NRNP 6645 Midterm Exam Revision

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NRNP 6645 Midterm Exam Revision – Step-by-Step Guide

The first step before starting to write the NRNP 6645 Midterm Exam Revision, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6645 Midterm Exam Revision

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6645 Midterm Exam Revision

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6645 Midterm Exam Revision

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6645 Midterm Exam Revision

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6645 Midterm Exam Revision

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6645 Midterm Exam Revision

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NRNP 6645 Midterm Exam Revision Questions

Question 1

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.

Question 2

Common ancestry through which individuals have evolved shared values and customs is known as which of the following? Have a look at NRNP 6645 Week 7 Assignment: Comparing Humanistic-Existential Psychotherapy with other Approaches.

          A.       Culture

          B.       Ethnicity

          C.       Cybernetics

          D.       Constructivism

Question 3

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

Question 4

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are ethical options?

              A.           It is incumbent on the therapist to ensure that treatment continues.

              B.           Stop treatment immediately.

              C.           Attempt to work out a payment plan with the patient.

              D.          A and C

Question 5

Which of the following is not consistent with current research related to psychotherapy and psychotropic medication?

              A.           Research suggests that psychotherapy enhances the effects of psychotropic medication.

              B.           Studies comparing medication with psychotherapy found both produce similar physiological changes in the brain.

              C.           Studies comparing medication with psychotherapy found both produce physiological changes but brain changes are different for medications than for psychotherapy.

              D.          Research suggests psychotropic medications may interfere with the learning that takes place during psychotherapy.

Question 6

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 7

The advanced practice psychiatric nurse helps the patient to identify and name feelings, focus on somatic sensations associated with emotions, and encourages use of metaphor to describe feelings. This is consistent with which basic strategy of supportive psychodynamic therapy?

A.Make connections
B.Decrease alexithymia
C.Encourage patient activity
D.Maximize adaptive coping mechanisms

Question 8

Cognitive Behavioral Therapy (CBT) interventions focus on

A.The person’s relationships and family dynamics
B.The person’s thoughts, beliefs, or behaviors
C.The person’s understanding of how the past gets triggered and plays out in the present
D.The person’s body, beliefs, images, and emotions to process trauma

Question 9

The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy?

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.

Question 10

Role play in the context of the therapy session is an example of which of the following behavioral techniques:

A.Bibliotherapy
B.Behavioral rehearsal
C.Contingency management
D.Cognitive restructuring

Question 11

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 12

In a family session a teenager whose parents deny him a night out states angrily “See they never let me do anything!” The advanced practice psychiatric nurse using a Cognitive Behavioral Family Therapy framework recognizes this as cognitive distortion known as:

A.Labeling and mislabeling
B.Overgeneralization
C.Personalization
D.Magnification and minimization

Question 13

Which of the following is not consistent with the resilience model proposed by Miller-Kraus?

A.This resilience model is based on neurophysiology.
B.The resilience zone in an internal state of adaptability and flexibility.
C.We feel our best when we have a strong sympathetic system to regulate emotions.
D.We feel our best and deal effectively with life when we are in our resilience zone.

Question 14

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

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

Question 15

Cross-cultural research supports which of the following?

A.Culture determines what is considered a psychiatric disorder
B.Neurobiological mechanisms linked to stress and trauma are consistent across cultures
C.Neurobiological mechanisms linked to stress and trauma vary across cultures
D.A and B
E.A and C

Question 16

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 17

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 18

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 19

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 20

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 21

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

A.Anger
B.Anxiety
C.Resilience
D.Holism

Question 22

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 23

We all have preconceptions that are brought into every situation. As a nurse psychotherapist it is important to do which of the following?

A.Eliminate all preconceptions before meeting with the patient.
B.Always be transparent with the patient regarding any preconceptions.
C.Be aware of preconceptions, what they are and how they influence our work.
D.Discuss preconceptions you have with the patient as others likely have similar preconceptions about the patient.

Question 24

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 25

Which of the following best describes the difference between standards of care and practice guidelines?

A.Practice guidelines are legally binding while standards of care are not.
B.Standards of care are legally binding while practice guidelines are not.
C.There is no difference between standards of care and practice guidelines.
D.Practice guidelines should be followed as written while standards of care are more flexible.

Question 26

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 27

A patient comments at the end of their group therapy how important it was for them to have observed the improvement of others. This is consistent with which of Yalom’s therapeutic factors?

A.Altruism
B.Universality
C.Instillation of hope
D.Imparting of information

Question 28

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 29

Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following?

A.Biomedical model
B.Psychosocial framework
C.Overdeterminism
D.Resiliency

Question 30

The power of family therapy comes from

A.Focusing on dysfunctional emotions
B.Ignoring dysfunctional emotions
C.Bringing parents and children together to transform their interactions.
D.Clearly identifying fault and restructuring

Question 32

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
D.Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy.

