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NRNP6645 Psychotherapy Midterm Exam Week 6 with Answers (108 Solved Questions)

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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 . WALDEN UNIVERSITY NRNP – 6645 Psychotherapy with Multiple Modalities Midterm Exam - Week 6 To access this week's Midterm Exam, click on the Midterm Exam - Week 6 link. 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?

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    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 During the initial phase of family therapy one person is identified as “the problem”. The family therapist challenges linearity by which of the following?

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    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 . Staf 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 staf. 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? . 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 efected by “the . problem”.

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    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? D Family . structure

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    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? A Fallacy of attachment . B Fallacy of worrying . C Fallacy of perfect efect . D Fallacy of the change of . othe

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    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? Emotional communication and afect D regulation .

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    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 . 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. 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 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. .

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    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 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 D A and C . 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. .

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    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? 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 .

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    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 diferent cultural backgrounds vary in their interoceptive . awareness. D Individuals from diferent 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? 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

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    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? . 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 .

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    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 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 diferent culture include which of the following? Check all that apply. D The woman is clearly psychotic, and the advanced practice psychiatric nurse . prescribes an antipsychotic medication. A Ensure the abuse doesn’t recur . B Reduce the long-term efects 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. .

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    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 . 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. .

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    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 Diferentiation 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 practice psychiatric nurse explains:

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    The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts? 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? 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 . ofspring. D All of the above. .

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