A psychiatric nurse encourages a patient with a gambling addiction to develop a relapse
prevention plan. Which of the following is true about a relapse prevention plan answer A. a
relapse prevention plan includes identifying triggers to the patient’s gambling and a variety of
coping strategies to avoid or successfully manage triggers without reverting to gambling
Which of the following is consistent with the psychotherapeutic approach used by existential
psychotherapist? Answer is D the existential psychotherapist is free to draw on techniques from
other psychotherapeutic models
According to Deering, Stewig, and Tangney (2005), understanding the differences between guilt
and shame and their impact on the individual's motivation is critical to Hope and their recovery
process. Which of the following is true regarding guilt and shame? D. Shame drives avoidance
from treatment. Guilt often motivates a person to seek treatment.
Which of the following is not consistent with what is known about relapse? The answer is A.
relapse indicates treatment failure
The advanced practice psychiatric nurse is proficient in interpersonal psychotherapy. IPT is
working with an older woman who does not realize she has depression. Which of the following
is true? The answer is D ( B & C). B. Is this a common IT IPT issue with older adults during
their initial seasons, seasons, and C. the advanced practice psychiatric nurse should consider
using standardized scales to quantify the depression and use this to educate the patient in the
family.
The patient is in dialectical behavioral therapy. DBT complains that the skills being taught in
DPT don’t work, struggles to keep a diary card, and struggles to do assigned homework. This is
consistent with which stage of treatment within the DBT model, A. stage one.
The existential concept of an openness, readiness, and flexibility to grow and change which
necessitates a capacity to choose alternatives and shape one’s own destiny as an author of
creating their own world in which of the following? A. freedom.
Which of the following is not consistent with a family centered approach in child therapy? The
answer is C. Family center treatment is appropriate to keep families engaged in services.
The gestalt therapist notices the patient is fidgeting with fingers. Legs are shaky and ask the
patient. What are you experiencing right now in your body this type of creative experimentation
known as which of the following? B body awareness
The advanced practice, psychiatric nurse is working with a group of patients in an outpatient
substance abuse treatment program. One of the patient comes to the advanced practice,
psychiatric nurse after the group session and asks if there advanced practice, psychiatric nurse
would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the
session and fears relapse, which of the following would be consistent with a traditional
therapeutic framework, a. Given concern about relapse, it would be appropriate to meet with the
therapist just this one time and just for 10 minutes, but meet in your office.
Which of the following statements would not be consistent with the humanistic existential
concept of wholism? D. Dysfunction such as chemical imbalance must be.
Stigma of mental illness in the elderly A. has contributed to psychiatric symptoms being
expressed with physical symptoms
The advanced practice nurse encourages the older Adult to recall long-forgotten experiences and
events that are memorable to the person. This is known as.? B. Remnant therapy, (RT).
The advanced practice, psychiatric nurse is working with the patient who states she believes her
boss hates her. After some discussion. It is clear the patient has strong negative feelings towards
,her boss, the advanced practice, psychiatric nurse working with the GusTALT framework,
recognizes this as an interruption consistent with which of the following? Projection
The most effective treatment for Sud with or without comorbid psychiatric disorder is A.
multidimensional, addressing medical psychosocial and medical health issues
Positive substance use disorder treatment outcomes, unique to women can be strengthened by
which of the following D all of the above a is valuing the significance of relationships. B is
recognizing general, psychobiological attributes and healthcare needs and c. minimizing the
focus of social roles and gender expectations.
A specific type of CBT therapy aims to reduce distress as a person experiences sensations of
danger, which is known as what? exposure therapy
Which of the following are help now skills select all that apply the answer is D both A and B.
A. drink a glass of water, tea or juice B. name six colors that you see wherever you are.
Practice guidelines for complex, trauma, and dissociative identity disorder caution that which of
the following may limit one’s ability to heal? Talk therapies focused on cognitive
understanding.
Research suggests the psychodynamic therapeutic approaches are effective for some children,
particularly those with which of the following disorders? B. anxiety and depression.
When using dialectical behavioral therapy DBT approach with a patient with borderline
personality disorder the advanced practice psychiatric nurse knows, which of the following is
inconsistent with DBT assumptions about patients C. Patients need to do better try hard harder
and be more motivated to change.
The patient and dialectical behavioral therapy with a history of self harm through cutting has
shown progress in effectively using skills to manage urges integrating skills to manage emotions
and behaviors, and increase awareness of self. The advanced practice psychiatric nurse
recognizes the patient is ready for which of the following? D. The termination from therapy.
Strategies for terminating a therapy relationship with an older adult include:
See. The advanced practice, psychiatric nurse should set clear therapeutic goals, commend
patient on goals, attainment, and terminate the therapy.
The patient centered therapist is expected to exhibit which of the following characteristics? D.
All of the above congruence, unconditional positive regard, empathetic understanding.
In following the rules of DBT, the therapist would not do which of the following? A. Recognize
the therapist is human and fallible.
The patient demonstrates the ability to regulate his emotions in such a way he can think through
them the advanced practice, psychiatric nurse using dialectical behavior therapy approach
recognizes this ability is consistent with which stage of treatment? D. stage four
Which of the following is not consistent with the principle of effective treatment for addiction
according to the NIH? B. Psychotropic medication should be stopped prior to treatment.
The advanced practice, psychiatric nurse using dialectical behavioral therapy approach with a
patient with borderline personality disorder explains the four essential elements in which include
all of the following except? A. Biweekly individual therapy sessions for the patient for one
hour. The other answers were weekly group skills training sessions for the patient of 2 ½ hours
each, skills, coaching via telephone or other electronic means as needed by the therapist
managing in vivo situations and team consultation to therapist to maintain the treatment, fidelity
and adherence.