Question 33

According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse

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

Question 34

Common patterns of behavior and experience derived from the settings in which people live is known as which of the following?

A.Race
B.Culture
C.Ethnicity
D.Family structure

Question 35

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.

Question 36

Family dialogue is encouraged.

A.Genogram
B.Family schema
C.Family drawing
D.Family sculpting

Question 37

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:

A.Modeling
B.Spectator therapy
C.Copy-cat phenomenon
D.Universality

Question 38

Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors?

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

Question 39

Bowen emphasized the family therapist

A.Remain neutral, focus on content
B.Focus on metacommunication
C.Create a psychodrama
D.Become immersed in the family dynamics

Question 40

When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture?

A.The therapist should consider the unique subculture of the family.
B.The therapist should consider assumptions of the larger cultural background of the family.
C.The therapist should ask the family to share their experiences and traditions
D.All of the above

Question 41

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.

Question 42

According to Mahler’s stages of separation-individuation the phase of “normal autism” occurs during what age range?

A.Birth to 1 month
B.10 to 16 months
C.16 to 24 months
D.24 to 36 months

Question 43

Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist?

A.The collaborative dialogue is goal-directed and specific.
B.The therapist may use everyday experiences as therapeutic metaphors.
C.Self-disclosure is frequently used to motivate the patient in problem solving.
D.Socratic Dialogue questions should be framed in a way to elicit an affirmative response.

Question 44

Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.

A.Higher rate of attendance
B.Acceptance for a variable level of active participation
C.A concrete system for measuring cohesiveness
D.A and B

Question 45

In patients with chronic hyperarousal their Resilience Zone may be too narrow. Strategies to widen the Resilience Zone would include which of the following?

A.Exercise, decreasing caffeine intake, and imagery
B.Relaxation exercises, increasing caffeine intake and imagery
C.Both A and B
D.None of the above because actually their Resilience Zone is too wide.

Question 46

A situation in which a person’s zeal to avoid feared abandonments is such that the person inadvertently creates the very situation that he or she is trying so hard to avoid is an example of what is clinically known as which of the following?

A.Resistance
B.Transference
C.Self-fulfilling prophecy
D.Cyclical psychodynamics

Question 47

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 48

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

A.Insight
B.Mindfulness
C.Wish/defense conflicts
D.Emotional communication and affect regulation

Question 49

The advanced practice psychiatric nurse solution focused therapy with a family will do which of the following?

A.Focus on the etiology of the problem
B.Focus on problem formation
C.Clearly define the problem for the family and then focus on potential solutions for the family.
D.Help the family amplify exceptions to their problem and recognize effective solutions already in their repertoire.

Question 50

“They probably think I am stupid” is an example of which type of cognitive distortion?

A.Comparing
B.Mind reading
C.Objectifying the subjective
D.Externalization of self-worth

Question 51

While working with a patient who exhibits parasuicidal behaviors of cutting, the advanced practice psychiatric nurse has the patient sign a no-suicide contract. Which of the following is true from a legal perspective about a no-suicidal contract?

A.This is a legally binding document
B.It proves the therapist has good clinical judgment.
C.It absolves the therapist of any responsibility should the patient commit suicide.
D.It is not a substitute for good clinical judgment; accurate assessment is imperative.

Question 52

Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following?

A.Patients with primarily primitive defenses
B.Patients with primarily mature defense mechanisms
C.Patients with neurotic to healthy personality organization.
D.Patients with the capability to engage in a therapeutic alliance

Question 53

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

Question 54

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.

Question 55

Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy?

A.Brief psychotherapy is more effective than long-term psychodynamic psychotherapy.
B.Long-term psychodynamic psychotherapy is more effective than brief psychotherapy.
C.There is no qualitative difference between brief and long-term psychodynamic psychotherapy.
D.Brief and long-term psychodynamic psychotherapy cannot be compared.

Question 56

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 57

The 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

Question 58

The focus of exploration in relational psychodynamic therapy includes which of the following?

A.Then and there
B.Wish/defense conflicts
C.Here and now
D.Sex/and or aggression

Question 59

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 60

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 61

Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization?

A.Practicing
B.Consolidation
C.Differentiation
D.Rapprochement

Question 62

Which of the following is true about working with dreams?

A.Dream interpretation is a left-brain endeavor.
B.Dreams represent past conflicts and work is on past conflicts
C.Dreams are the brain’s attempt to process and integrate daily information.
D.Dream symbol books are useful for dream work due to universal meaning of dreams.

Question 63

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

Question 64

A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following?

A.Immediacy
B.Abreaction
C.Differentiation
D.Rapprochement

Question 65

The advanced practice psychiatric nurse who assists the patient to maintain eye contact appropriately, shaking hands appropriately, appropriate language in public is doing which of the following?

