NRNP 6645 Midterm Exam: Psychotherapy with Multiple Modalities, Exams of Nursing

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NRNP 664 5 Midterm Exam / NRNP664 5

Midterm Exam (3 Versions)(Each 100 Q &

A)(2024-2025):Walden university

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

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

NRNP 6645 Midterm Exam Psychotherapy with Multiple Modalities 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? 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 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

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 effect

D Fallacy of the change of

. othe

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

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.

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 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

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.

D A and C

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^ different^ cultural backgrounds^ vary^ in^ their interoceptive

. awareness.

D Individuals^ from^ different^ 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?

A Recent losses

B Present coping skills

C The^ patient’s^ ego^ strength^ and

. weaknesses

D Highest level of functioning previously

. achieved

D A and B

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

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.

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 Differentiation^ 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:

A The^ outcome from^ group^ therapy is^ virtually identical^ to that^ of individual

therapy.

B The^ outcome^ from^ group^ therapy^ is^ slightly^ less^ than^ outcome^ of^ individual

therapy.

C The^ outcome^ from^ group^ therapy^ is^ significantly^ better^ than^ outcomes^ of

individual therapy

D The^ outcome^ from^ group^ therapy^ is^ significantly^ less^ than^ outcomes^ of

individual therapy.

A Specific advice-giving supports intimate group engagement.

B The most effective form of direct advice is direct suggestion.

C Direct advice^ is^ often^ an important^ clue^ in elucidation of^ interpersonal^ pathology^ in

the group.

D The^ least effective^ form^ of^ direct^ advice^ was^ a^ series^ of^ alternative^ suggestion for

goal achievement.

A Manage transference

B Lend psychic structure

C Hold and contain the patient

D Foster and protect^ the^ therapeutic

alliance. Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following? Which of the following is consistent with use of direct advice as a strategy of imparting of information? According to Structural Family Therapy model, family structure refers to which of the following?

A Birth^ order.

D

You can tell me, but you will need to bring this up yourself in the next therapy session A basic strategy of dynamic supportive therapy in which the advanced practice psychiatric nurse assists the patient with reality testing, problem-solving, impulse control, affect modulation, interpersonal awareness, social skills, and empathy is most specifically known as which of the following?

A Questioning^ the

Evidence

B Downward Arrow

C Idiosyncratic

Meaning

D Labeling^ of

Distortions.

A Modeling

B Spectator therapy

C Copy-cat

phenomenon

D Universality

Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? Check all that apply. 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 It is essential that emergency coverage is in place.

B How^ the^ patient^ contacts^ you^ between^ sessions^ and^ in^ emergencies^ should^ be

included in the contract given to the patient during the initial session.

C Explicitly^ state^ whether^ you^ will^ be^ available^ for^ phone^ calls^ between^ sessions^ and

adhere to clear limits.

D Check messages at least once per day and call back within 24 hours.

The process of a group member benefitting by observing the therapy of another member with similar problems is a phenomenon referred to as which of the following: emotional boundaries.

feelings.

D The^ way^ families^ are^ organized^ into^ subsystems^ separated^ by

B How individuals in the family balance individuality and togetherness.

C How^ individuals^ in^ the^ family^ experience^ and^ express^ their^ real

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

C Euphoria, irritability, panic

D Angry outbursts, anxiety, exhaustion

numbness

A Pain, anxiety, fatigue

B Emptiness,^ emotional^ paralysis,^ emotional

Which of the following is not consistent with evidence-based research on psychodynamic therapy?

A Anger

B Anxiety

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

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.

A Research demonstrates psychodynamic therapy is not effective.

B Research^ reflects^ inherent^ difficulties^ in^ experimental^ controlled^ design^ for^ this

approach.

C Most^ psychodynamic^ research^ consists^ of^ case^ studies^ which^ limits^ the^ ability^ to

generalize to other situations and populations.

D Psychodynamic^ techniques^ do^ not^ lend^ themselves^ to^ the^ precision^ required^ for^ a

clinical trial. According to Peplau’s Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following?

D Acceptance, nonjudgmental attitude and empathy.

A Identifying major conflicts and focusing on structures that perpetuate them.

B The^ therapist^ serving^ as^ a^ conduit^ for^ most^ of^ the^ communication^ to^ keep^ conflict^ at^ a

minimum during the session.

C Helping^ the^ family^ members^ to^ deal^ more^ constructively^ with^ each^ other^ in^ the

sessions.

D Preventing^ family^ members^ from^ feeling^ anxiety^ as^ they^ are^ working^ through^ their

issues.

A The termination date is set within 10 weeks of anticipated termination.

B The termination date is set in the beginning of treatment within 30 sessions

C The termination date is set in the beginning of treatment within 60 sessions.

D The^ termination^ date^ is^ flexible^ and^ is^ set^ mutually^ by^ the^ therapist^ and^ patient^ once

major issues have been addressed.

A Emotional

overinvolvement

B Emotional distance

During the middle phase of family therapy treatment much of the treatment is devoted to which of the following: Which of the following is consistent regarding termination in brief psychodynamic therapy? Which of the following is true about Automatic Thought Records (ATR)? Check all that apply. According to Bowen, lack of differentiation in a family may be manifest as

A The ATR is a key component of CBT

B This^ is^ a^ homework^ technique^ in^ which^ troubling^ situations^ and^ resulting^ emotions

and thoughts are captured.

C The^ therapist^ and^ patient^ work^ on^ clarification^ and^ development^ of^ “rational”

responses to challenge the original responses.

D All the above

C Resilien

ce

D Holism