NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

Question 1

The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke.  The therapist recognizes this interruption as which of the following?NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

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A. Introjection
B. Projection
C. Deflection
D. Retroflection

Question 2

A patient whose husband had recently died suddenly expresses remorse regarding an argument they  had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?

A. Focusing
B. Dreamwork
C.  Empty-chair dialogue
D. Language of responsibility

Question 3

In child psychotherapy consideration of systems that promote a child’s ongoing development include which of the following?

A. Peers
B. Family
C. School
D. Community


Question 4

Which of the following is a philosophical approach to psychotherapy which deals with universal  themes of life?

A. Gestalt Therapy
B. Psychoanalysis
C. Existential psychotherapy
D. Person-Centered Psychotherapy


Question 5

The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?

A. Validate the patient ‘s frustration while encouraging and reinforcing use of skills.
B. Analyze the behaviors and consequences of the behaviors with the patient.
C. Focus on behavioral control and management with emotions as a contextual element.
D. All of the above


Question 7

Which of the following is not consistent with Eye Movement Desensitization and Reprocessing (EMDR) literature in treating PTSD?

A. Treatment effects are long lasting.
B. EMDR involves extended exposure
C. EMDR treatment for trauma is less time intensive.
D. The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event.


Question 8

In working with an older adult female patient, the advanced practice psychiatric nurse notices that the patient starts bringing her baked goods, and says “You remind me so much of my daughter, you are so easy to talk to.” The advanced practice psychiatric nurse recognizes this as

A. Gerotranscendence
B. Transference
C. Countertransference
D. Time for termination


Question 9

The situation in which increasing amounts of a substance is needed to achieve the same desired effect  is known as which of the following?

A. Addiction
B. Tolerance
C. Withdrawal
D. Dependence


Question 10

Which of the following therapeutic approaches would be a better choice for an older adult who presents with chronic depression, mild cognitive impairment expressing concerns about a negative life event and perceives himself as helpless?

A. Interpersonal Psychotherapy (IPT)
B. Cognitive Behavioral Therapy (CBT)
C. Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
D. Reminiscence Therapy (RT)


Question 11

Stigma of mental illness in the elderly:

A. Has contributed to psychiatric symptoms being expressed with physical symptoms.
B. Is much more severe in baby boomers than in other elderly cohorts.
C. Is much less an issue in baby boomers than in other elderly cohorts
D. Leads to more discussion of emotions in primary care settings.


Question 12

The person-centered therapist who is genuine and authentic during the therapy session is exhibiting       which psychological condition?

A. Congruence
B. Actualizing tendency
C. Belief of human nature NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
D. Accurate empathic understanding


Question 13

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 knowledge about mental health.


Question 14

Which of the following does the advanced practice psychiatric nurse need to consider when treating older adults with Substance Use Disorders?

A. Co-existing medical or psychiatric disorder
B. Age-related physiological and psychological changes
C. Collaboration with primary care providers
D. All of the above NRNP 6645: Psychotherapy with Multiple Modalities Final Exam


Question 15

Which of the following is true about the therapeutic alliance when working with children?

A. The therapeutic alliance is a core factor that creates change in therapy.
B. The therapeutic alliance/bond with the child is all that is really needed.
C. The advanced practice psychiatric nurse must develop a strong therapeutic alliance with the child’s parents prior to attempting to engage the child in therapy.
D. As the therapy is really about the child, parents/family, the advanced practice psychiatric nurse focuses on facilitating healthy family interactions.


Question 16

The underlying assumptions of Trauma Resiliency Model therapy include which of the following?

A. Human response to threat are subcortical in nature.
B. Response to trauma is likely transient and should go away with or without treatment.
C. The mind has no bias; thus, we make sense of the world in a symmetrical manner.
D. Current psychiatric concepts adequately account for the impact of multiple or long-term

Question 17

The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following?

A. The support is provided through case management
B. The support is designed to focus on clinical issues of the patient
C. The DBT therapist in solo practice does not need a consultation group for support.
D. The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use.


Question 31

The advanced practice psychiatric nurse realizes which of the following with respect to individuals with personality disorders of traits?

A. Often these individuals will see their problems as independent of their own behaviors.
B. These individuals will often describe themselves as a victim.
C. These individuals often present for treatment at the request of a significant other or other external pressure.
D. All the above.


Question 32

Addiction is now recognized as which of the following?

A. A preventable personality disorder
B. A family disorder due to poor parenting
C. A volitional behavior that can be managed independently’
D. A primary disease of the brain’s neurocircuitry.


Question 40

Which of the following are psychotherapeutic techniques used in person centered psychotherapy?

A. A highly structured approach is used.
B. Process interventions are widely used.
C. Directive, interpretive techniques are used.
D. A nondirective-facilitative counseling approach is used.


Question 41

When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation?

A. Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.
B. Use MI to contract for attendance at several different groups to find the right “fit” and encourage attendance.
C. Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.
D. A and B only


Question 42

The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?

A. This indicates the change(s) really did not take
B. The patient is unconsciously sabotaging the therapy.
C. This indicates process is trying to force a change too fast.
D. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.


Question 43

Which of the following medications may be recommended for patients with insomnia due to PTSD?

A. Any antidepressant can offer as first-line treatment in adults for PTSD.
B. Non-benzodiazepines such as trazodone (Desyrel)
C. Prazosin (Minipress) may be helpful if nightmares are present.
D. B and C


Question 44

Which of the following is not true about self-regulation as it applies to therapy with children?

A. Self-regulation is a developmental milestone of childhood in which the child controls behavior in the service of socially desirable conduct.
B. Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.
C. Self-regulation mechanisms from a neuroscience perspective are basic mechanisms predominantly located in the globus pallidus.
D. Self-regulation issues are often seen in various child psychopathology.


Question 45

Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following?

A. Artistic endeavors such as sculpting, drawing painting.
B. Movement therapies such as dance.
C. Tapping on acupressure points
D. Cognitive skills such as thought stopping and guided self-dialogue.


Question 48

The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?

A. Invite the patient to new ways of viewing a situation
B. Guiding patient to develop more skills to achieve a greater quality of life.
C. Engage the patient in change talk
D. A and B


Question 55

Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?

A. Clarify explicitly the boundaries of the therapeutic relationship.
B. The therapist will maintain confidentiality within the limits of the law and ethical practice.
C. Explain a professional relationship is based on mutual respect and the desire to help the patient.
D. Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.


Question 98

One of the problems when meeting with children individually is that it can create secrets. Which of the following responses would the advanced practice psychiatric nurse do to address this concern?

A. Do nothing, maintaining the child’s privacy protects the therapeutic relationship.
B. Decide what the parents need to know and give them a summary of the individual session in with the child in the room.
C. Decide what the parents need to know and give them a summary privately to avoid any awkwardness for the child.
D. Discuss with the child what he or she wants to share with the parents and facilitate the process as needed.


Question 99

Sleep disturbances are common for those who have experienced trauma. Which of the following  would not be recommended when teaching patients about good sleep hygiene?NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

A. Regular daily exercise
B. Avoid napping during the day.
C. Maintain a quiet cool bedroom
D. Put bedroom TV on a timer so it will automatically go off after you are asleep.


Question 100

Which best describes gerotranscendence?

A. Erik Erikson’s ninth stage of development
B. Emphasizes ongoing growth over decrements
C. Focuses on the transition to old-old (80 years and older). NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
D. Focuses on letting go and coming to terms with end of one’s life NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

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