Show Unformatted Attachment PreviewlOMoAR cPSD| 11897698 NRNP 6645 FINAL EXAM NRNP 6645 Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 The advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of the following is true about a relapse prevention plan? A relapse prevention plan includes identifying triggers to the patient’s gambling and a A variety of coping strategies to avoid or successfully manage triggers without . reverting to gambling. B A relapse prevention plan should be completed during the initial stage of treatment. . C D The main focus of a relapse prevention plan is on changing behaviors. . The main focus of a relapse prevention plan is on cognitive or thought processes to decrease the desire to gamble . Which of the following is consistent with the psychotherapeutic approach used by existential psychotherapists? A The existential approach has a specific set of techniques used. . B The existential relies on the patient to drive the therapeutic direction. . C The existential therapist presents broad existential themes but avoids in- depth . questioning. D The existential psychotherapist is free to draw on techniques from other psychotherapeutic models . . 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. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 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. . Which of the following is not consistent with what is known about relapse? A B C Relapse indicates treatment failure. . Relapse is a persistent risk in addiction. . Relapse is a characteristic of all chronic medical diseases. . D Relapse is the return to substance use or addictive behaviors after periods . of abstinence. The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) is working with an older adult who does not realize she has depression. Which of the following is true? A IPT is not an appropriate model for treating depression in older adults. . B This is a common IPT issue with older adults during the initial sessions. . C The advanced practice psychiatric nurse should consider using a standardized scale to quantify the depression and use this to educate the patient and the family. . D B and C . The patient in Dialectical Behavior Therapy (DBT) complains the skills being taught in DBT don’t work, struggles with keeping diary cards, and doing assigned homework. This is consistent with which stage of treatment within the DBT model? A Stage 1 . B Stage . 2 C Stage 3 . D Stage 4 . Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of the following? A Freedom . B Responsibili ty . C Authenticity . D Meaning . Which of the following is not consistent with a family-centered approach in child therapy? A B In family-centered treatment, the family is the focus of treatment. . 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. The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following? A Focusing . B Body awareness . C Language of . responsibility D Empty-chair dialogue . The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? A Given concerns about relapse it would be important to meet with the patient just this . one time and just for 10 minutes but meet in your office. B Remind the patient that one of the rules is not having contact outside of therapy Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 sessions. . C Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group. . D Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only this once and only for 10 minutes. . Which of the following statements would not be consistent with the humanistic-existential concept of “holism” ? A People are unique. . B The whole is greater than the sum of its parts. . C . Mind, body, spirit work in a unified synergistic fashion. D Dysfunctions such as a chemical imbalance . must be Which of the following statements would not be consistent with the humanistic-existential concept of “holism” ? A People are unique. . B The whole is greater than the sum of its parts. . C . Mind, body, spirit work in a unified synergistic fashion. . D Dysfunctions such as a chemical imbalance must be identified. 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. . The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A Life Review Therapy (LRT) . B Reminiscence Therapy (RT) . C A Mindfulness Strategy . D Interpersonal Psychotherapy (IPT) . The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? A Projection . B Retroflecti on . C Confluenc e . D Deflection . 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 . 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 . Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following? A ShameAttacking . B Exposure Therapy . C Cognitive Rehearsal . D Guided relaxation and meditation . Which of the following are “Help Now!” skills? Select all that apply. A jDrink a glass of water, tea, or uice. . B Name 6 colors you see wherever you are. . C Open and close your eyes. D . A and B on . 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 . C EMDR D A and C . • • . Question 20 of 101 Moving to another question will save this response. Question 20 In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following? A Recognize the therapist is human and fallible. . B Make every reasonable effort to provide competent treatment for the patient. . Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C Share the rules for the DBT therapist with the patient during orientation to the therapy. . D The therapist agrees to use consultation and allow the patient to view this directly if desired. . Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders? A . B Conduct Disorders Anxiety and Depression . C Depression and Psychosis . D Attention DeficitHyperactivity Disorders . When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients? A Patients can fail in therapy. . B Patients are doing the best they can. . C Patients need to do better, try harder and be more motived to change. . D Patients may not have caused all their problems, but they need to solve them anyway. . The patient in Dialectical Behavior Therapy with a history of self-harming through cutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of the following? A The patient is ready to focus on selffulfillment . B The patient is ready to focus on self- efficacy . C The patient is ready to begin exposure therapy. . D The patient is ready to begin termination from therapy. . Strategies for terminating a therapy relationship with an older adult includes: A The advanced practice psychiatric nurse needs to develop a checklist to determine Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 goals have been made and it is time to terminate. The advanced practice psychiatric nurse determines therapy goals attained, . . B terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy. C The advanced practice psychiatric nurse should set clear therapy goals, commend . patient on goal attainment and terminate the therapy. D Termination should occur by mutual decision between advanced practice psychiatric . nurse and patient based on the therapy goals attained. Strategies for terminating a therapy relationship with an older adult includes: A The advanced practice psychiatric nurse needs to develop a checklist to determine goals have been made and it is time to terminate. The advanced practice psychiatric nurse determines therapy goals attained, . . B terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy. C The advanced practice psychiatric nurse should set clear therapy goals, commend . patient on goal attainment and terminate the therapy. D Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained. . The person-centered therapist is expected to exhibit which of the following characteristics? A Congruence . B Unconditional positive regard . C Accurate empathic understanding . D All of the above . Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 The patient demonstrates the ability to regulate his emotions in such a way he can think through them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment? A Stage 1 . B Stage . 2 C Stage 3 . D Stage 4 . Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH? B Weekly group skills training sessions for the patient of 2.5 hours each. . C Skills coaching via telephone or other electronic means as needed by the patient to manage I vivo situations . D Team consultation to the therapist to maintain treatment fidelity and adherence . Evidence supports which of the following statements about women and addictions treatment? A Treatment needs to be readily accessible. . B Psychotropic medication should be stopped prior to treatment. . C Treatment does not need to be voluntary to be effective. . D Drug use during treatment must be monitored continuously as lapses may occur . during treatment. sing a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements wh A Bi-weekly individual therapy sessions for the patient of about 1 hour each. . Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events. . B C D . Women are more apt to drop out of treatment than men. . Women are less likely than men to seek mental health services. W . Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder? A Evidence suggests the substance use issues be addressed first as substances can mask the issues and symptoms of PTSD. . B Evidence suggests symptoms of PTSD be addressed before initiating any substance abuse issues as PTSD symptoms are what typically trigger substance abuse. . C Clinicians need to learn evidence-based treatment approaches to simultaneously treat the underlying PTSA while addressing substance use. . D Evidence suggests a low dose antipsychotic medication is most effective in treating PTSD symptoms and can also minimize alcohol and other drug abuse. . he advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following? A Invite the patient to new ways of viewing a situation . B Guiding patient to develop more skills to achieve a greater quality of life. . C D Engage the patient in change talk A and B . . A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business? A Focusing . B Dreamwork . C Empty-chair dialogue . D Language of . responsibility Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? A B Schizophrenia . New onset depression . C Bipolar Affective Disorder . D Borderline Personality Disorder . Problems in the preschool child’s self-regulation has been tied to subsequent issues with which of the following? A Aggression . B Conduct . . Problems C Social Withdrawal D All of the . above. A CPT . B CPT-PE . C EMDR therapy . D Pharmacological . interventions. Which of the following would not be a first-line intervention for an individual with PTSD? The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of the following? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A The basic structure of psychotherapy with children aligns with principles of psychotherapy for adults. . B The basic structure of psychotherapy with children for the most part is not aligned with principles of psychotherapy for adults. . C Engaging with the family precedes engagement with the child or adolescent in the first family meeting. . D Typically children are exited to engage in psychotherapy to improve the home situation. . Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the advanced practice psychiatric nurse would do which of the following in Stage 1? A Address safety issues . B Promote symptoms stabilization . C Process painful memories D . A and C . When doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include: A Shorter, more frequent sessions . B Summarizing previous sessions . C Quizzing patient on previous sessions . D Insist the patient bring a notebook and . take not 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 . Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by the Gestalt therapist as which of the following? A Interruptions . B Figure and ground . C Layers of personality . DOrganismic selfregulatio . According to the Trauma Resiliency Model which of the following occurs? A Emotions precede and underlie physical sensations of trauma, . B Physical sensations precede and underlie emotions of trauma. . C Physical sensations and emotional sensations occur simultaneously. . D TRM. None of the above have anything to do with . Which of the following is not consistent with what is currently known about debriefing? A Debriefing involves talking about the trauma immediately after the event. . B APA practice guidelines support use of debriefing due to efficacy. . C D Debriefing may increase post trauma symptoms. . Debriefing does not prevent PTSD. . Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A Artistic endeavors such as sculpting, drawing painting. . B C D Movement therapies such as dance. Tapping on acupressure points . . Cognitive skills such as thought stopping and guided . self-dialogue The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition? A B Congruence . Actualizing tendency . C Belief of human nature . D Accurate empathic understanding . The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? A Validate the patient ‘s frustration while encouraging and reinforcing use of skills. . B Analyze the behaviors and consequences of the behaviors with the patient. . C Focus on behavioral control and management with emotions as a contextual element. . D All of the above . The therapeutic frame supports the clinician in which of the following ways? Select all that apply. A Maintaining a therapeutic stance of neutrality. . B Maintaining a therapeutic stance of anonymity. . C Maintaining a therapeutic stance of nonintrusiveness. . D A and C . One of the problems when meeting with children individually is that it can create secrets. Which of the following responses would the advanced practice psychiatric nurse do to address this concern? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A Do nothing, maintaining the child’s privacy protects the therapeutic relationship. . B Decide what the parents need to know and give them a summary of the individual . session in with the child in the room. C Decide what the parents need to know and give them a summary privately to avoid any awkwardness for the child. . D Discuss with the child what he or she wants to share with the parents and facilitate the process as needed. . Others PPLs papers The therapeutic frame supports the clinician in which... 1. The therapeutic frame supports the clinician in which of the following ways? Select all that apply. A . Maintaining a therapeutic stance of neutrality. B . Maintaining a therapeutic stance of anonymity. C . Maintaining a therapeutic stance of nonintrusiveness.D . A and C 2. 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? A . Every time the patient has suicidal ideations hospitalization is recommended. B . 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. 3. 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 4. 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. 5. Which of the following is not consistent with the Psychoanalyst's perspective when treating and individual with a personality disorder? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A . It is important to identify and then modify "core" problems when treating individuals with personality disorders. B . Personality structures are unconscious and thus mostly unavailable to the individual. C . Personality products and processes are within the realm of awareness, accessible to the individual. D . Psychoanalytic therapy is an effective treatment for Borderline personality disorder 6. Which of the following statements would not be consistent with the humanistic-existential concept of "holism" ? A People are unique. . B . The whole is greater than the sum of its parts. C . Mind, body, spirit work in a unified synergistic fashion. D . Dysfunctions such as a chemical imbalance must be identified. 7. Which of the following is true about dream work from a Gestalt perspective? A . The individual tells the dream in past tense B . Elements of the dream are viewed using standardized dream symbol meaning. C . A dream diary is required to capture all elements of the team. D . The characters and objects in the dream are projections of the individual whose dream it is.8. When the advanced practice psychiatric nurse builds a formulation when working with a child in therapy the advanced practice psychiatric nurse is doing which of the following? A . Formulation is a type of play therapy. B . Formulation is the child's diagnosis. C . The formulation explains the contexts of the child and family situation, the child's unique presentation, responses and narratives of the events that shaped the interpretation. D . The formulation is the treatment plan. 9. In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? A . Recovery is a lifelong process of change B . A patient is considered recovered after 5 years free of substance use. C . Recovery encompasses dimensions of health, home, purpose and community. D . Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions. 10. 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 11. The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? A . Given concerns about relapse it would be important to meet with the patient just this one time and just for 10 minutes but meet in your office. B . Remind the patient that one of the rules is not having contact outside of therapy sessions. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C . Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group. D . Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only this once and only for 10 minutes. 12. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? A . Addiction B . Tolerance C . Withdraw al D . Dependen ce 13. Which of the following describes the basic neurobiological pathways of the reward system in the brain? A . Projections from the ventral tegmental area, through the median forebrain and terminate in the nucleus accumbens where there is a proliferation of dopamine neurons. B . Projections through the median forebrain, to the ventral tegmental area where there is a proliferation of dopamine neurons, to the nucleus accumbens. C . Projections from the nucleus accumbens to the median forebrains where there is aproliferation of dopamine neurons to the ventral tegmental area. D . Projections from the median forebrain through the ventral tegmental area to the nucleusaccumbens where there is a proliferation of dopamine neurons. 14. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? A . Schizophrenia B . New onset depression C . Bipolar Affective Disorder D . Borderline Personality Disorder 15. The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of the following? A . Freedom B . Responsibili ty C . Authenticity D . Meaning 16. Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the advanced practice psychiatric nurse would do which of the following in Stage 1? A . Address safety issues B . Promote symptoms stabilization C . Process painful memories D . A and C 17. The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? A Projection . B . Retroflecti on C . Confluenc e D . Deflection Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 18. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don't work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? A . Validate the patient 's frustration while encouraging and reinforcing use of skills. B . Analyze the behaviors and consequences of the behaviors with the patient. C . Focus on behavioral control and management with emotions as a contextual element. D . All of the above 19. An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy? A . Belief of human nature B . Self-concept C . Actualizing tendency D . Fully functioning person 20. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following? A . Bi-weekly individual therapy sessions for the patient of about 1 hour each. B . Weekly group skills training sessions for the patient of 2.5 hours each. C . Skills coaching via telephone or other electronic means as needed by the patient to manage Ivivo situations D . Team consultation to the therapist to maintain treatment fidelity and adherence Share Question Answer & Explanation Solved by verified expert 1. The therapeutic frame supports the clinician in which of the following ways? Select all that apply. D . A and C Rationale: B is wrong because it should not be anonymous. Information should be disclosed. 2. 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? B . To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating the hard work of change. Rationale: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that combines strategies like mindfulness, acceptance, and emotion regulation. 3. The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C . Problem-based therapy Rationale: Compared with the traditional study of child development, which has tended to portray 'normal' and 'abnormal' patterns, a resilience approach offers a more differentiated account. In professional practice, resilience means looking for strengths and opportunities to build on, rather than (or alongside) problems, deficits or psychopathology to be remedied or treated 4. Stigma of mental illness in the elderly: A . Has contributed to psychiatric symptoms being expressed with physical symptoms. Rationale: According to Sartorius, stigma leads to discrimination in the provision of services for physical health problems in older people with mental disorders. 5. Which of the following is not consistent with the Psychoanalyst's perspective when treating and individual with a personality disorder? C . Personality products and processes are within the realm of awareness, accessible to the individual. Rationale: Each level of awareness has a role to play in shaping human behavior and thought. 6. Which of the following statements would not be consistent with the humanistic-existential concept of "holism" ? D . Dysfunctions such as a chemical imbalance must be identified. Rationale: Holism is the idea that various systems (e.g. physical, biological, social) should be viewed as wholes, not merely as a collection of parts. 7. Which of the following is true about dream work from a Gestalt perspective? D . The characters and objects in the dream are projections of the individual whose dream it is. Rationale: In Gestalt Therapy, the client is asked to play component parts of the dream. .It helps the client to feel the part of him/herself that he/she has disowned and has projected onto objects of the dream. Disowned parts of the self are in the unconscious, and integration is the work of therapy. 8. When the advanced practice psychiatric nurse builds a formulation when working with a child in therapy the advanced practice psychiatric nurse is doing which of the following? C . The formulation explains the contexts of the child and family situation, the child's unique presentation, responses and narratives of the events that shaped the interpretation. Rationale: Formulation is a concise statement of the case. Unlike summary, it is a discussion about alternative ideas about diagnosis, aetiology, treatment and prognosis and of the arguments for and against each alternative. 9. In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? B . A patient is considered recovered after 5 years free of substance use. Rationale: Recovery is a lifelong process that can take years to achieve. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 10. Which best describes gerotranscendence? A Erik Erikson's ninth stage of development . B . Emphasizes ongoing growth over decrements Rationale: The theory that older people transcend the limited opinions and views of life they once held or wisdom comes with age 11. The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? C . Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group. Rationale: This will prevent harm for the nurse and allows help from other patient from the group 12. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? B . Tolerance Rationale: A person may develop tolerance to a drug when the drug is used repeatedly. 13. Which of the following describes the basic neurobiological pathways of the reward system in the brain? A . Projections from the ventral tegmental area, through the median forebrain and terminate in the nucleus accumbens where there is a proliferation of dopamine neurons. Rationale: The reward pathway of the brain is connected to areas of the brain that control behavior and memory. It begins in the ventral tegmental area, where neurons release dopamine to make you feel pleasure. The brain begins to make connections between the activity and the pleasure, ensuring that we will repeat the behavior. 14. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? D . Borderline Personality Disorder Rationale: DBT may be used to treat suicidal and other self-destructive behaviors. 15. The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of the following? A . Freedom Rationale: Freedom allows person to choose alternatives. 16. Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the advanced practice psychiatric nurse would do which of the following in Stage 1? C . Process painful memories Rationale: The first few sessions of psychotherapy typically focus on understanding and taking a good relationship history, from childhood up to adulthood. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 17. The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? D . Deflection Rationale: Deflection is attempting to draw attention away from oneself and put that attention onto another person. All ages may engage in deflection. Children try to deflect blame when they are in trouble for negative actions by pointing out a different negative action that a sibling did. 18. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don't work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? D . All of the above Rationale: All choices are applicable 19. An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy? B . Self-concept Rationale: Self-concept is how a person perceive their behavior, abilities, and unique characteristics. 20. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following? A . Bi-weekly individual therapy sessions for the patient of about 1 hour each. Rationale: Individual therapy usually involves weekly one-to-one sessions with a DBT therapist. Each session lasts approximately 45-60 minutes. . Which of the following is not consistent with... 1. Which of the following is not consistent with recommendations for teaching Trauma Resiliency Model (TRM) skills? A. TRM self-care skills can be taught and used in any order. B. TRM skill may be taught in individual or group settings Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C. To teach TRM skills, the therapist should be adept at using the skills themself. D. Teaching TRM is cost effective as only one teacher is needed individually or with groups. 2. 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. 3. In working with an older adult patient in the termination phase the advanced practice psychiatric nurse suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This demonstrates which of the following? A. A major HIPPA violation B. Lack of confidence in the patient and the therapeutic process of CBT C. An appropriate strategy to solidify a supportive network for the patient. D. Resistance to terminating the therapeutic relationship. 4. Which of the following is true about communication with children and adolescents? A. Communication is developmentally based. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 B. Offices should be free of toys or distractions. C. Speak to children in adult manner as it lets them know you take them seriously. D. Communicate at level lower than the child or adolescent to improve their self-esteem. 5. 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***** C. EMDR D. A and C 6. Which of the following trends life trends suggests advanced practice psychiatric nurse be prepared to provide mental health and illness treatment in a variety of community and nontraditional settings. A. More older men than women living alone. B. Greatest percentage of older adults living in nursing homes. C. Projected doubling of number of homeless adults between 2010 and 2050 D. More older adults preferring to leave their homes to seek other living arrangements. 7. Dialectical Behavior Therapists realize which of the following: A. Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSD B. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Everyone diagnosed with PTSD can be diagnosed with comorbid borderline personality disorder. C. There are important overlapping symptoms and neuropsychological correlates that PTSD and borderline personality disorder have in common. D. DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts. 8. 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 9. 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 10. 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. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 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. 11. In working with children between the ages of about 7-11 years of age, the advanced practicepsychiatric 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 12. The advanced practice psychiatric nurse working with a patient with borderline personalitydisorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder? A. Secure attachment style B. Unresolved attachment style C. Preoccupied attachment style D. Disorganized attachment style 13. Which of the following medications may be recommended for patients with insomnia due to PTSD? A. Any antidepressant can offer as first-line treatment in adults for PTSD. B. Non-benzodiazepines such as trazodone (Desyrel) Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C. Prazosin (Minipress) may be helpful if nightmares are present. D. B and C 14. According to the MacArthur Study of Successful Aging protective factors on mental and cognitive functioning and successful aging include: A. Positive mental attitude B. Regularly scheduled activities C. Exercise D. All the above 15. The advanced practice psychiatric nurse is working with the patient on maintaining treatmentoutcomes 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 16. Strategies for terminating a therapy relationship with an older adult includes: A. The advanced practice psychiatric nurse needs to develop a checklist to determine goals have been made and it is time to terminate. B. The advanced practice psychiatric nurse determines therapy goals attained, terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy. C. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate the therapy. D. Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained. 17. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following? A. Invite the patient to new ways of viewing a situation B. Guiding patient to develop more skills to achieve a greater quality of life. C. Engage the patient in change talk D. A and B 18. Which of the following would not be a first-line intervention for an individual with PTSD? A. CPT B. CPTPE C. EMDR therapy D. Pharmacological interventions. 19. Emotion-Focused therapy integrates which of the following? A. Person-centered therapy and Gestalt therapy B. Gestalt therapy and Neuroscience research of emotions. C. Neuroscience research of emotions and Person-centered therapy. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 D. Person-centered therapy, Gestalt therapy and Neuroscience research of emotions. 20. Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following? A. Artistic endeavors such as sculpting, drawing painting. B. Movement therapies such as dance. C. Tapping on acupressure points D. Cognitive skills such as thought stopping and guided self-dialogue. 21. The purpose of Mindfulness-Based Stress Reduction in the older adult is A. To avoid using psychotropic medications B. To escape from stressful situations and relationships C. To learn to be present in the moment non-judgmentally. D. To avoid stigma of traditional psychotherapy 22. The stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of the following? A. Cognitive Restructuring Model B. Cognitive Resiliency Model C. Community Resiliency Model D. Cognitive Regeneration Model 23. Which of the following is not an underlying assumption that differentiates child therapiesfrom adult psychotherapy? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A. Family inclusion B. The concept of Recovery C. The concept of Resiliency D. Developmental considerations 24. Which of the following is consistent with a Common Elements approach? Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 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 transdiagnostic approach to treat a variety of common mental health issues. D. Is Common Elements method should not be used with child/adolescents with PTSD. 25. Functional status refers to A. A person's capacity to manage activities of daily living independently B. A person's positive perspective on their own capabilities C. A person's expected increase in dependency as one ages D. A person's expected decrease in independence as one ages 26. 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. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 27. Which of the following is not consistent with Eye Movement Desensitization andReprocessing (EMDR) literature in treating PTSD? A. Treatment effects are long lasting. B. EMDR involves extended exposure C. EMDR treatment for trauma is less time intensive. D. The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event. 28. 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, evidencebased 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. 29. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following? A. Bi-weekly individual therapy sessions for the patient of about 1 hour each. B. Weekly group skills training sessions for the patient of 2.5 hours each. C. Skills coaching via telephone or other electronic means as needed by the patient to manage I vivo situations Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A. D. Team consultation to the therapist to maintain treatment fidelity and adherence 30. The primary source for constructive change in a humanistic-existential approach is which ofthe follow: The patient's motivation B. The therapist's structure C. The therapist-patient relationship D. The patient-family relationship 31. The advanced practice psychiatric nurse working with children/adolescents in psychotherapyis aware of which of the following? A. The basic structure of psychotherapy with children aligns with principles of psychotherapy for adults. B. The basic structure of psychotherapy with children for the most part is not aligned with principles of psychotherapy for adults. C. Engaging with the family precedes engagement with the child or adolescent in the first family meeting. D. Typically children are exited to engage in psychotherapy to improve the home situation. 