Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
NRNP 6645 Final Exam/ NRNP 6645 Final Exam Walden University Updated 2023- 2024 Latest Version Psychotherapy with Multiple Modalities (Walden University)
Typology: Exams
1 / 86
lOMoAR cPSD| 16256196lOMoAR cPSD| 16256196
Psychotherapy with Multiple Modalities (Walden University)
A relapse prevention plan includes identifying triggers to the patient’s gambling and a A (^) 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 A The existential approach has a specific set of techniques used. . B The existential relies on the patient to drive the therapeutic direction. . User The Man from Eastlando Course
Test Exam - Week 11 Started 8/8/2 3 8:04 PM Submitted 8/8/2 3 9:45 PM Due Date 8/10/2 3 1:59 AM Status Completed Attempt Score 71 out of 100 points Time Elapsed 2 hour, 20 minutes out of 2 hours and 30 minutes Results Displayed Submitted Answers 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? Which of the following is consistent with the psychotherapeutic approach used by existential psychotherapists?
A Shame^ drives^ a^ person^ to^ engage^ in^ treatment^ while^ guilt^ drives^ a^ person^ to^ avoid . treatment. 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. 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^ periods . of abstinence. 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 . 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? Which of the following is not consistent with what is known about relapse? 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? 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? 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.
A Freedom . B Responsibili . ty C Authenticity . D Meaning . 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. A Focusing . B Body awareness . C Language^ of . responsibility 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? Which of the following is not consistent with a family-centered approach in child therapy? The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following? A Stage . 1 B Stage . 2 C Stage . 3 D Stage . 4
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. 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 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. 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? Which of the following statements would not be consistent with the humanistic-existential concept of “holism”? Which of the following statements would not be consistent with the humanistic-existential concept of “holism”? D Empty-chair dialogue .
A Projection . B Retroflecti . on C Confluenc . e D Deflection . 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. . The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as 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? The most effective treatment for SUD with or without co-morbid psychiatric disorders is: D Dysfunctions^ such^ as^ a^ chemical^ imbalance^ must^ be . identified. A Life Review Therapy (LRT) . B Reminiscence Therapy (RT) . C A Mindfulness Strategy . D Interpersonal^ Psychotherapy . (IPT) A Multidimensional^ addressing^ medical,^ psychosocial^ and^ mental . health issues B (^) Trauma-informed care. . C 12 - Step^ Peer^ Support^ Groups
A Valuing the significance of relationships . B Recognizing^ generalized^ psychobiological^ attributes^ and . healthcare needs. C Minimizing focus on societal roles and gender expectations. . D All of the above . A Shame-Attacking . B Exposure Therapy . C Cognitive Rehearsal . D Guided^ relaxation^ and . meditation A j Drink a glass of water, tea, or . uice. B Name^6 colors^ you^ see^ wherever . you are. C Open and close your eyes. . D A and B on . A Somatic approaches . Positive substance use disorder treatment out-comes unique to women can be strengthened by which of the following. A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following? Which of the following are “Help Now!” skills? Select all that apply. Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal.
D Cognitive Behavioral Therapy .
A Conduct Disorders . B Anxiety and Depression . C Depression and Psychosis . D Attention^ Deficit-Hyperactivity . Disorders A Patients can fail in therapy. . B Patients^ are^ doing^ the^ best^ they^ can.
In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following? A Recognize the therapist is human and fallible. . B (^) Make every reasonable effort to provide competent treatment for the patient. . C Share^ the^ rules^ for the^ DBT therapist with the^ patient during^ orientation^ to the . therapy. D The^ therapist^ agrees^ to^ use^ consultation^ and^ allow^ the^ patient^ to^ view^ this . directly if desired. Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders? When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients? B Talk^ therapies^ focused^ on^ cognitive . understanding C EMDR . D A and C .
A The patient is ready to focus on self-fulfillment . B The patient is ready to focus on self-efficacy . C The^ patient^ is^ ready^ to^ begin^ exposure . therapy. D The^ patient^ is ready^ to^ begin^ termination^ from . therapy. A The^ advanced^ practice^ psychiatric^ nurse^ needs^ to^ develop^ a^ checklist^ to^ determine . goals have been made and it is time to terminate. The advanced practice psychiatric nurse determines therapy goals attained, B terminate the therapeutic relationship, and schedule to meet the patient for coffee to
. ease^ the^ transition^ out^ of^ therapy. C The^ advanced^ practice^ psychiatric^ nurse^ should^ set^ clear^ therapy^ goals,^ commend . patient on goal attainment and terminate the therapy. D Termination^ should^ occur^ by^ mutual^ decision^ between^ advanced^ practice^ psychiatric . nurse and patient based on the therapy goals attained. A The^ advanced^ practice^ psychiatric^ nurse^ needs^ to^ develop^ a^ checklist^ to^ determine . goals have been made and it is time to terminate. The advanced practice psychiatric nurse determines therapy goals attained, B terminate the therapeutic relationship, and schedule to meet the patient for coffee to . ease^ the^ transition^ out^ of^ therapy. C The^ advanced^ practice^ psychiatric^ nurse^ should^ set^ clear^ therapy^ goals,^ commend . patient on goal attainment and terminate the therapy. The patient in Dialectical Behavior Therapy with a history of self-harming through cutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of the following? Strategies for terminating a therapy relationship with an older adult includes: Strategies for terminating a therapy relationship with an older adult includes:
C Patients need to do better, try harder and be more motived to change. . D Patients^ may^ not^ have^ caused^ all^ their^ problems,^ but^ they^ need^ to^ solve . them anyway.
