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Question 56 Evidenced based guidelines for patient treatment are...

Question 56


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 57

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: 58


Cultural relativity (Horowitz, 1982) refers to

 

A.       How we relate to those from other culture

 

B.       Similarities between various cultures

 

C.       Differences between Eastern and Western cultures

 

D.       Behavior considered normal or abnormal depends on social and cultural norms.


Question 59:


Bowen emphasized the family therapist

 

A.       Remain neutral, focus on content

 

B.       Focus on metacommunication

 

C.       Create a psychodrama

 

D.       Become immersed in the family dynamics


Question 60

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.


Question 61:

The challenges of a family therapist in working with families of different culture include which of the following? Check all that apply.

A.

Learning to respect diversity in each unique family.

B.

Developing a sensitivity to some of the issues faced by those in other cultures.

C.

Learning to recognize the therapist' s own blind spots and biases.

D.

Becoming an expert on ethnicity.

Question 62:

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 63:

patient comments at the end of their group therapy how important it was for them to have observed the improvement of others. This is consistent with which of Yalom 's therapeutic factors?

A.

Altruism

B.

Universality

C.

Instillation of hope

D.

Imparting of information

Question 64:


Which of the following is not consistent with practice guides?


A.

Practice guidelines are legally binding

B.

Practice guidelines are recommendations for care only.

C.

Practice guidelines should be tailored to individual patient needs.

D.

Practice guidelines are official statements that summarize research findings and appropriate management for specific problems.

Question 65

The advanced practice psychiatric nurse is meeting with a patient who 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 at high suicide risk and recommends which of the following?

 

A.       Develop a crisis plan and give emergency numbers.

 

B.       Hospital psychiatric admission and suicide precautions.

 

C.       Refer to intensive outpatient therapy and give emergency numbers.

 

D.       Develop a no-suicide contract and provide emergency numbers.


Question 66

A Hispanic woman whose mother recently died reports that she continues to hear the voice of her deceased mother. The advanced practice psychiatric nurse considering the woman Hispanic culture determines which of the following?

 

A.       The woman is likely grieving according to her Hispanic social norms.

 

B.       The woman is psychotic as Hispanic people tend to somaticize conflicts.

 

C.       The woman is psychotic and needs to be hospitalized for further evaluation.

 

D.       The woman is clearly psychotic, and the advanced practice psychiatric nurse prescribes an antipsychotic medication.

Question 67:

Which of the following is not consistent cross-cultural research related to mental health and mental illness.

 

A.       Culture determines what is considered a psychiatric disorder.

 

B.       Neurobiological mechanisms linked to stress and trauma vary across cultures.

 

C.       Individuals from different cultural backgrounds vary in their interoceptive awareness.

 

D.       Individuals from different cultural backgrounds are similar in their interoceptive awareness.



Question 68


In supportive psychotherapy where the patient is functioning at a child-like level in significant domains of life which basic strategy of dynamic supportive therapy would most likely be used?

 

A.       Be a good parent

 

B.       Foster and protect the therapeutic alliance

 

C.       Hold and contain the patient

 

D.       Provide a role model for identification


Question 69:


Controlled studies of psychotherapy outcome have shown which of the following?

 

A.       The average person typically does not engage in psychotherapy

 

B.       The average person who receives psychotherapy is significantly improved.

 

C.       The average person who receives psychotherapy shows no significant improvement.

 

D.       The average person who receives psychotherapy shows some improvement, but results are not statistically significant.


Question 70

"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 71:


The advanced practice psychiatric nurse is working with a couple using a Cognitive Behavioral Family Therapy model. The wife states her husband must be having an affair because he comes home late from work. The advanced practice psychiatric nurse recognizes this as the cognitive distortion known as:

 

A.       Personalization

 

B.       Selective Abstraction

 

C.       Dichotomous thinking

 

D.       Arbitrary Inference


Question 72:

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient safety and realizes which of the following are ethical options?

 

A.       It is incumbent on the therapist to ensure that treatment continues.

 

B.       Stop treatment immediately.

 

C.       Attempt to work out a payment plan with the patient.

 

D.       A and C


Question 73:


A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled appointments. The therapist should do which of the following?

 

A.       Write a termination letter indicating only that the therapy is being terminated effective immediately.

 

B.       Send a termination letter to the patient indicating therapist concern, reason for termination, reason for patient to continue in treatment and referral to another provider if patient wants to continue in treatment and put a copy of this in the patient chart.

 

C.       Make sure patient not in crisis and refer to a specific provider.

 

D.       B and C

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