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Question 31A.Every time the patient has suicidal ideations hospitalization is recommended.B.

The advanced practice psychiatric nurse is working with a patient with who is chronically suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following?

To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating the hard work of change.


C.

To the chronically suicidal patient hospitalization frequent hospitalizations allow a safe place to learn new coping behaviors and promote change.


D.

The Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal patient.


Question 32

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.


Question 33

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.


Question 34

Which of the following is not consistent with a family-centered approach in child therapy?


A.

In family-centered treatment, the family is the focus of treatment.


B.

Family- centered treatment is appropriate to improve family interactions.


C.

Family-centered treatment is appropriate to keep families engaged in services


D.

Family-centered treatment is appropriate to increase family knowledge about mental health.


Question 35

The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following?


A.

Tolerance


B.

Withdrawal


C.

Addiction


D.

A craving


Question 36

An important element of child psychotherapy is goal setting. Goals setting should be done with which of the following?


A.

The child


B.

The parents


C.

The parents and child


D.

Neither parent or child. After careful assessment the therapist determines the therapy goals.


Question 37

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


Question 38

Sleep disturbances are common for those who have experienced trauma. Which of the following would not be recommended when teaching patients about good sleep hygiene?


A.

Regular daily exercise


B.

Avoid napping during the day.


C.

Maintain a quiet cool bedroom


D.

Put bedroom TV on a timer so it will automatically go off after you are asleep.


Question 39

Stigma of mental illness in the elderly:


A.

Has contributed to psychiatric symptoms being expressed with physical symptoms.


B.

Is much more severe in baby boomers than in other elderly cohorts.


C.

Is much less an issue in baby boomers than in other elderly cohorts


D.

Leads to more discussion of emotions in primary care settings.


Question 40

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


Question 41

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


Question 42

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.


Question 43

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.


Question 44

The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children?


A.

Family inclusion


B.

The concept of recovery


C.

Problem-based therapy


D.

Interacting systems consideration


Question 45

In working with children between the ages of about 7-11 years of age, the advanced practice psychiatric nurse would include activities consistent with which of stage of Piaget's stages of cognitive development?


A.

Sensorimotor


B.

Preoperational


C.

Formal operational


D.

Concrete operational


Question 46

The advanced practice psychiatric nurse realizes which of the following with respect to individuals with personality disorders of traits?


A.

Often these individuals will see their problems as independent of their own behaviors.


B.

These individuals will often describe themselves as a victim.


C.

These individuals often present for treatment at the request of a significant other or other external pressure.


D.

All the above.


Question 47

Which of the following are "Help Now!" skills? Select all that apply.


A.

 Drink a glass of water, tea, or juice.


B.

Name 6 colors you see wherever you are.


C.

Open and close your eyes.


D.

A and B only.


Question 48

Humanistic-existential therapies focus more on process and this process is best described by which of the following? 


A.

The content of the therapy


B.

The flow of action and reaction within the session.


C.

The pacing, timing, and tracking in the session.


D.

B and C


Question 49

Which best describes gerotranscendence?


A.

Erik Erikson's ninth stage of development


B.

Emphasizes ongoing growth over decrements


C.

Focuses on the transition to old-old (80 years and older).


D.

Focuses on letting go and coming to terms with end of one's life


Question 50

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


Question 51

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 therapist for emergency use only.


Question 52

Which of the following is a biologically based psychotherapy methodology used to treat patients who have experienced trauma?


A.

Trauma Resiliency Model


B.

Cognitive Behavioral Therapy


C.

 Psychodynamic Psychotherapy


D.

Existential Psychotherapy


Question 53

The Dialectical Behavior Therapy (DBT) therapist addresses life-threatening behaviors and therapy-interfering behaviors with the patient. This is consistent with which stage of treatment within the DBT model? 


A.

Pretreatment


B.

Stage 1


C.

Stage 2


D.

Stage 3


Question 54

Which of the following is not consistent with Humanistic-Existential beliefs about patients?      

Patients are:


A.

Holistic including a sum of their parts


B.

Resilient in their natural inclination to survive and grow.


C.

Endowed with an inherent tendency to develop their potential.


D.

Social beings and have a powerful need to feel valued and belong.


Question 55

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 56

Positive substance use disorder treatment out-comes unique to women can be strengthened by which of the following.


A.

Valuing the significance of relationships


B.

Recognizing generalized psychobiological attributes and healthcare needs.


C.

Minimizing focus on societal roles and gender expectations.


D.

All of the above


Question 57

Which of the following is true about the therapeutic alliance when working with children?


A.

The therapeutic alliance is a core factor that creates change in therapy.


B.

The therapeutic alliance/bond with the child is all that is really needed.


C.

The advanced practice psychiatric nurse must develop a strong therapeutic alliance with the child's parents prior to attempting to engage the child in therapy.


D.

As the therapy is really about the child, parents/family, the advanced practice psychiatric nurse focuses on facilitating healthy family interactions.


Question 58

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

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.


Question 60

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

Answer & Explanation
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