A Congruence . B Unconditional^ positive . regard C Accurate^ empathic . understanding D All of the above . A Stage . 1 B Stage . 2 C Stage . 3 D Stage . 4 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? during treatment. . A Treatment needs to be readily accessible. . B Psychotropic medication should be stopped prior to treatment. . C (^) Treatment does not need to be voluntary to be effective. . D Drug^ use^ during^ treatment^ must^ be^ monitored^ continuously^ as^ lapses^ may^ occur The person-centered therapist is expected to exhibit which of the following characteristics? The patient demonstrates the ability to regulate his emotions in such a way he can think through them. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach recognizes this ability is consistent with which stage of treatment? Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH? A Bi-weekly individual therapy sessions for the patient of about 1 hour each. . D Termination^ should^ occur^ by^ mutual^ decision^ between^ advanced^ practice^ psychiatric . nurse and patient based on the therapy goals attained.
A Women^ seeking^ treatment^ for^ substance^ use^ disorder^ are^ more^ likely^ than^ men^ to . have experienced traumatic events. B Women are more apt to drop out of treatment than men. . C Women are less likely than men to seek mental health services. . D (^) W . A Evidence^ suggests^ the^ substance^ use^ issues^ be^ addressed^ first^ as^ substances^ can . mask the issues and symptoms of PTSD. B Evidence^ suggests^ symptoms^ of^ PTSD^ be^ addressed^ before^ initiating^ any^ substance . abuse issues as PTSD symptoms are what typically trigger substance abuse. C Clinicians^ need^ to^ learn^ evidence-based^ treatment^ approaches^ to^ simultaneously . treat the underlying PTSA while addressing substance use. D Evidence^ suggests^ a^ low^ dose^ antipsychotic^ medication^ is^ most^ effective^ in^ treating . PTSD symptoms and can also minimize alcohol and other drug abuse. 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 . 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 . Evidence supports which of the following statements about women and addictions treatment? Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder? he 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 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 Schizophrenia . B New onset depression . C (^) Bipolar Affective Disorder . D Borderline^ Personality . Disorder A Aggression . B Conduct . Problems C Social . Withdrawal D All^ of^ the . above. A CPT . B CPT-PE . C EMDR therapy . D Pharmacological . interventions. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? Problems in the preschool child’s self-regulation has been tied to subsequent issues with which of the following? Which of the following would not be a first-line intervention for an individual with PTSD? The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of the following? A (^) Focusing . B Dreamwork . C (^) Empty-chair dialogue . D Language^ of . responsibility
A Address safety issues . B Promote^ symptoms . stabilization C Process painful memories . D A and C . Humanistic-existential therapies focus more on process and this process is best described by which of the following? take not . A (^) Shorter, more frequent sessions . B (^) Summarizing previous sessions . C Quizzing patient on previous sessions . D Insist^ the^ patient^ bring^ a^ notebook^ and 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? When doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include: A The content of the therapy . B The^ flow^ of^ action^ and^ reaction^ within^ the . session. C The^ pacing,^ timing,^ and tracking in^ the . session. D (^) B and C . A The^ basic^ structure^ of^ psychotherapy^ with^ children^ aligns^ with^ principles^ of . psychotherapy for adults. B The^ basic^ structure^ of^ psychotherapy^ with^ children^ for^ the^ most^ part^ is^ not^ aligned . with principles of psychotherapy for adults. C Engaging^ with^ the^ family^ precedes^ engagement^ with^ the^ child^ or^ adolescent^ in^ the . first family meeting. D Typically^ children^ are^ exited^ to^ engage^ in^ psychotherapy^ to^ improve^ the^ home . situation.
A (^) Interruptions . B (^) Figure and ground . C (^) Layers of personality . D Organismic^ self- . regulatio A Emotions^ precede^ and^ underlie^ physical^ sensations^ of . trauma, B Physical^ sensations^ precede^ and^ underlie^ emotions^ of . trauma. C Physical^ sensations^ and^ emotional^ sensations^ occur . simultaneously. D None of the above have anything to do with TRM. . A Debriefing^ involves^ talking^ about^ the^ trauma^ immediately . after the event. B APA^ practice^ guidelines^ support^ use^ of^ debriefing^ due^ to . efficacy. C (^) Debriefing may increase post trauma symptoms. . D Debriefing does not prevent PTSD. . 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 Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by the Gestalt therapist as which of the following? According to the Trauma Resiliency Model which of the following occurs? Which of the following is not consistent with what is currently known about debriefing? 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 (^) Congruence . B (^) Actualizing tendency . C (^) Belief of human nature . D Accurate^ empathic . understanding 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 . A Maintaining a therapeutic stance of neutrality. . B Maintaining^ a^ therapeutic^ stance^ of . anonymity. C Maintaining a therapeutic stance of non- . intrusiveness. D A and C . 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 . The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition? 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? The therapeutic frame supports the clinician in which of the following ways? Select all that apply. 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?
Others PPLs papers The therapeutic frame supports the clinician in which...
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
A. Addiction B. Tolerance C. Withdraw al D. Dependen ce
Rationale: This will prevent harm for the nurse and allows help from other patient from the group
D. All of the above Rationale: All choices are applicable
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.