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80)The advanced practice psychiatric nurse working with a patient...

80) 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.


81) The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of the following 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


82) The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of the following interventions?

A . Active interventions to facilitate emotional expression and connection.

 B . Supportive interventions to help the patient contain overwhelming emotions.

C . Any interventions on the psychodynamic continuum with not customizations.

D . None of the above. Attachment style has no bearing on psychodynamic therapy


83) 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


84)  Which of the following is not consistent with the Cognitive 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 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.


85) 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.


86) 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


87) The stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of the following?

A . Cognitive Restructuring Model

 B . Cognitive Resiliency Model

 C . Community Resiliency Model

 D . Cognitive Regeneration Model


88) 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


89) A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?

 A . Focusing

B . Dreamwork

C . Empty-chair dialogue

D . Language of responsibility


90) 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


91) A natural process whereby the individual is continually disturbed by the emergence of a need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by the Gestalt therapist as which of the following?

 A . Figure and ground

B . Organismic selfregulation

C . Layers of the personality

D . None of the above


92)  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.

93) The mother of a 6-year-old is concerned that the child seems to always want to pretend when playing. Which would be an appropriate response to the mother?

 A . This shows some regression as most children of this age are in the concrete operational stage and play should be more realistic.

B . This is an appropriate activity for a child of this age consistent with Piaget's sensorimotor stage.

C . Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development.

D . Pretend play shows the ability to think abstractly which indicates cognitive ability consistent with the formal operational stage of cognitive development.

94)  Techniques used by the Gestalt therapist include which of the following?

A . The ability to provide homework

 B . The ability to craft creative experiments

C . The ability to establish an authentic I-Thou relationship with the patient.

 D . B and C


95)  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


96) 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?

A . A relapse prevention plan includes identifying triggers to the patient's gambling and a variety of coping strategies to avoid or successfully manage triggers without reverting to gambling.

 B . A relapse prevention plan should be completed during the initial stage of treatment.

 C . The main 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 the desire to gamble


97) 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.


98) 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 therapists for emergency use only.


99 ) 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.


100) 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

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