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

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AWorkbook exercises are only an adjunct to treatment..BWorkbook exercises simplify the real work in therapy..CTreatment manuals consistently correlate positively with treatment outcome..DUse of workbook exercises and approaches promotes creativity and flexibility inthe.therapeutic process.AExcessive.dependencyBOrderliness.CSexual identity.issuesDExcessiveguilt.WALDEN UNIVERSITYNRNP – 6645Psychotherapywith MultipleModalitiesMidterm Exam - Week 6To access this week's Midterm Exam, click on theMidterm Exam - Week 6link.The advanced practice psychiatric nurse realizes which of the following regardingworkbook exercises in therapy?According to Freud, failure to successfully accomplish the tasks of learningindependence and control is associated with which of the following problematictraits?

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AAsking the children how they would fix or deal with the problem person..BAsking the person identified as the problem to meet privately prior to theDuring 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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AIntimacy vs. isolation.BEgo integrity vs..despairCGenerativity vs..stagnationDAutonomy vs..alienationAThis is a legally binding document.BIt proves the therapist has good clinical judgment..CIt absolves the therapist of any responsibility should the patient.commit suicide.DIt is not a substitute for good clinical judgment; accurateassessment.is imperative.ARace.BCulture.CEthnicity.Staf in an independent living facility notice that Mr. Smith, a 75-year-old maleresident isalone most of the time and seems to have alienated most of the other residentsand staf.The advanced practice psychiatric nurse understands that fromErikson’s psychosocial stages perspective he is dealing with which psychosocialstage of development?While working with a patient who exhibits parasuicidal behaviors of cutting, theadvancedpractice psychiatric nurse has the patient sign a no-suicide contract. Which of thefollowing is true from a legal perspective about a no-suicidal contract?Common patterns of behavior and experience derived from the settings in whichpeople liveis known as which of the following?.next meeting.CAsking the person identified as the problem how they think the problem.could be fixed.DAsking how others in the family are involved in or efected by“the.problem”.

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AProblem-solving is the primary goal of.therapyBUnderstanding is the primary goal of.therapy.CBehavior change is the primary goal of.therapyDFamily dialogue is encouraged..ACognitive.RehearsalBMind-Reading.CBibliotherapy.DReattribution.AOneness.BAutonomy.CIndependence.DObject.constancyThe advanced practice psychiatric nurse using a Bowenian Therapy approach inworkingwith families realizes:Recommending or prescribing specific readings related to the individual’s difficultiesisknown 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 ofwhich typeof cognitive distortion?DFamily.structure

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AEric Erickson.BSigmund Freud.CMargaret Mahler.DHarry Stack.SullivanAWhat has happened in the past determines what we do today..BPsychodynamic psychotherapy is rooted in developmental theory.CBy changing one’s thoughts, emotions and behaviors can be changed..DThrough understanding the past, the individual is impowered to makemore.conscious decisions.AInsight.BMindfulness.CWish/defense conflicts.Hildegard Peplau developed the psychodynamic interpersonal model for psychiatricnursingbased on which theorist’s framework?Which of the following is not consistent with the underlying assumptions ofpsychodynamicpsychotherapy?The change agent in relational psychodynamic therapy is which of the following?AFallacy of attachment.BFallacy of worrying.CFallacy of perfect efect.DFallacy of the change of.othe

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APsychosis, addictions,.depressionBParanoia, obsessions,.compulsionsCPhobias, psychosomatic.disordersDInertia, creative inhibition.AFreudian.BGestalt.CCBT.DNone of the.aboveA18 months to 3.yearsB3 years to 6.yearsC6 years to 12.yearsD13 years to 20.yearsAccording to Erikson’s Psychosocial stages failure to successfully resolve trust vsmistrustconflict is associated with which of the following pathological outcomes?The quality of the therapeutic relationship is most closely linked to which school oftherapy?According to Freud’s Psychosexual stages development of sexual identity occursduring whatage range?Which of the following is not consistent with therapeutic process of the correctiverecapitulation of the primary family group in group psychotherapy?Emotional communication and afectDregulation.

