NRNP 6645 Midterm Exam

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NRNP 6645 Midterm Exam Question 1

Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy?

	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.

Question 4

The concept that reminds us that families are open systems, and our interpretations are shaped by assumptions we absorb from the culture is known as:

	A.	Constructivism
	B.	Systems Theory
	C.	Attachment Theory
	D.	Social Constructionism

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Question 5

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?

	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.
	D.	The woman is clearly psychotic, and the advanced practice psychiatric nurse prescribes an antipsychotic medication.

Question 6

A descriptive/biological approach of specialized knowledge that treats individuals as members of a diagnostic group is based on

A biomedical model

A holistic model

A recovery model

A resilience model

Question 7

Internal resources include which of the following?

	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

Question 8

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

	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 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”.

NRNP 6645 Midterm Exam Question 9

The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes:

	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.

Question 10

	A.
	B.
	C.
	D.

Question 11

Evidenced based guidelines for patient treatment are based on which of the following?

	A.	Consensus of expert panel
	B.	Systematic reviews of case studies.
	C.	Systematic reviews of randomized controlled studies (RTC).
	D.	A and C

Question 12

According to Freud’s Psychosexual stages development of sexual identity occurs during what age range? NRNP 6645 Midterm Exam

	A.	18 months to 3 years
	B.	3 years to 6 years
	C.	6 years to 12 years
	D.	13 years to 20 years

Question 13

The challenges of a family therapist in working with families of different culture include which of the following? Check all that apply.

	A.	Learning to respect diversity in each unique family.
	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.

Question 13

The challenges of a family therapist in working with families of different culture include which of the following? Check all that apply.

	A.	Learning to respect diversity in each unique family.
	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.

Question 14

The process

Question 15

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?

	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.
	D.	A and B

Question 16

The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking,” If this is true then what happens?”

	A.	Idiosyncratic Meaning
	B.	Labeling of distortions,
	C.	Downward Arrow
	D.	Questioning the Evidence

Question 17

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?

	A.	Intimacy vs. isolation
	B.	Ego integrity vs. despair
	C.	Generativity vs. stagnation
	D.	Autonomy vs. alienation

Question 18

The advanced practice psychiatric nurse is meeting with a patient who in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The advanced practice psychiatric nurse recognizes the patient is at high suicide risk and recommends which of the following?

	A.	Develop a crisis plan and give emergency numbers.
	B.	Hospital psychiatric admission and suicide precautions.
	C.	Refer to intensive outpatient therapy and give emergency numbers.
	D.	Develop a no-suicide contract and provide emergency numbers.

Question 19

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.

Question 20

A basic strategy of

Question 21

Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach?

	A.	Restructuring
	B.	Interpretations
	C.	Desensitization
	D.	Exploring wishes

Question 22

The aim in relational psychodynamic therapy is which of the following?

	A.	Make the unconscious conscious
	B.	Resolve ruptures in the therapeutic alliance.
	C.	Provide interpretation based on past experiences
	D.	Provide interpretation of wish/defense conflicts.

Question 23

Optimal family development is thought to take place in which of the following circumstances?

	A.	Family members are differentiated, anxiety is low, and partners maintain emotional contact with their own families.
	B.	Family members lack differentiation, anxiety is low, and partners maintain emotional contact with their own families.
	C.	Family members are differentiated, anxiety is moderate, and partners reduce emotional contact with their parents and siblings.
	D.	Family members lack differentiation, avoid anxiety and partners avoid emotional contact with parents and siblings.

Question 24

Role

	A.
	B.
	C.
	D.

Question 25

According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior?

	A.	Imitative behavior generally plays a more important role in early stages of a group.
	B.	Imitative behavior may allow an individual to experiment with a new behavior.
	C.	Finding out what we are not is progress toward finding out what we are.
	D.	All of the above

Question 26

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

	A.	Id vs ego conflict
	B.	Super ego actions to censor and restrain
	C.	Psychic determinism
	D.	Ego synchrony

Question 27

If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment.

	A.	The health care provider
	B.	The managed care company.
	C.	The individual at the managed care company who failed to authorize necessary treatment.
	D.	All of the above.

n 28

The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following? Check all that apply.

	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.
	D.	Acceptance, nonjudgmental attitude and empathy.

tion 29

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:

	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.

According to Minuchin two patterns common to troubled families are:c

Question 31

The CBT therapist working with a patient who is distraught because they did not get a job they really wanted. The individual is helped to identify how to use what appears to be a negative situation to his or her advantage. This technique is known as which of the following?

	A.	Cognitive rehearsal
	B.	Paradox or Exaggeration
	C.	Turning Adversity to Advantage
	D.	Decatastrophizing

Question 32

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

	A.	Pain, anxiety, fatigue
	B.	Emptiness, emotional paralysis, emotional numbness
	C.	Euphoria, irritability, panic
	D.	Angry outbursts, anxiety, exhaustion

Family dialogue is encouraged.a

Question 34

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?

	A.	Healthy
	B.	Neurotic
	C.	Psychotic
	D.	Borderline

Question 35

According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)

	A.	The client must first envision where they want to be prior to moving forward
	B.	Processing is the key to stabilization and future visioning
	C.	Increasing internal resources leads to increasing external resources
	D.	Resources must be procured and stabilization guaranteed before trauma can be processed.

