NRNP 6645 FINAL EXAM 2023

NRNP 6645 FINAL EXAM 2023. Spring 2021 Prof Lavon Williams FINAL EXAM 1. In child psychotherapy consideration of systems that promote a child’s ongoing development include which of the following? A . Peers B . Family C . School D . Communi ty 2. Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life? A . Gestalt Therapy B . Psychoanalysis C . Existential psychotherapy D . Person-Centered Psychotherapy Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation. A . Locus coeruleus B . Cerebellum C . Thalamus D . Hypothalamu s Which of the following is true about communication with children and adolescents? A . Communication is developmentally based. B . Offices should be free of toys or distractions. C . Speak to children in adult manner as it lets them know you take them seriously. D . Communicate at level lower than the child or adolescent to improve their self-esteem. Question 5 There is growing evidence that some behavior problems can be prevented in children. Effective prevention strategies do not include which of the following? A . Supporting parent’s mental health B . Reducing exposure to stresses C . Helping parents learn ways to stimulate and have positive interaction s with their infants and young children. D . Guided exposure to stressors to increase resilience. The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model? A . Pretreatme nt B . Stage 1 C . Stage 2 D . Stage 3 Question 7 According to the Trauma Resiliency Model which of the following occurs? 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. Question 8 When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation? A . Provide an overview of the 12-step approach, explain 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 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 Which of the following 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 The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following? A . Introjectio n B . Projection C . Deflection D . Retroflecti on In working with an older adult patient in the termination phase the advanced practice psychiatric nurse suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This demonstrates which of the following? A . A major HIPPA violation B . Lack of confidence in the patient and the therapeutic process of CBT C . An appropriate strategy to solidify a supportive network for the patient. D . Resistance to terminating the therapeutic relationship. A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following? A . Shame-Attacking B . Exposure Therapy C . Cognitive Rehearsal D . Guided relaxation and meditation The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following? A . Tolerance B . Withdraw al C . Addiction D . A craving The primary source for constructive change in a humanistic-existential approach is which of the follow: A . The patient’s motivation B . The therapist’s structure C . The therapist-patient relationship D . The patient-family relationship A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills? A . Tracking B . Resourcing and resource intensification C . Grounding D . Gesturing Using a Common elements approach with a child with ADHD who despite stimulant medication continues to exhibit frequent angry outbursts, opposition and aggression the advanced practice psychiatric nurse begin with which of the following? A . Stop the medication as it clearly is not working. B . Adjust medication as it clearly isn’t working. C . Explore inpatient treatment where the environment could be more closely controlled and monitored. D . Review the best available evidence for behavioral, cognitive or psychoeducation intervention to augment the medication and address these behavioral/regulation issues.