NRNP 6645 MIDTERM 3 EXAM REVIEW

NRNP 6645 MIDTERM 3 EXAM REVIEW 1. Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? 2. A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following? Catharsis 3. Th e change agent in relational psychodynamic therapy is which of the following - Mindfulness 4. schizoid personality is a pathological outcome associated with which of Erikson’s psychosocial stages? Intimacy vs isolation (20-30yrs) 5. patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following? - Pts who do not know who they are - Those who are not in touch with reality - Those who cannot perfectly describe others. - Those that are confused 6. The therapist using a CBT approach says to the patient: “You say you become depressed. Explain to me what depressed feels like to you.” This is an example of what question type in Socratic Dialogue? Translational Questions 7. Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy? Brief psychodynamic Psychotherapy takes place in fewer days per week and lasts for a shorter duration. - Although psychodynamic psychotherapy is frequently thought of as long- term therapy, brief psychodynamic psychotherapy is probably most often practiced given the current climate of managed care. - Long term goes for more than 1yr-2yrs and over 40 sessions. - Brief will be goal-oriented with about 25 sessions. Psychodynamic therapy focuses on unconscious processes manifested in a person’s behavior. 8. Which of the following is true about Automatic Thought Records? ATS (page 368) - key component in CBT - first introduced in 1979 by Beck to capture and analyze automatic thoughts both during and between sessions. - Used as homework after introducing the process within the therapy session 9. Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following. The confused, severely psychotic, those who are not aware of their suffering, the uneducated See #5 see pg 271 10. A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following? Catharsis pg 477 11. The focus of therapy in brief psychodynamic psychotherapy is on which of the following. Setting the termination date pg 281 12. The process of a group member benefiting by observing the therapy of another member with similar problems is a phenomenon referred to as which of the following: Pg 475 Instillation of hope 13. The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following? Pg 473 Cognitive behavioral 14. A patient comment at the end of their group therapy how important it was for them to have observed the improvement of others. This is consistent with which of Yalom’s therapeutic factors Pg 477Group cohesiveness 15. Freud’s Psychosexual stages development of sexual identity occurs during what age range? 3 to 6 years 16. Recommending or prescribing specific readings related to the individual’s difficulties is known as which of the following? Bibliotherapy 17. The advanced practice psychiatric nurse who assists the patient to maintain eye contact appropriately, shaking hands appropriately, appropriate language in public is doing which of the following? Social Skills training 18. Which of the following is consistent research related to resilience and posttraumatic growth? Pg 15 They are inversely related, that is those who cope well are resilient after a traumatic event retain equilibrium and do not need to find a positive meaning to the event while those who merge with posttraumatic growth feel the need to reframe the event as positive -There is a curvilinear relationship between post traumatic growth and resilience pg 15 19. Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework? Influenced by Harry Stack Sullivan, Percival Symonds, Abraham Maslow, and Neal Elger Miller. 20. In supportive psychotherapy where the patient is functioning at a child-like level in significant domains of life which basic strategy of dynamic supportive therapy would most likely be used? Pg 265 Strategy #2 Be a good parent 21. The advanced practice psychiatric nurse is working with a couple on conflict management. They report during a recent argument the husband threw a plate across the room. Based on the current advances in neuroscience the advanced practice psychiatric nurse explains: Stress-relieving 22. Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation- individualization? Rapproachement 16-24 months 23. Psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework Hildegard Peplau 24. In classical psychodynamic therapy the therapist’s role is which of the following? Pg 790 the therapist’s role is to follow the child as he or she initiates the play 25. They probably think I am stupid” is an example of which type of cognitive distortion? (pg 366) Mind Reading 26. The advanced practice psychiatric nurse helps the patient to identify and name feelings, focus on somatic sensations associated with emotions, and encourages use of metaphor to describe feelings. This is consistent with which basic strategy of supportive psychodynamic therapy? Decrease Alexithymia 27. In therapy groups where group members gain through receiving help from group members and giving help to group members, which of Yalom’s therapeutic benefits is being realized? Pg 475 Altuism 28. The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts? (Page 252) The concept of Psychic determinism 29. See they never let me do anything!” The advanced practice psychiatric nurse using a Cognitive Behavioral Family Therapy framework recognizes this as cognitive distortion known as (page 366) Mind Reading 30. In a family session a teenager whose parents deny him a night out states angrily “See they never let me do anything!” The advanced practice psychiatric nurse using a Cognitive Behavioral Family Therapy framework recognizes this as cognitive distortion known as: Pg 366 overgeneralization or global labeling 31. Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors. Page 250 Emphasis on the past Focus on the expression of emotion Identification of patterns in actions, thoughts, feelings, experiences and relationships 32. According to the Stages of the Family Life Cycle the key emotional process of transition for single young adults is) :( Page 51 Nichols Accepting emotional and financial responsibility for self Differentiation of self from family of origin, dev’t of intimate peer r/nship, and establishment of self in respect to work and financial independence 33. Everything always goes wrong for me” is an example of which type of cognitive distortion? OVERGENERALIZATION 34. Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach Decatastrophizing 35. Yalom states the group therapy analogue to relationship in individual therapy is which of the following The group therapy analogue to relationship in individual therapy/ the result of all the forces acting on all members such that they remain in the group 36. Accepting a multitude of exits from and entries into the family system is a key emotional process of transition in which Family Life Cycle stage? (page 51 Nichols) Launching Children and moving on 37. The aim in relational psychodynamic therapy is which of the following? Pg 255 that the therapist and the patient are always participating in a relational configuration and that understanding this process is how change occurs 38. A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following? Culture-bound syndromes 39. During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following? Asking how others are involved ( or affected) What was their role in creating (or managing) the problem How have they responded to it 40. Controlled studies of psychotherapy outcome have shown which of the following? That psychotherapy is helping with mental disorders 41. Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following? They have produced research on outcomes for youth mental health disorders 42. Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? The focus of CBT is problem-oriented, with an emphasis on the present. Unlike some of the other talking treatments, it focuses on 'here and now' problems and difficulties. Instead of focusing on the causes of distress or symptoms in the past, it looks for ways to improve a patient's current state of mind 43. The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following: Healthy therapeutic relationships enhance wholeness and healing; they are the key to effective health promotion. Therapeutic nursing presence demonstrates caring, empathy, and connection, qualities required to build rapport and trust between nurse and patient Patient dissatisfaction continues to be a growing concern. 44. The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking,” If this is true then what happens?” Guided discovery 45. The concept that reminds us that families are open systems, and our interpretations are shaped by assumptions we absorb from the culture is known as: Cultural assumptions 46. Which of the following would be a red flag regarding unethical practice when working with a patient? Not giving the patient dignity, respect, privacy, safety, and wellness 47. Optimal family development is thought to take place in which of the following circumstances? Happens when families are differentiated Are connected across generations to extended family.oHave little emotional fusion and distance.oHave dyads that can deal with problems between them without pulling others into their difficulties.oTolerate and support members who have different values and feelings, and thus can support differentiation 48. According to Minuchin two patterns common to troubled families are: (Page 17 Nichols) - some are enmeshed (chaotic and tightly interconnected) - others are disengaged (isolated and seemingly unrelated) Both types lack clear lines of authority 49. In general, the lower the patient is on Maslow’s hierarchy of needs (page 20 wheeler) Maslow argued that the failure to have needs met at various stages of the hierarchy could lead to illness, particularly psychiatric illness or mental health issues. Individuals whose physiological needs are not met may die or become extremely ill. When safety needs are not met, posttraumatic stress may occur. 50. According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)What distinguishes psychoanalytic therapy from other types of therapies? The deep analysis of the relationship with the therapist 51. A couple of weeks into family therapy the wife calls the therapist and says “I need to tell you about something but you must promise me that you won’t say anything to my husband, and please don’t bring it up in therapy.” Which of the following would be an appropriate response? If we have to move forward, we have to put everything on the table and we have to be honest and transparent 52. Role play in the context of the therapy session is an example of which of the following behavioral techniques: Social skills training 53. When working with a client of unfamiliar culture the advanced practice psychiatric nurse asks the client how he or she feels about working with you. This demonstrates which of the following? Pg 21Cultural formulation 54. Internal resources include which of the following? Internal resources are your self-care practices that create a change in how you are feeling or responding to your environment. Tools of body and mind include deep breathing, grounding, visualization, physical exercise, mindfulness, and yoga. You can think of this as creating calm from the inside out 56. Which of the following is not consistent with therapeutic process of the corrective recapitulation of the primary family group in group psychotherapy Pg 479It does not create a forum for clients to work on relational issues with other individuals within a structured environment. It is like a family base with parents in control. 57. During the middle phase of family therapy treatment much of the treatment is devoted to which of the following Helping family members deal more constructively with each other in sessions 58. According to Mahler’s stages of separation-individuation the phase of “normal autism” occurs during what age range? Birth to 1 month 59. The change agent in relational psychodynamic therapy is which of the following? Pg 255 the therapist and the patient are always participating in a relational configuration and understanding this process is how change occurs 60. A group member becomes angry with the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom’s therapeutic factors? The Corrective Recapitulation of the Primary Family Group 61. 