Question 36

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.	Questioning the Evidence
	B.	Downward Arrow
	C.	Idiosyncratic Meaning
	D.	Labeling of Distortions.

he advanced practice psychiatric nurse is working with a couple using a Cognitive Behavioral Family Therapy model. The wife states her husband must be having an affair because he comes home late from work. The advanced practice psychiatric nurse recognizes this as the cognitive distortion known as:

	A.	Personalization
	B.	Selective Abstraction
	C.	Dichotomous thinking
	D.	Arbitrary Inference

uestion 38

The advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following?

	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.

According to the Stages of the Family Life Cycle the key emotional process of transition for single young adults is:

	A.	Commitment to a new system.
	B.	Accepting the shifting generational roles.
	C.	Accepting new members into the system.
	D.	Accepting emotional and financial responsibility for self.

estion 40

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

	A.	Cognitive therapy
	B.	Behavioral therapy
	C.	Systems-oriented psychotherapy
	D.	None of the above

Question 41

Which technique would be helpful to use with individuals who blame themselves for most bad outcomes?

	A.	Reattribution
	B.	Decatastrophizing
	C.	Advantages and Disadvantages
	D.	Examining options and alternatives

Question 42

According to

he quality of the therapeutic relationship is most closely linked to which school of therapy?

	A.	Freudian
	B.	Gestalt
	C.	CBT
	D.	None of the above

estion 45

In relational psychodynamic psychotherapy the therapist helps the patient with which of the following?

	A.	To understand the patient’s impact on others.
	B.	To deepen the patient’s understanding of others.
	C.	Both A and B NRNP 6645 Midterm Exam
	D.	Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy.

on 46

It is important for the new nurse psychotherapist to become comfortable with which of the following?

	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

uestion 47

According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage?

	A.	Oral
	B.	Anal
	C.	Latency
	D.	Phallic/Oedipal

Question 48

The CBT therapist asks the patient “On a scale of 1 to 10 how would you rate your level of depression today?” “And how does that compare to 2 months ago?” This is an example of what type of question type in Socratic Dialogue?

	A.	Application question
	B.	Analysis question
	C.	Evaluation question
	D.	This would not be a question consistent with Socratic Dialogue.

Question 49

The capacity to be alone is known as which of the following?

	A.	Oneness
	B.	Autonomy
	C.	Independence
	D.	Object constancy

NRNP 6645 Midterm Exam Question 50

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

	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

estion 51

Which of the following assumptions would the therapist be safe in making about cultural influences in a family?

	A.	Cultural context is consistent within family members.
	B.	People of the same culture share the same values and assumptions
	C.	Everything assumed to be a cultural norm is functional for the family.
	D.	The cultural context of families is complicated by the fact that most families are influenced by multiple contexts.

Question 52

Which of the following is true about the CBT cognitive processes of primary and secondary thinking?

	A.	Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action.
	B.	Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost.
	C.	Primary thinking views the social and cultural world in determinate, positive and rational terms.
	D.	B and C

uestion 53

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

	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

Question 54

Which of the following is not consistent cross-cultural research related to mental health and mental illness.

	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.

Question 55

Which of the following is consistent research related to resilience and posttraumatic growth?

	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

Question 56

The change agent in relational psychodynamic therapy is which of the following?

	A.	Insight
	B.	Interpretation of past experiences
	C.	Exploration of genetic roots of the problem
	D.	Mindfulness

uestion 57

Psychodynamic psychotherapy interventions focus on which of the following?

	A.	The person’s thoughts beliefs and behaviors
	B.	The person’s relationships and family dynamics
	C.	The person’s emotions and thoughts, deepening understanding of triggers form the past played out in the present.
	D.	The person’s body, beliefs, images, and emotions to process trauma

Question 58

A group member becomes angry with the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom’s therapeutic factors?

	A.	Catharsis
	B.	Interpersonal learning
	C.	Development of socializing techniques
	D.	The corrective recapitulation of the primary family group.

Question 59

“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 others

Question 60

A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled appointments. The therapist should do which of the following?

	A.	Write a termination letter indicating only that the therapy is being terminated effective immediately.
	B.	Send a termination letter to the patient indicating therapist concern, reason for 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

Question 61

Which of the following types of questions is not one the seven basic types of questions in Socratic dialogue?

	A.	History questions
	B.	Memory questions
	C.	Analysis questions
	D.	Application questions

Question 62

In therapy groups where group members gain through receiving help from group members and giving help to group members, which of Yalom’s therapeutic benefits is being realized?

	A.	Altruism
	B.	Catharsis
	C.	Imparting Information
	D.	Development of socializing techniques

Question 63

Diverting conflict between two people by involving a third is known as the concept of:

	A.	Emotional reactivity
	B.	Relationship triangles
	C.	Differentiation of self
	D.	Enmeshment

Question 64

Yalom states the group therapy analogue to relationship in individual therapy is which of the following?

	A.	Universality
	B.	Cohesiveness
	C.	Social microcosm
	D.	The corrective emotional experience

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