NRNP 6645 Week 6 Midterm Exam (100% Correct Answers)

NRNP 6645 Week 6 Midterm Exam (100% Correct Answers) NRNP – 6645 Psychotherapy with Multiple Modalities Midterm Exam - Week 6 80% Score To access this week's Midterm Exam, click on the Midterm Exam - Week 6 link. The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy? A . Workbook exercises are only an adjunct to treatment. B . Workbook exercises simplify the real work in therapy. C . Treatment manuals consistently correlate positively with treatment outcome. D . Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic process. According to Freud, failure to successfully accomplish the tasks of learning independence and control is associated with which of the following problematic traits? A . Excessive dependency B . Orderliness C . Sexual identity issues D . Excessive guilt During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following? A . Asking the children how they would fix or deal with the problem person. B Asking the person identified as the problem to meet privately prior to the S - The Marketplace to Buy and Sell your Study Material . next meeting. C . Asking the person identified as the problem how they think the problem could be fixed. D . Asking how others in the family are involved in or effected by “the problem”. Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The advanced practice psychiatric nurse understands that from Erikson’s psychosocial stages perspective he is dealing with which psychosocial stage of development? A . Intimacy vs. isolation B . Ego integrity vs. despair C . Generativity vs. stagnation D . Autonomy vs. alienation While working with a patient who exhibits parasuicidal behaviors of cutting, the advanced practice psychiatric nurse has the patient sign a no-suicide contract. Which of the following is true from a legal perspective about a no-suicidal contract? A . This is a legally binding document B . It proves the therapist has good clinical judgment. C . It absolves the therapist of any responsibility should the patient commit suicide. D . It is not a substitute for good clinical judgment; accurate assessment is imperative. Common patterns of behavior and experience derived from the settings in which people live is known as which of the following? A . Race B . Culture C . Ethnicity S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . Family structure The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes: A . Problem-solving is the primary goal of therapy B . Understanding is the primary goal of therapy. C . Behavior change is the primary goal of therapy D . Family dialogue is encouraged. Recommending or prescribing specific readings related to the individual’s difficulties is known as which of the following? A . Cognitive Rehearsal B . Mind-Reading C . Bibliotherapy D . Reattribution The capacity to be alone is known as which of the following? A . Oneness B . Autonomy C . Independence D . Object constancy “If I was in a relationship, all of my problems would be solved” is an example of which type of cognitive distortion? S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material A . Fallacy of attachment B . Fallacy of worrying C . Fallacy of perfect effect D . Fallacy of the change of othe Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework? A . Eric Erickson B . Sigmund Freud C . Margaret Mahler D . Harry Stack Sullivan Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? A . What has happened in the past determines what we do today. B . Psychodynamic psychotherapy is rooted in developmental theory C . By changing one’s thoughts, emotions and behaviors can be changed. D . Through understanding the past, the individual is impowered to make more conscious decisions. The change agent in relational psychodynamic therapy is which of the following? A . Insight B . Mindfulness C . Wish/defense conflicts S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . Emotional communication and affect regulation According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes? A . Psychosis, addictions, depression B . Paranoia, obsessions, compulsions C . Phobias, psychosomatic disorders D . Inertia, creative inhibition The quality of the therapeutic relationship is most closely linked to which school of therapy? A . Freudian B . Gestalt C . CBT D . None of the above According to Freud’s Psychosexual stages development of sexual identity occurs during what age range? A . 18 months to 3 years B . 3 years to 6 years C . 6 years to 12 years D . 13 years to 20 years Which of the following is not consistent with therapeutic process of the corrective recapitulation of the primary family group in group psychotherapy? S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material A . The therapeutic value is that early familial conflicts are simply relived. B . The therapeutic value is that early familial conflicts are relived correctively. C . Fixed roles must be constantly explored and challenged. D . Working out problems in the group setting is also working through unfinished business from long ago. According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage? A . Oral B . Anal C . Latency D . Phallic/Oedip al Evidenced based guidelines for patient treatment are based on which of the following? A . Consensus of expert panel B . Systematic reviews of case studies. C . Systematic reviews of randomized controlled studies (RTC). D . A and C Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? Check all that apply. A . CBT is a system of psychotherapy based on a theoretical framework which maintains how an individual structures one’s experiences largely determines how one feels and behaves. B . Maladaptive thoughts relating to the “cognitive triad” are rooted in irrational or illogical assumptions. C . By changing one’s thoughts, emotions and behaviors can be changed. