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Please l need the answers ratioQuestion 51

The novice advanced practice psychiatric nurse working as a new nurse psychotherapist may become increasingly aware of being incompetent as progress is made. According to the Stages of Learning model the advanced practice psychiatric nurse is in which stage of learning?

A.

Unconscious incompetency

B.

Conscious incompetency

C.

Conscious competency

D.

Unconscious competency


Question 52

According to Freud, failure to successfully accomplish the tasks of learning independence and control is associated with which of the following problematic traits?

A.

Excessive dependency

B.

Orderliness

C.

Sexual identity issues

D.

Excessive guilt


uestion 53

Which of the following best describes the difference between standards of care and practice guidelines?

A.

Practice guidelines are legally binding while standards of care are not.

B.

Standards of care are legally binding while practice guidelines are not.

C.

There is no difference between standards of care and practice guidelines.

D.

Practice guidelines should be followed as written while standards of care are more flexible.


Question 54

Which of the following is true about the CBT cognitive processes of primary and secondary thinking?

A.

Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action.

B.

Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost.

C.

Primary thinking views the social and cultural world in determinate, positive and rational terms.

D.

B and C


uestion 55

According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior?

A.

Imitative behavior generally plays a more important role in early stages of a group.

B.

Imitative behavior may allow an individual to experiment with a new behavior.

C.

Finding out what we are not is progress toward finding out what we are.

D.

All of the above


Question 56

Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following?

A.

Patients with primarily primitive defenses

B.

Patients with primarily mature defense mechanisms

C.

Patients with neurotic to healthy personality organization.

D.

Patients with the capability to engage in a therapeutic alliance

estion 57

During the initial contact with an individual seeking family therapy it is important for the family therapist to:

A.

Identify the presenting problem and arrange a consultation with everyone living in the family household.

B.

Identify the presenting problem and arrange a consultation with the caller to ensure family therapy is really necessary.

C.

Identify the presenting problem and arrange to meet with the caller and the family member that is creating most of the problem.

D.

Identify the presenting problem and arrange a consultation with the parents of the family to develop a therapeutic alliance and strategy for fixing the problem.


uestion 58

Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? Check all that apply.

A.

CBT is a system of psychotherapy based on a theoretical framework which maintains how an individual structures one's experiences largely determines how one feels and behaves.

B.

Maladaptive thoughts relating to the "cognitive triad" are rooted in irrational or illogical assumptions.

C.

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

D.

A and C


Question 59

A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factors?

A.

Altruism

B.

Universality

C.

Imparting of information

D.

Development of socializing techniques


uestion 60

A basic strategy of dynamic supportive therapy in which the advanced practice psychiatric nurse assists the patient with reality testing, problem-solving, impulse control, affect modulation, interpersonal awareness, social skills, and empathy is most specifically known as which of the following?

A.

Manage transference

B.

Lend psychic structure

C.

Hold and contain the patient

D.

Foster and protect the therapeutic alliance.


uestion 61

The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for the patient; do for the patient what he or she cannot do for self, always with an aim toward maximum independence and growth which is consistent with which basic strategy of dynamic supportive therapy?

A.

Make connections

B.

Encourage patient activity

C.

Manipulate the environment

D.

Maximize adaptive coping mechanisms


uestion 62

What distinguishes psychoanalytic therapy from other types of therapies?

A.

The focus on problem-solving

B.

The focus on irrational thoughts

C.

The focus on dreams and wishes

D.

The deep analysis of the patient relationship with the therapist.


Question 63

The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts?

A.

Id vs ego conflict

B.

Super ego actions to censor and restrain

C.

Psychic determinism

D.

Ego synchrony


Question 64

In supportive psychodynamic psychotherapy the content of the sessions most often focuses on which of the following?

A.

Feelings and defenses

B.

Life stresses and feelings

C.

Life stresses and problem-solving

D.

B and C


Question 65

Which of the following is consistent with use of direct advice as a strategy of imparting of information?

A.

Specific advice-giving supports intimate group engagement.

B.

The most effective form of direct advice is direct suggestion.

C.

Direct advice is often an important clue in elucidation of interpersonal pathology in the group.

D.

The least effective form of direct advice was a series of alternative suggestion for goal achievement.

 


Question 66

The advanced practice psychiatric nurse solution focused therapy with a family will do which of the following?

A.

Focus on the etiology of the problem

B.

Focus on problem formation

C.

Clearly define the problem for the family and then focus on potential solutions for the family.

D.

Help the family amplify exceptions to their problem and recognize effective solutions already in their repertoire.

 


uestion 67

Which of the following is not consistent with clinical practice guidelines for use of psychodynamic therapy for various psychiatric disorders?

