Psychotherapy Exam P a g e | 1
Test Bank for Theory and Practice of
Counseling and Psychotherapy, 11th Edition
(International) by Gerald Corey | All Chapters |
Verified Q&A
A nurse understands that after the administration of alprazolam (Xanax) it is important to
assess the client for side effects. Initially the nurse should:
1
Measure urine output.
2
Look for abdominal distention.
3
Check the size of the pupils frequently.
4
Check the blood pressure - 4
P a g e 1 | 322
, Psychotherapy Exam P a g e | 2
Hypotension is a major side effect of alprazolam (Xanax) that occurs early in therapy. An
alteration in urine output is not a common side effect; however, urine retention may occur
after prolonged use. Abdominal distention is not a common side effect, but abdominal
distention from constipation may occur after prolonged use. Blurred vision, not dilated pupils,
may occur. Dilated pupils associated with central nervous system depression are not a
common side effect, although they may occur with overdose or prolonged use.
What is the planned effect of naloxone when it is administered for a heroin overdose?
1
To prevent excessive withdrawal symptoms as heroin wears off
2
To accelerate metabolism of heroin and stimulate respiratory centers
3
To stimulate cortical sites that control consciousness and cardiovascular function
4
To compete with opioids for receptors that control respiration –
4
Naloxone is used to treat opioid-induced apnea. It competes with the opioid for central
nervous system receptor sites and thus acts as an opioid antagonist. Preventing excessive
withdrawal symptoms as heroin wears off is not the specific action of this drug. Naloxone
does not accelerate the metabolism of heroin. Stimulating cortical sites that control
consciousness and cardiovascular function is not the action of naloxone. One adverse
reaction of naloxone is cardiovascular irritability.
P a g e 2 | 322
, Psychotherapy Exam P a g e | 3
At what age is a client in Freud's phallic stage of psychosexual development and Erikson's
psychosocial phase of initiative versus guilt?
1
3 to 5 years
2
Adolescence
3
6 to 12 years
4
Birth to 1 year - 1Three to 5 years is Freud's phallic stage and Erikson's stage of initiative versus
guilt. Adolescence is Freud's genital stage and Erikson's stage of identity versus role
confusion. Six to 12 years is Freud's latency stage and Erikson's stage of industry versus
inferiority. Birth to 1 year is Freud's oral stage and Erikson's stage of trust versus mistrust.
A client who consented to electroconvulsive therapy (ECT) is being prepared for the second
session. The client tells the nurse, "I've decided that I don't want this treatment." What is the
best response by the nurse?
1
"It's too late to stop the treatment now."
2
"We'll discuss the advantages after the treatment."
3
"You need more than one treatment for it to be successful."
4
P a g e 3 | 322
, Psychotherapy Exam P a g e | 4
"I'll tell your psychiatrist that you don't want the treatment." - 4A client has the right to
revoke consent for treatment at any time; continuing treatment is a violation of the client's
rights. "It's too late to stop the treatment now" is incorrect, and continuing with the
treatment would be an act of battery. Teaching about the advantages and disadvantages of
therapy should be conducted before, not after, the treatment; giving the client treatment
without consent is an act of battery. A statement such as "You need more than one
treatment for it to be successful" is considered coercion; continuation of treatment after the
client's refusal would be an act of battery.
A 44-year-old single woman loses her job and has been unable to find a job for 8 months. She
has exhausted her savings and is overwhelmed. She comes to the crisis intervention center
because she is despondent and feels hopeless. What type of crisis does the nurse identify?
1
Subjective
2
Adventitious
3
Maturational
4
Situational –
4
A situational crisis involves an unanticipated loss that is apparent to others. Examples include
loss of a job, death of a loved one, and a change in health status such as an amputation. A
subjective (internal) crisis threatens a person's well-being but is not obvious to others.
Examples of subjective crises include aging, lack of independence, and loss of faith. An
adventitious crisis involves natural (e.g., hurricane, tsunami) or man-made (e.g., arson,
terrorist attack) traumatic events. These crises often involve numerous losses. A maturational
crisis occurs in response to stress as a person experiences a predictable change. Examples of
maturational crises include adolescence, marriage, parenthood, and retirement.
