Reference no: EM133851584

Questions

1. The advanced practice psychiatric nurse is working with a patient with who is chronically suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following?

A. Every time the patient has suicidal ideations hospitalization is recommended.

B. To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating the hard work of change.

C. To the chronically suicidal patient hospitalization frequent hospitalizations allow a safe place to learn new coping behaviors and promote change.

D. The Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal patient.

2. Which of the following is not consistent with the Cognitive Behavioral therapist perspective when treating an 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 the individual.

C. Personality products and processes are within the realm of awareness, mostly accessible to the individual.

D. Dysfunctional behaviors, thoughts and feelings are largely due to the function of schemas.

3. Which of the following is not true about self-regulation as it applies to therapy with children?

A. Self-regulation is a developmental milestone of childhood in which the child controls behavior in the service 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 the globus pallidus.

D. Self-regulation issues are often seen in various child psychopathology.

4. Which of the following is not consistent with a family-centered approach in child therapy?

A. In family-centered treatment, the family is the focus 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.

5. The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following?

A. Tolerance

B. Withdrawal

C. Addiction

D. A craving

6. An important element of child psychotherapy is goal setting. Goals setting should be done with which of the following?

A. The child

B. The parents

C. The parents and child

D. Neither parent or child. After careful assessment the therapist determines the therapy goals.

7. The use of medications is indicated in combination with psychosocial interventions in several child and adolescent severe emotional disorders (SED) including which of the following?

A. Pediatric bipolar disorder

B. Mild ADHD

C. Antisocial personality disorder

D. All of the above

8. Sleep disturbances are common for those who have experienced trauma. Which of the following would not be recommended when teaching patients about good sleep hygiene?

A. Regular daily exercise

B. Avoid napping during the day.

C. Maintain a quiet cool bedroom

D. Put bedroom TV on a timer so it will automatically go off after you are asleep.

9. Stigma of mental illness in the elderly:

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.

10. 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?

A. Motivational Interviewing

B. Contingency Management

C. Dialectical Behavioral Therapy

D. Cognitive Behavioral Coping Skills

11. The most effective treatment for SUD with or without co-morbid psychiatric disorders is:

A. Multidimensional addressing medical, psychosocial and mental health issues

B. Trauma-informed care.

C. 12-Step Peer Support Groups

D. Cognitive Behavioral Therapy

12. Which of the following is not consistent with the use of mindfulness in patients requiring stabilization following trauma?

A. Mindfulness underlies all stabilization.

B. Mindfulness is described as having internal and external awareness in abundance.

C. Mindfulness allows patient to become fully aware of their experiences and enables them to react to their experiences.

D. Mindfulness allows patient to become fully aware of their experiences and enables them to respond to their experiences.

13. Which of the following 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.

14. The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children?

A. Family inclusion

B. The concept of recovery

C. Problem-based therapy

D. Interacting systems consideration

15. In working with children between the ages of about 7-11 years of age, the advanced 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

16. The advanced practice psychiatric nurse realizes which of the following 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 the request of a significant other or other external pressure.

D. All the above.

17.  Which of the following 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.

18. Humanistic-existential therapies focus more on process and this process is best described by which of the following?

A. The content of the therapy

B. The flow of action and reaction within the session.

C. The pacing, timing, and tracking in the session.

D. B and C

19. Which best describes gerotranscendence?

A. Erik Erikson's ninth stage of development

B. Emphasizes ongoing growth over decrements

C. Focuses on the transition to old-old (80 years and older).

D. Focuses on letting go and coming to terms with end of one's life

20. An advanced practice psychiatric nurse who has been leading groups for patients with comorbid PTSD and Substance abuse starts experiencing disturbing dreams, anxiety, irritability , withdrawal and problems in interpersonal relationships. These symptoms are consistent with the phenomenon of:

A. Transference

B. Countertransference

C. Secondary traumatization

D. Burnout

21. Which of the following 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 the patient arrives under the influence of alcohol or psychoactive drugs.