32. When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients? A. Patients can fail in therapy. B. Patients are doing the best they can. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C. Patients need to do better, try harder and be more motived to change. D. Patients may not have caused all their problems, but they need to solve them anyway. 33. A natural process whereby the individual is continually disturbed by the emergence of aneed, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by the Gestalt therapist as which of the following? A. Figure and ground B. Organismic self-regulation C. Layers of the personality D. None of the above 34. Which of the following does the advanced practice psychiatric nurse need to consider whentreating older adults with Substance Use Disorders? A. Co-existing medical or psychiatric disorder B. Age-related physiological and psychological changes C. Collaboration with primary care providers D. All of the above 35. In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following? A. Recognize the therapist is human and fallible. B. Make every reasonable effort to provide competent treatment for the patient. C. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A. Share the rules for the DBT therapist with the patient during orientation to the therapy. D. The therapist agrees to use consultation and allow the patient to view this directly if desired. ??? 36. 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? 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. 37. Which of the following is true about use of medications and/or psychotherapy in treatment of PTSD? A. Medications alone can cure PTSD B. Medication may be a helpful as an adjunctive treatment but is not a first-line treatment C. Medication directly promotes new learning and processing. D. Medications assuage the guilt, grief and interpersonal difficulties specifically in patients with PTSD. 38. Research suggests that psychodynamic therapeutic approaches are effective for somechildren, particularly those with which of the following disorders? A. Conduct Disorders B. Anxiety and Depression Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C. Depression and Psychosis D. Attention Deficit-Hyperactivity Disorders 39. 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 40. During your second CBT session with an older adult the patient expresses to you comfortwith the CBT model and begins to ask questions about how the therapy works. This indicates which of the following? A. It is time to move to the middle phase of CBT B. This comment seems contradictory, perhaps the patient has a dementia. C. The patient is just trying to rush through the therapy, a type of resistance. D. The patient clearly needs at least one more introductory/early phase session. 41. Dysfunctional processes, developed early in life that people employ in an attempt to meettheir Needs, are referred to by the Gestalt therapist as which of the following? A. Interruptions B. Figure and ground Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A. C. Layers of personality D. Organismic self-regulation 42. 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. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 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. 43. When doing psychotherapy with older adult's accommodations which target cognitivesymptoms and functional deficits include: A. Shorter, more frequent sessions B. Summarizing previous sessions C. Quizzing patient on previous sessions D. Insist the patient bring a notebook and take note 44. When doing psychotherapy with older adult's accommodations which target cognitivesymptoms and functional deficits include: A. Shorter, more frequent sessions B. Summarizing previous sessions C. Quizzing patient on previous sessions D. Insist the patient bring a notebook and take note 45. The underlying assumptions of Trauma Resiliency Model therapy include which of the following? A. Human response to threat are subcortical in nature. B. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Response to trauma is likely transient and should go away with or without treatment. C. The mind has no bias; thus, we make sense of the world in a symmetrical manner. D. Current psychiatric concepts adequately account for the impact of multiple or long-term 46. Addiction is now recognized as which of the following? A. A preventable personality disorder B. A family disorder due to poor parenting C. A volitional behavior that can be managed independently' D. A primary disease of the brain's neurocircuitry. 47. The advanced practice psychiatric nurse is using a Dialectical Behavior Therapy (DBT) approach with a patient who has experienced trauma. In which stage of the DBT model would the advanced practice psychiatric nurse begin exposure therapy? A. Stage 1 B. Stage 2 C. Stage 3 D. Stage 4 48. A specific type of CBT therapies aimed to reduce distress as a person experiencessensation with danger is known as which of the following? A. Shame-Attacking B. Exposure Therapy Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C. Cognitive Rehearsal D. Guided relaxation and meditation 49. Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder? A. Evidence suggests the substance use issues be addressed first as substances can mask the issues and symptoms of PTSD. B. Evidence suggests symptoms of PTSD be addressed before initiating any substance abuse issues as PTSD symptoms are what typically trigger substance abuse. C. Clinicians need to learn evidence-based treatment approaches to simultaneously treat the underlying PTSA while addressing substance use. D. Evidence suggests a low dose antipsychotic medication is most effective in treating PTSD symptoms and can also minimize alcohol and other drug abuse. 50. Which of the following activities is not consistent with the first phase of the eight-phase protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient who has PTSD? A. Desensitization B. Identification of targets. C. Screening for use of EMDR D. Screening for affect tolerance and dissociation 51. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? A. Schizophrenia Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 B. New onset depression C. Bipolar Affective Disorder D. Borderline Personality Disorder 52. Which therapy approach has been shown to be effective in reducing depressive symptoms and suicidality in older adult with co-existing personality disorders? A. Dialectical Behavior Therapy (DBT) B. Ecosystem-Focused Therapy (EFT) C. Cognitive Behavioral Therapy for Executive Dysfunction (CBT-MD) D. D.Problem Adaptation Therapy (PATH) 53. Which of the following is a philosophical approach to psychotherapy which deals withuniversal themes of life? A. Gestalt Therapy B. Psychoanalysis C. Existential psychotherapy D. Person-Centered Psychotherapy 54. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient diagnosed with a personality disorder explains that for success in treatment, the patient must attend the individual and group skills sessions consistently. It is explained to the patient that if four sessions are missed consecutively the treatment will end. Which of the following is true about this rule? A. This is a guideline, not a requirement. B. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 It gives the patient control over his or her commitment to treatment C. This is one of the optional rules for Dialectical Behavior Therapy and may be done at the therapist's discretion. D. This is a therapeutic strategy to exert control over the patient and therapy process. 55. Which of the following is consistent with Trauma Resiliency Model (TRM) therapy? A. TRM therapy facilitates patient's awareness of pleasant, unpleasant, and neutral body sensations. B. TRM acknowledges negative affect and it's accompanying unpleasant physical sensations. C. TRM therapist teaches patient techniques to intentionally modulate negative emotions by shifting away from negative sensations. D. All of the above 56. The advanced practice psychiatric nurse working with the older adult cohort recognizes: A. As a group, the elderly, regardless of specific age, race or experiences have similar issues. B. This is basically the baby boomer generation, with great empowerment and entitlement C. This enlightened cohort sees no stigma with mental health diagnosis or treatment. D. There is great diversity with individual variation and cohort effects 57. Evidence-based therapeutic modalities for treating older adults with anxiety include which ofthe following: A. Cognitive Behavioral Therapy, Relaxation training, Biofeedback B. Dialectical Behavior Therapy, Reminiscence Therapy, Biofeedback Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 C. Guided Imagery, Music Therapy, Yoga D. A and C 58. The patient in Dialectical Behavior Therapy with a history of self-harming through cutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of the following? A. The patient is ready to focus on self-fulfillment B. The patient is ready to focus on self-efficacy C. The patient is ready to begin exposure therapy. D. The patient is ready to begin termination from therapy. 