ANCC IQ Domain 4 Psychotherapy and Related Theories (30 questions with rationales)

ANCC IQ Domain 4: Psychotherapy and Related Theories (30 questions with rationales) The risk of being overly empathetic as a therapist is commonly characterized by which of the following responses by the client? a. re-enacted attachment with merger and fusion b. re-enacted attachment with understanding and change c. re-enacted attachment with alienation and isolation d. re-enacted attachment with dependency and acting-out D The literature on group outcomes has revealed that negative group outcomes have been associated with which of the following qualities in group leaders? a. leaders who initiate discussions of feelings b. leaders with a timid interpersonal style c. leaders who are overly confrontational d. leaders who reveal too much about their personal experience C When screening potential female clients for an incest survivor's group, which client would you exclude from selection to the group? A. 36-year-old divorcee who brings a signed consent form to consult with her individual therapist. B. 26-year-oldse her husband is concerned about her lack of interest in sex. C. 50-year-old third grade teacher who last attended a sexual abuse group when flashbacks recurred. D. 18-year-old college freshman who is talking openly about her incest experience for the first time. B When working with a family in therapy, you plan to address differentiation of self, triangles, and genograms. What family therapy approach will you be utilizing? A. Strategic family therapy B. Emotionally focused family therapy C. Systemic family therapy D. Structural family therapy C In evaluating a 9-year-old girl referred by the school for evaluation of behavioral problems, which of the following reported behaviors raises the greatest concern? A. Difficulty staying on task during school day B. Incomplete and late homework assignments C. Seeming to daydream looking out classroom window D. Chasing boys with provocatively posturing hips on playground D As a PMHNP using Family Systems theory, you know that families seek equilibrium in the face of change. This is an example of which concept? A. Homeostasis B. Homeogenesis C. Morphogenesis D. Morphostasis A When working with an avoidant patient with a history of trauma, what type of communication techniques are helpful? A. Techniques to increase arousal B. Clarification and close-ended questions C. Reflection and open-ended questions D. Techniques to decrease arousal A Which of the following would not be a recommended practice in psychotherapy with patients diagnosed with borderline personality disorder? A. Therapist as a passive listener B. Utilization of concomitant individual and group approaches C. Mutually agreed limit setting D. Establishment of clear roles of patient and therapist A A child who is seen by the PMHNP has difficulty feeling safe with his caregiver and is unable to feel comfort. Which theorist's theory would help explain the child's behavior and help guide treatment? A. Bowen B. Bowlby C. Erickson D. Freud B When working with adolescents who have poor affect regulation and limited response flexibility, therapists strive to provide a therapeutic frame S - The Marketplace to Buy and Sell your Study MaterialS - The Marketplace to Buy and Sell your Study Material open enough for changes and consistent enough for stability and safety. Which of the following responses characterizes such a therapeutic frame? A. Detached, neutral, objective B. Empathetic, consistent, strict C. Mindful, reflective, intentional D. Charismatic, engaging, expressive C Cognitive behavioral therapy (CBT) is often one of the first-line treatments for anorexia nervosa. One of the primary goals of CBT is to assist the patient in which of the following ways? A. Restore weight above 85% of normal B. Improve interpersonal relationships C. Overcome distorted thinking D. Resolve symptoms of depression C An adult female client who has been a full-time homemaker raising four children finds herself sad, regretful, sleeping late into the day, and generally fatigued since her youngest child left for college. What theoretical framework is most appropriate in the PMHNP's appraisal of this situation? A. Mead's role and gender theory B. Erikson's eight stages of psychosocial development C. Family life cycle D. Maslow's hierarchy of needs C