NRNP 6645 Midterm Exam
Question 28:
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?
Answer: D. Maximize adaptive coping mechanisms
Question 29:
Which of the following is consistent with literature regarding suicide? Check all that apply:
Answers:
A. Assessing patient is of paramount importance for the advanced practice psychiatric
nurse during the initial patient contact
D. Suicidality can be assessed by using reliable and valid self-report questionnaires
Question 30:
Common ancestry through which individuals have evolved shared values and customs is knowns as
which of the following?
Answer: B. Ethnicity
Question 31
The therapist using a CBT approach in which the therapist encourages the patient to
investigate whether their thoughts are based on facts or assumptions is known as which of the
following? Answer: B. Questioning the Evidence
Question 32
Which of the following is not consistent with the underlying assumptions of psychodynamic
psychotherapy?
Answer: A. What happened in the past determine what we do today
Question 33
The advanced practice psychiatric nurse is meeting with a patient who is in the process of an
unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The
advanced practice psychiatric nurse recognizes the patient is a high suicide risk and recommends
which of the following?
Answer: B. Hospital psychiatric admission and suicide precautions.
Question 34:
Which of the following assumptions would the therapist be safe in making about cultural influences
in a family?
Answer: D. The cultural context of families is complicated by the fact that most families
are influenced by multiple contexts.
,Question 35:
The focus of exploration in a relational psychodynamic therapy includes which one of the following?
Answer: C. Here and now
Question 36
The CBT therapist ask the patient on the scale of "0 -10 how would you rate your depression
today?" " And how that compare to 2 months ago?" This is an example of what type of question
type in Socratic dialogue?
Answer: D. This would not be a question consistent with Socratic Dialogue
Question 37
Which of the following best describes the difference between standards of care and practice
guidelines?
Answer: B. Standards of care are legally binding while practice guidelines are not.
Question 38:
Strategies for working with anxiety are central to all therapy approaches. Which strategy would be
consistent with a behavioral therapy approach?
Answer: A. Restructuring
Question 39:
Which of the following is consistent with Cognitive Behavioral Therapy (CBT)? Select all that apply:
Answer: D. A and C
Question 40:
According to Structural Family Therapy model, family structure refers to which of the following?
Answer: D. The way families are organized into subsystems separated by emotional boundaries
Question 41:
"They probably think I am stupid" is an example of which type of cognitive distortion?
Answer: B. Mind reading
Question 42:
In the therapy groups where group members gain through receiving help from group members and
giving help to group members, which of Yalom's therapeutic benefits is being realized?
Answer: A. Altruism
Question 43:
A group member becomes angry with the group leader accusing the leader of being too controlling
and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors?
Answer: A. Catharsis
, Question 44:
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?
Answer: B. Universality
Question 45:
Good practice habits that are relevant for legal and ethical professional responsibility include which
of the following? Check all that apply
A. It is essential that emergency coverage is in place
B. How patients contact you between sessions and emergencies should be included in the
contract given to the patient during the initial session
C. Explicitly stated whether you will be available for phone calls between sessions and adhere
to clear limits.
D. Check message at least once per day and call back within 24 hours.
Rationale: All are correct. These are all good practice habits that are relevant for legal and ethical
professional responsibility. Hence, improving health service and quality with prevention of legal and
ethical complaints.
Question 46:
A Hispanic woman whose mother recently died reports that she continues to hear voice of her
deceased mother. The advanced practice psychiatric nurse considering the Hispanic woman's
culture determines which of the following?
A. The woman is likely grieving according to her Hispanic social norms
Rationale: The woman is not necessarily being psychotic because she is still in the process of
bereavement and grieving which is a stressful life event.
Question : 47
Which of The following is consistent research related to posttraumatic growth?
A. Resilience and Posttraumatic growth are inversely related
Rationale: Across studies the results showed that high levels of resilience were associated with the
lowest posttraumatic growth scores. The results imply that although growth and resilience are both
salutogenic constructs they are inversely related.
Question 48:
Which of the following is not consistent with the current research related to psychotherapy and
psychotropic medication?
C. Studies comparing medications with psychotherapy found both produce psychological but
brain changes are different for medications than psychotherapy
Rationale: Both medications and psychotherapy has same changes if used together or individually.
Question 49
Which of the following is not consistent with the resilience model proposed by Miller-Krauss?
C. We feel our best when we have a strong sympathetic system to regulate emotions
Rationale: This was not mentioned in the model.
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