59. Which of the following screening tools is geared toward screening pregnant women for alcohol and drug abuse A. CAGEAID B. CRAFFT C. TWEAK D. UNCOPE 60. Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event? A. Tell me about your childhood. B. Tell me what happened last week. C. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Let's just focus on the here and now. D. Tell me the story as if it were happening now. 61. Recovery, according to behavioral health leaders, is considered a lifelong process that encompasses which four major dimensions: A. Health, Wealth, Relationships, Sleep B. Health, Home, Purpose and Community C. Purpose, Personality, Health, Relationships D. Community, Relationships, Wealth, Health 62. 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. 63. 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. Tole rance B. Wit hdrawal C. Add iction D. A craving Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 64. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? A. Addiction B. Tolerance C. Withdrawal D. Dependence 65. In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structured approach includes which of the following? A. Relaxation skills B. Problem solving skills C. Constructing the trauma narrative D. Psychoeducation with child and parent about trauma response and what causes it. 66. The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of the following? A. Freedom B. Responsibility C. Authenticity D. Meaning Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 67. The advanced practice psychiatric nurse using supportive psychotherapy with a patient with apreoccupied attachment style would use which of the following interventions? A. Active interventions to facilitate emotional expression and connection. ??? B. Supportive interventions to help the patient contain overwhelming emotions. C. Any interventions on the psychodynamic continuum with not customizations. D. None of the above. Attachment style has no bearing on psychodynamic therapy. 68. In working with an older female patient, the advanced practice psychiatric nurse notices thepatient seems to respond superficially reminding the advanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. The advanced practice psychiatric nurse recognizes this as A. Gerotransference B. Transcendence C. Countertransference D. A sign of a close therapeutic relationship 69. Problems in the preschool child's self-regulation has been tied to subsequent issues with which of the following? A. Aggression B. Conduct Problems C. Social Withdrawal D. All of the above. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 70. The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model? A. Pretreatment B. Stage 1 C. Stage 2 D. Stage 3 71. Evidence supports which of the following statements about women and addictions treatment? A. Women seeking treatment for substance use disorder are more likely than men to have experienced traumatic events. B. Women are more apt to drop out of treatment than men. C. Women are less likely than men to seek mental health services. D. Women are less likely than men to participate in group therapy. 72. The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the patient "What are you experiencing right now in your body?" This is a type of creative experimentation known as which of the following? A. Focusing B. Body awareness C. Language of responsibility Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 D. Empty-chair dialogue 73. The advanced practice psychiatric nurse realizes which of the following with respect toindividuals 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. 74. McGovern et al (2014) have found which of the following therapeutic approaches helpful Inworking with post-stroke patients experiencing depression? A. Interpersonal Therapy for Mild Cognitive Impairment (IPT-CT) B. Problem-Solving Therapy for Executive Dysfunction (PST-ED) C. Cognitive Behavioral Therapy for Mild Dementia (CBT-MD) D. Ecosystem-Focused therapy (EFT) 75. 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. S tage 1 C. S tage 2 D. Stage 3 Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 76. In child psychotherapy consideration of systems that promote a child's ongoing development include which of the following? A. eers P B. F amily C. S chool D. Community 77. The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as A. Life Review Therapy (LRT) B. Reminiscence Therapy (RT) C. A Mindfulness Strategy D. Interpersonal Psychotherapy (IPT) 78. 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 Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 79. Which of the following is not consistent with a family-centered approach in working with children/adolescents? A. The family is the focus of the treatment B. Family treatment is appropriate to improve family interactions. C. Family treatment is appropriate to keep families engaged in services. D. Family treatment is appropriate to increase family knowledge about mental health. 80. The Gestalt Therapist working with a patient notices that every time a sensitive issue comeup the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following? A. Introjection B. Proje ction C. Defl ection D. Retroflection 81. The patient demonstrates the ability to regulate his emotions in such a way he can think through them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment? A. S tage 1 B. S tage 2 C. S tage 3 D. Stage 4 Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 82. n working with a patient with borderline personality disorder, the Dialectical Behavior Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are the highest priority for treatment. Which of the following would be inconsistent with DBT therapy? A. The patient must agree to reduce self-harming behaviors as a goal for therapy. B. The patient must agree to work with the therapist before acting on self-harming urges. C. If the patient engages in the self-harming behavior and is admitted to the hospital the therapist can continue to support the patient through scheduled telephone or in-person sessions. D. If the patient engages in the self-harming behavior and is admitted to the hospital the therapist suspends direct consultation with the patient until 24 hours after the patient is discharged from the hospital. 83. Sleep disturbances are common for those who have experienced trauma. Which ofthe 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. 84. Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance? A. Clarify explicitly the boundaries of the therapeutic relationship. B. The therapist will maintain confidentiality within the limits of the law and ethical practice. C. Explain a professional relationship is based on mutual respect and the desire to help the patient. D. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient. 85. Which of the following are psychotherapeutic techniques used in person centeredpsychotherapy? A. A highly structured approach is used. B. Process interventions are widely used. C. Directive, interpretive techniques are used. D. A nondirective-facilitative counseling approach is used. 86. A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business? A. sing Focu B. Drea mwork C. Empty-chair dialogue D. Language of responsibility 87. According to a Gestalt framework, to uncritically accept others' beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctional process known as which of the following: A. Confl uence B. tion Projec C. Introj ection D. Retroflection Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 88. 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. 89. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don't work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? A. Validate the patient 's frustration while encouraging and reinforcing use of skills. B. Analyze the behaviors and consequences of the behaviors with the patient. C. Focus on behavioral control and management with emotions as a contextual element. D. All of the above 90. 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. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 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. 91. Which of the following is consistent with the psychotherapeutic approach used byexistential psychotherapists? A. The existential approach has a specific set of techniques used. B. The existential relies on the patient to drive the therapeutic direction. C. The existential therapist presents broad existential themes but avoids in-depth questioning. D. The existential psychotherapist is free to draw on techniques from other psychotherapeutic models . 92. This theoretically and clinically complex psychotherapeutic approach which recognizes the unity of humans as integrated wholes, not divided into parts, taken out of context, or generalized, is known as which of the following? A. Gestalt Psychotherapy B. Person-Centered Therapy C. Existential Psychotherapy D. Emotion-focused Therapy 93. Which of the following describes the basic neurobiological pathways of the reward system inthe brain? A. Projections from the ventral tegmental area, through the median forebrain and terminate in the nucleus accumbens where there is a proliferation of dopamine neurons. B. Projections through the median forebrain, to the ventral tegmental area where there is a proliferation of dopamine neurons, to the nucleus accumbens. C. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Projections from the nucleus accumbens to the median forebrains where there is a proliferation of dopamine neurons to the ventral tegmental area. D. Projections from the median forebrain through the ventral tegmental area to the nucleus accumbens where there is a proliferation of dopamine neurons. 94. 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. 95. Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH? A. Treatment needs to be readily accessible. B. Psychotropic medication should be stopped prior to treatment. C. Treatment does not need to be voluntary to be effective. D. Drug use during treatment must be monitored continuously as lapses may occur during treatment. 96. Which of the following is not consistent with the Psychoanalyst's 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 thus mostly unavailable to the individual. C. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Personality products and processes are within the realm of awareness, accessible to the individual. D. Psychoanalytic therapy is an effective treatment for Borderline personality disorder 97. The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? A. Given concerns about relapse it would be important to meet with the patient just this one time and just for 10 minutes but meet in your office. B. Remind the patient that one of the rules is not having contact outside of therapy sessions. C. Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group. D. Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only this once and only for 10 minutes. 98. 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 99. Critical goals in addiction treatment include improving impulse control, reducing craving, and promoting and adaptive social environment. Evidenced based skills that can best impact these goals include: Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 A. Life Review Therapy B. Contingency Management C. Motivational Interviewing D. Interpersonal Psychotherapy E. B & C 100. Critical goals in addiction treatment include improving impulse control, reducing craving, and promoting and adaptive social environment. Evidenced based skills that can best impact these goals include: A. Life Review Therapy B. Contingency Management C. Motivational Interviewing D. Interpersonal Psychotherapy E. B & C Share Question Comments (1) Answer & Explanation Solved by verified expert 1. 2. 3. 5. 6. A B A 4. A B A Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 7. C 8. A 9. D 10. D 11. D 12. B 13. A 14. B15. B 16. B 17. A 18. C 19. C 20. D 21. A 22. C 23. B 24. B 25. A 26. C 27. D 28. B29. B 30. C 31. A 32. D 33. B 34. B 35. D 36. A 37. B 38. C 39. A 40. D 41. C 42. D43. D 44. D 45. C46. A 47. A 48. A 49. B 50. A51. A 52. A 53. C54. C 55. B 56. A 57. C Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 58. D 59. A 60. B 61. B62. D 63. A 64. C 65. B 66. B 67. A68 .B 69. B 70. A 71. C72. C 73. C 74. A 75. B76. B 77. C 78. D 79. A 80. B 81. D 82. A 83. B84. B 85. B 86. A 87. A 88. C 89. D 90. A 91. A 92. B 93. D 94. D 95. B 96. C 97. A98. A 99. A 100. D Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Step-by-step explanation Interpersonal Psychotherapy is always time limited. It improves the performance; the inter relationships. It helps to solve the problems by communication. It is very helpful in resolving any issue. I hope this will help you Thank you! In providing psychoeducation to patient's in recovery, the advanced... In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? A. Recovery is a lifelong process of change B. A patient is considered recovered after 5 years free of substance use. C. Recovery encompasses dimensions of health, home, purpose and community.D. Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions. 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 The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? A. Given concerns about relapse it would be important to meet with the patient just this one time and just for 10 minutes but meet in your office. B. Remind the patient that one of the rules is not having contact outside of therapysessions. C. Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group. D. Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues,but only this once and only for 10 minutes. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? A. Addiction Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 B. Tolerance C. Withdrawal D. Dependence Which of the following describes the basic neurobiological pathways of the reward system in the brain? A. Projections from the ventral tegmental area, through the median forebrain andterminate in the nucleus accumbens where there is a proliferation of dopamine neurons. B. Projections through the median forebrain, to the ventral tegmental area where thereis a proliferation of dopamine neurons, to the nucleus accumbens. C. Projections from the nucleus accumbens to the median forebrains where there is aproliferation of dopamine neurons to the ventral tegmental area. D. Projections from the median forebrain through the ventral tegmental area to thenucleus accumbens where there is a proliferation of dopamine neurons. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? A. Schizophrenia B. New onset depression C. Bipolar Affective Disorder D. Borderline Personality Disorder The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of the following? A. Freedom B. Responsibility C. Authenticity D. Meaning Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the advanced practice psychiatric nurse would do which of the following in Stage 1? A. Address safety issues B. Promote symptoms stabilization C. Process painful memories D. A and C The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? A Projection. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 B. Retroflection C. Confluence D. Deflection The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don't work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? A. Validate the patient 's frustration while encouraging and reinforcing use of skills. B. Analyze the behaviors and consequences of the behaviors with thepatient. C. Focus on behavioral control and management with emotions as acontextual element. D. All of the above An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy? A. Belief of human nature B. Selfconcept C. Actualizing tendency D. Fully functioning person The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following? A. Bi-weekly individual therapy sessions for the patient of about 1 hour each. B. Weekly group skills training sessions for the patient of 2.5 hours each. C. Skills coaching via telephone or other electronic means as needed by the patient tomanage I vivo situations D. Team consultation to the therapist to maintain treatment fidelity and adherenc The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline character structure is which of the following? A. Expressive psychotherapy B. Supportive psychotherapyC. Psychoanalytic psychotherapy D. A combination of all of the above. The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder? A. Secure attachment style B. Unresolved attachment styleC. Preoccupied attachment style Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 D. Disorganized attachment style The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of the following interventions? A. Active interventions to facilitate emotional expression and connection. B. Supportive interventions to help the patient contain overwhelming emotions. C. Any interventions on the psychodynamic continuum with notcustomizations. D. None of the above. Attachment style has no bearing on psychodynamic therapy. 