Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NRNP 6645 Nursing psychiatric Final Exam Questions with Answers Latest Update 2024, Exams of Nursing

NRNP 6645 Nursing psychiatric Final Exam Questions with Answers Latest Update 2024

Typology: Exams

2023/2024

Available from 04/12/2024

josh1990
josh1990 🇺🇸

5

(2)

2.2K documents

1 / 238

Toggle sidebar

Related documents


Partial preview of the text

Download NRNP 6645 Nursing psychiatric Final Exam Questions with Answers Latest Update 2024 and more Exams Nursing in PDF only on Docsity! 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. . NRNP 6645 Nursing psychiatric Final Exam Questions with Answers Latest Update 2024 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? pg. 1 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. According to Dearing, Stewing, 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 pg. 2 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 Focusing . B Body awareness . C Language of . responsibility 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? pg. 5 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.concer s 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 b 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”? pg. 6 D Empty-chair dialogue . 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. Which of the following statements would not be consistent with the humanistic-existential concept of “holism”? pg. 7 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 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. pg. 10 . D Cognitive Behavioral Therapy . A jDrink 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 . Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal. pg. 11 • Question 20 of 101 • Moving to another question will save this response. Question 20 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 pg. 12 B Talk therapies focused on cognitive. u derstanding C EMDR . D A and C . 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. Strategies for terminating a therapy relationship with an older adult include: pg. 15 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 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 ofEffective Treatment For? Addiction according to the NIH? pg. 16 D Termination should occur by mutual decision between advanced practice psychiatric. nurse and patient based on the therapy goals attained. 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 Bi-weekly individual therapy sessions for the patient of about 1 hour each. . pg. 17 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. 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? pg. 20 A Focusing . B Dreamwork . C Empty-chair dialogue . D Language of . responsibility A CPT . B CPT-PE . C EMDR therapy . D Pharmacological. interventions. The advanced practice psychiatric nurse working with children/adolescents in psychotherapy Is aware of which of the following? pg. 21 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: pg. 22 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.w th 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 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 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? pg. 25 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 . 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 Doesn’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. pg. 26 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 . 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? pg. 27 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. pg. 30 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? pg. 31 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 pg. 32 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 . Responsibility tee 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 pg. 35 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 on C . Confluence 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 pg. 36 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 Share Question pg. 37 ScienceNursingNURSING NRNP 6645Health Science 5. Which of the following is not consistent with the Psychoanalyst's perspective when treating and individual with a personality disorder? C . Personality products and processes are within the realm of awareness, accessible to the individual. Rationale: Each level of awareness has a role to play in shaping human behavior and thought. 6. Which of the following statements would not be consistent with the humanistic-existential concept of "holism" ? D . Dysfunctions such as a chemical imbalance must be identified. Rationale: Holism is the idea that various systems (e.g. physical, biological, social) should be viewed as wholes, not merely as a collection of parts. 7. Which of the following is true about dream work from a Gestalt perspective? pg. 40 D . The characters and objects in the dream are projections of the individual whose dream it is. Rationale: In Gestalt Therapy, the client is asked to play component parts of the dream. .It helps the client to feel the part of him/herself that he/she has disowned and has projected onto objects of the dream. Disowned parts of the self are in the unconscious, and integration is the work of therapy. 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? 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. Rationale: Formulation is a concise statement of the case. Unlike summary, it is a discussion about alternative ideas about diagnosis, etiology, treatment and prognosis and of the arguments for and against each alternative. 9. In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? pg. 41 B . A patient is considered recovered after 5 years free of substance use. Rationale: Recovery is a lifelong process that can take years to achieve. 10. Which best describes gerotranscendence? A Erik Erikson's ninth stage of development . B . Emphasizes ongoing growth over decrements Rationale: The theory that older people transcend the limited opinions and views of life they once held or wisdom comes with age 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? pg. 42 D . Borderline Personality Disorder Rationale: DBT may be used to treat suicidal and other self- destructive behaviors. 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 Rationale: Freedom allows person to choose alternatives. 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? C . Process painful memories Rationale: The first few sessions of psychotherapy typically focus on understanding and taking a good relationship history, from childhood up to adulthood. 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 pg. 45 working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? D . Deflection Rationale: Deflection is attempting to draw attention away from oneself and put that attention onto another person. All ages may engage in deflection. Children try to deflect blame when they are in trouble for negative actions by pointing out a different negative action that a sibling did. 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? pg. 46 D . All of the above Rationale: All choices are applicable 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? B . Self-concept Rationale: Self-concept is how a person perceives their behavior, abilities, and unique characteristics. 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. Rationale: Individual therapy usually involves weekly one-to-one sessions with a DBT therapist. Each session lasts approximately 45-60 minutes. pg. 47 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. 