ANCC IQ Domain 4 Psychotherapy and Related Theories (30 questions with rationales)

ANCC IQ Domain 4: Psychotherapy and Related Theories (30 questions with rationales) The risk of being overly empathetic as a therapist is commonly characterized by which of the following responses by the client? a. re-enacted attachment with merger and fusion b. re-enacted attachment with understanding and change c. re-enacted attachment with alienation and isolation d. re-enacted attachment with dependency and acting-out D The literature on group outcomes has revealed that negative group outcomes have been associated with which of the following qualities in group leaders? a. leaders who initiate discussions of feelings b. leaders with a timid interpersonal style c. leaders who are overly confrontational d. leaders who reveal too much about their personal experience C When screening potential female clients for an incest survivor's group, which client would you exclude from selection to the group? A. 36-year-old divorcee who brings a signed consent form to consult with her individual therapist. B. 26-year-oldse her husband is concerned about her lack of interest in sex. C. 50-year-old third grade teacher who last attended a sexual abuse group when flashbacks recurred. D. 18-year-old college freshman who is talking openly about her incest experience for the first time. B When working with a family in therapy, you plan to address differentiation of self, triangles, and genograms. What family therapy approach will you be utilizing? A. Strategic family therapy B. Emotionally focused family therapy C. Systemic family therapy D. Structural family therapy C In evaluating a 9-year-old girl referred by the school for evaluation of behavioral problems, which of the following reported behaviors raises the greatest concern? A. Difficulty staying on task during school day B. Incomplete and late homework assignments C. Seeming to daydream looking out classroom window D. Chasing boys with provocatively posturing hips on playground D As a PMHNP using Family Systems theory, you know that families seek equilibrium in the face of change. This is an example of which concept? A. Homeostasis B. Homeogenesis C. Morphogenesis D. Morphostasis A When working with an avoidant patient with a history of trauma, what type of communication techniques are helpful? A. Techniques to increase arousal B. Clarification and close-ended questions C. Reflection and open-ended questions D. Techniques to decrease arousal A Which of the following would not be a recommended practice in psychotherapy with patients diagnosed with borderline personality disorder? A. Therapist as a passive listener B. Utilization of concomitant individual and group approaches C. Mutually agreed limit setting D. Establishment of clear roles of patient and therapist A A child who is seen by the PMHNP has difficulty feeling safe with his caregiver and is unable to feel comfort. Which theorist's theory would help explain the child's behavior and help guide treatment? A. Bowen B. Bowlby C. Erickson D. Freud B When working with adolescents who have poor affect regulation and limited response flexibility, therapists strive to provide a therapeutic frame S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material open enough for changes and consistent enough for stability and safety. Which of the following responses characterizes such a therapeutic frame? A. Detached, neutral, objective B. Empathetic, consistent, strict C. Mindful, reflective, intentional D. Charismatic, engaging, expressive C Cognitive behavioral therapy (CBT) is often one of the first-line treatments for anorexia nervosa. One of the primary goals of CBT is to assist the patient in which of the following ways? A. Restore weight above 85% of normal B. Improve interpersonal relationships C. Overcome distorted thinking D. Resolve symptoms of depression C An adult female client who has been a full-time homemaker raising four children finds herself sad, regretful, sleeping late into the day, and generally fatigued since her youngest child left for college. What theoretical framework is most appropriate in the PMHNP's appraisal of this situation? A. Mead's role and gender theory B. Erikson's eight stages of psychosocial development C. Family life cycle D. Maslow's hierarchy of needs C S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material Johnny, an 8-year-old male, presents with his foster mother for an initial evaluation. When interviewing the foster mother alone, it is confirmed that Johnny was taken out of his home due to sexual abuse by his stepfather. As the treating PMHNP, you know which of the following are evidencebased treatments for Johnny: A. Interpersonal therapy B. Behavioral therapy C. Family therapy D. Trauma focused cognitive behavioral therapy D The group leader wants to help the group members work through the feelings of emptiness that all the group members described as one of their reasons for wanting to be part of the group. In an effort to do this, the leader uses interventions that will increase their awareness of choices and responsibility for the consequences of their choice. This approach is congruent with the following theoretical framework: A. Gestalt B. Existentialism C. Psychodynamic D. Bowen B Tommy, a 10-year-old boy, is brought to the clinic for a follow-up appointment. During the visit, his mother asks the psychiatric mental health nurse practitioner (PMHNP) if it is normal for Tommy to fixated on S S - The Marketplace to Buy and Sell your St Marketplace to Buy and Sell your Study udy Material Material rules and is not distressed when things are out of place in his room. Understanding Jean Piaget's stages of development, the PMHNP is aware that Tommy is having difficulty mastering what cognitive developmental stage? a. Stage of formal operations b. Stage of concrete operations c. Sensorimotor d. Stage of preoperational thought B A number of theories with biologic, psychological, and social underpinnings have been postulated to explain violence between intimate partners and in the family. Which statement best illustrates the psychosocial theory of intergenerational transmission of violence in explaining why men become batterers? a. Men with traumatic brain injury are prone to seizure disorders, attentional dysfunction, and aggressive behavior. b. Men who witness violence in their family of origin often perpetuate violent behavior in their families as adults. c. Men with alcohol and substance use disorders have disinhibition of social restrains and higher prevalence of violent behavior d. Men with personality disorders including antisocial, borderline, narcissistic, and dependent are prone to violence toward intimate partners. B S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material In co-leading a group of elementary children of divorcing parents, a child shared that his parents were arguing over the weekend and calling each other names. What is the most appropriate intervention at this junction? a. Allow the child to finish describing the situation and then ask how he felt about hearing this argument b. Ask the child