NRNP 6645 Midterm Exam / NRNP6645 Midterm Exam(V1)(100 Q & A)(Latest, 2024):Walden, Exams of Nursing

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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.

A Excessive

.

dependency

B Orderliness

.

C Sexual identity

.

issues

D Excessive guilt

.

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

NRNP 6645 Midterm Exam

Psychotherapy with Multiple Modalities

The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy? According to Freud, failure to successfully accomplish the tasks of learning independence and control is associated with which of the following problematic traits? During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following?

.

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”.

A Intimacy vs. isolation

.

B Ego integrity vs.

. despair

C Generativity vs.

. stagnation

D Autonomy vs.

. alienation

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.

A Race

.

B Culture

.

C Ethnicity

.

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? 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? Common patterns of behavior and experience derived from the settings in which people live is known as which of the following?

D Family

. structure

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.

.

A Cognitive

. Rehearsal

B Mind-Reading

.

C Bibliotherapy

.

D Reattribution

.

A Oneness

.

B Autonomy

.

C Independence

.

D Object

. constancy

The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes: Recommending or prescribing specific readings related to the individual’s difficulties is known as which of the following? The capacity to be alone is known as which of the following? “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

A Eric Erickson

.

B Sigmund Freud

.

C Margaret Mahler

.

D Harry Stack

. Sullivan

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.

A Insight

.

B Mindfulness

.

C Wish/defense conflicts

.

Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework? Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? The change agent in relational psychodynamic therapy is which of the following?

Emotional communication and affect

D regulation

.

A Psychosis, addictions,

. depression

B Paranoia, obsessions,

. compulsions

C Phobias, psychosomatic

. disorders

D Inertia, creative inhibition

.

A Freudian

.

B Gestalt

.

C CBT

.

D None of the

. above

A 18 months to 3

. years

B 3 years to 6

. years

C 6 years to 12

. years

D 13 years to 20

. years

According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes? The quality of the therapeutic relationship is most closely linked to which school of therapy? According to Freud’s Psychosexual stages development of sexual identity occurs during what age range? 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.

A Oral

.

B Anal

.

C Latency

.

D Phallic/Oedip

. al

A Consensus of expert panel

.

B Systematic reviews of case studies.

.

C Systematic reviews of randomized controlled

. studies^ (RTC).

D A and C

.

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.

.

According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage? Evidenced based guidelines for patient treatment are based on which of the following? Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? Check all that apply.

D A and C

.

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

.

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.

.

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.

A The person’s relationships and family dynamics

.

B The person’s thoughts, beliefs, or behaviors

.

Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors? Which of the following is consistent with literature regarding suicide. Check all that apply. What distinguishes psychoanalytic therapy from other types of therapies? Cognitive Behavioral Therapy (CBT) interventions focus on

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

.

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.

A Autonomy vs. self-

. doubt

B Industry vs. inferiority

.

C Identity vs. role

. confusion

D Intimacy vs. isolation

.

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.

Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages? 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?

D A and B

.

A Recent losses

.

B Present coping skills

.

C The patient’s ego strength and

. weaknesses

D Highest level of functioning previously

. achieved

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

.

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.

A It is appropriate to use relaxation techniques in between exposures

The decision to use supportive psychotherapy should be based on which of the following? Check all that apply. Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques? Which of the following is not consistent cross-cultural research related to mental health and mental illness. 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?

.

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

.

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

.

A Biomedical model

.

B Psychosocial

. framework

C Overdeterminism

.

D Resiliency

.

A The woman is likely grieving according to her Hispanic social norms.

.

B The woman is psychotic as Hispanic people tend to somaticize conflicts.

.

C The woman is psychotic and needs to be hospitalized for further evaluation.

.

According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following? A Hispanic woman whose mother recently died reports that she continues to hear the voice of her deceased mother. The advanced practice psychiatric nurse considering the woman’s Hispanic culture determines which of the following?

