WILKES NSG 526 EXAM 3 2026/2027 - CLINICAL MODALITIES ADVANCED PSYCH |
PSYCHOPHARMACOLOGY, LITHIUM, ANTIPSYCHOTICS | Q&A; EXPLANATIONS | A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=87 B=79 C=103 D=81 | 2026/2027 Bundle |
Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Atypical antipsychotic - metabolic
syndrome monitoring? (Case 1)
A. Only weight
B. No monitoring
C. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
D. No labs
Answer: C
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
2. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Benzodiazepine long-term risks? (Case
2)
A. No dependence
B. No risks
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. Safe long-term
Answer: C
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
3. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] CBT for panic - catastrophic
misinterpretation? (Case 3)
A. No CBT
B. Only meds
C. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
D. No misinterpretation
Answer: C
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
4. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Group therapy Yalom curative factors -
universality? (Case 4)
A. No universality
B. No factors
C. Only leader
D. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
Answer: D
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
5. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Mental Status Exam - thought content
vs process? (Case 5)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. No difference
C. Only content
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
6. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Solution-Focused Brief Therapy
(SFBT) - miracle question? (Case 6)
A. Past focused only
B. No solution
C. No question
D. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
Answer: D
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
7. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Lithium therapeutic range and toxicity
signs? (Case 7)
A. 5.0 therapeutic
B. No toxicity
C. No range
, D. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
Answer: D
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
8. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Atypical antipsychotic - metabolic
syndrome monitoring? (Case 8)
A. No monitoring
B. No labs
C. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
D. Only weight
Answer: C
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
9. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Cultural humility vs competence?
(Case 9)
A. No humility
B. Competence assumes mastery
C. Same as stereotyping
D. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
Answer: D
Explanation: Cultural humility ongoing self-reflection, partnership.
10. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] CBT for depression focuses on?
(Case 10)
A. Only meds
B. No focus
C. Cognitive triad negative views of self/world/future, cognitive distortions, behavioral activation
D. Unconscious conflicts only
Answer: C
Explanation: CBT depression: negative cognitive triad, distortions (catastrophizing, black-white), behavioral activation, automatic thoughts.
11. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] EMDR phases - for PTSD? (Case 11)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. No phases
C. Only 1 phase
D. No use
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
12. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Solution-Focused Brief Therapy
(SFBT) - miracle question? (Case 12)
A. Past focused only
B. No question
C. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
D. No solution
Answer: C
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
13. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Family therapy structural - Minuchin -
focuses on? (Case 13)
A. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
B. Individual only
C. Only child
D. No focus
Answer: A
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
14. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Which therapy modality is best for
client with BPD and self-harm - intense fear of abandonment? (Case 14)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. Psychoanalysis only
C. No therapy
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
15. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Benzodiazepine long-term risks?
(Case 15)
, A. No risks
B. Safe long-term
C. No dependence
D. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
Answer: D
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
16. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Cultural humility vs competence?
(Case 16)
A. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
B. Same as stereotyping
C. No humility
D. Competence assumes mastery
Answer: A
Explanation: Cultural humility ongoing self-reflection, partnership.
17. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Interpersonal Therapy (IPT) for
depression - 4 problem areas? (Case 17)
A. Only grief
B. No areas
C. Grief, role transition, role dispute, interpersonal deficits
D. Only role
Answer: C
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
18. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Lithium therapeutic range and toxicity
signs? (Case 18)
A. 5.0 therapeutic
B. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
C. No range
D. No toxicity
Answer: B
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
19. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] EMDR phases - for PTSD? (Case 19)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. No phases
C. No use
D. Only 1 phase
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
20. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Group therapy Yalom curative factors
- universality? (Case 20)
A. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
B. Only leader
C. No universality
D. No factors
Answer: A
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
21. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Trauma-informed care principles?
(Case 21)
A. No principles
B. Force exposure
C. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
D. Confront trauma directly
Answer: C
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
22. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Motivational Interviewing principle
OARS? (Case 22)
A. Confrontation
B. Closed questions only
C. No principle
D. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
Answer: D
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
, 23. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Mental Status Exam - thought content
vs process? (Case 23)
A. Same
B. No difference
C. Only content
D. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
Answer: D
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
24. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Exposure and Response Prevention
(ERP) is first-line for? (Case 24)
A. Schizophrenia
B. Mania
C. Depression
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
25. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Psychodynamic therapy transference
means? (Case 25)
A. Therapist projects
B. No meaning
C. Client projects feelings from past relationships onto therapist - analyze countertransference
D. No transference
Answer: C
Explanation: Transference client projects past onto therapist, countertransference therapist projects onto client - must be analyzed.
26. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Trauma-informed care principles?
(Case 26)
A. Confront trauma directly
B. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
C. Force exposure
D. No principles
Answer: B
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
27. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] EMDR phases - for PTSD? (Case 27)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. Only 1 phase
C. No use
D. No phases
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
28. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Exposure and Response Prevention
(ERP) is first-line for? (Case 28)
A. Schizophrenia
B. Depression
C. OCD - exposure to feared stimuli without ritual, habituation
D. Mania
Answer: C
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
29. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Group therapy Yalom curative factors
- universality? (Case 29)
A. Only leader
B. No universality
C. No factors
D. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
Answer: D
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
30. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Benzodiazepine long-term risks?
