NRNP 6645 Final Exam Test Bank: A Comprehensive Review of Psychiatric Nursing Concepts, Exams of Nursing

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NRNP 6645 Final Exam Test Bank /

NRNP6645 Final Exam Test Bank(200+ Q &

A)(2024-2025):Walden university

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 FINAL EXAM TEST BANK 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?

A Stage

B Stage

C Stage

D Stage

A Freedom

B Responsibili

ty

C Authenticity

D Meaning

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

D Family-centered treatment is appropriate to increase family knowledge about

mental health.

A Focusing

B Body awareness

C Language of

responsibility 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? Which of the following is not consistent with a family-centered approach in child therapy? 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?

D Empty-chair dialogue

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

concerns 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 be

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. 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”? Which of the following statements would not be consistent with the humanistic-existential concept of “holism”?

D Cognitive Behavioral Therapy

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

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

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. Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal.

B Talk therapies focused on cognitive

understanding

C EMDR

D A and C

A Conduct Disorders

B Anxiety and Depression

C Depression and Psychosis

D Attention Deficit-Hyperactivity

Disorders

A Patients can fail in therapy.

B Patients are doing the best they can.

- (^) 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

directly if desired. Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders? 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?

D Termination should occur by mutual decision between advanced practice psychiatric

nurse and patient based on the therapy goals attained.

A Congruence

B Unconditional positive

regard

C Accurate empathic

understanding

D All of the above

A Stage

B Stage

C Stage

D Stage

The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderl 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

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 of Effective Treatment for Addiction according to the NIH?

A Bi-weekly individual therapy sessions for the patient of about 1 hour each.

A Women seeking treatment for substance use disorder are more likely than men to

have experienced traumatic events.

B Women are more apt to drop out of treatment than men.

C Women are less likely than men to seek mental health services.

D W

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 Evidence suggests a low dose antipsychotic medication is most effective in treating

PTSD symptoms and can also minimize alcohol and other drug abuse.

A Invite the patient to new ways of viewing a situation

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

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

Evidence supports which of the following statements about women and addictions treatment? Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder? he advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following? A patient whose husband had recently died suddenly expresses remorse regarding an argument they had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?

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

with 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 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 followin 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:

A The content of the therapy

B

The flow of action and reaction within the

session.

C

The pacing, timing, and tracking in the

session.

D B and C

A Interruptions

B Figure and ground

C Layers of personality

D Organismic self-

regulatio

A Emotions precede and underlie physical sensations of

trauma,

B Physical sensations precede and underlie emotions of

trauma.

C Physical sensations and emotional sensations occur

simultaneously.

D None of the above have anything to do with TRM.

A Debriefing involves talking about the trauma immediately

after the event.

B APA practice guidelines support use of debriefing due to

efficacy.

C Debriefing may increase post trauma symptoms.

D Debriefing does not prevent PTSD.

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 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? According to the Trauma Resiliency Model which of the following occurs? Which of the following is not consistent with what is currently known about debriefing? 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?

session in with the child in the room.

C Decide what the parents need to know and give them a summary privately to avoid

any awkwardness for the child.

D Discuss with the child what he or she wants to share with the parents and facilitate

the process as needed. Others PPLs papers

The therapeutic frame supports the clinician in which...

1. The therapeutic frame supports the clinician in which of the following ways? Select all that

apply.

A. Maintaining a therapeutic stance of neutrality.

B. Maintaining a therapeutic stance of

anonymity.

C. Maintaining a therapeutic stance of nonintrusiveness.

D. A and C

2. The advanced practice psychiatric nurse is working with a patient with who is chronically

suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT)

approach realizes which of the following?

A. Every time the patient has suicidal ideations hospitalization is recommended.

B. To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating

the hard work of change.

C. To the chronically suicidal patient hospitalization frequent hospitalizations allow a safe place

to learn new coping behaviors and promote change.

D. The Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal

patient.

3. The concept of resiliency in child therapies is in direct contrast to which traditional

approach for treating children?

A. Family inclusion

B. The concept of recovery

C. Problem-based therapy

D. Interacting systems consideration

4. Stigma of mental illness in the elderly:

A. Has contributed to psychiatric symptoms being expressed with physical symptoms.

B. Is much more severe in baby boomers than in other elderly cohorts.

C. Is much less an issue in baby boomers than in other elderly cohorts

D. Leads to more 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.

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?

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

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?

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 concerns 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.

12. The situation in which increasing amounts of a substance is needed to achieve the

same desired effect is known as which of the following?

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

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Answer & Explanation

Solved by verified expert

1. The therapeutic frame supports the clinician in which of the following ways? Select all that

apply.

D. A and C

Rationale: B is wrong because it should not be anonymous. Information should be disclosed.

2. The advanced practice psychiatric nurse is working with a patient with who is chronically

suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT)

approach realizes which of the following?

B. To the chronically suicidal patient, hospitalization reinforces the status quo and

abdicating the hard work of change.

Rationale: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that

combines strategies like mindfulness, acceptance, and emotion regulation.

3. The concept of resiliency in child therapies is in direct contrast to which traditional

approach for treating children?

C. Problem-based therapy

Rationale: Compared with the traditional study of child development, which has tended to

portray 'normal' and 'abnormal' patterns, a resilience approach offers a more differentiated

account. In professional practice, resilience means looking for strengths and opportunities to

build on, rather than (or alongside) problems, deficits or psychopathology to be remedied or

treated

4. Stigma of mental illness in the elderly:

A. Has contributed to psychiatric symptoms being expressed with physical symptoms.

Rationale: According to Sartorius, stigma leads to discrimination in the provision of services for

physical health problems in older people with mental disorders.

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?

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, aetiology, 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?

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?

C. Agree to meet with patient alone in the group room to resolve any outstanding concerns

from the group.