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ANCC Practice Questions Domain 4, Exams of Psychology

The School of Architecture at Taliesin (SOAT)Psychology

ANCC Practice Questions Domain 4 2024

Typology: Exams

2023/2024

Available from 09/08/2024

dennistutor
dennistutor 🇺🇸

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ANCC Practice Questions Domain 4
The risk of being overly empathetic as a therapist is commonly characterized by which
of the following responses by the client?
a. re-enacted attachment with merger and fusion
b. re-enacted attachment with understanding and change
c. re-enacted attachment with alienation and isolation
d. re-enacted attachment with dependency and acting-out -
✔D
The literature on group outcomes has revealed that negative group outcomes have
been associated with which of the following qualities in group leaders?
a. leaders who initiate discussions of feelings
b. leaders with a timid interpersonal style
c. leaders who are overly confrontational
d. leaders who reveal too much about their personal experience -
✔C
When screening potential female clients for an incest survivor's group, which client
would you exclude from selection to the group?
A. 36-year-old divorcee who brings a signed consent form to consult with her individual
therapist.
B. 26-year-oldse her husband is concerned about her lack of interest in sex.
C. 50-year-old third grade teacher who last attended a sexual abuse group when
flashbacks recurred.
D. 18-year-old college freshman who is talking openly about her incest experience for
the first time. -
✔B
When working with a family in therapy, you plan to address differentiation of self,
triangles, and genograms. What family therapy approach will you be utilizing?
A. Strategic family therapy
B. Emotionally focused family therapy
C. Systemic family therapy
D. Structural family therapy -
✔C
In evaluating a 9-year-old girl referred by the school for evaluation of behavioral
problems, which of the following reported behaviors raises the greatest concern?
A. Difficulty staying on task during school day
B. Incomplete and late homework assignments
C. Seeming to daydream looking out classroom window
D. Chasing boys with provocatively posturing hips on playground -
✔D
As a PMHNP using Family Systems theory, you know that families seek equilibrium in
the face of change. This is an example of which concept?
A. Homeostasis
B. Homeogenesis
C. Morphogenesis
pf3
pf4
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ANCC Practice Questions Domain 4

The risk of being overly empathetic as a therapist is commonly characterized by which of the following responses by the client? a. re-enacted attachment with merger and fusion b. re-enacted attachment with understanding and change c. re-enacted attachment with alienation and isolation d. re-enacted attachment with dependency and acting-out - ✔D The literature on group outcomes has revealed that negative group outcomes have been associated with which of the following qualities in group leaders? a. leaders who initiate discussions of feelings b. leaders with a timid interpersonal style c. leaders who are overly confrontational d. leaders who reveal too much about their personal experience - ✔C When screening potential female clients for an incest survivor's group, which client would you exclude from selection to the group? A. 36-year-old divorcee who brings a signed consent form to consult with her individual therapist. B. 26-year-oldse her husband is concerned about her lack of interest in sex. C. 50-year-old third grade teacher who last attended a sexual abuse group when flashbacks recurred. D. 18-year-old college freshman who is talking openly about her incest experience for the first time. - ✔B When working with a family in therapy, you plan to address differentiation of self, triangles, and genograms. What family therapy approach will you be utilizing? A. Strategic family therapy B. Emotionally focused family therapy C. Systemic family therapy D. Structural family therapy - ✔C In evaluating a 9-year-old girl referred by the school for evaluation of behavioral problems, which of the following reported behaviors raises the greatest concern? A. Difficulty staying on task during school day B. Incomplete and late homework assignments C. Seeming to daydream looking out classroom window D. Chasing boys with provocatively posturing hips on playground - ✔D As a PMHNP using Family Systems theory, you know that families seek equilibrium in the face of change. This is an example of which concept? A. Homeostasis B. Homeogenesis C. Morphogenesis

