D. Brief and long-term psychodynamic psychotherapy cannot be...

D.

Brief and long-term psychodynamic psychotherapy cannot be compared.

 

Which of the following is consistent regarding termination in brief psychodynamic therapy?

A.

The termination date is set within 10 weeks of anticipated termination.

B.

The termination date is set in the beginning of treatment within 30 sessions

C.

The termination date is set in the beginning of treatment within 60 sessions.

D.

The termination date is flexible and is set mutually by the therapist and patient once major issues have been addressed.

 

According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)

A.

The client must first envision where they want to be prior to moving forward

B.

Processing is the key to stabilization and future visioning

C.

Increasing internal resources leads to increasing external resources

D.

Resources must be procured and stabilization guaranteed before trauma can be processed.

 

Question 6

When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture?

A.

The therapist should consider the unique subculture of the family.

B.

The therapist should consider assumptions of the larger cultural background of the family.

C.

The therapist should ask the family to share their experiences and traditions

D.

All of the above

 

Question 7

The advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following?

A.

Ask the individual how he or she feels about working with you.

B.

Automatically refer patient to a provider of the same or similar culture.

C.

Research the individual's culture and let the patient know you are an expert in that culture.

D.

The Advanced practice psychiatric nurse explains her own culture to the patient to minimize misunderstandings.

 

Question 8

"Everything always goes wrong for me" is an example of which type of cognitive distortion?

A.

All or nothing

B.

Personalization

C.

Overgeneralization

D.

Emotional reasoning

 

Question 9

A patient comments at the end of their group therapy how important it was for them to have observed the improvement of others. This is consistent with which of Yalom's therapeutic factors?

A.

Altruism

B.

Universality

C.

Instillation of hope

D.

Imparting of information

 

Question 10

According to Peplau's Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following?

A.

Anger

B.

Anxiety

C.

Resilience

D.

Holism

 

Question 11

The capacity to be alone is known as which of the following?

A.

Oneness

B.

Autonomy

C.

Independence

D.

Object constancy

 

uestion 12

In classical psychodynamic therapy the therapist's role is which of the following?

A.

Objective

B.

Subjective

C.

Participant-Observer

D.

Enmeshed

 

Question 13

For severe trauma and phobias it is recommended to teach the patient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques?

A.

It is appropriate to use relaxation techniques in between exposures

B.

It is appropriate to use relaxation techniques during the actual exposures conducted by the therapist.

C.

It is appropriate to use relaxation techniques after the exposures

D.

A and C

 

Question 14

The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking," If this is true then what happens?"

A.

Idiosyncratic Meaning

B.

Labeling of distortions,

C.

Downward Arrow

D.

Questioning the Evidence

 

Question 15

Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.

A.

Emphasis on the past; Focus on expression of emotion; Emphasis on transference

B.

Focus on here and now, focus on current relationships, exploration of intra psychic issues.

C.

Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.

D.

Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.

 

Question 16

Which of the following is true about Automatic Thought Records (ATR)? Check all that apply.

A.

The ATR is a key component of CBT

B.

This is a homework technique in which troubling situations and resulting emotions and thoughts are captured.

C.

The therapist and patient work on clarification and development of "rational" responses to challenge the original responses.

D.

All the above

 

Question 17

Recognizing that many factors may have contributed to a patient's current situation is an example of which of the following?

A.

Biomedical model

B.

Psychosocial framework

C.

Overdeterminism

D.

Resiliency

 

Question 18

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient's safety and realizes which of the following are ethical options?

A.

It is incumbent on the therapist to ensure that treatment continues.

B.

Stop treatment immediately.

C.

Attempt to work out a payment plan with the patient.

D.

A and C

 

Question 19

According to Freud's Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage?

A.

Oral

B.

Anal

C.

Latency

D.

Phallic/Oedipal

 

Common ancestry through which individuals have evolved shared values and customs is known as which of the following?

A.

Culture

B.

Ethnicity

C.

Cybernetics

D.

Constructivism

 

Question 21

When treating a family in which a child has been sexually abused the primary goals include which of the following? Check all that apply.

A.

Ensure the abuse doesn't recur

B.

Reduce the long-term effects of the trauma

C.