A.

Panic-focused psychodynamic psychotherapy is recommended as an initial treatment for Panic Disorder

B.

No RCTs support use of psychodynamic therapy for Obsessive-Compulsive Disorder.

C.

Psychodynamic therapy is considered a first-line treatment for Schizophrenia

D.

Psychodynamic therapy is a therapeutic treatment option for Major Depressive Disorder.

 


Question 68

It is important for the new nurse psychotherapist to become comfortable with which of the following?

A.

Learning to be directive to help the patient feel better.

B.

Letting the psychotherapeutic process unfold over time.

C.

Helping the patient feel better is the main goal of psychotherapy

D.

Building a therapeutic toolbox for a variety of "fix it" solutions for a variety of problems.

 


Question 69

When working with a couple the therapist observes the wife seems to have more power in the relationship and the husband seems disengaged. The advanced practice psychiatric nurse can safely assume which of the following based on the couple's Appalachian culture/roots?

A.

This is a culturally consistent framework where the wife is typically the decision maker in the family.

B.

This is not culturally consistent with Appalachian norms and is an issue for the couple's therapy.

C.

The couple is aware of the gender inequality in the family and is fine with it.

D.

The advanced practice psychiatric nurse cannot assume any of the above and needs to further assess roles in the relationship.

 


Question 70

Which of the following is consistent research related to resilience and posttraumatic growth?

A.

Resilience and posttraumatic growth are inversely related.

B.

There is a curvilinear relationship between posttraumatic growth and resilience.

C.

Moderate resilience and emotional intelligence is associated with the most growth.

D.

All of the above

 


Question 71

Borderline pathology is thought to evolve from problems in which of Mahler's stages of separation-individualization?

A.

Practicing

B.

Consolidation

C.

Differentiation

D.

Rapprochement

 


Question 72

The advanced practice psychiatric nurse is working with a couple on conflict management. They report during a recent argument the husband threw a plate across the room. Based on the current advances in neuroscience the advanced practice psychiatric nurse explains:

A.

People do things because of what happens in their brain.

B.

Biological events cause human actions.

C.

One can learn to activate their prefrontal cortex and retrain emotional reactions.

D.

Biological events always over-rides free will.

 


Question 73

Psychodynamic psychotherapy interventions focus on which of the following?

A.

The person's thoughts beliefs and behaviors

B.

The person's relationships and family dynamics

C.

The person's emotions and thoughts, deepening understanding of triggers form the past played out in the present.

D.

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

 


Question 74

The change agent in relational psychodynamic therapy is which of the following?

A.

Insight

B.

Interpretation of past experiences

C.

Exploration of genetic roots of the problem

D.

Mindfulnes

 


Question 75

A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following?

A.

Cultural syndrome

B.

Cultural formulation

C.

Cultural idiom of distress

D.

Cultural explanation or perceived cause

 


Question 76

A group member becomes angry with the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors?

A.

Catharsis

B.

Interpersonal learning

C.

Development of socializing techniques

D.

The corrective recapitulation of the primary family group

 

 


Question 77

Role play in the context of the therapy session is an example of which of the following behavioral techniques:

A.

Bibliotherapy

B.

Behavioral rehearsal

C.

Contingency management

D.

Cognitive restructuring


Question 78

The advanced practice psychiatric nurse who assists the patient to maintain eye contact appropriately, shaking hands appropriately, appropriate language in public is doing which of the following?

A.

Social Skills Training

B.

Shame-Attacking Exercises

C.

Guided Contingency Management

D.

Examining Options and Alternatives


Question 79

"If I was in a relationship, all of my problems would be solved" is an example of which type of cognitive distortion?

A.

Fallacy of attachment

B.

Fallacy of worrying

C.

Fallacy of perfect effect

D.

Fallacy of the change of others


Question 80

In a family session a teenager whose parents deny him a night out states angrily "See they never let me do anything!" The advanced practice psychiatric nurse using a Cognitive Behavioral Family Therapy framework recognizes this as cognitive distortion known as:

A.

Labeling and mislabeling

B.

Overgeneralization

C.

Personalization

D.

Magnification and minimization


Question 81

In patients with chronic hyperarousal their Resilience Zone may be too narrow. Strategies to widen the Resilience Zone would include which of the following?

A.

Exercise, decreasing caffeine intake, and imagery

B.

Relaxation exercises, increasing caffeine intake and imagery

C.

Both A and B

D.

None of the above because actually their Resilience Zone is too wide


Question 82

Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques?

A.

Social learning is a therapeutic factor that operates in all therapy groups.

B.

Groups permit members to understand there is a huge discrepancy between their intent and their actual impact on others.

