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1.      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
2.      Using a Common elements approach with a child with ADHD who despite stimulant medication continues to exhibit frequent angry outbursts, opposition and aggression the advanced practice psychiatric nurse begin with which of the following?
 A . Stop the medication as it clearly is not working.
 B . Adjust medication as it clearly isn't working.
C . Explore inpatient treatment where the environment could be more closely controlled and monitored.
D . Review the best available evidence for behavioral, cognitive or psychoeducation intervention to augment the medication and address these behavioral/regulation issues.
3.      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
 D . A and C
4.      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 trans-diagnostic approach to treat a variety of common mental health issues.
D . Is Common Elements method should not be used with child/adolescents with PTSD.
5.      Which of the following is not an underlying assumption that differentiates child therapies from adult psychotherapy?
A . Family inclusion
B . The concept of Recovery
C . The concept of Resiliency
 D . Developmental considerations
6.      The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition?
A . Congruence
 B . Actualizing tendency
C . Belief of human nature
D . Accurate empathic understanding
7.      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?
B . Anxiety
 C . Bipolar Disorder
D . Adolescent Depression
8.      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.
9.      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
10.  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
11.  Evidence-based therapeutic modalities for treating older adults with anxiety include which of the following:
 A . Cognitive Behavioral Therapy, Relaxation training, Biofeedback
B . Dialectical Behavior Therapy, Reminiscence Therapy, Biofeedback
C . Guided Imagery, Music Therapy, Yoga
 D . A and C
12.   The advanced practice psychiatric nurse is working with the patient on maintaining treatment outcomes and developing a guide for surviving difficult times. These strategies are consistent with which phase in the CBT process?
A . Introductory phase
 B . Middle phase
C . Late middle phase
D . Termination
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 advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following?
A . The support is provided through case management
 B . The support is designed to focus on clinical issues of the patient
 C . The DBT therapist in solo practice does not need a consultation group for support.
D . The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use.
15.  During the middle phase of CBT with an older adult the advanced practice psychiatric nurse notices that homework is not getting done and suggest that the homework be done during the therapy session. This indicates which of the following?
A . The patient is not vested in the therapy.
 B . Clearly the advanced practice psychiatric nurse needs more training in CBT.
 C . The advanced practice psychiatric nurse is enabling the patient and thus undermining the therapy.
D . The advanced practice psychiatric nurse is suggesting an acceptable modification to facilitate the therapy process.
16.  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

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