D The woman is clearly psychotic, and the advanced practice psychiatric nurse

. prescribes^ an^ antipsychotic^ medication.

A Learning to be directive to help the patient feel better.

.

B Letting the psychotherapeutic process unfold over time.

.

C Helping the patient feel better is the main goal of psychotherapy

.

D Building a therapeutic toolbox for a variety of “fix it” solutions for a

. variety^ of^ problems.

A Healthy

.

B Neurotic

.

C Psychoti

. c

D Borderlin

. e

A Ensure the abuse doesn’t recur

.

B Reduce the long-term effects of the

. trauma

C Preserve the integrity of the family at

. all^ cost.

D A and B

.

A Learning to respect diversity in each unique family.

.

It is important for the new nurse psychotherapist to become comfortable with which of the following? In psychodynamic case formulation three personality organization levels have been identified along a continuum. A patient who primarily uses primitive defenses is likely to be in which personality range? When treating a family in which a child has been sexually abused the primary goals include which of the following? Check all that apply. The challenges of a family therapist in working with families of different culture include which of the following? Check all that apply.

B Developing a sensitivity to some of the issues faced by those in

. other^ cultures.

C Learning to recognize the therapist’s own blind spots and biases.

.

D Becoming an expert on ethnicity.

.

A Internal resources are more tangible than external resources

.

B Internal resources consist of the person’s ability to manage primarily negative

. emotions

C Internal resources include the person’s ability to self-soothe, demonstrate adequate

. impulse^ control,^ and^ regulate^ moods.

D Are intuitive and easily measured

.

A The average person typically does not engage in psychotherapy

.

B The average person who receives psychotherapy is significantly improved.

.

C The average person who receives psychotherapy shows no significant improvement.

.

D The average person who receives psychotherapy shows some improvement, but

. results^ are^ not^ statistically^ significant.

In classical psychodynamic therapy the therapist’s role is which of the following? nternal resources include which of the following? Controlled studies of psychotherapy outcome have shown which of the following?

A Objective

.

B Subjective

.

C Participant-

. Observer

D

Enmeshed

.

A Be a good parent

.

B Foster and protect the therapeutic

. alliance

C Hold and contain the patient

.

D Provide a role model for

. identification

A Emotional

.

reactivity

B Relationship

.

triangles

C Differentiation of

.

self

D Enmeshment

.

A People do things because of what happens in their brain.

.

B Biological events cause human actions.

.

C One^ can^ learn^ to^ activate^ their^ prefrontal^ cortex^ and^ retrain

. emotional^ reactions.

D

Biological events always over-rides free will.

.

In supportive psychotherapy where the patient is functioning at a child-like level in significant domains of life which basic strategy of dynamic supportive therapy would most likely be used? Diverting conflict between two people by involving a third is known as the concept of: Which of the following are consistent with research about adverse childhood experiences (ACE)? The advanced practice psychiatric nurse is working with a couple on conflict management. They report during a recent argument the husband threw a plate across the room. Based on the current advances in neuroscience the advanced

A Toxic stress in early childhood plays a role in intergenerational transmission of

.

disparities in health outcome.

B Long-term sequelae related to neurobiological responses to childhood stress and

.

trauma may be inherited by subsequent generations.

C Higher maternal ACE score have been associated with psychopathology in her

.

offspring.

D All of the above.

.

The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which mechanisms

.

A Make connections

.

B Decrease alexithymia

.

C Encourage patient activity

.

D Maximize adaptive coping

A Usually I would not agree to keep a secret for anyone in the family but since are

.

concerned I will this once.

B I appreciate you calling but you need to bring whatever this is to the therapy session.

.

C You can tell me but if there are concerns about your safety or anyone else, I cannot

.

promise to keep this confidential. The advanced practice psychiatric nurse helps the patient to identify and name feelings, focus on somatic sensations associated with emotions, and encourages use of metaphor to describe feelings. This is consistent with which basic strategy of supportive psychodynamic therapy?