Preserve the integrity of the family at all cost.

D.

A and B

 

Question 22

The nurse psychotherapist realizes that "true presence" in a therapeutic relationship involves which of the following? Check all that apply.

A.

Listening to what is important to the patient.

B.

Listening to what the meaning of a situation is in the moment.

C.

"Being with" the patient rather than "doing to" the patient.

D.

Acceptance, nonjudgmental attitude and empathy.

 

Question 23

"They probably think I am stupid" is an example of which type of cognitive distortion?

A.

Comparing

B.

Mind reading

C.

Objectifying the subjective

D.

Externalization of self-worth

 

Question 24

Which of the following are consistent with findings related to levels of cohesiveness in groups?

A.

The higher the overall levels of cohesiveness are associated with significantly better total outcome than groups with low cohesiveness.

B.

Group member with little sense of belonging or attraction to a group is unlikely to have a negative outcome.

C.

The attraction to the group is a powerful determinant of outcome.

D.

A and C

 

Question 25

An advanced practice psychiatric nurse is sued for continuing to work with a patient despite the treatment not working. The advanced practice psychiatric nurse realizes that which of the following will be considered in this case?

A.

Was the standard of care followed?

B.

Was there harm to the patient?

C.

This is a frivolous lawsuit. The advanced practice psychiatric nurse cannot be sued for this.

D.

A and 

 

Question 26

Diverting conflict between two people by involving a third is known as the concept of:

A.

Emotional reactivity

B.

Relationship triangles

C.

Differentiation of self

D.

Enmeshment

 

Question 27

Cognitive Behavioral Therapy (CBT) interventions focus on

A.

The person's relationships and family dynamics

B.

The person's thoughts, beliefs, or behaviors

C.

The person's understanding of how the past gets triggered and plays out in the present

D.

The person's body, beliefs, images, and emotions to process trauma

 

Question 28

In psychodynamic case formulation three personality organization levels have been identified along a continuum. A patient who primarily uses primitive defenses is likely to be in which personality range?

A.

Healthy

B.

Neurotic

C.

Psychotic

D.

Borderline

 

Question 29

The therapist using a CBT approach says to the patient: "You say you become depressed. Explain to me what depressed feels like to you." This is an example of what question type in Socratic Dialogue?

A.

Memory question

B.

Translation question

C.

Application question

D.

Interpretation question

 

Question 30

The power of family therapy comes from

A.

Focusing on dysfunctional emotions

B.

Ignoring dysfunctional emotions

C.

Bringing parents and children together to transform their interactions.

D.

Clearly identifying fault and restructuring

 

Question 31

Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach?

A.

Restructuring

B.

Interpretations

C.

Desensitization

D.

Exploring wishes

 

Question 32

A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled appointments. The therapist should do which of the following?

A.

termination letter indicating only that the therapy is being terminated effective immediately.

B.

Send a termination letter to the patient indicating therapist concern, reason for termination, reason for patient to continue in treatment and referral to another provider if patient wants to continue in treatment and put a copy of this in the patient chart.

C.

Make sure patient not in crisis and refer to a specific provider.

D.

B and C

 

Question 33

The CBT therapist working with a patient who is distraught because they did not get a job they really wanted. The individual is helped to identify how to use what appears to be a negative situation to his or her advantage. This technique is known as which of the following?

A.

Cognitive rehearsal

B.

Paradox or Exaggeration

C.

Turning Adversity to Advantage

D.

Decatastrophizing

 

Question 34

According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse

A.

Is key to understanding others

B.

Increases likelihood therapist acts out their own agenda.

C.

Allows for nurse-patient boundaries to be safely ignored to better meet patient needs.

D.

Undermines objectivity

 

Question 35

Which of the following is not consistent with the resilience model proposed by Miller-Kraus?

A.

This resilience model is based on neurophysiology.

B.

The resilience zone in an internal state of adaptability and flexibility.

C.

We feel our best when we have a strong sympathetic system to regulate emotions.

D.

We feel our best and deal effectively with life when we are in our resilience zone.

 

Question 36

Which of the following is not consistent with practice guides?

A.

Practice guidelines are legally binding

B.

Practice guidelines are recommendations for care only.

C.