D. Morphostasis - ✔A When working with an avoidant patient with a history of trauma, what type of communication techniques are helpful? A. Techniques to increase arousal B. Clarification and close-ended questions C. Reflection and open-ended questions D. Techniques to decrease arousal - ✔A Which of the following would not be a recommended practice in psychotherapy with patients diagnosed with borderline personality disorder? A. Therapist as a passive listener B. Utilization of concomitant individual and group approaches C. Mutually agreed limit setting D. Establishment of clear roles of patient and therapist - ✔A A child who is seen by the PMHNP has difficulty feeling safe with his caregiver and is unable to feel comfort. Which theorist's theory would help explain the child's behavior and help guide treatment? A. Bowen B. Bowlby C. Erickson D. Freud - ✔B When working with adolescents who have poor affect regulation and limited response flexibility, therapists strive to provide a therapeutic frame open enough for changes and consistent enough for stability and safety. Which of the following responses characterizes such a therapeutic frame? A. Detached, neutral, objective B. Empathetic, consistent, strict C. Mindful, reflective, intentional D. Charismatic, engaging, expressive - ✔C Cognitive behavioral therapy (CBT) is often one of the first-line treatments for anorexia nervosa. One of the primary goals of CBT is to assist the patient in which of the following ways? A. Restore weight above 85% of normal B. Improve interpersonal relationships C. Overcome distorted thinking D. Resolve symptoms of depression - ✔C An adult female client who has been a full-time homemaker raising four children finds herself sad, regretful, sleeping late into the day, and generally fatigued since her youngest child left for college. What theoretical framework is most appropriate in the PMHNP's appraisal of this situation? A. Mead's role and gender theory

In co-leading a group of elementary children of divorcing parents, a child shared that his parents were arguing over the weekend and calling each other names. What is the most appropriate intervention at this junction? a. Allow the child to finish describing the situation and then ask how he felt about hearing this argument b. Ask the child how he was affected by the incident and ask other children how they handle similar situations c. Ask the other children in the group if they experienced similar situations and how they handled their feelings d. Ask the child how he was affected by the incident and facilitate sharing of similar incidents by other children - ✔B What is the main differentiating factor between repression and suppression? a. Repression is unconsciousness and suppression in involuntary b. Repression is involuntary and suppression is voluntary c. Repression is voluntary and suppression ins involuntary d. Repression is conscious and suppression is unconscious - ✔B A patient is followed by the PMHNP psychotherapist and states, "I went to see my primary care provider, and she told me my liver is working harder than it should and she thinks it might be due to my drinking. I don't think I have a drinking problem, but I don't want to have any health problems either. Can you give me the names of where Alcoholics Anonymous groups are located? I told my primary care provider I would try and cut back a bit." What state of readiness to change is this patient in? a. Precontemplation b. Preparation c. Contemplation d. Action - ✔B Psychotherapy which stresses the importance of recognizing patterns of thoughts and how thoughts influence feelings and behaviors best describes: a. Group therapy b. Supportive therapy c. Family therapy d. Cognitive behavioral therapy - ✔D During a trauma recovery group a new member has a flashback of her sexual assault. She struggles to regain emotional control. What is the most appropriate intervention strategy at this juncture? a. Use eye contact, ask her to push her feet firmly on the floor, and speak with her in the present so that traumatic feelings can be talked about as memories. b. Monitor the responses of other group members that may have similar flashbacks triggered by the description of this new member's traumatic event. c. Assist her in regaining emotional control by orienting her to the present time and place.

d. Encourage the woman to describe the event and associated thoughts and feelings at that time to facilitate desensitization. - ✔A In working with elderly residents at a nursing home, the goals of reminiscence groups include all of the following except: a. Improve cognitive function b. Reduce wandering c. Facilitate life review d. Maintain self-esteem - ✔B According to Erikson, the primary task of adolescent psychosocial development is "identity formation" and the associated virtue of "fidelity" to one's nascent self-definition and to one's ideology of "self-in-world." Which of the following behaviors would indicate successful navigation of this developmental milestone? a. Primary identification with "goth" friends despite ostracism by others b. Ability to tolerate differences in others while affirming one's own values and beliefs c. Ability to form a sexually intimate relationship sustained over several years d. Easily identifies with a series of different groups from athletes, rave parties, computer geeks to heavy metal bands. - ✔B Attachment relationships between infant and mother are considered critical by neurobehavioral researchers because: a. The mother functions as a regulator of the social and emotional environment. b. Attachment to significant relationships facilitates self-regulation of emotions. c. Subtle emotional regulatory interactions can transiently or permanently alter brain activity levels. d. Interaction influences development of the brain's limbic system. - ✔B The psychiatric mental health nurse practitioner implements a psychoeducation group for parents on the importance of developing secure attachments between the child and parent, and includes information about normal growth and development at specific ages. This is an example of what level of prevention? a. Secondary b. Primary c. Indicated d. Tertiary - ✔B Understanding normal growth and development, at what age should a child use up to 1,000 words, use three-to four-word sentences, balance on one foot, and play "make- believe"? a. 2 years of age b. 3 years of age c. 4 years of age d. 5 years of age - ✔B