NRNP 6645 MIDTERM EXAM
Question 51
The novice advanced practice psychiatric nurse working as a new nurse psychotherapist
may become increasingly aware of being incompetent as progress is made. According to
the Stages of Learning model the advanced practice psychiatric nurse is in which stage of
learning?
A.
Unconscious incompetency
B.
Conscious incompetency
C.
Conscious competency
D.
Unconscious competency
Question 52
According to Freud, failure to successfully accomplish the tasks of learning independence
and control is associated with which of the following problematic traits?
A.
Excessive dependency
B.
Orderliness
C.
Sexual identity issues
D.
Excessive guilt
Question 53
Which of the following best describes the difference between standards of care and practice
guidelines?
A.
Practice guidelines are legally binding while standards of care are not.
B.
Standards of care are legally binding while practice guidelines are not.
C.
There is no difference between standards of care and practice guidelines.
D.
Practice guidelines should be followed as written while standards of care are more flexible.
Question 54
Which of the following is true about the CBT cognitive processes of primary and secondary
thinking?
A.
Primary thinking recognizes the indeterminate, negative and irrational thinking as forever
part of human action.
B.
,Secondary thinking recognizes the indeterminate, negative and irrational thinking as
foremost.
C.
Primary thinking views the social and cultural world in determinate, positive and rational
terms.
D.
B and C
Question 55
According to Yalom, which of the following is consistent with the therapeutic benefit of
imitative behavior?
A.
Imitative behavior generally plays a more important role in early stages of a group.
B.
Imitative behavior may allow an individual to experiment with a new behavior.
C.
Finding out what we are not is progress toward finding out what we are.
D.
All of the above
Question 56
Patients who would not be considered ideal candidates for psychoanalytic psychotherapy
are which of the following?
A.
Patients with primarily primitive defenses
B.
Patients with primarily mature defense mechanisms
C.
Patients with neurotic to healthy personality organization.
D.
Patients with the capability to engage in a therapeutic alliance
Question 57
During the initial contact with an individual seeking family therapy it is important for the
family therapist to:
A.
Identify the presenting problem and arrange a consultation with everyone living in the family
household.
B.
Identify the presenting problem and arrange a consultation with the caller to ensure family
therapy is really necessary.
C.
Identify the presenting problem and arrange to meet with the caller and the family member
that is creating most of the problem.
D.
Identify the presenting problem and arrange a consultation with the parents of the family to
develop a therapeutic alliance and strategy for fixing the problem.
Question 58
,Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? Check all
that apply.
A.
CBT is a system of psychotherapy based on a theoretical framework which maintains how
an individual structures one's experiences largely determines how one feels and behaves.
B.
Maladaptive thoughts relating to the "cognitive triad" are rooted in irrational or illogical
assumptions.
C.
By changing one's thoughts, emotions and behaviors can be changed.
D.
A and C
Question 59
A group member is relieved to realize that others in the group share feelings of
incompetency similar to his own. This is an example of which of the following therapeutic
factors?
A.
Altruism
B.
Universality
C.
Imparting of information
D.
Development of socializing techniques
Question 60
A basic strategy of dynamic supportive therapy in which the advanced practice psychiatric
nurse assists the patient with reality testing, problem-solving, impulse control, affect
modulation, interpersonal awareness, social skills, and empathy is most specifically known
as which of the following?
A.
Manage transference
B.
Lend psychic structure
C.
Hold and contain the patient
D.
Foster and protect the therapeutic alliance.
Question 61
The advanced practice psychiatric nurse may intervene as appropriate with agencies or
persons in order to advocate for the patient; do for the patient what he or she cannot do for
self, always with an aim toward maximum independence and growth which is consistent
with which basic strategy of dynamic supportive therapy?
A.
Make connections
B.
Encourage patient activity
, C.
Manipulate the environment
D.
Maximize adaptive coping mechanisms
Question 62
What distinguishes psychoanalytic therapy from other types of therapies?
A.
The focus on problem-solving
B.
The focus on irrational thoughts
C.
The focus on dreams and wishes
D.
The deep analysis of the patient relationship with the therapist.
Question 63
The idea that nothing happens by chance, that every thought and all behavior has a cause
refers to which of the following concepts?
A.
Id vs ego conflict
B.
Super ego actions to censor and restrain
C.
Psychic determinism
D.
Ego synchrony
Question 64
In supportive psychodynamic psychotherapy the content of the sessions most often focuses
on which of the following?
A.
Feelings and defenses
B.
Life stresses and feelings
C.
Life stresses and problem-solving
D.
B and C
Question 65
Which of the following is consistent with use of direct advice as a strategy of imparting of
information?
A.
Specific advice-giving supports intimate group engagement.
B.
The most effective form of direct advice is direct suggestion.