Practice guidelines should be tailored to individual patient needs.

D.

Practice guidelines are official statements that summarize research findings and appropriate management for specific problems.

 

Question 37

Family dialogue is encouraged.

A.

Genogram

B.

Family schema

C.

Family drawing

D.

Family sculpting

 

Question 38

Which technique would be helpful to use with individuals who blame themselves for most bad outcomes?

A.

Reattribution

B.

Decatastrophizing

C.

Advantages and Disadvantages

D.

Examining options and alternatives

 

Question 39

Bowen emphasized the family therapist

A.

Remain neutral, focus on content

B.

Focus on metacommunication

C.

psychodrama

D.

Become immersed in the family dynamics

 

Question 40

The patient talking about her husband states "By the time he comes home late for the zillionth time I'm just beside my self ... you know what I mean." The CBT therapist responds saying "No, I don't know what you mean. Please explain what you mean by "beside yourself". The therapist is using a technique known as which of the following?

A.

Questioning the Evidence

B.

Downward Arrow

C.

Idiosyncratic Meaning

D.

Labeling of Distortions.

 

uestion 41

When working with a client of unfamiliar culture the advanced practice psychiatric nurse asks the client how he or she feels about working with you. This demonstrates which of the following?

A.

Insecurity on the side of advanced practice psychiatric nurse and confuses the focus of the relationship.

B.

Respect and may open up a dialogue about the experience for the patient.

C.

Ignorance on the side of the advanced practice psychiatric nurse and undermines the therapeutic relationship

D.

A novice mistake, the patient should be transferred to a provider of similar culture

Question 42

In general, the lower the patient is on Maslow's hierarchy of needs

A.

The less active the therapist must be.

B.

The more active the therapist must be.

C.

The more neutral the therapist must be.

D.

The more enmeshed the therapist must be.

 

Question 43

The focus of exploration in relational psychodynamic therapy includes which of the following?

A.

Then and there

B.

Wish/defense conflicts

C.

Here and now

D.

Sex/and or aggression

 

Question 44

Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following?

A.

The outcome from group therapy is virtually identical to that of individual therapy.

B.

The outcome from group therapy is slightly less than outcome of individual therapy.

C.

The outcome from group therapy is significantly better than outcomes of individual therapy

D.

The outcome from group therapy is significantly less than outcomes of individual therapy.

 

Question 45

The CBT therapist asks the patient "On a scale of 1 to 10 how would you rate your level of depression today?" "And how does that compare to 2 months ago?" This is an example of what type of question type in Socratic Dialogue?

A.

Application question

B.

Analysis question

C.

Evaluation question

D.

This would not be a question consistent with Socratic Dialogue.

 

Question 46

Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The advanced practice psychiatric nurse understands that from Erikson's psychosocial stages perspective he is dealing with which psychosocial stage of development?

A.

Intimacy vs. isolation

B.

Ego integrity vs. despair

C.

Generativity vs. stagnation

D.

Autonomy vs. alienation

 

Question 47

A situation in which a person's zeal to avoid feared abandonments is such that the person inadvertently creates the very situation that he or she is trying so hard to avoid is an example of what is clinically known as which of the following?

A.

Resistance

B.

Transference

C.

Self-fulfilling prophecy

D.

Cyclical psychodynamics

 

Question 48

Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy?

A.

What has happened in the past determines what we do today.

B.

Psychodynamic psychotherapy is rooted in developmental theory

C.

By changing one's thoughts, emotions and behaviors can be changed.

D.

Through understanding the past, the individual is impowered to make more conscious decisions.

 

Question 49

Which of the following is a responsible way for the therapist to safely set appropriate limits on availability.

A.

The therapist just needs to notify either in person or by mail that they will not be available at certain times.

B.

The therapist has an answering machine that clearly states that if this is an emergency, the patient should go to the ED or call a crises hotline.

C.

Ask another therapist to cover for vacations and time off, as this is for emergency only specifics about patients should not be shared.

D.

Both A and B

 

uestion 50

Cultural relativity (Horowitz, 1982) refers to

A.

How we relate to those from other culture

B.

Similarities between various cultures

C.

Differences between Eastern and Western cultures

D.

Behavior considered normal or abnormal depends on social and cultural norms.

