NRNP 6645 FINAL EXAM NRNP 6645, Exams of Nursing

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NRNP 6645 FINAL EXAM

NRNP 6645

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 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 to

. decrease^ the^ desire^ to^ gamble

A The existential approach has a specific set of techniques used.

B The existential relies on the patient to drive the therapeutic direction.

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? Which of the following is consistent with the psychotherapeutic approach used by existential psychotherapists?

A Stage

.^1

B Stage

.^2

C Stage

.^3

D Stage

A Freedom

B Responsibili

. ty

C Authenticity

D Meaning

A In family-centered treatment, the family is the focus of treatment.

B 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.

A Focusing

B Body awareness

C Language of

. responsibility

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? Which of the following is not consistent with a family-centered approach in child therapy? 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?

D Empty-chair dialogue

A Given concerns about relapse it would be important to meet with the patient just this

. one timeand 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.

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

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.

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? Which of the following statements would not be consistent with the humanistic-existential concept of “holism”? Which of the following statements would not be consistent with the humanistic-existential concept of “holism”?

D Cognitive Behavioral Therapy

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

A Shame-Attacking

B Exposure Therapy

C Cognitive Rehearsal

D Guided relaxation and

. meditation

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

A Somatic approaches

Positive substance use disorder treatment out-comes unique to women can be strengthened by which of the following. A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following? Which of the following are “Help Now!” skills? Select all that apply. Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal.

B Talk therapies focused on cognitive

. understanding

C EMDR

D A and C

A Conduct Disorders

B Anxiety and Depression

C Depression and Psychosis

D Attention Deficit-Hyperactivity

. Disorders

A Patients can fail in therapy.

B Patients are doing the best they can.

• 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.

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? 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?

D Termination should occur by mutual decision between advanced practice psychiatric

. nurse^ and^ patient^ based^ on^ the^ therapy^ goals^ attained.

A Congruence

B Unconditional positive

.regard

C Accurate empathic

. understanding

D All of the above

A Stage

.^1

B Stage

.^2

C Stage

.^3

D Stage

sing a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements wh

.^ during 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

The person-centered therapist is expected to exhibit which of the following characteristics? 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? Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH?

A Bi-weekly individual therapy sessions for the patient of about 1 hour each.

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 W

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.

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

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? Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder? 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 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?