NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers

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NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers

Question 1

In working with children between the ages of about 7-11 years of age, the advanced practice psychiatric nurse would include activities consistent with which of stage of Piaget’s stages of cognitive development?

	A.	Sensorimotor
	B.	Preoperational
	C.	Formal operational
	D.	Concrete operational

Question 2

According to Wheeler et al. (2020) which of the following is NOT supported by current evidence about Mental Health in older adults?

	A.	At least 20% of older adults have one or more mental health or substance use conditions.
	B.	Mental illness is a normal part of aging.
	C.	There is an increasing need for behavioral health and substance abuse specialty services in primary care.
	D.	Mental health policy and treatment of older adults have lagged resulting in this population being underserved. NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers

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Question 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
	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.

NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers Question 4

Which of the following screening tools is geared toward screening pregnant women for alcohol and drug abuse

	A.	CAGE-AID
	B.	CRAFFT
	C.	TWEAK
	D.	UNCOPE

Question 5

Which of the following is not consistent with humanistic-experiential techniques?

	A.	May include working with dreams or the empty chair.
	B.	Use of creative arts such as drawing, music and movement.
	C.	Humanistic-existential therapists interpret for the patient and provide guiding advice.
	D.	Humanistic-existential therapists use techniques that are reflective and experimental in style.

Question 6

An advanced practice psychiatric nurse who has been leading groups for patients with comorbid PTSD and Substance abuse starts experiencing disturbing dreams, anxiety, irritability , withdrawal and problems in interpersonal relationships. These symptoms are consistent with the phenomenon of:

	A.	Transference
	B.	Countertransference
	C.	Secondary traumatization
	D.	Burnout

Question 25

Which of the following is consistent with Trauma Resiliency Model (TRM) therapy?

	A.	TRM therapy facilitates patient’s awareness of pleasant, unpleasant, and neutral body sensations.
	B.	NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers TRM acknowledges negative affect and it’s accompanying unpleasant physical sensations.
	C.	TRM therapist teaches patient techniques to intentionally modulate negative emotions by shifting away from negative sensations.
	D.	All of the above

Question 26

The person-centered therapist is expected to exhibit which of the following characteristics?

	A.	Congruence
	B.	Unconditional positive regard
	C.	Accurate empathic understanding
	D.	All of the above

Question 27

Which of the following is not consistent with the use of mindfulness in patients requiring stabilization following trauma?

	A.	Mindfulness underlies all stabilization.
	B.	Mindfulness is described as having internal and external awareness in abundance.
	C.	Mindfulness allows patient to become fully aware of their experiences and enables them to react to their experiences.
	D.	Mindfulness allows patient to become fully aware of their experiences and enables them to respond to their experiences NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers.

Question 40

Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH?

	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 during treatment.

Question 52

Critical goals in addiction treatment include improving impulse control, reducing craving, and promoting and adaptive social environment. Evidenced based skills that can best impact these goals include:

	A.	Life Review Therapy
	B.	Contingency Management
	C.	Motivational Interviewing
	D.	Interpersonal Psychotherapy
	E.	B and C

Question 53

Which of the following is not consistent with what is known about relapse?

	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.

Question 68

The patient in Dialectical Behavior Therapy with a history of self-harming through cutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of the following?

	A.	The patient is ready to focus on self-fulfillment
	B.	The patient is ready to focus on self-efficacy
	C.	The patient is ready to begin exposure therapy.
	D.	The patient is ready to begin termination from therapy.

Question 75

The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as

	A.	Life Review Therapy (LRT)
	B.	Reminiscence Therapy (RT)
	C.	A Mindfulness Strategy
	D.	Interpersonal Psychotherapy (IPT)

Question 76

The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder?

	A.	Secure attachment style
	B.	Unresolved attachment style
	C.	Preoccupied attachment style
	D.	Disorganized attachment style

Question 77

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

Question 78

Positive substance use disorder treatment out-comes unique to women can be strengthened by which of the following.

	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

Question 79

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.	Organismic self-regulation

Question 80

The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following?

	A.	Tolerance
	B.	Withdrawal
	C.	Addiction
	D.	A craving

Question 81

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

Question 82

The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The advanced practice psychiatric nurse using the DBT model would do which of the following?

	A.	Do nothing different.
	B.	Increase the frequency and intensity of contact.
	C.	Decrease the frequency and intensity of contact.
	D.	Express concern to the patient about premature distancing and regression

Question 83

Recovery, according to behavioral health leaders, is considered a lifelong process that encompasses which four major dimensions:

	A.	Health, Wealth, Relationships, Sleep
	B.	Health, Home, Purpose and Community
	C.	Purpose, Personality, Health, Relationships
	D.	Community, Relationships, Wealth, Health

Question 84

In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structured approach includes which of the following?

	A.	Relaxation skills
	B.	Problem solving skills
	C.	Constructing the trauma narrative
	D.	Psychoeducation with child and parent about trauma response and what causes it.

Question 85

The purpose of Mindfulness-Based Stress Reduction in the older adult is

	A.	To avoid using psychotropic medications
	B.	To escape from stressful situations and relationships
	C.	To learn to be present in the moment non-judgmentally.
	D.	To avoid stigma of traditional psychotherapy

Question 96

Challenges assessing psychiatric symptoms in the elderly include which of the follow

	A.	Denial of symptoms.
	B.	Age-related variations in symptom presentation.
	C.	Making of symptoms by comorbid disorder and medications.
	D.	Difficulty in obtaining an accurate mental health history.

Question 97

When using a Dialectical Behavior Therapy (DBT) approach with a patient with Borderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions about patients?

	A.	Patients can fail in therapy.
	B.	Patients are doing the best they can.
	C.	Patients need to do better, try harder and be more motived to change.
	D.	Patients may not have caused all their problems, but they need to solve them anyway.

Question 98

The patient in Dialectical Behavior Therapy (DBT) complains the skills being taught in DBT don’t work, struggles with keeping diary cards, and doing assigned homework. This is consistent with which stage of treatment within the DBT model?

	A.	Stage 1
	B.	Stage 2
	C.	Stage 3
	D.	Stage 4

Question 99

Which of the following is not consistent with a “traditional” treatment frame?

	A.	Enforcing established starting and ending times for each session.
	B.	Establishing and enforcing a clear policy in regard to payment NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers.
	C.	Canceling sessions if the patient arrives under the influence of alcohol or psychoactive drugs.
	D.	Disclosing home or cellular phone number of therapist for emergency use only.

Question 100

Which of the following would be an appropriate response by the advanced practice psychiatric nurse to a mother of a three-year-old who is concerned that her child is not able to regulate emotions?

	A.	Let me refer you to a behavioral therapist to help you with that.
	B.	For children younger than 4 years, inability to regulate emotions is the norm.
	C.	You have a valid concern, a three-year-old should be able to regulate emotions.
	D.	This may be an early indication of ADHD, we will need to do a comprehensive assessment. NRNP 6645: Psychotherapy with Multiple Modalities Final exam questions with answers