Question 51

D.

Brief and long-term psychodynamic psychotherapy cannot be compared.

 

Which of the following is consistent regarding termination in brief psychodynamic therapy?

A.

The termination date is set within 10 weeks of anticipated termination.

B.

The termination date is set in the beginning of treatment within 30 sessions

C.

The termination date is set in the beginning of treatment within 60 sessions.

D.

The termination date is flexible and is set mutually by the therapist and patient once major issues have been addressed.

 

According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)

A.

The client must first envision where they want to be prior to moving forward

B.

Processing is the key to stabilization and future visioning

C.

Increasing internal resources leads to increasing external resources

D.

Resources must be procured and stabilization guaranteed before trauma can be processed.

 

Question 6

When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture?

A.

The therapist should consider the unique subculture of the family.

B.

The therapist should consider assumptions of the larger cultural background of the family.

C.

The therapist should ask the family to share their experiences and traditions

D.

All of the above

 

Question 7

The advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following?

A.

Ask the individual how he or she feels about working with you.

B.

Automatically refer patient to a provider of the same or similar culture.

C.

Research the individual's culture and let the patient know you are an expert in that culture.

D.

The Advanced practice psychiatric nurse explains her own culture to the patient to minimize misunderstandings.

 

Question 8

"Everything always goes wrong for me" is an example of which type of cognitive distortion?

A.

All or nothing

B.

Personalization

C.

Overgeneralization

D.

Emotional reasoning

 

Question 9

A patient comments at the end of their group therapy how important it was for them to have observed the improvement of others. This is consistent with which of Yalom's therapeutic factors?

A.

Altruism

B.

Universality

C.

Instillation of hope

D.

Imparting of information

 

Question 10

According to Peplau's Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following?

A.

Anger

B.

Anxiety

C.

Resilience

D.

Holism

 

Question 11

The capacity to be alone is known as which of the following?

A.

Oneness

B.

Autonomy

C.

Independence

D.

Object constancy

 

uestion 12

In classical psychodynamic therapy the therapist's role is which of the following?

A.

Objective

B.

Subjective

C.

Participant-Observer

D.

Enmeshed

 

Question 13

For severe trauma and phobias it is recommended to teach the patient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques?

A.

It is appropriate to use relaxation techniques in between exposures

B.

It is appropriate to use relaxation techniques during the actual exposures conducted by the therapist.

C.

It is appropriate to use relaxation techniques after the exposures

D.

A and C

 

Question 14

The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking," If this is true then what happens?"

A.

Idiosyncratic Meaning

B.

Labeling of distortions,

C.

Downward Arrow

D.

Questioning the Evidence

 

Question 15

Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.

A.

Emphasis on the past; Focus on expression of emotion; Emphasis on transference

B.

Focus on here and now, focus on current relationships, exploration of intra psychic issues.

C.

Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.

D.

Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.

 

Question 16

Which of the following is true about Automatic Thought Records (ATR)? Check all that apply.

A.

The ATR is a key component of CBT

B.

This is a homework technique in which troubling situations and resulting emotions and thoughts are captured.

C.

The therapist and patient work on clarification and development of "rational" responses to challenge the original responses.

D.

All the above

 

Question 17

Recognizing that many factors may have contributed to a patient's current situation is an example of which of the following?

A.

Biomedical model

B.

Psychosocial framework

C.

Overdeterminism

D.

Resiliency

 

Question 18

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient's safety and realizes which of the following are ethical options?

A.

It is incumbent on the therapist to ensure that treatment continues.

B.

Stop treatment immediately.

C.

Attempt to work out a payment plan with the patient.

D.

A and C

 

Question 19

According to Freud's Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage?

A.

Oral

B.

Anal

C.

Latency

D.

Phallic/Oedipal

 

Common ancestry through which individuals have evolved shared values and customs is known as which of the following?

A.

Culture

B.

Ethnicity

C.

Cybernetics

D.

Constructivism

 

Question 21

When treating a family in which a child has been sexually abused the primary goals include which of the following? Check all that apply.

A.

Ensure the abuse doesn't recur

B.

Reduce the long-term effects of the trauma

C.

Preserve the integrity of the family at all cost.