D. Disclosing home or cellular phone number of therapist for emergency use only.

22. Which of the following 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

23. The Dialectical Behavior Therapy (DBT) therapist addresses life-threatening behaviors and therapy- interfering behaviors with the patient. This is consistent with which stage of treatment within the DBT model?

A. Pretreatment

B. Stage 1

C. Stage 2

D. Stage 3

24. Which of the following is not consistent with Humanistic-Existential beliefs about patients?

Patients are:

A. Holistic including a sum of their parts

B. Resilient in their natural inclination to survive and grow.

C. Endowed with an inherent tendency to develop their potential.

D. Social beings and have a powerful need to feel valued and belong.

25. According to Wheeler et al. (2020) which of the following is NOT supported by current evidence about Mental Health in older adults?

A. At least 20% of older adults have one or more mental health or substance use conditions.

B. Mental illness is a normal part of aging.

C. There is an increasing need for behavioral health and substance abuse specialty services in primary care.

D. Mental health policy and treatment of older adults have lagged resulting in this population being underserved.

26. Positive substance use disorder treatment out-comes unique to women can be strengthened by which of the following.

A. Valuing the significance of relationships

B. Recognizing generalized psychobiological attributes and healthcare needs.

C. Minimizing focus on societal roles and gender expectations.

D. All of the above

27. Which of the following is true about the therapeutic alliance when working with children?

A. The therapeutic alliance is a core factor that creates change in therapy.

B. The therapeutic alliance/bond with the child is all that is really needed.

C. The advanced practice psychiatric nurse must develop a strong therapeutic alliance with the child's parents prior to attempting to engage the child in therapy.

D. As the therapy is really about the child, parents/family, the advanced practice psychiatric nurse focuses on facilitating healthy family interactions.

28. Which of the following is consistent with Life Review Therapy?

A. Appropriate for cognitively intact to moderately impaired older adults.

B. Focuses on past event or experiences, not current events.

C. The patient is typically self-focused, usually experiencing a life event trigger.

D. Results in decreased isolation.

29. According to Dearing, Stuewig, and Tangney (2005), understanding the difference between guilt and shame and its impact on an individual's motivation is critical to hope and the recovery process. Which of the following 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.

30. The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self- dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The advanced practice psychiatric nurse using the DBT model would do which of the following?

A. Do nothing different.

B. Increase the frequency and intensity of contact.

C. Decrease the frequency and intensity of contact.

D. Express concern to the patient about premature distancing and regression

31. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?

A. Invite the patient to new ways of viewing a situation

B. Guiding patient to develop more skills to achieve a greater quality of life.

C. Engage the patient in change talk

D. A and B

32. Which of the following 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 the guilt, grief and interpersonal difficulties specifically in patients with PTSD.

33. Which of the following 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, the therapist should be adept at using the skills themself.

D. Teaching TRM is cost effective as only one teacher is needed individually or with groups.

34. Which of the following statements would not be consistent with the humanistic-existential concept of "holism" ?

A. People are unique.

B. The whole is greater than the sum of its parts.

C. Mind, body, spirit work in a unified synergistic fashion.

D. Dysfunctions such as a chemical imbalance must be identified.

35. One of the problems when meeting with children individually is that it can create secrets. Which of the following responses would the advanced practice psychiatric nurse do to address this concern?

A. Do nothing, maintaining the child's privacy protects the therapeutic relationship.

B. Decide what the parents need to know and give them a summary of the individual session in with the child in the room.

C. Decide what the parents need to know and give them a summary privately to avoid any awkwardness for the child.

D. Discuss with the child what he or she wants to share with the parents and facilitate the process as needed.

36. When the advanced practice psychiatric nurse builds a formulation when working with a child in therapy the advanced practice psychiatric nurse is doing which of the following?

A. Formulation is a type of play therapy.

B. Formulation is the child's diagnosis.

C. The formulation explains the contexts of the child and family situation, the child's unique presentation, responses and narratives of the events that shaped the interpretation.

D. The formulation is the treatment plan.

37. The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as

A. Life Review Therapy (LRT)

B. Reminiscence Therapy (RT)

C. A Mindfulness Strategy

D. Interpersonal Psychotherapy (IPT)

38. Which of the following activities is not consistent with the first phase of the eight-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

39. The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in the acronym PRACTICE represents which therapeutic component of this therapeutic approach?

