchy of needs
A.
The less active the therapist must be.
B.
The more active the therapist must be.
C.
The more neutral the therapist must be.
D.
The more enmeshed the therapist must be.
Question 65
A descriptive/biological approach of specialized knowledge that treats individuals as members
of a diagnostic group is based on
A.
A biomedical model
B.
A holistic model
C.
A recovery model
D.
A resilience model
Question 66
According to Mahler’s stages of separation-individuation the phase of “normal autism” occurs
during what age range?
A.
Birth to 1 month
B.
10 to 16 months
C.
16 to 24 months
D.
24 to 36 months
Question 67
Psychodynamic psychotherapy interventions focus on which of the following?
A.
The person’s thoughts beliefs and behaviors
B.
The person’s relationships and family dynamics
C.
The person’s emotions and thoughts, deepening understanding of triggers form the past played
out in the present.
D.
The person’s body, beliefs, images, and emotions to process trauma
Question 68
When working with a couple the therapist observes the wife seems to have more power in the
relationship and the husband seems disengaged. The advanced practice psychiatric nurse can
safely assume which of the following based on the couple’s Appalachian culture/roots?
A.
This is a culturally consistent framework where the wife is typically the decision maker in the
family.
B.
This is not culturally consistent with Appalachian norms and is an issue for the couple’s therapy.
C.
The couple is aware of the gender inequality in the family and is fine with it.
D.
The advanced practice psychiatric nurse cannot assume any of the above and needs to further
assess roles in the relationship.
Question 70
The decision to use supportive psychotherapy should be based on which of the
following? Check all that apply.
A.
Recent losses
B.
Present coping skills
C.
The patient’s ego strength and weaknesses
D.
Highest level of functioning previously achieved
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55. B.
Downward Arrow
57. D.
Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy.
58.B.
Behavioral rehearsal
59. A.
What has happened in the past determines what we do today.
61. D.
Externalization of self-worth
62. D.
Practice guidelines should be followed as written while standards of care are more flexible.
63. C.
Downward Arrow
64. A.
The less active the therapist must be.
65. A.
A biomedical model
66. D.
24 to 36 months
67. C.
The person’s emotions and thoughts, deepening understanding of triggers form the past played
out in the present.
68. D.
The advanced practice psychiatric nurse cannot assume any of the above and needs to further
assess roles in the relationship.
70. A.
Recent losses
B.
Present coping skills
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