D.

A and B

 

Question 22

The nurse psychotherapist realizes that "true presence" in a therapeutic relationship involves which of the following? Check all that apply.

A.

Listening to what is important to the patient.

B.

Listening to what the meaning of a situation is in the moment.

C.

"Being with" the patient rather than "doing to" the patient.

D.

Acceptance, nonjudgmental attitude and empathy.

 

Question 23

"They probably think I am stupid" is an example of which type of cognitive distortion?

A.

Comparing

B.

Mind reading

C.

Objectifying the subjective

D.

Externalization of self-worth

 

Question 24

Which of the following are consistent with findings related to levels of cohesiveness in groups?

A.

The higher the overall levels of cohesiveness are associated with significantly better total outcome than groups with low cohesiveness.

B.

Group member with little sense of belonging or attraction to a group is unlikely to have a negative outcome.

C.

The attraction to the group is a powerful determinant of outcome.

D.

A and C

 

Question 25

An advanced practice psychiatric nurse is sued for continuing to work with a patient despite the treatment not working. The advanced practice psychiatric nurse realizes that which of the following will be considered in this case?

A.

Was the standard of care followed?

B.

Was there harm to the patient?

C.

This is a frivolous lawsuit. The advanced practice psychiatric nurse cannot be sued for this.

D.

A and 

 

Question 26

Diverting conflict between two people by involving a third is known as the concept of:

A.

Emotional reactivity

B.

Relationship triangles

C.

Differentiation of self

D.

Enmeshment

 

Question 27

Cognitive Behavioral Therapy (CBT) interventions focus on

A.

The person's relationships and family dynamics

B.

The person's thoughts, beliefs, or behaviors

C.

The person's understanding of how the past gets triggered and plays out in the present

D.

The person's body, beliefs, images, and emotions to process trauma

 

Question 28

In psychodynamic case formulation three personality organization levels have been identified along a continuum. A patient who primarily uses primitive defenses is likely to be in which personality range?

A.

Healthy

B.

Neurotic

C.

Psychotic

D.

Borderline

 

Question 29

The therapist using a CBT approach says to the patient: "You say you become depressed. Explain to me what depressed feels like to you." This is an example of what question type in Socratic Dialogue?

A.

Memory question

B.

Translation question

C.

Application question

D.

Interpretation question

 

Question 30

The power of family therapy comes from

A.

Focusing on dysfunctional emotions

B.

Ignoring dysfunctional emotions

C.

Bringing parents and children together to transform their interactions.

D.

Clearly identifying fault and restructuring

 

Question 31

Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach?

A.

Restructuring

B.

Interpretations

C.

Desensitization

D.

Exploring wishes

 

Question 32

A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled appointments. The therapist should do which of the following?

A.

termination letter indicating only that the therapy is being terminated effective immediately.

B.

Send a termination letter to the patient indicating therapist concern, reason for termination, reason for patient to continue in treatment and referral to another provider if patient wants to continue in treatment and put a copy of this in the patient chart.

C.

Make sure patient not in crisis and refer to a specific provider.

D.

B and C

 

Question 33

The CBT therapist working with a patient who is distraught because they did not get a job they really wanted. The individual is helped to identify how to use what appears to be a negative situation to his or her advantage. This technique is known as which of the following?

A.

Cognitive rehearsal

B.

Paradox or Exaggeration

C.

Turning Adversity to Advantage

D.

Decatastrophizing

 

Question 34

According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse

A.

Is key to understanding others

B.

Increases likelihood therapist acts out their own agenda.

C.

Allows for nurse-patient boundaries to be safely ignored to better meet patient needs.

D.

Undermines objectivity

 

Question 35

Which of the following is not consistent with the resilience model proposed by Miller-Kraus?

A.

This resilience model is based on neurophysiology.

B.

The resilience zone in an internal state of adaptability and flexibility.

C.

We feel our best when we have a strong sympathetic system to regulate emotions.

D.

We feel our best and deal effectively with life when we are in our resilience zone.

 

Question 36

Which of the following is not consistent with practice guides?

A.

Practice guidelines are legally binding

B.

Practice guidelines are recommendations for care only.

C.

Practice guidelines should be tailored to individual patient needs.