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? Lend Psychic structure p. 266 62. Which technique would be helpful to use with individuals who blame themselves for most bad outcomes? Reattribution? 63. According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior? Clients may sit, walk, talk, and think like their therapist. Group therapists influence communication patterns through modeling, such as self-disclosure. Group members will learn by watching each other tackle problems. This can be especially effective with groups that have a shared problem. Plays a more important role in the early stages of group. 64. The patient talking about her husband states “By the time he comes home late for the zillionth time I’m just beside myself … you know what I mean.” The CBT therapist responds saying “No, I don’t know what you mean. Please explain what you mean by “beside yourself”. The therapist is using a technique known as which of the following? Therapeutic communication technique??? 65. Which of the following are consistent with research about adverse childhood experiences (ACE)? Pg 24 they cause significant medical issues (heart conditions, diabetes, obesity), unintended pregnancies, depression, anxiety,sleep disorders, dissociative disorders, eating disorders and sleep disorders 66. Evidenced based guidelines for patient treatment are based on which of the following? Based on what is current and improving pt wellbeing 67. The power of family therapy comes from (page 4 Nichols) - bringing parents and children together to transform their interactions 68. A family has been court-ordered to family therapy. The family does not want to participate in therapy. The advanced practice psychiatric nurse using a solution focused therapy model would most likely do which of the following? The therapist have to respect the wishes of the family despite the order because clients have the right to refuse treatment. 69. The challenges of a family therapist in working with families of different culture include which of the following Understanding the mindset that has been influenced by the culture the client is coming from which might be different from the culture the therapist wants to implement 70. During the initial contact with an individual seeking family therapy, it is important for the family therapist to: Get an overview of the presenting problem and arrange for the family to come for consultation. Establish a connection with the caller as a basis for engagement. Then schedule the initial interview specifying who should attend. 71. The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes: Bowenian family therapy. Family Therapy is an approach to counselling which looks at the problem a client is having as a symptom of dysfunction in the entire family Family therapy says that a family is a living system and change in one member causes changes in all the other parts of the family system 72. Which of the following are consistent with findings related to levels of cohesiveness in groups? Pg 477 In order for cohesion to be positive in a group, all participants must feel that they are being treated and accepted equally. The stronger the cohesive bond between members of the group, the stronger the potential for permanent change. All group-centered interventions must incorporate cohesion 73. According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage? Oral Birth -18months p 253 74. Which of the following is true about Automatic Thought Records? (page368) - Key component of CBT, - first introduced in 1979 by Beck to capture and analyze automatic thoughts during and between sessions. - used as homework after introducing the process within the therapy session. 75. Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques? The principal advantages of group therapy include: Group therapy allows people to receive the support and encouragement of the other members of the group. People participating in the group can see that others are going through the same thing, which can help them feel less alone. 76. Which of the following is true about working with dreams? Page 278 it helps us understand the unconscious and implicit memory. Dreams are the brain’s attempt to process information and to integrate the day’s residue into the existing memory networks. 77. A patient who primarily uses primitive defenses is likely to be in which personality range? Maladaptive personality??? 78. For severe trauma and phobias, it is recommended to teach the patient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques? Page 373 Use them prior to exposing the client to the situation or object that they have a phobia for 79. Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following? Determinants of health??? 80. General psychodynamics is a strategy which supports which therapeutic group factor CBT…Psychodynamic therapy involves the interpretation of mental and emotional processes rather than focusing on behavior (Strupp, Butler, & Rosser, 1988). Psychodynamic therapists attempt to help clients find patterns in their emotions, thoughts, and beliefs in order to gain insight into their current self. 81. Didactic instruction about mental health, mental illness and general psychodynamics is a strategy which supports which therapeutic group factor? Cognitive behavioral therapy??? 82. The skilled psychotherapist assists the patient to stay in the Resilience Zone. Which of the following symptoms are consistent with hypo arousal? Boredom, inattention, apathy, lethargy 83. The advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following? Learn about that patient’s culture 84. Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors? 85. Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy? Page 280 brief takes place in fewer days a week and lasts for a shorter duration. Techniques are similar but less regression is encouraged and the patient is not encouraged to use the couch but to sit facing the therapist. Mostly for those who want to work on a particular issue or conflict. 86. The therapist using a CBT approach says to the patient: “You say you become depressed. Explain to me what depressed feels like to you.” This is an example of what question type in Socratic Dialogue? Translational Questions