C.

Social skills learned in therapy groups can serve individuals well in future social interactions outside of the group setting.

D.

All of the above


Question 83

According to the Stages of the Family Life Cycle the key emotional process of transition for single young adults is:

A.

Commitment to a new system.

B.

Accepting the shifting generational roles.

C.

Accepting new members into the system.

D.

Accepting emotional and financial responsibility for self.


Question 84

Which of the following is not consistent with current research related to psychotherapy and psychotropic medication?

A.

Research suggests that psychotherapy enhances the effects of psychotropic medication.

B.

Studies comparing medication with psychotherapy found both produce similar physiological changes in the brain.

C.

Studies comparing medication with psychotherapy found both produce physiological changes but brain changes are different for medications than for psychotherapy.

D.

Research suggests psychotropic medications may interfere with the learning that takes place during psychotherapy.


Question 85

The concept that reminds us that families are open systems, and our interpretations are shaped by assumptions we absorb from the culture is known as:

A.

Constructivism

B.

Systems Theory

C.

Attachment Theory

D.

Social Constructionism


Question 86

Which of the following is not consistent with therapeutic process of the corrective recapitulation of the primary family group in group psychotherapy?

A.

The therapeutic value is that early familial conflicts are simply relived.

B.

The therapeutic value is that early familial conflicts are relived correctively.

C.

Fixed roles must be constantly explored and challenged.

D.

Working out problems in the group setting is also working through unfinished business from long ago.


Question 87

According to Mahler's stages of separation-individuation the phase of "normal autism" occurs during what age range?

A.

Birth to 1 month

B.

10 to 16 months

C.

16 to 24 months

D.

24 to 36 months


Question 88

During the middle phase of family therapy treatment much of the treatment is devoted to which of the following:

A.

Identifying major conflicts and focusing on structures that perpetuate them.

B.

The therapist serving as a conduit for most of the communication to keep conflict at a minimum during the session.

C.

Helping the family members to deal more constructively with each other in the sessions.

D.

Preventing family members from feeling anxiety as they are working through their issues.


Question 89

According to Benner's role acquisition model, the advanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long-term solutions, is functioning at which level of competency?

A.

Novice

B.

Advanced beginner

C.

Competency/proficiency

D.

Expert


Question 90

In relational psychodynamic psychotherapy the therapist helps the patient with which of the following?

A.

To understand the patient's impact on others.

B.

To deepen the patient's understanding of others.

C.

Both A and B

D.

Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy.


Question 91

Cross-cultural research supports which of the following?

A.

Culture determines what is considered a psychiatric disorder

B.

Neurobiological mechanisms linked to stress and trauma are consistent across cultures

C.

Neurobiological mechanisms linked to stress and trauma vary across cultures

D.

A and B

E.

A and C


Question 92

Schizoid personality is a pathological outcome associated with which of Erickson's psychosocial stages?

A.

Autonomy vs. self-doubt

B.

Industry vs. inferiority

C.

Identity vs. role confusion

D.

Intimacy vs. isolation


Question 93

Evidenced based guidelines for patient treatment are based on which of the following?

A.

Consensus of expert panel

B.

Systematic reviews of case studies.

C.

Systematic reviews of randomized controlled studies (RTC).

D.

A and C


Question 94

The process of a group member benefitting by observing the therapy of another member with similar problems is a phenomenon referred to as which of the following:

A.

Modeling

B.

Spectator therapy

C.

Copy-cat phenomenon

D.

Universality


Question 95

According to Freud's Psychosexual stages development of sexual identity occurs during what age range?

A.

18 months to 3 years

B.

3 years to 6 years

C.

6 years to 12 years

D.

13 years to 20 years


Question 96

Yalom states the group therapy analogue to relationship in individual therapy is which of the following?

A.

Universality

B.

Cohesiveness

C.

Social microcosm

D.

The corrective emotional experience


Question 97

Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist's framework?

A.

Eric Erickson

B.

Sigmund Freud

C.

Margaret Mahler

D.

Harry Stack Sullivan


Question 98

A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following?

A.

Immediacy

B.

Abreaction

C.

Differentiation

D.

Rapprochement


Question 99

According to Minuchin two patterns common to troubled families are:

A.

Victims and rescuers

B.

Entitlement and indebtedness

C.

Enmeshed and disengaged

D.

Leaders and followers


Question 100

A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. The advanced practice psychiatric nurse recognizes this behavior as which of the following?

A.

Avoidance

B.

A sign the patient has met goals.

C.

The patient is ready to talk about termination of therapy.

D.

The patient is bored because the sessions have not been very interesting.

nales and pages of this assigment.

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