(Case 30)
A. No risks
B. Safe long-term
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. No dependence
PSYCHOPHARMACOLOGY, LITHIUM, ANTIPSYCHOTICS | Q&A; EXPLANATIONS | A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=87 B=79 C=103 D=81 | 2026/2027 Bundle |
Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Atypical antipsychotic - metabolic
syndrome monitoring? (Case 1)
A. Only weight
B. No monitoring
C. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
D. No labs
Answer: C
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
2. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Benzodiazepine long-term risks? (Case
2)
A. No dependence
B. No risks
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. Safe long-term
Answer: C
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
3. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] CBT for panic - catastrophic
misinterpretation? (Case 3)
A. No CBT
B. Only meds
C. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
D. No misinterpretation
Answer: C
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
4. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Group therapy Yalom curative factors -
universality? (Case 4)
A. No universality
B. No factors
C. Only leader
D. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
Answer: D
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
5. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Mental Status Exam - thought content
vs process? (Case 5)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. No difference
C. Only content
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
6. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Solution-Focused Brief Therapy
(SFBT) - miracle question? (Case 6)
A. Past focused only
B. No solution
C. No question
D. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
Answer: D
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
7. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Lithium therapeutic range and toxicity
signs? (Case 7)
A. 5.0 therapeutic
B. No toxicity
C. No range
, D. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
Answer: D
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
8. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Atypical antipsychotic - metabolic
syndrome monitoring? (Case 8)
A. No monitoring
B. No labs
C. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
D. Only weight
Answer: C
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
9. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Cultural humility vs competence?
(Case 9)
A. No humility
B. Competence assumes mastery
C. Same as stereotyping
D. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
Answer: D
Explanation: Cultural humility ongoing self-reflection, partnership.
10. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] CBT for depression focuses on?
(Case 10)
A. Only meds
B. No focus
C. Cognitive triad negative views of self/world/future, cognitive distortions, behavioral activation
D. Unconscious conflicts only
Answer: C
Explanation: CBT depression: negative cognitive triad, distortions (catastrophizing, black-white), behavioral activation, automatic thoughts.
11. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] EMDR phases - for PTSD? (Case 11)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. No phases
C. Only 1 phase
D. No use
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
12. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Solution-Focused Brief Therapy
(SFBT) - miracle question? (Case 12)
A. Past focused only
B. No question
C. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
D. No solution
Answer: C
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
13. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Family therapy structural - Minuchin -
focuses on? (Case 13)
A. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
B. Individual only
C. Only child
D. No focus
Answer: A
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
14. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Which therapy modality is best for
client with BPD and self-harm - intense fear of abandonment? (Case 14)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. Psychoanalysis only
C. No therapy
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
15. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Benzodiazepine long-term risks?
(Case 15)
, A. No risks
B. Safe long-term
C. No dependence
D. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
Answer: D
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
16. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Cultural humility vs competence?
(Case 16)
A. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
B. Same as stereotyping
C. No humility
D. Competence assumes mastery
Answer: A
Explanation: Cultural humility ongoing self-reflection, partnership.
17. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Interpersonal Therapy (IPT) for
depression - 4 problem areas? (Case 17)
A. Only grief
B. No areas
C. Grief, role transition, role dispute, interpersonal deficits
D. Only role
Answer: C
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
18. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Lithium therapeutic range and toxicity
signs? (Case 18)
A. 5.0 therapeutic
B. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
C. No range
D. No toxicity
Answer: B
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
19. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] EMDR phases - for PTSD? (Case 19)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. No phases
C. No use
D. Only 1 phase
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
20. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Group therapy Yalom curative factors
- universality? (Case 20)
A. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
B. Only leader
C. No universality
D. No factors
Answer: A
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
21. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Trauma-informed care principles?
(Case 21)
A. No principles
B. Force exposure
C. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
D. Confront trauma directly
Answer: C
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
22. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Motivational Interviewing principle
OARS? (Case 22)
A. Confrontation
B. Closed questions only
C. No principle
D. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
Answer: D
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
, 23. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Mental Status Exam - thought content
vs process? (Case 23)
A. Same
B. No difference
C. Only content
D. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
Answer: D
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
24. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Exposure and Response Prevention
(ERP) is first-line for? (Case 24)
A. Schizophrenia
B. Mania
C. Depression
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
25. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Psychodynamic therapy transference
means? (Case 25)
A. Therapist projects
B. No meaning
C. Client projects feelings from past relationships onto therapist - analyze countertransference
D. No transference
Answer: C
Explanation: Transference client projects past onto therapist, countertransference therapist projects onto client - must be analyzed.
26. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Trauma-informed care principles?
(Case 26)
A. Confront trauma directly
B. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
C. Force exposure
D. No principles
Answer: B
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
27. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] EMDR phases - for PTSD? (Case 27)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. Only 1 phase
C. No use
D. No phases
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
28. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Exposure and Response Prevention
(ERP) is first-line for? (Case 28)
A. Schizophrenia
B. Depression
C. OCD - exposure to feared stimuli without ritual, habituation
D. Mania
Answer: C
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
29. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Group therapy Yalom curative factors
- universality? (Case 29)
A. Only leader
B. No universality
C. No factors
D. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
Answer: D
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
30. [Exam 3: Advanced Psychopharmacology - SSRIs, Mood Stabilizers, Antipsychotics, Anxiolytics] Benzodiazepine long-term risks?
(Case 30)
A. No risks
B. Safe long-term
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. No dependence