A Id vs ego conflict

.

B Super^ ego^ actions^ to^ censor^ and

.

restrain

C Psychic determinism

.

D Ego synchrony

.

A couple of weeks into family therapy the wife calls the therapist and says “I need to tell you about something but you must promise me that you won’t say anything to my husband, and please don’t bring it up in therapy.” Which of the following would be an appropriate response?

D

.

You can tell me, but you will need to bring this up yourself in the next therapy session A basic strategy of dynamic supportive therapy in which the advanced practice psychiatric nurse assists

A The outcome from group therapy is virtually identical to that of individual

.

therapy.

B The outcome from group therapy is slightly less than outcome of individual

.

therapy.

C The outcome from group therapy is significantly better than outcomes of

.

individual therapy

D The outcome from group therapy is significantly less than outcomes of

.

individual therapy.

A Specific advice-giving supports intimate group engagement.

.

B The most effective form of direct advice is direct suggestion.

.

C Direct advice is often an important clue in elucidation of interpersonal pathology in

.

the group.

D The least effective form of direct advice was a series of alternative suggestion for

.

goal achievement.

A Manage transference

.

B Lend psychic structure

.

C Hold and contain the patient

.

D

Foster and protect the therapeutic

.

alliance. Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following? Which of the following is consistent with use of direct advice as a strategy of imparting of information? According to Structural Family Therapy model, family structure refers to which of the following?

A Birth^ order.

The process of a group member benefitting by observing the therapy of another member with similar prob emotional boundaries.

.

feelings.

D The way families are organized into subsystems separated by

.

.

B How individuals in the family balance individuality and togetherness.

.

C How individuals in the family experience and express their real

A It is essential that emergency coverage is in place.

.

B How the patient contacts you between sessions and in emergencies should be

.

included in the contract given to the patient during the initial session.

C Explicitly state whether you will be available for phone calls between sessions and

.

adhere to clear limits.

D Check messages at least once per day and call back within 24 hours.

.

A Questioning the

.

Evidence

B Downward Arrow

.

C Idiosyncratic

.

Meaning

D Labeling of

.

Distortions.

A Modeling

.

B Spectator therapy

.

C Copy-cat

.

phenomenon

D Universality

.

Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? Check all that apply. The patient talking about her husband states “By the time he comes home late for the zillionth time I’m just beside my self … you know what I mean.” The CBT therapist responds saying “No, I don’t know what you mean. Please explain what you mean by “beside yourself”. The therapist is using a technique known as which of the following?

A Cultural syndrome

.

B Cultural formulation

.

C Cultural idiom of distress

.

D Cultural explanation or perceived

.

cause

A Patients with primarily primitive defenses

.

B Patients with primarily mature defense mechanisms

.

C Patients with neurotic to healthy personality

.

organization.

D Patients with the capability to engage in a

.

therapeutic alliance

A Listening to what is important to the patient.

.

B Listening to what the meaning of a situation is in

.

the moment.

C “Being with” the patient rather than “doing to” the

.

patient. A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following? “They probably think I am stupid” is an example of which type of cognitive distortion?

A Comparing

.

B Mind reading

.

C

Objectifying the

.

subjective

D Externalization^ of^ self-

.

worth Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following? The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following? Check all that apply.

Which of the following is not consistent with evidence-based research on psychodynamic therapy?

D Acceptance, nonjudgmental attitude and empathy.

.

he advanced practice psychiatric nurse working with a patient from another culture is recommended to do

C Euphoria, irritability, panic

.

D Angry outbursts, anxiety, exhaustion

.

numbness

.

A Pain, anxiety, fatigue

.

B Emptiness, emotional paralysis, emotional

A Anger

.

B Anxiety

.

The skilled psychotherapist assists the patient to stay in the Resilience Zone. Which of the following symptoms are consistent with hypoarousal?