,Evidence supports which of the following statements about women and addiction treatment? A.
Women seeking treatment for substance use disorder are more likely than men to have
experienced traumatic events.
Which of the following statements would be consistent with trauma informed care when treating
patients with Comorbid PTSD and substance use disorder? C. Clinicians need to learn EBT
approaches to simultaneously treat the underlying PTSD while addressing substance use.
The PMHNP using DBT with a PT with BPD uses persuasive dialogue to do which of the
following? D. A&B- invite the patient to new ways of viewing a situation, guiding patient to
develop more skills to achieve a greater quality of life.
A pt whose husband had recently died suddenly expresses remorse regarding an argument they
had shortly before his death. The Gestalt Therapist would likely use which of the following
techniques to complete unfinished business? Empty Chair dialog
Evidence supports the use of DBT for patients with which of the following: BPD
Problems in the preschool child’s self-regulation have been tied to subsequent issues with which
of the following? D. All of the above: Aggression, conduct problems, and social wdl
Which of the following would not be a 1st line intervention for an individual with PTSD? D.
Pharmacological interventions
The advanced practice, psychiatric nurse working with children/adolescence in psychotherapy is
aware of which of the following? B. The basic structure of psychotherapy with children for the
most part is not aligned with the principles of psychotherapy for adults.
Using psychodynamic psychotherapy stage oriented model for treatment of trauma the advanced
practice psychiatric nurse would do which of the following in stage one? Address, safety issues
and process painful memories?
When doing psychotherapy with older adults, accommodations that target cognitive symptoms
and functional deficits include A. shorter more frequent sessions
Humanistic existential therapy focuses more on process, and this process is best described by
which of the following? D both b and C. The flow of the action and the reaction within the
session and The content of the therapy and the pacing timing and tracking in the session.
Dysfunctional processing developing early in life that people employ in an attempt to meet their
needs are referred to by the gestalt therapist, as which of the following? D. Organic self
regulation.
According to the Trauma resiliency model, which of the following occurs? A. Emotions proceed,
the underlying physical sensation of trauma.
Which of the following is not consistent with the currently known about debriefing? B. APA
practice guideline support the use of debriefing due to its efficacy.
Stress inoculation therapy (SIT) can be helpful for PTs with phobic avoidance due to trauma.
The PMHNP using SIT would do which of the following? D. Cognitive skills such as thought
stopping and guided self-dialogue.
The pt in DBT expresses frustration that the skills taught don’t work, the process is taking too
long, and is strugging to complet homework, the PMHNP model would do whih of the
following? D. All of the above. Validate the pt’s frustration while encouraging and reinforcing
the use of skills, analyze the behaviors and consequences of the behaviors with the pt. Focus on
behavioral control and management with emotions as a contextual element.
One of the problems when meeting with children individually is that they can create secrets
which of the following response would the advanced practice psychiatric nurse due to address
, this concern? D. Discussed with the child what he or she wants to share with the parents and
facilitate the process as needed.
OTHER PPLS PAPERS
1. The therapeutic frame supports the clinician in which of the following ways? Select all that
apply. A . Maintaining a therapeutic stance of neutrality. B . Maintaining a therapeutic stance
of anonymity. C . Maintaining a therapeutic stance of non intrusiveness. D . A and C
2. The advanced practice psychiatric nurse is working with a patient who is chronically suicidal.
The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach
realizes which of the following? A. Every time the patient has suicidal ideations, hospitalization
is recommended. B . To the chronically suicidal patient, hospitalization reinforces the status
quo and abdicates the hard work of change. C . For the chronically suicidal patient, frequent
hospitalizations allow a safe place to learn new coping behaviors and promote change. D . the
Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal patient.
3. The concept of resiliency in child therapies is in direct contrast to which traditional approach
for treating children? A. Family inclusion B. The concept of recovery C. Problem-based
therapy D. Interacting systems consideration
4. Stigma of mental illness in the elderly: A. Has contributed to psychiatric symptoms being
expressed with physical symptoms. B. 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 .
This leads to more discussion of emotions in primary care settings.
5. Which of the following is not consistent with the psychoanalytic perspective when treating an
individual with a personality disorder? Personality products and processes are within the
realm of awareness, accessible to the individual.
6. Which of the following statements would not be consistent with the humanistic existential
concept of holism? Dysfunctions such as chemical imbalance must be identified.
7. Which of the following is true about dream work from a Gestalt perspective? D. The
characters and objects in the dream are projections of the individual who dreams it.
8. When the advanced practice, psychiatric nurse builds a formulation when working with a
child in therapy, the advanced practice psychiatric nurse is doing which of the following A.
period formulation is a type of plate therapy B. Formulation is the child’s diagnosis C. The
formulation explains the context of child and family situation. The child’s unique
presentation response and narratives of the events that shaped the interpretation or D. The
formulation is the treatment plan.
9. In providing psychoeducation to a patient and recovery the advanced practice psychiatric
nurse would not include which of the following? A . period recovery is a lifelong process of
change B. The patient is considered recovered after five years free from substance use C.
Recovery encompasses dimensions of health home purpose and community D. Recovery applies
to recovery from mental disorder, substance use disorder and behavioral addictions.
10. which best describes Gerotranscendence? A Erich Erickson’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 committing to terms with end of one’s life.
11. The advanced practice, psychiatric nurse is working with a group of patients in an outpatient
substance abuse program. One patient comes to the advanced practice, psychiatric nurse after
group session, and asked the advanced practice psychiatric nurse would meet at the nearby
Starbucks to clarify a couple of questions that came up at the end of the session in fears of
relapse? Meet in your office only.