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . A and C Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors? A . Therapeutic change is an intricate interplay of human experiences. B . The distinctions among these factors are well delineated. C . The distinctions among these factors are arbitrary. D . The factors are interdependent Which of the following is consistent with literature regarding suicide. Check all that apply. A . Assessing patient safety is of paramount importance for the advanced practice psychiatric nurse during the initial patient contact. B . More that half of those who commit suicide do not have known mental health problem. C . The highest risk factor for suicide is a relationship problem. D . Suicidality can be assessed by using reliable and valid self-report questionnaires. What distinguishes psychoanalytic therapy from other types of therapies? A . The focus on problem-solving B . The focus on irrational thoughts C . The focus on dreams and wishes D . The deep analysis of the patient relationship with the therapist. Cognitive Behavioral Therapy (CBT) interventions focus on A . The person’s relationships and family dynamics B . The person’s thoughts, beliefs, or behaviors S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material C . The person’s understanding of how the past gets triggered and plays out in the present D . The person’s body, beliefs, images, and emotions to process trauma Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? A . The collaborative dialogue is goal-directed and specific. B . The therapist may use everyday experiences as therapeutic metaphors. C . Self-disclosure is frequently used to motivate the patient in problem solving. D . Socratic Dialogue questions should be framed in a way to elicit an affirmative response. Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages? A . Autonomy vs. selfdoubt B . Industry vs. inferiority C . Identity vs. role confusion D . Intimacy vs. isolation An advanced practice psychiatric nurse is sued for continuing to work with a patient despite the treatment not working. The advanced practice psychiatric nurse realizes that which of the following will be considered in this case? A . Was the standard of care followed? B . Was there harm to the patient? C . This is a frivolous lawsuit. The advanced practice psychiatric nurse cannot be sued for this. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . A and B The decision to use supportive psychotherapy should be based on which of the following? Check all that apply. A . Recent losses B . Present coping skills C . The patient’s ego strength and weaknesses D . Highest level of functioning previously achieved Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques? A . Social learning is a therapeutic factor that operates in all therapy groups. B . Groups permit members to understand there is a huge discrepancy between their intent and their actual impact on others. C . Social skills learned in therapy groups can serve individuals well in future social interactions outside of the group setting. D . All of the above Which of the following is not consistent cross-cultural research related to mental health and mental illness. A . Culture determines what is considered a psychiatric disorder. B . Neurobiological mechanisms linked to stress and trauma vary across cultures. C . Individuals from different cultural backgrounds vary in their interoceptive awareness. D . Individuals from different cultural backgrounds are similar in their interoceptive awareness. 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? A It is appropriate to use relaxation techniques in between exposures S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material . B . It is appropriate to use relaxation techniques during the actual exposures conducted by the therapist. C . It is appropriate to use relaxation techniques after the exposures D . A and C According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse A . Is key to understanding others B . Increases likelihood therapist acts out their own agenda. C . Allows for nurse-patient boundaries to be safely ignored to better meet patient needs. D . Undermines objectivity Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following? A . Biomedical model B . Psychosocial framework C . Overdeterminism D . Resiliency A Hispanic woman whose mother recently died reports that she continues to hear the voice of her deceased mother. The advanced practice psychiatric nurse considering the woman’s Hispanic culture determines which of the following? A . The woman is likely grieving according to her Hispanic social norms. B . The woman is psychotic as Hispanic people tend to somaticize conflicts. C . The woman is psychotic and needs to be hospitalized for further evaluation. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . The woman is clearly psychotic, and the advanced practice psychiatric nurse prescribes an antipsychotic medication. It is important for the new nurse psychotherapist to become comfortable with which of the following? A . Learning to be directive to help the patient feel better. B . Letting the psychotherapeutic process unfold over time. C . Helping the patient feel better is the main goal of psychotherapy D . Building a therapeutic toolbox for a variety of “fix it” solutions for a variety of problems. In psychodynamic case formulation three personality organization levels have been identified along a continuum. A patient who primarily uses primitive defenses is likely to be in which personality range? A . Healthy B . Neurotic C . Psychoti c D . Borderlin e When treating a family in which a child has been sexually abused the primary goals include which of the following? Check all that apply. A . Ensure the abuse doesn’t recur B . Reduce the long-term effects of the trauma C . Preserve the integrity of the family at all cost. D . A and B The challenges of a family therapist in working with families of different culture include which of the following? Check all that apply. A . Learning to respect diversity in each unique family. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material B . Developing a sensitivity to some of the issues faced by those in other cultures. C . Learning to recognize the therapist’s own blind spots and biases. D . Becoming an expert on ethnicity. nternal resources include which of the following? A . Internal resources are more tangible than external resources B . Internal resources consist of the person’s ability to manage primarily negative emotions C . Internal resources include the person’s ability to self-soothe, demonstrate adequate impulse control, and regulate moods. D . Are intuitive and easily measured Controlled studies of psychotherapy outcome have shown which of the following? A . The average person typically does not engage in psychotherapy B . The average person who receives psychotherapy is significantly improved. C . The average person who receives psychotherapy shows no significant improvement. D . The average person who receives psychotherapy shows some improvement, but results are not statistically significant. In classical psychodynamic therapy the therapist’s role is which of the following? A . Objective B . Subjective C . ParticipantObserver D . Enmeshed S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material 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: A . People do things because of what happens in their brain. B . Biological events cause human actions. C . One can learn to activate their prefrontal cortex and retrain emotional reactions. D . Biological events always over-rides free will. 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? A . Be a good parent B . Foster and protect the therapeutic alliance C . Hold and contain the patient D . Provide a role model for identification Diverting conflict between two people by involving a third is known as the concept of: A . Emotional reactivity B . Relationship triangles C . Differentiation of self D . Enmeshment Which of the following are consistent with research about adverse childhood experiences (ACE)? S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material A . Toxic stress in early childhood plays a role in intergenerational transmission of disparities in health outcome. B . Long-term sequelae related to neurobiological responses to childhood stress and trauma may be inherited by subsequent generations. C . Higher maternal ACE score have been associated with psychopathology in her offspring. D . All of the above. 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? A . Make connections B . Decrease alexithymia C . Encourage patient activity D . Maximize adaptive coping mechanisms The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts? A . Id vs ego conflict B . Super ego actions to censor and restrain C . Psychic determinism D . Ego synchrony 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? A . Usually I would not agree to keep a secret for anyone in the family but since are concerned I will this once. B . I appreciate you calling but you need to bring whatever this is to the therapy session. C . You can tell me but if there are concerns about your safety or anyone else, I cannot promise to keep this confidential. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . You can tell me, but you will need to bring this up yourself in the next therapy session 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? A . Manage transference B . Lend psychic structure C . Hold and contain the patient D . Foster and protect the therapeutic alliance. Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following? A . The outcome from group therapy is virtually identical to that of individual therapy. B . The outcome from group therapy is slightly less than outcome of individual therapy. C . The outcome from group therapy is significantly better than outcomes of individual therapy D . The outcome from group therapy is significantly less than outcomes of individual therapy. Which of the following is consistent with use of direct advice as a strategy of imparting of information? A . Specific advice-giving supports intimate group engagement. B . The most effective form of direct advice is direct suggestion. C . Direct advice is often an important clue in elucidation of interpersonal pathology in the group. D . The least effective form of direct advice was a series of alternative suggestion for goal achievement. According to Structural Family Therapy model, family structure refers to which of the following? A Birth order. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material . B . How individuals in the family balance individuality and togetherness. C . How individuals in the family experience and express their real feelings. D . The way families are organized into subsystems separated by emotional boundaries. The process of a group member benefitting by observing the therapy of another member with similar problems is a phenomenon referred to as which of the following: A . Modeling B . Spectator therapy C . Copy-cat phenomenon D . Universality 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 the patient contacts you between sessions and in emergencies should be included in the contract given to the patient during the initial session. C . Explicitly state whether you will be available for phone calls between sessions and adhere to clear limits. D . Check messages at least once per day and call back within 24 hours. The patient talking about her husband states “By the time he comes home late for the zillionth time I’m just beside my self … 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? A . Questioning the Evidence B . Downward Arrow C . Idiosyncratic Meaning D . Labeling of Distortions. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material 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? A . Cultural syndrome B . Cultural formulation C . Cultural idiom of distress D . Cultural explanation or perceived cause “They probably think I am stupid” is an example of which type of cognitive distortion? A . Comparing B . Mind reading C . Objectifying the subjective D . Externalization of selfworth Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following? A . Patients with primarily primitive defenses B . Patients with primarily mature defense mechanisms C . Patients with neurotic to healthy personality organization. D . Patients with the capability to engage in a therapeutic alliance The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following? Check all that apply. A . Listening to what is important to the patient. B . Listening to what the meaning of a situation is in the moment. C . “Being with” the patient rather than “doing to” the patient. S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material D . Acceptance, nonjudgmental attitude and empathy. The skilled psychotherapist assists the patient to stay in the Resilience Zone. Which of the following symptoms are consistent with hypoarousal? A . Pain, anxiety, fatigue B . Emptiness, emotional paralysis, emotional numbness C . Euphoria, irritability, panic D . Angry outbursts, anxiety, exhaustion he advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following? A . Ask the individual how he or she feels about working with you. B . Automatically refer patient to a provider of the same or similar culture. C . Research the individual’s culture and let the patient know you are an expert in that culture. D . The Advanced practice psychiatric nurse explains her own culture to the patient to minimize misunderstandings. Which of the following is not consistent with evidence-based research on psychodynamic therapy? A . Research demonstrates psychodynamic therapy is not effective. B . Research reflects inherent difficulties in experimental controlled design for this approach. C . Most psychodynamic research consists of case studies which limits the ability to generalize to other situations and populations. D . Psychodynamic techniques do not lend themselves to the precision required for a clinical trial. According to Peplau’s Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following? A . Anger B . Anxiety S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material C . Resilien ce D . Holism During the middle phase of family therapy treatment much of the treatment is devoted to which of the following: A . Identifying major conflicts and focusing on structures that perpetuate them. B . The therapist serving as a conduit for most of the communication to keep conflict at a minimum during the session. C . Helping the family members to deal more constructively with each other in the sessions. D . Preventing family members from feeling anxiety as they are working through their issues. Which of the following is consistent regarding termination in brief psychodynamic therapy? A . The termination date is set within 10 weeks of anticipated termination. B . The termination date is set in the beginning of treatment within 30 sessions C . The termination date is set in the beginning of treatment within 60 sessions. D . The termination date is flexible and is set mutually by the therapist and patient once major issues have been addressed. Which of the following is true about Automatic Thought Records (ATR)? Check all that apply. A . The ATR is a key component of CBT B . This is a homework technique in which troubling situations and resulting emotions and thoughts are captured. C . The therapist and patient work on clarification and development of “rational” responses to challenge the original responses. D . All the above According to Bowen, lack of differentiation in a family may be manifest as A . Emotional overinvolvement B . Emotional distance S - The Marketplace to Buy and Sell your Study Material S - The Marketplace to Buy and Sell your Study Material C . Reactive Children D . A and C E . A, B, and C Which of the following is consistent research related to resilience and posttraumatic growth? A . Resilience and posttraumatic growth are inversely related. B . There is a curvilinear relationship between posttraumatic growth and resilience. C . Moderate resilience and emotional intelligence is associated with the most growth. D . All of the above Which of the following is not consistent with current research related to psychotherapy and psychotropic medication? A . Research suggests that psychotherapy enhances the effects of psychotropic medication. B . Studies comparing medication with psychotherapy found both produce similar physiological changes in the brain. C . Studies comparing medication with psychotherapy found both produce physiological changes but brain changes are different for medications than for psychotherapy. D . Research suggests psychotropic medications may interfere with the learning that takes place during psychotherapy. Object relations theorists work from a framework which includes which of the following? A . The central motivating force in development is the drive for gratification. B . Primary maternal preoccupation will lead to development of a false sense of self. C . The central motivating force in development is that people are primarily motived to seek other people. D . The good enough mother creates a dynamic in which the person feels never good enough in relationships. Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization? A . Practicing