A Ask the individual how he or she feels about working with you.

.

B Automatically refer patient to a provider of the same or similar culture.

.

C Research^ the^ individual’s^ culture and^ let the^ patient know you^ are^ an^ expert^ in

that

.

culture.

D

The Advanced practice psychiatric nurse explains her own culture to the patient to

.

minimize misunderstandings.

A Research demonstrates psychodynamic therapy is not effective.

.

B Research^ reflects^ inherent^ difficulties^ in^ experimental^ controlled^ design^ for^ this

.

approach.

C

Most psychodynamic research consists of case studies which limits the ability to

.

generalize to other situations and populations.

D

Psychodynamic techniques do not lend themselves to the precision required for a

.

clinical trial. According to Peplau’s Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following?

C Resilien

.

ce

D Holism

.

A Identifying major conflicts and focusing on structures that perpetuate them.

.

B The therapist serving as a conduit for most of the communication to keep conflict at a

.

minimum during the session.

C Helping the family members to deal more constructively with each other in the

.

sessions.

D Preventing family members from feeling anxiety as they are working through their

.

issues.

A The termination date is set within 10 weeks of anticipated termination.

.

B The termination date is set in the beginning of treatment within 30 sessions

.

C The termination date is set in the beginning of treatment within 60 sessions.

.

D The termination date is flexible and is set mutually by the therapist and patient once

.

major issues have been addressed.

A The ATR is a key component of CBT

.

B This is a homework technique in which troubling situations and resulting emotions

.

and thoughts are captured.

C The therapist and patient work on clarification and development of “rational”

.

responses to challenge the original responses.

D All the above

.

A Emotional

.

overinvolvement

B Emotional distance

.

During the middle phase of family therapy treatment much of the treatment is devoted to which of the following: Which of the following is consistent regarding termination in brief psychodynamic therapy? Which of the following is true about Automatic Thought Records (ATR)? Check all that apply. According to Bowen, lack of differentiation in a family may be manifest as

C Reactive Children

.

D A and C

.

E A, B, and C

.

A Resilience and posttraumatic growth are inversely related.

.

B There is a curvilinear relationship between posttraumatic growth and

.

resilience.

C Moderate resilience and emotional intelligence is associated with the

.

most growth.

D All of the above

.

A Research suggests that psychotherapy enhances the effects of psychotropic

.

medication.

B Studies comparing medication with psychotherapy found both produce similar

.

physiological changes in the brain.

C Studies comparing medication with psychotherapy found both produce physiological

.

changes but brain changes are different for medications than for psychotherapy.

D Research suggests psychotropic medications may interfere with the learning that

.

takes place during psychotherapy.

A The central motivating force in development is the drive for gratification.

.

B Primary maternal preoccupation will lead to development of a false sense of self.

.

C The central motivating force in development is that people are primarily motived to

.

seek other people.

D The good enough mother creates a dynamic in which the person feels never good

.

enough in relationships.

A Practicing

.

Which of the following is consistent research related to resilience and posttraumatic growth? Which of the following is not consistent with current research related to psychotherapy and psychotropic medication? Object relations theorists work from a framework which includes which of the following? Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization?

B Consolidation

.

C Differentiatio

.

n

D Rapprochem

.

ent

A Insight

.

B Interpretation of past experiences

.

C Exploration of genetic roots of the

.

problem

D Mindfulness

.

A Culture determines what is considered a psychiatric disorder

.

B Neurobiological mechanisms linked to stress and trauma are consistent

.

across cultures

C Neurobiological mechanisms linked to stress and trauma vary across

.

cultures

D A and B

.

E A and C

.

A Restructure defenses

.

B Strengthen defenses

.

C Promote problem-

.

solving

D B and C

The change agent in relational psychodynamic therapy is which of the following? Cross-cultural research supports which of the following? Which of the following is consistent with the aims of supportive psychotherapy?