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AOral.BAnal.CLatency.DPhallic/Oedip.alAConsensus of expert panel.BSystematic reviews of case studies..CSystematic reviews of randomized controlled.studies (RTC).DA and C.According to Freud’s Psychosexual Stages framework a patient exhibitingexcessive envyand jealousy failed to successfully manage anxiety during which stage?Evidenced based guidelines for patient treatment are based on which of thefollowing?Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)?Check allthat apply.AThe therapeutic value is that early familial conflicts are simply relived..BThe therapeutic value is that early familial conflicts are relived correctively..CFixed roles must be constantly explored and challenged..DWorking out problems in the group setting is also working throughunfinished.business from long ago.ACBT is a system of psychotherapy based on a theoretical framework which maintains.how an individual structures one’s experiences largely determines how one feels andbehaves.BMaladaptive thoughts relating to the “cognitive triad” are rooted in irrational or.illogical assumptions.CBy changing one’s thoughts, emotions and behaviors can be changed..

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ATherapeutic change is an intricate interplay of human.experiences.BThe distinctions among these factors are well.delineated.CThe distinctions among these factors are arbitrary..DThe factors are interdependent.AThe focus on problem-solving.BThe focus on irrational thoughts.CThe focus on dreams and wishes.DThe deep analysis of the patient relationship withthe.therapist.AThe person’s relationships and family dynamics.BThe person’s thoughts, beliefs, or behaviors.Yalom identifies eleven primary factors to describe the therapeutic benefit of grouppsychotherapy. Which of the following statements is not consistent with thesefactors?Which of the following is consistent with literature regarding suicide.Check allthat apply.What distinguishes psychoanalytic therapy from other types of therapies?Cognitive Behavioral Therapy (CBT) interventions focus onDA and C.AAssessing patient safety is of paramount importance for the advanced practice.psychiatric nurse during the initial patient contact.BMore that half of those who commit suicide do not have known mental health.problem.CThe highest risk factor for suicide is a relationship problem..DSuicidality can be assessed by using reliable and valid self-reportquestionnaires..

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AThe collaborative dialogue is goal-directed and specific..BThe therapist may use everyday experiences as therapeutic metaphors..CSelf-disclosure is frequently used to motivate the patient in problem.solving.DSocratic Dialogue questions should be framed in a way to elicitan.affirmative response.AAutonomy vs. self-.doubtBIndustry vs. inferiority.CIdentity vs. role.confusionDIntimacy vs. isolation.AWas the standard of care followed?.BWas there harm to the patient?.CThis 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 thetherapist?Schizoid personality is a pathological outcome associated with which of Erickson’spsychosocial stages?An advanced practice psychiatric nurse is sued for continuing to work with apatient despite the treatment not working. The advanced practice psychiatricnurse realizes that which of the following will be considered in this case?CThe person’s understanding of how the past gets triggered and plays out.in the presentDThe person’s body, beliefs, images, and emotions to processtrauma.

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ASocial learning is a therapeutic factor that operates in all therapy groups..BGroups permit members to understand there is a huge discrepancy between their.intent and their actual impact on others.CSocial skills learned in therapy groups can serve individuals well in future social.interactions outside of the group setting.DAll of the above.ACulture determines what is considered a psychiatric disorder..BNeurobiological mechanisms linked to stress and trauma vary across cultures..CIndividuals from diferent cultural backgrounds vary in their interoceptive.awareness.DIndividuals from diferent cultural backgrounds are similar intheir.interoceptive awareness.AIt is appropriate to use relaxation techniques in between exposuresThe decision to use supportive psychotherapy should be based on which of thefollowing?Check all that apply.Which of the following is true about the therapeutic benefit of groups in thedevelopment ofsocializing techniques?Which of the following is not consistent cross-cultural research related to mentalhealth andmental illness.For severe trauma and phobias it is recommended to teach the patient somerelationtechniques prior to beginning exposure therapy. When is it appropriate to usethese relaxation techniques?DA and B.ARecent losses.BPresent coping skills.CThe patient’s ego strength and.weaknessesDHighest level of functioning previously.achieved

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AIs key to understanding others.BIncreases likelihood therapist acts out their own agenda..CAllows for nurse-patient boundaries to be safely ignored to better meet.patient needs.DUnderminesobjectivity.ABiomedical model.BPsychosocial.frameworkCOverdeterminism.DResiliency.AThe woman is likely grieving according to her Hispanic social norms..BThe woman is psychotic as Hispanic people tend to somaticize conflicts..CThe woman is psychotic and needs to be hospitalized for further evaluation..According to H. Peplau (1991) self-awareness for the advanced practice psychiatricnurseRecognizing that many factors may have contributed to a patient’s current situationis anexample of which of the following?A Hispanic woman whose mother recently died reports that she continues to hearthe voiceof her deceased mother. The advanced practice psychiatric nurse considering thewoman’s Hispanic culture determines which of the following?.BIt is appropriate to use relaxation techniques during the actual exposures conducted.by the therapist.CIt is appropriate to use relaxation techniques after the exposures.DA and C.

