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Question 28: The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for the patient; do for the patient what he or she cannot do for self, always with an aim toward maximum independence and growth which is consistent with which basic strategy of dynamic supportive therapy? Answer: D. Maximize adaptive coping mechanisms Question 29: Which of the following is consistent with literature regarding suicide? Check all that apply: Answers: A. Assessing patient is of paramount importance for the advanced practice psychiatric nurse during the initial patient contact D. Suicidality can be assessed by using reliable and valid self-report questionnaires Question 30: Common ancestry through which individuals have evolved shared values and customs is knowns as which of the following? Answer: B. Ethnicity Question 31 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? Answer: B. Questioning the Evidence Question 32 Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? Answer: A. What happened in the past determine what we do today Question 33 The advanced practice psychiatric nurse is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The advanced practice psychiatric nurse recognizes the patient is a high suicide risk and recommends which of the following? Answer: B. Hospital psychiatric admission and suicide precautions. Question 34: Which of the following assumptions would the therapist be safe in making about cultural influences in a family? Answer: D. The cultural context of families is complicated by the fact that most families are influenced by multiple contexts. Question 35: The focus of exploration in a relational psychodynamic therapy includes which one of the following? Answer: C. Here and now Question 36 The CBT therapist ask the patient on the scale of "0 -10 how would you rate your depression today?" " And how that compare to 2 months ago?" This is an example of what type of question type in Socratic dialogue? Answer: D. This would not be a question consistent with Socratic Dialogue Question 37 Which of the following best describes the difference between standards of care and practice guidelines? Answer: B. Standards of care are legally binding while practice guidelines are not. Question 38: Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach? Answer: A. Restructuring Question 39: Which of the following is consistent with Cognitive Behavioral Therapy (CBT)? Select all that apply: Answer: D. A and C Question 40: According to Structural Family Therapy model, family structure refers to which of the following? Answer: D. The way families are organized into subsystems separated by emotional boundaries Question 41: "They probably think I am stupid" is an example of which type of cognitive distortion? Answer: B. Mind reading Question 42: In the 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? Answer: A. Altruism Question 43: 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? Answer: A. Catharsis Question 44: A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factors? Answer: B. Universality Question 45: Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? Check all that apply A. It is essential that emergency coverage is in place B. How patients contact you between sessions and emergencies should be included in the contract given to the patient during the initial session C. Explicitly stated whether you will be available for phone calls between sessions and adhere to clear limits. D. Check message at least once per day and call back within 24 hours. Rationale: All are correct. These are all good practice habits that are relevant for legal and ethical professional responsibility. Hence, improving health service and quality with prevention of legal and ethical complaints. Question 46: A Hispanic woman whose mother recently died reports that she continues to hear voice of her deceased mother. The advanced practice psychiatric nurse considering the Hispanic woman's culture determines which of the following? A. The woman is likely grieving according to her Hispanic social norms Rationale: The woman is not necessarily being psychotic because she is still in the process of bereavement and grieving which is a stressful life even