A Cure

.

B Minimize symptoms

.

C Eliminate symptoms with

.

medication

D Heal

.

A Immediacy

.

B Abreaction

.

C Differentiatio

.

n

D Rapprochem

.

ent

A Brief psychotherapy is more effective than long-term psychodynamic

.

psychotherapy.

B Long-term psychodynamic psychotherapy is more effective than brief

.

psychotherapy.

C There is no qualitative difference between brief and long-term psychodynamic

.

psychotherapy.

D Brief and long-term psychodynamic psychotherapy cannot be compared.

.

A Eliminate all preconceptions before meeting with the patient.

.

B Always be transparent with the patient regarding any preconceptions.

The goal in a holistic paradigm is to A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following? Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy? We all have preconceptions that are brought into every situation. As a nurse psychotherapist it is important to do which of the following?

.

.

C Be aware of preconceptions, what they are and how they influence our work.

.

D Discuss preconceptions you have with the patient as others likely have similar

.

preconceptions about the patient. A family has been court-ordered to family therapy. The family does not want to participate in therapy. The

D A and B

.

cohesiveness

.

participation

C A concrete system for measuring

.

A Higher rate of attendance

.

B Acceptance for a variable level of active

A Cognitive therapy

.

B Behavioral therapy

.

C Systems-oriented

.

psychotherapy

D None of the above

Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.

A Ask them what the minimum is that they need to do to satisfy the court order.

.

B Review the case and offer suggestions for solving the issue.

.

C

Acknowledge the forced nature of the therapy and encourage them to use this as an

.

opportunity to grow together as a family.

D

Refuse to see them as clearly, they don’t want to be there, and therapy won’t help

.

them. An engaged cohesive therapeutic relationship is necessary in all psychotherapies except which of the following?

A Labeling of Distortions

.

B Questioning the Evidence

.

C Advantages and

.

Disadvantages

D Examining Options and

.

Alternatives Which of the following are consistent with findings related to levels of cohesiveness in groups? reasoning

.

on

D Emotional

.

A All or nothing

.

B Personalization

.

C Overgeneralizati

A Focus on the etiology of the problem

.

B Focus on problem formation

.

C Clearly define the problem for the family and then focus on potential solutions for the

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? “Everything always goes wrong for me” is an example of which type of cognitive distortion?

A

The higher the overall levels of cohesiveness are associated with significantly better

.

total outcome than groups with low cohesiveness.

B

Group member with little sense of belonging or attraction to a group is unlikely to

.

have a negative outcome.

C The attraction to the group is a powerful determinant of outcome.

.

D A and C

.

The advanced practice psychiatric nurse solution focused therapy with a family will do which of the following?

.

.

family.

D Help the family amplify exceptions to their problem and recognize effective solutions

.

already in their repertoire.

A The therapist just needs to notify either in person or by mail that they will not be

.

available at certain times.

B The therapist has an answering machine that clearly states that if this is an

.

emergency, the patient should go to the ED or call a crises hotline.

C Ask another therapist to cover for vacations and time off, as this is for emergency

.

only specifics about patients should not be shared.

D Both A and B

.

A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled

A Novice

.

B Advanced beginner

.

C Competency/proficie

.

ncy

D Expert

.

Which of the following is a responsible way for the therapist to safely set appropriate limits on availability.

A Write^ a^ termination^ letter^ indicating only^ that^ the^ therapy^ is^ being^ terminated

.

effective immediately. Send a termination letter to the patient indicating therapist concern, reason for

B

termination, reason for patient to continue in treatment and referral to another provider if patient wants to continue in treatment and put a copy of this in the patient

. chart.

C Make sure patient not in crisis and refer to a specific provider.

.

D B and C

.

According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long-term solutions, is functioning at which level of competency? n multi-cultural groups, therapists must address the clinical factor of universality by doing which of the following?