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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.
NRNP 6645 Final Exam
Review Test
Submission: Exam -
User^ Week The^11 Man from Eastlando
Course
NRNP-6645-1- Psychotherapy with Multiple Modalities
Test Exam - Week 11
Started 8/8/21 8:04 PM
Submitted 8/8/21 9:45 PM
Due Date 8/10/21 1:59 AM
Status Completed
Attempt Score 71 out of 100 points
Time Elapsed 2 hour, 20 minutes out of 2 hours and 30 minutes
Results
Displaye
d
Submitted Answers
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?
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.
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.
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.
A Relapse indicates treatment failure.
B Relapse is a persistent risk in addiction.
C Relapse is a characteristic of all chronic medical diseases.
D Relapse is the return to substance use or addictive behaviors after periods
of abstinence.
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
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? Which of the following is not consistent with what is known about relapse? 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? 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?
D Empty-chair dialogue
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.
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”?
A Multidimensional addressing medical, psychosocial and mental
health issues
B Trauma-informed care.
C 12-Step Peer Support Groups
D Dysfunctions such as a chemical imbalance must be
identified.
A Life Review Therapy (LRT)
B Reminiscence Therapy (RT)
C A Mindfulness Strategy
D Interpersonal Psychotherapy
(IPT)
A Projection
B Retroflecti
on
C Confluenc
e
D Deflection
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 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? The most effective treatment for SUD with or without co-morbid psychiatric disorders is:
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?
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.
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.
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.
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. 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? Strategies for terminating a therapy relationship with an older adult includes: Strategies for terminating a therapy relationship with an older adult includes:
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?
A Focusing
B Dreamwork
C Empty-chair dialogue
D Language of
responsibility
A Schizophrenia
B New onset depression
C Bipolar Affective Disorder
D Borderline Personality
Disorder
A Aggression
B Conduct
Problems
C Social
Withdrawal
D All of the
above.
A CPT
B CPT-PE
C EMDR therapy
D Pharmacological
interventions. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? Problems in the preschool child’s self-regulation has been tied to subsequent issues with which of the following? 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?
A Interruptions
B Figure and ground
C Layers of personality
D Organismic self-
regulatio
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 None of the above have anything to do with TRM.
A Debriefing involves talking about the trauma immediately
after the event.
B APA practice guidelines support use of debriefing due to
efficacy.
C Debriefing may increase post trauma symptoms.
D Debriefing does not prevent PTSD.
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 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? According to the Trauma Resiliency Model which of the following occurs? Which of the following is not consistent with what is currently known about debriefing? 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 Congruence
B Actualizing tendency
C Belief of human nature
D Accurate empathic
understanding
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
A Maintaining a therapeutic stance of neutrality.
B Maintaining a therapeutic stance of
anonymity.
C Maintaining a therapeutic stance of non-
intrusiveness.
D A and C
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
The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition? 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? The therapeutic frame supports the clinician in which of the following ways? Select all that apply. 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?
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.
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 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.
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
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
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.
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.
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?