A.Social Skills Training
B.Shame-Attacking Exercises
C.Guided Contingency Management
D.Examining Options and Alternatives

Question 66

What distinguishes psychoanalytic therapy from other types of therapies?

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.

Question 67

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 68

Recommending or prescribing specific readings related to the individual’s difficulties is known as which of the following?

A.Cognitive Rehearsal
B.Mind-Reading
C.Bibliotherapy
D.Reattribution

Question 69

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 70

When working with a couple the therapist observes the wife seems to have more power in the relationship and the husband seems disengaged. The advanced practice psychiatric nurse can safely assume which of the following based on the couple’s Appalachian culture/roots?

A.This is a culturally consistent framework where the wife is typically the decision maker in the family.
B.This is not culturally consistent with Appalachian norms and is an issue for the couple’s therapy.
C.The couple is aware of the gender inequality in the family and is fine with it.
D.The advanced practice psychiatric nurse cannot assume any of the above and needs to further assess roles in the relationship.

Question 71

Which of the following is consistent with literature regarding suicide. Check all that apply.

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.

Question 72

Cultural relativity (Horowitz, 1982) refers to

A.How we relate to those from other culture
B.Similarities between various cultures
C.Differences between Eastern and Western cultures
D.Behavior considered normal or abnormal depends on social and cultural norms.

Question 73

The 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

Question 74

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 75

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 76

Which of the following is true about Automatic Thought Records (ATR)? Check all that apply.

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

Question 77

Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.

A.Emphasis on the past; Focus on expression of emotion; Emphasis on transference
B.Focus on here and now, focus on current relationships, exploration of intra psychic issues.
C.Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.
D.Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.

Question 78

Which of the following are consistent with research about adverse childhood experiences (ACE)?

A.Toxic stress in early childhood plays a role in intergenerational transmission of disparities in health outcome.
B.Long-term sequelae related to neurobiological responses to childhood stress and trauma may be inherited by subsequent generations.
C.Higher maternal ACE score have been associated with psychopathology in her offspring.
D.All of the above.

Question 79

During the middle phase of family therapy treatment much of the treatment is devoted to which of the following:

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.

Question 80

According to Bowen, lack of differentiation in a family may be manifest as

A.Emotional overinvolvement
B.Emotional distance
C.Reactive Children
D.A and C
E.A, B, and C

Question 81

A couple of weeks into family therapy the wife calls the therapist and says “I need to tell you about something but you must promise me that you won’t say anything to my husband, and please don’t bring it up in therapy.” Which of the following would be an appropriate response?

A.Usually I would not agree to keep a secret for anyone in the family but since are concerned I 　　　　 will this once.
B.I appreciate you calling but you need to bring whatever this is to the therapy session.
C.You can tell me but if there are concerns about your safety or anyone else, I cannot promise to keep this confidential.
D.　You can tell me, but you will need to bring this up yourself in the next therapy session

Question 82

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

A.A biomedical model
B.A holistic model
C.A recovery model
D.A resilience model

Question 83

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.
D.A and C

Question 84

Controlled studies of psychotherapy outcome have shown which of the following?

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.

Question 85

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 86

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 87

The advanced practice psychiatric nurse may intervene as appropriate with agencies or persons in order to advocate for the patient; do for the patient what he or she cannot do for self, always with an aim toward maximum independence and growth which is consistent with which basic strategy of dynamic supportive therapy?

A.Make connections
B.Encourage patient activity
C.Manipulate the environment
D.Maximize adaptive coping mechanisms

Question 88

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 89

According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long-term solutions, is functioning at which level of competency?

A.Novice
B.Advanced beginner
C.Competency/proficiency
D.Expert

Question 90

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.Manage transference
B.Lend psychic structure
C.Hold and contain the patient
D.Foster and protect the therapeutic alliance.

Question 91

During the initial contact with an individual seeking family therapy it is important for the family therapist to:

A.Identify the presenting problem and arrange a consultation with everyone living in the family household.
B.Identify the presenting problem and arrange a consultation with the caller to ensure family therapy is really necessary.
C.Identify the presenting problem and arrange to meet with the caller and the family member that is creating most of the problem.
D.Identify the presenting problem and arrange a consultation with the parents of the family to develop a therapeutic alliance and strategy for fixing the problem.

Question 92

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”.

Question 93

Which of the following is consistent with use of direct advice as a strategy of imparting of information?

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.

Question 94

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.

Question 95

Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist’s framework?

A.Eric Erickson
B.Sigmund Freud
C.Margaret Mahler
D.Harry Stack Sullivan

Question 96

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 97

Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? Check all that apply.

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.

Question 98

　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 99

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 100

Didactic instruction about mental health, mental illness and general psychodynamics is a strategy which supports which therapeutic group factor?

A.Imitative behavior
B.Interpersonal learning
C.Imparting of information
D.Development of socializing techniques