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, NRNP 6645 Final Exam
The advanced practice psychiatric nurse encourages a patient with gambling
addiction to develop a relapse prevention plan. Which of the following is true
about a relapse prevention plan?
A relapse prevention plan includes identifying triggers to the patient’s
gambling and aA variety of coping strategies to avoid or successfully manage
triggers without . reverting to gambling.
B A relapse prevention plan should be completed during the initial stage
of treatment.
.
C The main focus of a relapse prevention plan is on changing behaviors.
.
D The main focus of a relapse prevention plan is on cognitive or thought
processes to decrease the desire to gamble
.
Which of the following is consistent with the psychotherapeutic approach used by
existential psychotherapists?
A The existential approach has a specific set of techniques used.
.
B The existential relies on the patient to drive the therapeutic direction.
.
C The existential therapist presents broad existential themes but avoids in-
depth questioning.
. D The existential psychotherapist is free to draw on
techniques from other psychotherapeutic models . .
According to Dearing, Stuewig, and Tangney (2005), understanding the difference
between guilt and shame and its impact on an individual’s motivation is critical to
hope and the recovery process. Which of the following is true regarding guilt and
shame?
, A Shame drives a person to engage in treatment while guilt drives a
person to avoidtreatment. .
B Shame causes a person to perceive self as a failure and guilt
causes avoidance of treatment. .
C Guilt causes a person to perceive himself as a loser and shame
drives a person to avoid treatment. .
D Shame drives avoidance from treatment, Guilt often motivates a person
to seek treatment. .
Which of the following is not consistent with what is known about relapse?
A Relapse indicates treatment failure.
.
B Relapse is a persistent risk in addiction.
.
C Relapse is a characteristic of all chronic medical diseases.
.
D Relapse is the return to substance use or addictive behaviors after
periodsof abstinence. .
The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy
(IPT) is working with an older adult who does not realize she has depression.
Which of the following is true?
A IPT is not an appropriate model for treating depression in older adults.
.
B This is a common IPT issue with older adults during the initial
sessions.
.
C The advanced practice psychiatric nurse should consider using a
standardized scale to quantify the depression and use this to educate
the patient and the family.
.
D B and C
.
, The patient in Dialectical Behavior Therapy (DBT) complains the skills being
taught in DBT don’t work, struggles with keeping diary cards, and doing assigned
homework. This is consistent with which stage of treatment within the DBT
model?
A Stage
. 1
B Stage
. 2
C Stage
. 3
D Stage
. 4
The existential concept of an openness, readiness, and flexibility to grow and
change, which necessitates a capacity to choose alternatives, and shape one’s own
destiny as authors of creating their own world is which of the following?
A Freedom
.
B Responsibili
. ty
C Authenticity
.
D Meaning
.
Which of the following is not consistent with a family-centered approach in child
therapy?
A In family-centered treatment, the family is the focus of
treatment.
.
B Family- centered treatment is appropriate to improve family
interactions.
.
C Family-centered treatment is appropriate to keep families
engaged in services
.
D Family-centered treatment is appropriate to increase family