D.

Practice guidelines are official statements that summarize research findings and appropriate management for specific problems.

 

Question 37

Family dialogue is encouraged.

A.

Genogram

B.

Family schema

C.

Family drawing

D.

Family sculpting

 

Question 38

Which technique would be helpful to use with individuals who blame themselves for most bad outcomes?

A.

Reattribution

B.

Decatastrophizing

C.

Advantages and Disadvantages

D.

Examining options and alternatives

 

Question 39

Bowen emphasized the family therapist

A.

Remain neutral, focus on content

B.

Focus on metacommunication

C.

psychodrama

D.

Become immersed in the family dynamics

 

Question 40

The patient talking about her husband states "By the time he comes home late for the zillionth time I'm just beside my self ... you know what I mean." The CBT therapist responds saying "No, I don't know what you mean. Please explain what you mean by "beside yourself". The therapist is using a technique known as which of the following?

A.

Questioning the Evidence

B.

Downward Arrow

C.

Idiosyncratic Meaning

D.

Labeling of Distortions.

 

uestion 41

When working with a client of unfamiliar culture the advanced practice psychiatric nurse asks the client how he or she feels about working with you. This demonstrates which of the following?

A.

Insecurity on the side of advanced practice psychiatric nurse and confuses the focus of the relationship.

B.

Respect and may open up a dialogue about the experience for the patient.

C.

Ignorance on the side of the advanced practice psychiatric nurse and undermines the therapeutic relationship

D.

A novice mistake, the patient should be transferred to a provider of similar culture

Question 42

In general, the lower the patient is on Maslow's hierarchy of needs

A.

The less active the therapist must be.

B.

The more active the therapist must be.

C.

The more neutral the therapist must be.

D.

The more enmeshed the therapist must be.

 

Question 43

The focus of exploration in relational psychodynamic therapy includes which of the following?

A.

Then and there

B.

Wish/defense conflicts

C.

Here and now

D.

Sex/and or aggression

 

Question 44

Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following?

A.

The outcome from group therapy is virtually identical to that of individual therapy.

B.

The outcome from group therapy is slightly less than outcome of individual therapy.

C.

The outcome from group therapy is significantly better than outcomes of individual therapy

D.

The outcome from group therapy is significantly less than outcomes of individual therapy.

 

Question 45

The CBT therapist asks the patient "On a scale of 1 to 10 how would you rate your level of depression today?" "And how does that compare to 2 months ago?" This is an example of what type of question type in Socratic Dialogue?

A.

Application question

B.

Analysis question

C.

Evaluation question

D.

This would not be a question consistent with Socratic Dialogue.

 

Question 46

Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The advanced practice psychiatric nurse understands that from Erikson's psychosocial stages perspective he is dealing with which psychosocial stage of development?

A.

Intimacy vs. isolation

B.

Ego integrity vs. despair

C.

Generativity vs. stagnation

D.

Autonomy vs. alienation

 

Question 47

A situation in which a person's zeal to avoid feared abandonments is such that the person inadvertently creates the very situation that he or she is trying so hard to avoid is an example of what is clinically known as which of the following?

A.

Resistance

B.

Transference

C.

Self-fulfilling prophecy

D.

Cyclical psychodynamics

 

Question 48

Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy?

A.

What has happened in the past determines what we do today.

B.

Psychodynamic psychotherapy is rooted in developmental theory

C.

By changing one's thoughts, emotions and behaviors can be changed.

D.

Through understanding the past, the individual is impowered to make more conscious decisions.

 

Question 49

Which of the following is a responsible way for the therapist to safely set appropriate limits on availability.

A.

The therapist just needs to notify either in person or by mail that they will not be available at certain times.

B.

The therapist has an answering machine that clearly states that if this is an emergency, the patient should go to the ED or call a crises hotline.

C.

Ask another therapist to cover for vacations and time off, as this is for emergency only specifics about patients should not be shared.

D.

Both A and B

 

uestion 50

Cultural relativity (Horowitz, 1982) refers to

A.

How we relate to those from other culture

B.

Similarities between various cultures

C.

Differences between Eastern and Western cultures

D.

Behavior considered normal or abnormal depends on social and cultural norms.

Question 51