how he was affected by the incident and ask other children how they handle similar situations c. Ask the other children in the group if they experienced similar situations and how they handled their feelings d. Ask the child how he was affected by the incident and facilitate sharing of similar incidents by other children B What is the main differentiating factor between repression and suppression? a. Repression is unconsciousness and suppression in involuntary b. Repression is involuntary and suppression is voluntary c. Repression is voluntary and suppression ins involuntary d. Repression is conscious and suppression is unconscious B A patient is followed by the PMHNP psychotherapist and states, "I went to see my primary care provider, and she told me my liver is working harder than it should and she thinks it might be due to my drinking. I don't think I have a drinking problem, but I don't want to have any health problems either. Can you give me the names of where Alcoholics Anonymous groups S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material are located? I told my primary care provider I would try and cut back a bit." What state of readiness to change is this patient in? a. Precontemplation b. Preparation c. Contemplation d. Action B Psychotherapy which stresses the importance of recognizing patterns of thoughts and how thoughts influence feelings and behaviors best describes: a. Group therapy b. Supportive therapy c. Family therapy d. Cognitive behavioral therapy D During a trauma recovery group a new member has a flashback of her sexual assault. She struggles to regain emotional control. What is the most appropriate intervention strategy at this juncture? a. Use eye contact, ask her to push her feet firmly on the floor, and speak with her in the present so that traumatic feelings can be talked about as memories. b. Monitor the responses of other group members that may have similar flashbacks triggered by the description of this new member's traumatic event. S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material c. Assist her in regaining emotional control by orienting her to the present time and place. d. Encourage the woman to describe the event and associated thoughts and feelings at that time to facilitate desensitization. A In working with elderly residents at a nursing home, the goals of reminiscence groups include all of the following except: a. Improve cognitive function b. Reduce wandering c. Facilitate life review d. Maintain self-esteemB According to Erikson, the primary task of adolescent psychosocial development is "identity formation" and the associated virtue of "fidelity" to one's nascent self-definition and to one's ideology of "self-in-world." Which of the following behaviors would indicate successful navigation of this developmental milestone? a. Primary identification with "goth" friends despite ostracism by others b. Ability to tolerate differences in others while affirming one's own values and beliefs c. Ability to form a sexually intimate relationship sustained over several years d. Easily identifies with a series of different groups from athletes, rave parties, computer geeks to heavy metal bands. B S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material Attachment relationships between infant and mother are considered critical by neurobehavioral researchers because: a. The mother functions as a regulator of the social and emotional environment. b. Attachment to significant relationships facilitates self-regulation of emotions. c. Subtle emotional regulatory interactions can transiently or permanently alter brain activity levels. d. Interaction influences development of the brain's limbic system. B The psychiatric mental health nurse practitioner implements a psychoeducation group for parents on the importance of developing secure attachments between the child and parent, and includes information about normal growth and development at specific ages. This is an example of what level of prevention? a. Secondary b. Primary c. Indicated d. Tertiary B Understanding normal growth and development, at what age should a child use up to 1,000 words, use three-to four-word sentences, balance on one foot, and play "make-believe"? a. 2 years of age S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material b. 3 years of age c. 4 years of age d. 5 years of age B Which of the following brief intervention statements incorporates the key elements of motivational interviewing to reduce risk related to binge drinking at a college campus? a. John, you were fortunate to avoid a car crash after leaving the frat party intoxicated. No one can force you to change your drinking patterns, but I think you can drink in a responsible way and need to limit yourself not to exceed three drinks at a party. Let's discuss some ways to cut back that will work for you. b. Bill, you could have diet from alcohol poisoning with a blood alcohol level that high (2.4 mEq/L). Lucky that your roommate called the paramedics and got you to the Emergency Department. How can I get you to stop the binge drinking? I know you don't want your parents to know about your drinking problem. Let's discuss some ways to cut back that will work for you. c. Mary, you know the risk of STDs from unprotected sex and you know what happens when you drink at frat parties. I can provide free condoms, but the real solution is getting you to cut back on your drinking. Let's discuss some ways to cut back that will work for you. S S - The Marketplace to Buy and Sell your Study Material Marketplace to Buy and Sell your Study Material d. Natalie, your drinking and driving scares me. You're lucky that you or your friends in the car weren't injured. I know you've tried to cut back on drinking at the frat parties, but something's not working. You need to stop after two drinks. Let's discuss some different ways to help you do that. A Sam, a 6-year-old female, presents with her mother for a new psychiatric evaluation. Her mother reports that Sam is not making friends at school, stays by herself, will not read aloud in class, and requests adult reassurance before making a decision. Which stage of Erik Erikson's Stages of Development is Sam having difficulty developing? a. Trust versus Mistrust b. Industry versus Inferiority c. Identity versus Role Confusion d. Intimacy versus Isolation B The PMHNP knows that the ego is a part of the personality and is the logical/rational mind includ8ing defense mechanisms. What might this personality part say? a. "I ought" b. "I should" c. "I evaluate" d. "I want" C S - The Marketplace to Buy and Sell your Study Material The following scenario is an example of the defense mechanism sublimation: a. An employee is embarrassed by a boss at work and angrily cuts a driver off on the way home. b. A group therapy client strongly dislikes another member but claims that it is the member who dislikes her. c. A host despises one of the party guests yet greets him warmly and offers him food, beverages, and special attention. d. A mother of a child killed in a drive-by shooting becomes involved in legislative change for gun laws and gun violence. D