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1.      In working with a patient with borderline personality

disorder, the Dialectical Behavior Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are the highest priority for treatment. Which of the following would be inconsistent with DBT therapy?
 A . The patient must agree to reduce self-harming behaviors as a goal for therapy.
 B . The patient must agree to work with the therapist before acting on self-harming urges.
 C . If the patient engages in the self-harming behavior and is admitted to the hospital the therapist can continue to support the patient through scheduled telephone or inperson sessions.
D . If the patient engages in the self-harming behavior and is admitted to the hospital the therapist suspends direct consultation with the patient until 24 hours after the patient is discharged from the hospital.
2.      In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following?
 A . Recognize the therapist is human and fallible.
B . Make every reasonable effort to provide competent treatment for the patient.
C . Share the rules for the DBT therapist with the patient during orientation to the therapy.
D . The therapist agrees to use consultation and allow the patient to view this directly if desired.


3.      Which of the following screening tools is geared toward screening pregnant women for alcohol and drug abuse
A . CAGEAID
B . CRAFFT
 C . TWEAK
D . UNCOPE
4.      The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) is working with an older adult who does not realize she has depression. Which of the following is true?
A . IPT is not an appropriate model for treating depression in older adults.
B . This is a common IPT issue with older adults during the initial sessions.
 C . The advanced practice psychiatric nurse should consider using a standardized scale to quantify the depression and use this to educate the patient and the family.
D . B and C
5.      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.
6.      Challenges assessing psychiatric symptoms in the elderly include which of the follow
A . Denial of symptoms.
B . Age-related variations in symptom presentation.
C . Making of symptoms by comorbid disorder and medications.
 D . Difficulty in obtaining an accurate mental health history.
7.      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


8.      According to a Gestalt framework, to uncritically accept others' beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctional process known as which of the following:
A . Confluenc e
B . Projection
C .Introjection
D . Retroflection
9.      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.
10.  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


11.  Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event?
 A . Tell me about your childhood.
 B . Tell me what happened last week.
C . Let's just focus on the here and now.
D . Tell me the story as if it were happening now.
12.  Memories of the drug related event may be modified through various therapies including which of the following
A . CBT
B . EMDR
C . Pharmacological interventions
D . All of the above
13.  Which of the following is not consistent with humanistic-experiential techniques?
A . May include working with dreams or the empty chair.
 B . Use of creative arts such as drawing, music and movement.
 C . Humanistic-existential therapists interpret for the patient and provide guiding advice.
D . Humanistic-existential therapists use techniques that are reflective and experimental in style.
14.  In working with an older adult female patient, the advanced practice psychiatric nurse notices that the patient starts bringing her baked goods, and says "You remind me so much of my daughter, you are so easy to talk to." The advanced practice psychiatric nurse recognizes this as
A . Gero-transcendence
B . Transference
C . Countertransfere nce
 D . Time for termination
15.  Which of the following trends life trends suggests advanced practice psychiatric nurse be prepared to provide mental health and illness treatment in a variety of community and nontraditional settings.
A . More older men than women living alone.
 B . Greatest percentage of older adults living in nursing homes.
C . Projected doubling of number of homeless adults between 2010 and 2050.
D . More older adults preferring to leave their homes to seek other living arrangements.
16.  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
17.  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.
18.  Which of the following is not consistent with Eye Movement Desensitization and Reprocessing (EMDR) literature in treating PTSD?
A . Treatment effects are long lasting.
B . EMDR involves extended exposure
C . EMDR treatment for trauma is less time intensive.
D . The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event.


19.  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
 B. Reminiscence Therapy (RT)
C . A Mindfulness Strategy
 D . Interpersonal Psychotherapy (IPT)
20.  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

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