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 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 individualswith 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. Strategies for terminating a therapy relationship with an older adult includes: A. The advanced practice psychiatric nurse needs to develop a checklist to determinegoals have been made and it is time to terminate. B. The advanced practice psychiatric nurse determines therapy goals attained, terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy. C. The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate the therapy. D. Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained. 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 Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 D. Cognitive Behavioral Therapy The stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which of the following? A. Cognitive Restructuring Model B. Cognitive Resiliency Model C. Community Resiliency Model D. Cognitive Regeneration Model 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 A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business? A. Focusing B. Dreamwork C. Empty-chair dialogue D. Language of responsibility 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 oftreatment. 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 seektreatment A natural process whereby the individual is continually disturbed by the emergence of a need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by the Gestalt therapist as which of the following? A. Figure and ground B. Organismic self- regulation C. Layers of the personality D. None of the above Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Which of the following would not be a first-line intervention for an individual with PTSD? A. CPT B. CPT-PE C. EMDR therapy D. Pharmacological interventions. The mother of a 6-year-old is concerned that the child seems to always want to pretend when playing. Which would be an appropriate response to the mother? A. This shows some regression as most children of this age are in the concrete operational stage and play should be more realistic. B. This is an appropriate activity for a child of this age consistent with Piaget's sensorimotor stage. C. Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development. D. Pretend play shows the ability to think abstractly which indicates cognitive abilityconsistent with the formal operational stage of cognitive development. Techniques used by the Gestalt therapist include which of the following? A. The ability to provide homework B. The ability to craft creative experiments C. The ability to establish an authentic I-Thou relationship with the patient. D. B and C When doing psychotherapy with older adult's accommodations which target cognitive symptoms and functional deficits include: A. Shorter, more frequent sessions B. Summarizing previous sessions C. Quizzing patient on previous sessions D. Insist the patient bring a notebook and take note The advanced practice psychiatric nurse encourages a patient with gambling addiction to develop a relapse prevention plan. Which of the following is true about a relapse prevention plan? A. A relapse prevention plan includes identifying triggers to the patient's gambling anda variety of coping strategies to avoid or successfully manage triggers without reverting to gambling. B. A relapse prevention plan should be completed during the initial stage of treatment. C. The main focus of a relapse prevention plan is on changing behaviors. D. The main focus of a relapse prevention plan is on cognitive or thought processes todecrease the desire to gamble 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. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 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. 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 orpsychoactive drugs. D. Disclosing home or cellular phone number of therapist for emergency useonly. Which of the following is consistent with Life Review Therapy? A. Appropriate for cognitively intact to moderately impaired olderadults. B. Focuses on past event or experiences, not current events. C. The patient is typically self-focused, usually experiencing a lifeevent trigger. D. Results in decreased isolation The advanced practice psychiatric nurse working with a child exposed to a traumatic event using trauma-focused cognitive behavioral therapy recognizes E in the acronym PRACTICE represents which therapeutic component of this therapeutic approach? A. Exposure B. Education C. Energizing D. Enhancing safety Share Question Answer & Explanation Solved by verified expert Rated Helpful Answers are posted below. Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Step-by-step explanation In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? Answer: B. A patient is considered recovered after 5 years free of substance use. Which best describes gerotranscendence? Answer: C. Focuses on the transition to old-old (80 years and older). The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? Answer: B. Remind the patient that one of the rules is not having contact outside of therapy sessions. The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? Answer: B. Tolerance Which of the following describes the basic neurobiological pathways of the reward system in the brain? Answer: B. Projections through the median forebrain, to the ventral tegmental area where there Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 is a proliferation of dopamine neurons, to the nucleus accumbens. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? Answer: D. Borderline Personality Disorder The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one's own destiny as authors of creating their own world is which of the following? Answer: A. Freedom Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the advanced practice psychiatric nurse would do which of the following in Stage 1? Answer: C. Process painful memories The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? Answer: A Projection. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don't work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? Answer: D. All of the above An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy? Answer: B. Self-concept The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following? Answer: A. Bi-weekly individual therapy sessions for the patient of about 1 hour each. The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline character structure is which of the following? Answer: D. A combination of all of the above. The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder? Answer: C. Preoccupied attachment style Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 Downloaded by Abdelhay Ezzelmadi () lOMoAR cPSD| 11897698 The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of the following interventions? Answer: B. Supportive interven... What is the trauma Resiliency Model?The Trauma Resiliency Model (TRM)® Training is designed to teach skills to individuals and clinicians helping children and adults with traumatic stress reactions. TRM focuses on the biological basis of trauma and the automatic survival responses that the human body uses when faced with perceived threat.
What is TRM treatment?Trauma Resiliency (TRM) With Us
This treatment is a body-centered approach that explores how threat and fear impacts our nervous system leading to dysregulation. During this treatment, the goal is to help clients develop new, more resilient neural circuits, in part by connecting to their inner, natural resources.
What are TRM skills?TRM focuses on resiliency and how to restore balance to the body and the mind after traumatic experiences. This model teaches skills to help clients to connect with their inner resources and facilitate development of new resilient neural circuits.
What is TRM and CRM?TRM solutions are fairly new in the hiring world, but talent relationship management is a principle as well as a solution. TRM means better talent relationship management, similar to how CRM means better customer relationship management, which is essential to for organizations looking to leverage and keep top talent.
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Which of the following is consistent with trauma resiliency model (trm) therapy?
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