NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

Question 1

When working with a patient in Gestalt Therapy, if the patient changes the topic and tells a joke every time a sensitive issue arises, the therapist identifies this interruption as:

A. Introjection
B. Projection
C. Deflection
D. Retroflection

Question 2

If a patient who recently lost their husband expresses regret about an argument they had before his death, a Gestalt Therapist might utilize which technique to address unfinished business:

A. Focusing
B. Dreamwork
C. Empty-chair dialogue
D. Language of responsibility

Question 3

In child psychotherapy, which elements are considered in the promotion of a child’s ongoing development:

A. Peers
B. Family
C. School
D. Community

Question 4

Which philosophical approach to psychotherapy addresses universal themes of life:

A. Gestalt Therapy
B. Psychoanalysis
C. Existential psychotherapy
D. Person-Centered Psychotherapy

Question 5

When a patient undergoing Dialectical Behavior Therapy (DBT) expresses frustration with the skills taught and the process taking too long, how should the advanced practice psychiatric nurse using DBT respond:

A. Validate the patient’s frustration while encouraging and reinforcing the use of skills.
B. Analyze the behaviors and consequences with the patient.
C. Focus on behavioral control and management with emotions as a contextual element.
D. All of the above

Question 7

Which statement is not consistent with Eye Movement Desensitization and Reprocessing (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’s distress and strengthen adaptive beliefs related to the traumatic event.

Question 8

When an older adult female patient starts bringing baked goods and says, “You remind me so much of my daughter, you are so easy to talk to,” the advanced practice psychiatric nurse recognizes this as:

A. Gerotranscendence
B. Transference
C. Countertransference
D. Time for termination

Question 9

The situation in which increasing amounts of a substance are needed to achieve the same desired effect is known as:

A. Addiction
B. Tolerance
C. Withdrawal
D. Dependence

Question 10

For an older adult with chronic depression, mild cognitive impairment, concerns about a negative life event, and feelings of helplessness, which therapeutic approach would be more suitable:

A. Interpersonal Psychotherapy (IPT)
B. Cognitive Behavioral Therapy (CBT)
C. Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
D. Reminiscence Therapy (RT)

Question 11

Regarding the stigma of mental illness in the elderly:

A. It has contributed to psychiatric symptoms being expressed with physical symptoms.
B. It is much more severe in baby boomers than in other elderly cohorts.
C. It is much less of an issue in baby boomers than in other elderly cohorts.
D. It leads to more discussion of emotions in primary care settings.

Question 12

When a person-centered therapist is genuine and authentic during a therapy session, they are exhibiting which psychological condition:

A. Congruence
B. Actualizing tendency
C. Belief of human nature
D. Accurate empathic understanding

Question 13

Which statement is not consistent with a family-centered approach in child therapy:

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.

Question 14

When treating older adults with Substance Use Disorders, what factors does the advanced practice psychiatric nurse need to consider:

A. Co-existing medical or psychiatric disorders
B. Age-related physiological and psychological changes
C. Collaboration with primary care providers
D. All of the above

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Question 15

Regarding the therapeutic alliance when working with children:

A. The therapeutic alliance is a core factor that creates change in therapy.
B. The advanced practice psychiatric nurse must develop a strong therapeutic alliance with the child’s parents before engaging the child in therapy.
C. As the therapy is really about the child and family, the advanced practice psychiatric nurse focuses on facilitating healthy family interactions.

Question 16

The underlying assumptions of Trauma Resiliency Model therapy include:

A. Human responses to threats are subcortical in nature.
B. Response to trauma is likely transient and may resolve 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 may not adequately account for the impact of multiple or long-term traumas.

Question 17

In Dialectical Behavior Therapy (DBT), therapists treating difficult patients may require support. What form does this support take:

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 may need a consultation group for support.
D. The support includes a consultation group to treat the therapist using the same skills as the patient.

Question 31

The advanced practice psychiatric nurse realizes that individuals with personality disorders or traits often:

A. See their problems as independent of their own behaviors.
B. Describe themselves as victims.
C. Present for treatment at the request of a significant other or other external pressure.
D. All of the above.

Question 32

Addiction is now recognized as:

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.

Question 40

Which psychotherapeutic techniques are used in person-centered psychotherapy:

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.

Question 41

When referring a patient to a 12-step group, what supports successful patient engagement in 12-step group participation:

A. Provide an overview of the 12-step approach, explaining the concept of powerlessness and spirituality within the 12-step tradition.
B. Use MI to contract for attendance at several different groups to find the right “fit” and encourage attendance.
C. Encourage the patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.
D. A and B only.

Question 42

The advanced practice psychiatric nurse notices that when working with a patient with a dissociative disorder, the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely:

A. The changes really did not take.
B. The patient is unconsciously sabotaging the therapy.
C. The process is trying to force a change too fast.
D. Positive changes may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.

Question 43

Which 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).
C. Prazosin (Minipress) may be helpful if nightmares are present.
D. B and C.

Question 44

Which statement 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 psychopathologies.

Question 45

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, and painting.
B. Movement therapies such as dance.
C. Tapping on acupressure points.
D. Cognitive skills such as thought stopping and guided self-dialogue.

Question 48

The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to:

A. Invite the patient to new ways of viewing a situation.
B. Guide the patient to develop more skills to achieve a greater quality of life.
C. Engage the patient in change talk.
D. A and B.

Question 55

Which statement 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. Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.

Question 98

One of the problems when meeting with children individually is that it can create secrets. Which response would the advanced practice psychiatric nurse do to address this concern:

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 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.

Question 99

Sleep disturbances are common for those who have experienced trauma. Which of the 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 the bedroom TV on a timer so it will automatically go off after you are asleep.

Question 100

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 the end of one’s life.