C.
Question 51
The novice advanced practice psychiatric nurse working as a new nurse psychotherapist
may become increasingly aware of being incompetent as progress is made. According to
the Stages of Learning model the advanced practice psychiatric nurse is in which stage of
learning?
A.
Unconscious incompetency
B.
Conscious incompetency
C.
Conscious competency
D.
Unconscious competency
Question 52
According to Freud, failure to successfully accomplish the tasks of learning independence
and control is associated with which of the following problematic traits?
A.
Excessive dependency
B.
Orderliness
C.
Sexual identity issues
D.
Excessive guilt
Question 53
Which of the following best describes the difference between standards of care and practice
guidelines?
A.
Practice guidelines are legally binding while standards of care are not.
B.
Standards of care are legally binding while practice guidelines are not.
C.
There is no difference between standards of care and practice guidelines.
D.
Practice guidelines should be followed as written while standards of care are more flexible.
Question 54
Which of the following is true about the CBT cognitive processes of primary and secondary
thinking?
A.
Primary thinking recognizes the indeterminate, negative and irrational thinking as forever
part of human action.
B.
,Secondary thinking recognizes the indeterminate, negative and irrational thinking as
foremost.
C.
Primary thinking views the social and cultural world in determinate, positive and rational
terms.
D.
B and C
Question 55
According to Yalom, which of the following is consistent with the therapeutic benefit of
imitative behavior?
A.
Imitative behavior generally plays a more important role in early stages of a group.
B.
Imitative behavior may allow an individual to experiment with a new behavior.
C.
Finding out what we are not is progress toward finding out what we are.
D.
All of the above
Question 56
Patients who would not be considered ideal candidates for psychoanalytic psychotherapy
are which of the following?
A.
Patients with primarily primitive defenses
B.
Patients with primarily mature defense mechanisms
C.
Patients with neurotic to healthy personality organization.
D.
Patients with the capability to engage in a therapeutic alliance
Question 57
During the initial contact with an individual seeking family therapy it is important for the
family therapist to:
A.
Identify the presenting problem and arrange a consultation with everyone living in the family
household.
B.
Identify the presenting problem and arrange a consultation with the caller to ensure family
therapy is really necessary.
C.
Identify the presenting problem and arrange to meet with the caller and the family member
that is creating most of the problem.
D.
Identify the presenting problem and arrange a consultation with the parents of the family to
develop a therapeutic alliance and strategy for fixing the problem.
Question 58
,Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? Check all
that apply.
A.
CBT is a system of psychotherapy based on a theoretical framework which maintains how
an individual structures one's experiences largely determines how one feels and behaves.
B.
Maladaptive thoughts relating to the "cognitive triad" are rooted in irrational or illogical
assumptions.
C.
By changing one's thoughts, emotions and behaviors can be changed.
D.
A and C
Question 59
A group member is relieved to realize that others in the group share feelings of
incompetency similar to his own. This is an example of which of the following therapeutic
factors?
A.
Altruism
B.
Universality
C.
Imparting of information
D.
Development of socializing techniques
Question 60
A basic strategy of dynamic supportive therapy in which the advanced practice psychiatric
nurse assists the patient with reality testing, problem-solving, impulse control, affect
modulation, interpersonal awareness, social skills, and empathy is most specifically known
as which of the following?
A.
Manage transference
B.
Lend psychic structure
C.
Hold and contain the patient
D.
Foster and protect the therapeutic alliance.
Question 61
The advanced practice psychiatric nurse may intervene as appropriate with agencies or
persons in order to advocate for the patient; do for the patient what he or she cannot do for
self, always with an aim toward maximum independence and growth which is consistent
with which basic strategy of dynamic supportive therapy?
A.
Make connections
B.
Encourage patient activity
, C.
Manipulate the environment
D.
Maximize adaptive coping mechanisms
Question 62
What distinguishes psychoanalytic therapy from other types of therapies?
A.
The focus on problem-solving
B.
The focus on irrational thoughts
C.
The focus on dreams and wishes
D.
The deep analysis of the patient relationship with the therapist.
Question 63
The idea that nothing happens by chance, that every thought and all behavior has a cause
refers to which of the following concepts?
A.
Id vs ego conflict
B.
Super ego actions to censor and restrain
C.
Psychic determinism
D.
Ego synchrony
Question 64
In supportive psychodynamic psychotherapy the content of the sessions most often focuses
on which of the following?
A.
Feelings and defenses
B.
Life stresses and feelings
C.
Life stresses and problem-solving
D.
B and C
Question 65
Which of the following is consistent with use of direct advice as a strategy of imparting of
information?
A.
Specific advice-giving supports intimate group engagement.
B.
The most effective form of direct advice is direct suggestion.
C.