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ALearning to be directive to help the patient feel better..BLetting the psychotherapeutic process unfold over time..CHelping the patient feel better is the main goal of psychotherapy.DBuilding a therapeutic toolbox for a variety of “fix it” solutions fora.variety of problems.AHealthy.BNeurotic.CPsychoti.cDBorderlin.eIt is important for the new nurse psychotherapist to become comfortable with whichof thefollowing?In psychodynamic case formulation three personality organization levels have beenidentified along a continuum. A patient who primarily uses primitive defenses islikely to be in which personality range?When treating a family in which a child has been sexually abused the primary goalsincludewhich of the following?Check all that apply.The challenges of a family therapist in working with families of diferent cultureincludewhich of the following?Check all that apply.DThe woman is clearly psychotic, and the advanced practice psychiatricnurse.prescribes an antipsychotic medication.AEnsure the abuse doesn’t recur.BReduce the long-term efects of the.traumaCPreserve the integrity of the family at.all cost.DA and B.ALearning to respect diversity in each unique family..

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AInternal resources are more tangible than external resources.BInternal resources consist of the person’s ability to manage primarily negative.emotionsCInternal resources include the person’s ability to self-soothe, demonstrate adequate.impulse control, and regulate moods.DAre intuitive and easilymeasured.AThe average person typically does not engage in psychotherapy.BThe average person who receives psychotherapy is significantly improved..CThe average person who receives psychotherapy shows no significant improvement..DThe 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?AObjective.BSubjective.CParticipant-.ObserverDEnmeshed.BDeveloping a sensitivity to some of the issues faced by those in.other cultures.CLearning to recognize the therapist’s own blind spots and biases..DBecoming an expert on ethnicity..

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ABe a good parent.BFoster and protect the therapeutic.allianceCHold and contain the patient.DProvide a role model for.identificationAEmotional.reactivityBRelationship.trianglesCDiferentiation of.selfDEnmeshment.APeople do things because of what happens in their brain..BBiological events cause human actions..COne can learn to activate their prefrontal cortex and retrain.emotional reactions.DBiological events always over-rides free will..In supportive psychotherapy where the patient is functioning at a child-like levelinsignificant domains of life which basic strategy of dynamic supportive therapywould mostlikely be used?Diverting conflict between two people by involving a third is known as the conceptof:Which of the following are consistent with research about adverse childhoodexperiences (ACE)?The advanced practice psychiatric nurse is working with a couple on conflictmanagement.They report during a recent argument the husband threw a plateacross the room. Based on the current advances in neuroscience the advancedpractice psychiatric nurse explains:

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The idea that nothing happens by chance, that every thought and all behavior has a causerefers to which of the following concepts?mechanisms.AMake connections.BDecrease alexithymia.CEncourage patient activity.DMaximize adaptive copingAUsually I would not agree to keep a secret for anyone in the family but since are.concerned Iwill this once.BI appreciate you calling but you need to bring whatever this is to the therapy session..CYou can tell me but if there are concerns about your safety or anyone else, I cannot.promise to keep this confidential.The advancedpractice psychiatricnursehelpsthepatientto identify and namefeelings,focus on somatic sensations associated with emotions, and encourages use ofmetaphor todescribe feelings. This is consistent with which basic strategy ofsupportive psychodynamictherapy?AId vs ego conflict.BSuper ego actions to censor and.restrainCPsychic determinism.DEgo synchrony.A couple of weeks into family therapy the wife calls the therapist and says “I needto tell you about something but you must promise me that you won’t say anythingto my husband, and please don’t bring it up in therapy.” Which of the followingwould be an appropriate response?AToxic stress in early childhood plays a role in intergenerational transmission of.disparities in health outcome.BLong-term sequelae related to neurobiological responses to childhood stress and.trauma may be inherited by subsequent generations.CHigher maternal ACE score have been associated with psychopathology in her.ofspring.DAll of theabove..

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