NRNP 6645 Psychotherapy With Multiple Modalities Week 6 Midterm Exam Questions and Answers 2022/2023 | Verified Answers

NRNP 6645 Psychotherapy With Multiple Modalities Week 6 Midterm Exam Questions and Answers 2022/2023 | Verified Answers. 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 . 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 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? 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 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? 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. 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 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. 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 . 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.