Question 51 Which of the following is consistent with the...

Question 51

Which of the following is consistent with the psychotherapeutic approach used by existential psychotherapists?

A.

The existential approach has a specific set of techniques used.

B.

The existential relies on the patient to drive the therapeutic 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 

 

Question 52

Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses?

A.

Schizophrenia

B.

New onset depression

C.

Bipolar Affective Disorder

D.

Borderline Personality Disorder

 

Question 53

When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients?

A.

Patients can fail in therapy.

B.

Patients are doing the best 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.

 

Question 54

Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following?

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-dialog

Question 55

According to the MacArthur 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 the above 

 

 

 

 

Question 56

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 

Question 57#

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.

Termi

Question 58#

Research support that children with serious emotional disorders (SED) are likely to have which of the following?

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

 

 

 

Question 68

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

 

Question 67

Which of the following describes the basic neurobiological pathways of the reward system in the brain?

A.

Projections from the ventral tegmental area, through the median forebrain and terminate in the nucleus accumbens where there is a proliferation of dopamine neurons.

B.

Projections through the median forebrain, to the ventral tegmental area where there is a proliferation of dopamine neurons, to the nucleus accumbens.

C.

Projections from the nucleus accumbens to the median forebrains where there is a proliferation of dopamine neurons to the ventral tegmental area.

D.

Proje

 

Question 66

According to the Trauma Resiliency Model which of the following occurs?

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 the above have anything to do with TRM.

 

Question 65

In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structured approach includes which of the following?

A.

Relaxation skills 

B.

Problem solving skills 

C.

Constructing the trauma narrative

D.

Psychoeducation with child and parent about trauma response and what causes it.

 

Question 64

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.

Question 63

In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? 

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.

Question 62

A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following?

A.

 Shame-Attacking

B.

Exposure Therapy

C.

Cognitive Rehearsal

D.

Guided relaxation and meditation

Question 61

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.

 

Question 60

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.

 

Question 59

In child psychotherapy consideration of systems that promote a child's ongoing development include which of the following?

A.

Peers

B.

Family

C.

School

D.

Community

Question 76

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