P a g e 4 | 322
Test Bank for Theory and Practice of
Counseling and Psychotherapy, 11th Edition
(International) by Gerald Corey | All Chapters |
Verified Q&A
A nurse understands that after the administration of alprazolam (Xanax) it is important to
assess the client for side effects. Initially the nurse should:
1
Measure urine output.
2
Look for abdominal distention.
3
Check the size of the pupils frequently.
4
Check the blood pressure - 4
P a g e 1 | 322
, Psychotherapy Exam P a g e | 2
Hypotension is a major side effect of alprazolam (Xanax) that occurs early in therapy. An
alteration in urine output is not a common side effect; however, urine retention may occur
after prolonged use. Abdominal distention is not a common side effect, but abdominal
distention from constipation may occur after prolonged use. Blurred vision, not dilated pupils,
may occur. Dilated pupils associated with central nervous system depression are not a
common side effect, although they may occur with overdose or prolonged use.
What is the planned effect of naloxone when it is administered for a heroin overdose?
1
To prevent excessive withdrawal symptoms as heroin wears off
2
To accelerate metabolism of heroin and stimulate respiratory centers
3
To stimulate cortical sites that control consciousness and cardiovascular function
4
To compete with opioids for receptors that control respiration –
4
Naloxone is used to treat opioid-induced apnea. It competes with the opioid for central
nervous system receptor sites and thus acts as an opioid antagonist. Preventing excessive
withdrawal symptoms as heroin wears off is not the specific action of this drug. Naloxone
does not accelerate the metabolism of heroin. Stimulating cortical sites that control
consciousness and cardiovascular function is not the action of naloxone. One adverse
reaction of naloxone is cardiovascular irritability.
P a g e 2 | 322
, Psychotherapy Exam P a g e | 3
At what age is a client in Freud's phallic stage of psychosexual development and Erikson's
psychosocial phase of initiative versus guilt?
1
3 to 5 years
2
Adolescence
3
6 to 12 years
4
Birth to 1 year - 1Three to 5 years is Freud's phallic stage and Erikson's stage of initiative versus
guilt. Adolescence is Freud's genital stage and Erikson's stage of identity versus role
confusion. Six to 12 years is Freud's latency stage and Erikson's stage of industry versus
inferiority. Birth to 1 year is Freud's oral stage and Erikson's stage of trust versus mistrust.
A client who consented to electroconvulsive therapy (ECT) is being prepared for the second
session. The client tells the nurse, "I've decided that I don't want this treatment." What is the
best response by the nurse?
1
"It's too late to stop the treatment now."
2
"We'll discuss the advantages after the treatment."
3
"You need more than one treatment for it to be successful."
4
P a g e 3 | 322
, Psychotherapy Exam P a g e | 4
"I'll tell your psychiatrist that you don't want the treatment." - 4A client has the right to
revoke consent for treatment at any time; continuing treatment is a violation of the client's
rights. "It's too late to stop the treatment now" is incorrect, and continuing with the
treatment would be an act of battery. Teaching about the advantages and disadvantages of
therapy should be conducted before, not after, the treatment; giving the client treatment
without consent is an act of battery. A statement such as "You need more than one
treatment for it to be successful" is considered coercion; continuation of treatment after the
client's refusal would be an act of battery.
A 44-year-old single woman loses her job and has been unable to find a job for 8 months. She
has exhausted her savings and is overwhelmed. She comes to the crisis intervention center
because she is despondent and feels hopeless. What type of crisis does the nurse identify?
1
Subjective
2
Adventitious
3
Maturational
4
Situational –
4
A situational crisis involves an unanticipated loss that is apparent to others. Examples include
loss of a job, death of a loved one, and a change in health status such as an amputation. A
subjective (internal) crisis threatens a person's well-being but is not obvious to others.
Examples of subjective crises include aging, lack of independence, and loss of faith. An
adventitious crisis involves natural (e.g., hurricane, tsunami) or man-made (e.g., arson,
terrorist attack) traumatic events. These crises often involve numerous losses. A maturational
crisis occurs in response to stress as a person experiences a predictable change. Examples of
maturational crises include adolescence, marriage, parenthood, and retirement.
P a g e 4 | 322
