(Answers and Rationales at the End)
1. The therapeutic frame supports the clinician in which of the following ways? Select all that
apply.
A . Maintaining a therapeutic stance of neutrality.
B . Maintaining a therapeutic stance of
anonymity.
C . Maintaining a therapeutic stance of nonintrusiveness.
D . A and C
2. The advanced practice psychiatric nurse is working with a patient with who is chronically
suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT)
approach realizes which of the following?
A . Every time the patient has suicidal ideations hospitalization is recommended.
B . To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating
the hard work of change.
C . To the chronically suicidal patient hospitalization frequent hospitalizations allow a safe place
to learn new coping behaviors and promote change.
D . The Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal
patient.
3. The concept of resiliency in child therapies is in direct contrast to which traditional
approach for treating children?
A . Family inclusion
B . The concept of recovery
C . Problem-based therapy
D . Interacting systems consideration
4. 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.
5. Which of the following is not consistent with the Psychoanalyst's perspective when treating
and individual with a personality disorder?
A . It is important to identify and then modify "core" problems when treating individuals with
personality disorders.
B . Personality structures are unconscious and thus mostly unavailable to the individual.
,C . Personality products and processes are within the realm of awareness, accessible to the
individual.
D . Psychoanalytic therapy is an effective treatment for Borderline personality disorder
6. Which of the following statements would not be consistent with the humanistic-existential
concept of "holism" ?
A People are unique.
. B . The whole is greater than the sum of its parts.
C . Mind, body, spirit work in a unified synergistic fashion.
D . Dysfunctions such as a chemical imbalance must be identified.
7. Which of the following is true about dream work from a Gestalt perspective?
A . The individual tells the dream in past tense
B . Elements of the dream are viewed using standardized dream symbol meaning.
C . A dream diary is required to capture all elements of the team.
D . The characters and objects in the dream are projections of the individual whose dream it is.
8. When the advanced practice psychiatric nurse builds a formulation when working with a
child in therapy the advanced practice psychiatric nurse is doing which of the following?
A . Formulation is a type of play therapy.
B . Formulation is the child's diagnosis.
C . The formulation explains the contexts of the child and family situation, the child's unique
presentation, responses and narratives of the events that shaped the interpretation.
D . The formulation is the treatment plan.
9. In providing psychoeducation to patient's in recovery, the advanced practice
psychiatric nurse would not include which of the following?
A . Recovery is a lifelong process of change
B . A patient is considered recovered after 5 years free of substance use.
C . Recovery encompasses dimensions of health, home, purpose and community.
D . Recovery applies to recovery from mental disorder, substance use disorders and behavioral
addictions.
10. 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).
D . Focuses on letting go and coming to terms with end of one's life
11. The advanced practice psychiatric nurse is working with a group of patients in an outpatient
substance abuse treatment program. One patient comes to the advanced practice psychiatric
nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a
nearby Starbucks to clarify a couple of questions that came up at the end of the session and
fears relapse. Which of the following would be consistent with the traditional therapeutic
frame?
A . Given concerns about relapse it would be important to meet with the patient just this one time
and just for 10 minutes but meet in your office.
B . Remind the patient that one of the rules is not having contact outside of therapy sessions.
C . Agree to meet with patient alone in the group room to resolve any outstanding concerns from
the group.
D . Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only
this once and only for 10 minutes.
12. 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 . Withdraw al
D . Dependen ce
13. Which of the following describes the basic neurobiological pathways of the reward system
in the brain? A . Projections from the ventral tegmental area, through the median forebrain and
terminate in the nucleus accumbens where there is a proliferation of dopamine neurons.
B . Projections through the median forebrain, to the ventral tegmental area where there is a
proliferation of dopamine neurons, to the nucleus accumbens.
C . Projections from the nucleus accumbens to the median forebrains where there is a
proliferation of dopamine neurons to the ventral tegmental area.
D . Projections from the median forebrain through the ventral tegmental area to the nucleus
accumbens where there is a proliferation of dopamine neurons.
14. Evidence supports use of Dialectical Behavior Therapy patients with which of the
following diagnoses?
A . Schizophrenia
B . New onset depression
C . Bipolar Affective Disorder
D . Borderline Personality Disorder
15. 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
16. Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the
advanced practice psychiatric nurse would do which of the following in Stage 1?
A . Address safety issues
B . Promote symptoms stabilization
C . Process painful memories
D . A and C
17. The advanced practice psychiatric nurse is working with a patient who states she believes
her boss hates her. After some discussion, it is clear the patient has strong negative feelings
towards her boss. The advanced practice psychiatric nurse working within a Gestalt
framework, recognizes this as an interruption consistent with which of the following?
A Projection .
B . Retroflecti on
C . Confluenc e
D . Deflection
18. 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
, 19. An organized, consistent set of perceptions about the self, continually influenced by
experience and its interpretation which includes self-worth, self-image and ideal self, is
which key concept of person-centered therapy?
A . Belief of human nature
B . Self-concept
C . Actualizing tendency
D . Fully functioning person
20. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach
with a patient with Borderline Personality Disorder explains the four essential elements which
includes all but which of the following?
A . Bi-weekly individual therapy sessions for the patient of about 1 hour each.
B . Weekly group skills training sessions for the patient of 2.5 hours each.
C . Skills coaching via telephone or other electronic means as needed by the patient to manage I
vivo situations
D . Team consultation to the therapist to maintain treatment fidelity and adherence
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Answer & Explanation
Solved by verified expert
1. The therapeutic frame supports the clinician in which of the following ways? Select all that
apply.
D . A and C
Rationale: B is wrong because it should not be anonymous. Information should be disclosed.
2. The advanced practice psychiatric nurse is working with a patient with who is chronically
suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT)
approach realizes which of the following?
B . To the chronically suicidal patient, hospitalization reinforces the status quo and
abdicating the hard work of change.
Rationale: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that
combines strategies like mindfulness, acceptance, and emotion regulation.
3. The concept of resiliency in child therapies is in direct contrast to which traditional
approach for treating children?
C . Problem-based therapy
Rationale: Compared with the traditional study of child development, which has tended to
portray 'normal' and 'abnormal' patterns, a resilience approach offers a more differentiated
account. In professional practice, resilience means looking for strengths and opportunities to
build on, rather than (or alongside) problems, deficits or psychopathology to be remedied or
treated
4. Stigma of mental illness in the elderly:
A . Has contributed to psychiatric symptoms being expressed with physical symptoms.
Rationale: According to Sartorius, stigma leads to discrimination in the provision of services for
physical health problems in older people with mental disorders.
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