3. In working with an older adult patient in the termination phase the advanced practice psychiatric nurse suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This demonstrates which of the following? A. A major HIPPA violation pg. 50 B. Lack of confidence in the patient and the therapeutic process of CBT C. An appropriate strategy to solidify a supportive network for the patient. D. Resistance to terminating the therapeutic relationship. 4. Which of the following is true about communication with children and adolescents? A. Communication is developmentally based. B. Offices should be free of toys or distractions. pg. 51 C. Speak to children in adult manner as it lets them know you take them seriously. D. Communicate at level lower than the child or adolescent to improve their self-esteem. pg. 52 C. There are important overlapping symptoms and neuropsychological correlates that PTSD and borderline personality disorder have in common. D. DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts. pg. 55 8. Research support that children with serious emotional disorders (SED) are likely to have which of the following? A. Children with SEDs are likely to be severely impaired B. Children with SEDs are likely to have many community agencies involved in their care and support. C. Children with SEDs are likely to have a comorbid disorder. D. A and C 9. Which of the following is a biologically based psychotherapy methodology used to treat patients who have experienced trauma? A. Trauma Resiliency Model pg. 56 B. Cognitive Behavioral Therapy C. Psychodynamic Psychotherapy D. Existential Psychotherapy 10.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 pg. 57 Unresolved attachment style C. Preoccupied attachment style D. Disorganized attachment style 13.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. pg. 60 B and C 14.According to the MacArthur Study of Successful Aging protective factors on mental and cognitive functioning and successful aging include: A. Positive mental attitude pg. 61 B. Regularly scheduled activities C. Exercise D. All the above 15. The advanced practice psychiatric nurse is working with the patient on maintaining treatment outcomes and developing a guide for surviving difficult times. These strategies are consistent with which phase in the CBT process? A. Introductory phase B. Middle phase C. Late middle phase pg. 62 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 18.Which of the following would not be a first-line intervention for an individual with PTSD? A. CP T B. CPT-PE C. EMDR therapy pg. 65 D. Pharmacological interventions. 19. Emotion-Focused therapy integrates which of the following? A. Person-centered therapy and Gestalt therapy B. Gestalt therapy and Neuroscience research of emotions. C. Neuroscience research of emotions and Person-centered therapy. D. Person-centered therapy, Gestalt therapy and Neuroscience research of emotions. 20. 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? pg. 66 A. Artistic endeavors such as sculpting, drawing painting. B. Movement therapies such as dance. C. Tapping on acupressure points pg. 67 C. The concept of Resiliency D. Developmental considerations 24.Which of the following is consistent with a Common Elements approach? pg. 70 A. Common Elements involves use of individual treatment approaches that are part of many manualized treatment B. Evidenced-based strategy is viewed in light of the actual intervention as well as diagnostic category. C. The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues. D. Is Common Elements method should not be used with child/adolescents with PTSD. 25. Functional status refers to A. A person's capacity to manage activities of daily living independently pg. 71 B. A person's positive perspective on their own capabilities C. A person's expected increase in dependency as one ages D. A person's expected decrease in independence as one ages 26.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. pg. 72 C. Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults. D. Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns. 29. 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. pg. 75 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 30. The primary source for constructive change in a humanistic- existential approach is which of the follow: pg. 76 A. The patient's motivation B. The therapist's structure C. The therapist-patient relationship D. The patient-family relationship 31. The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of the following? A. The basic structure of psychotherapy with children aligns with principles of psychotherapy for adults. B. pg. 77 33.A natural process whereby the individual is continually disturbed by the emergence of a need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by the Gestalt therapist as which of the following? A. Figure and ground B. Organismic self-regulation C. Layers of the personality D. None of the above 34.Which of the following does the advanced practice psychiatric nurse need to consider when treating older adults with Substance Use Disorders? A. pg. 80 Co-existing medical or psychiatric disorder B. Age-related physiological and psychological changes C. Collaboration with primary care providers D. All of the above 35. 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. pg. 81 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. ??? 36.According to Dearing, Stewing, 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? pg. 82 D. Attention Deficit-Hyperactivity Disorders 39.A Trauma Resiliency Model therapist encourages the patient to describe the "felt sense" of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills? A. pg. 85 Tracking B. Resourcing and resource intensification C. Grounding D. Gesturing 40.During your second CBT session with an older adult the patient expresses to you comfort with the CBT model and begins to ask questions about how the therapy works. This indicates which of the following? A. It is time to move to the middle phase of CBT B. This comment seems contradictory, perhaps the patient has a dementia. pg. 86 C. The patient is just trying to rush through the therapy, a type of resistance. D. The patient clearly needs at least one more introductory/early phase session. 41.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? A. Interruptions B. Figure and ground C. Layers of personality D. pg. 87 Quizzing patient on previous sessions D. Insist the patient bring a notebook and take note 44.When doing psychotherapy with older adult's accommodations which target cognitive symptoms and functional deficits include: A. Shorter, more frequent sessions B. Summarizing previous sessions C. Quizzing patient on previous sessions D. Insist the patient bring a notebook and take note 45. The underlying assumptions of Trauma Resiliency Model therapy include which of the following? pg. 90 A. Human response to threat is subcortical in nature. B. Response to trauma is likely transient and should go away with or without treatment. pg. 91 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 46.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. pg. 92 D. Guided relaxation and meditation 49.Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder? 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. pg. 95 Evidence suggests a low dose antipsychotic medication is most effective in treating PTSD symptoms and can also minimize alcohol and other drug abuse. 50.Which of the following activities is not consistent with the first phase of the eight-phase protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working with a patient who has PTSD? A. Desensitization B. Identification of targets. C. Screening for use of EMDR D. Screening for affect tolerance and dissociation 51. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? pg. 96 A. Schizophrenia B. New onset depression pg. 97