Question 50 A family has been court-ordered to family therapy. The...

Question 50

A family has been court-ordered to family therapy. The family does not want to participate in therapy. The advanced practice psychiatric nurse using a solution focused therapy model would most likely do which of the following?

1.  Ask them what the minimum is that they need to do to satisfy the court order.
2.  Review the case and offer suggestions for solving the issue.
3.  Acknowledge the forced nature of the therapy and encourage them to use this as an opportunity to grow together as a family.
4.  Refuse to see them as clearly, they don't want to be there, and therapy won't help them.

Question 51

Which of the following is true about working with dreams?

1.  Dream interpretation is a left-brain endeavor.
2.  Dreams represent past conflicts and work is on past conflicts
3.  Dreams are the brain's attempt to process and integrate daily information.
4.  Dream symbol books are useful for dream work due to universal meaning of dreams.

Question 52

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?

1.  Write a termination letter indicating only that the therapy is being terminated effective immediately.
2.  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.
3.  Make sure patient not in crisis and refer to a specific provider.
4.  B and C 

Question 53

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

1.  Emotional reactivity
2.  Relationship triangles
3.  Differentiation of self
4.  Enmeshment

Question 54

Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist?

1.  The collaborative dialogue is goal-directed and specific.
2.  The therapist may use everyday experiences as therapeutic metaphors.
3.  Self-disclosure is frequently used to motivate the patient in problem solving.
4.  Socratic Dialogue questions should be framed in a way to elicit an affirmative response.

Question 55

The skilled psychotherapist assists the patient to stay in the Resilience Zone. Which of the following symptoms are consistent with hypo arousal?

1.  Pain, anxiety, fatigue
2.  Emptiness, emotional paralysis, emotional numbness
3.  Euphoria, irritability, panic
4.  Angry outbursts, anxiety, exhaustion

Question 56

Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.

1.  Higher rate of attendance
2.  Acceptance for a variable level of active participation
3.  A concrete system for measuring cohesiveness
4.  A and B

Question 57

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

1.  What has happened in the past determines what we do today.
2.  Psychodynamic psychotherapy is rooted in developmental theory
3.  By changing one's thoughts, emotions and behaviors can be changed.
4.  Through understanding the past, the individual is impowered to make more conscious decisions.

Question 58

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

1.  Restructuring
2.  Interpretations
3.  Desensitization
4.  Exploring wishes

Question 59

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:

1.  Labeling and mislabeling
2.  Overgeneralization
3.  Personalization
4.  Magnification and minimization

Question 60

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?

1. Avoidance
2. A sign the patient has met goals.
3.  The patient is ready to talk about termination of therapy.
4. The patient is bored because the sessions have not been very interesting.

Question 61

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

1.  Practicing
2.  Consolidation
3.  Differentiation
4.  Rapprochement

Question 62

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

1.  Panic-focused psychodynamic psychotherapy is recommended as an initial treatment for panic disorder
2.  No RCTs support use of psychodynamic therapy for obsessive-compulsive disorder.
3.  Psychodynamic therapy is considered a first-line treatment for Schizophrenia
4.  Psychodynamic therapy is a therapeutic treatment option for Major Depressive Disorder.

Question 63

The power of family therapy comes from

1.  Focusing on dysfunctional emotions
2.  Ignoring dysfunctional emotions
3.  Bringing parents and children together to transform their interactions.
4.  Clearly identifying fault and restructuring

Question 64

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?

1.  Manage transference
2.  Lend psychic structure
3.  Hold and contain the patient
4.  Foster and protect the therapeutic alliance.

Question 65

We all have preconceptions that are brought into every situation. As a nurse psychotherapist it is important to do which of the following?

1.  Eliminate all preconceptions before meeting with the patient.
2.  Always be transparent with the patient regarding any preconceptions.
3.  Be aware of preconceptions, what they are and how they influence our work.
4.  Discuss preconceptions you have with the patient as others likely have similar preconceptions about the patient.