A. Exposure

B. Education

C. Energizing

D. Enhancing safety

40. 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 the patient bring a notebook and take note

41. The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following?

A. Introjection

B. Projection

C. Deflection

D. Retroflection

42. 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 the following disorders?

A. ADHD

B. Anxiety

C. Bipolar Disorder

D. Adolescent Depression

43. 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

44. Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders?

A. Conduct Disorders

B. Anxiety and Depression

C. Depression and Psychosis

D. Attention Deficit-Hyperactivity Disorders

45. 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 the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy.

C. The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate the therapy.

D. Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained.

46 Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present 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

47. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following?

A. Addiction

B. Tolerance

C. Withdrawal

D. Dependence

48. The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline character structure is which of the following?

A. Expressive psychotherapy

B. Supportive psychotherapy

C. Psychoanalytic psychotherapy

D. A combination of all of the above.

49. In working with an older female patient, the advanced practice psychiatric nurse notices the patient seems to respond superficially reminding the advanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. The advanced practice psychiatric nurse recognizes this as

A. Gerotransference

B. Transcendence

C. Countertransference

D. A sign of a close therapeutic relationship

50. A Trauma Resiliency Model therapist encourages the patient to describe the "felt sense" of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills?

A. Tracking

B. Resourcing and resource intensification

C. Grounding

D. Gesturing

51. Which of the following 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 the return to substance use or addictive behaviors after periods of abstinence.

52. Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?

A. Clarify explicitly the boundaries of the therapeutic relationship.

B. The therapist will maintain confidentiality within the limits of the law and ethical practice.

C. Explain a professional relationship is based on mutual respect and the desire to help the patient.

D. Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.

53. Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one's ability to heal.

A. Somatic approaches

B. Talk therapies focused on cognitive understanding

C. EMDR

D. A and C

54. Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by the Gestalt therapist as which of the following?

A. Interruptions

B. Figure and ground

C. Layers of personality

D. Organismic self-regulation

55. Which of the following 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 the child or adolescent to improve their self-esteem.

56. Evidence supports which of the following 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.

57. The patient demonstrates the ability to regulate his emotions in such a way he can think through them.

The advanced 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

58. The underlying assumptions of Trauma Resiliency Model therapy include which of the following?

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 the world in a symmetrical manner.

D. Current psychiatric concepts adequately account for the impact of multiple or long-term

59. The person-centered therapist is expected to exhibit which of the following characteristics?

A. Congruence

B. Unconditional positive regard

C. Accurate empathic understanding

D. All of the above

60. Which of the following would not be a first-line intervention for an individual with PTSD?

A. CPT

B. CPT-PE

C. EMDR therapy

D. Pharmacological interventions.

61. Problems in the preschool child's self-regulation has been tied to subsequent issues with which of the following?

A. Aggression

B. Conduct Problems

C. Social Withdrawal

D. All of the above.

62. The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model?

A. Pretreatment

B. Stage 1

C. Stage 2

D. Stage 3

63. Which of the following 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.

64. The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of the following?

A. The basic structure of psychotherapy with children aligns with principles of psychotherapy for adults.

B. The basic structure of psychotherapy with children for the most part is not aligned with principles of psychotherapy for adults.

C. Engaging with the family precedes engagement with the child or adolescent in the first family meeting.

D. Typically children are exited to engage in psychotherapy to improve the home situation.

65. Positive symptoms of dissociation include which of the following?

A. Flashbacks

B. Memory problems

C. Inability to sense or control parts of the body

D. B and C

66. The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?

A. This indicates the change(s) really did not take

B. The patient is unconsciously sabotaging the therapy.

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.

67. Which of the following 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 the actual 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.

69. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don't work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?

A. Validate the patient 's frustration while encouraging and reinforcing use of skills.

B. Analyze the behaviors and consequences of the behaviors with the patient.

C. Focus on behavioral control and management with emotions as a contextual element.

D. All of the above

70. An organized, consistent set of perceptions about the self, 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