NRNP 6645 MIDTERM EXAM .

Question 51 The novice advanced practice psychiatric nurse working as a new nurse psychotherapist may become increasingly aware of being incompetent as progress is made. According to the Stages of Learning model the advanced practice psychiatric nurse is in which stage of learning? A. Unconscious incompetency B. Conscious incompetency C. Conscious competency D. Unconscious competency Question 52 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 Question 53 Which of the following best describes the difference between standards of care and practice guidelines? A. Practice guidelines are legally binding while standards of care are not. B. Standards of care are legally binding while practice guidelines are not. C. There is no difference between standards of care and practice guidelines. D. Practice guidelines should be followed as written while standards of care are more flexible. Question 54 Which of the following is true about the CBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action. B. Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost. C. Primary thinking views the social and cultural world in determinate, positive and rational terms. D. B and C Question 55 According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior? A. Imitative behavior generally plays a more important role in early stages of a group. B. Imitative behavior may allow an individual to experiment with a new behavior. C. Finding out what we are not is progress toward finding out what we are. D. All of the above Question 56 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 Question 57 During the initial contact with an individual seeking family therapy it is important for the family therapist to: A. Identify the presenting problem and arrange a consultation with everyone living in the family household. B. Identify the presenting problem and arrange a consultation with the caller to ensure family therapy is really necessary. C. Identify the presenting problem and arrange to meet with the caller and the family member that is creating most of the problem. D. Identify the presenting problem and arrange a consultation with the parents of the family to develop a therapeutic alliance and strategy for fixing the problem. Question 58 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. D. A and C Question 59 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? A. Altruism B. Universality C. Imparting of information D. Development of socializing techniques Question 60 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. Question 61 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? A. Make connections B. Encourage patient activity C. Manipulate the environment D. Maximize adaptive coping mechanisms ...............................................................................................CONTINUE