Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life?

Spring 2021 Prof Lavon Williams FINAL EXAM

1. In child psychotherapy consideration of systems that promote a child’s ongoing development include which of the following?

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A .

Peers

B .

Family

C .

School

D .

Communi ty

2. Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life?

A .

Gestalt Therapy

B .

Psychoanalysis

C .

Existential psychotherapy

D .

Person-Centered Psychotherapy

Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation.

A .

Locus coeruleus

B .

Cerebellum

C .

Thalamus

D .

Hypothalamu s

Which of the following is true about communication with children and adolescents?

A .

Communication is developmentally based.

B .

Offices should be free of toys or distractions.

C .

Speak to children in adult manner as it lets them know you take them seriously.

 

 

D .

Communicate at level lower than the child or adolescent to improve their self-esteem.

Question 5 There is growing evidence that some behavior problems can be prevented in children. Effective prevention strategies do not include which of the following?

A .

Supporting parent’s mental health

B .

Reducing exposure to stresses

C .

Helping parents learn ways to stimulate and have positive interaction s with their infants and young children.

D .

Guided exposure to stressors to increase resilience.

The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model?

A .

Pretreatme nt

B .

Stage 1

C .

Stage 2

D .

Stage 3

Question 7 According to the Trauma Resiliency Model which of the following occurs?

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.

Question 8

 

 

When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation?

A .

Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.

B .

Use MI to contract for attendance at several different groups to find the right “fit” and encourage attendance.

C .

Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.

D .

A and B only

Which of the following medications may be recommended for patients with insomnia due to PTSD?

A .

Any antidepressant can offer as first-line treatment in adults for PTSD.

B .

Non-benzodiazepines such as trazodone (Desyrel)

C .

Prazosin (Minipress) may be helpful if nightmares are present.

D .

B and C

The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following?

A .

Introjectio n

B .

Projection

C .

Deflection

D .

Retroflecti on

In working with an older adult patient in the termination phase the advanced practice psychiatric nurse suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This demonstrates which of the following?

A .

A major HIPPA violation

B .

Lack of confidence in the patient and the therapeutic process of CBT

 

 

C .

An appropriate strategy to solidify a supportive network for the patient.

D .

Resistance to terminating the therapeutic relationship.

A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following?

A .

Shame-Attacking

B .

Exposure Therapy

C .

Cognitive Rehearsal

D .

Guided relaxation and meditation

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

A .

Tolerance

B .

Withdraw al

C .

Addiction

D .

A craving

The primary source for constructive change in a humanistic-existential approach is which of the follow:

A .

The patient’s motivation

B .

The therapist’s structure

C .

The therapist-patient relationship

D .

The patient-family relationship

A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills?

A .

Tracking

 

 

B .

Resourcing and resource intensification

C .

Grounding

D .

Gesturing

Using a Common elements approach with a child with ADHD who despite stimulant medication continues to exhibit frequent angry outbursts, opposition and aggression the advanced practice psychiatric nurse begin with which of the following?

A .

Stop the medication as it clearly is not working.

B .

Adjust medication as it clearly isn’t working.

C .

Explore inpatient treatment where the environment could be more closely controlled and monitored.

D .

Review the best available evidence for behavioral, cognitive or psychoeducation intervention to augment the medication and address these behavioral/regulation issues.

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

A .

Somatic approaches

B .

Talk therapies focused on cognitive understanding

C .

EMDR

D .

A and C

Which of the following is consistent with a Common Elements approach?

A .

Common Elements involves use of individual treatment approaches that are part of many manualized treatment

B .

Evidenced-based strategy is viewed in light of the actual intervention as well as diagnostic category.

C .

The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues.

D .

Is Common Elements method should not be used with child/adolescents with PTSD.

Which of the following is not an underlying assumption that differentiates child therapies from adult psychotherapy?

 

 

A .

Family inclusion

B .

The concept of Recovery

C .

The concept of Resiliency

D .

Developmental considerations

The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition?

A .

Congruence

B .

Actualizing tendency

C .

Belief of human nature

D .

Accurate empathic understanding

Review of child specific Evidence Based Practices (EBP) demonstrate progress in some treatment areas however there is still much work to be done particularly in use of EBPs guided by diagnostic criteria in children with which of the following disorders?

A .

ADHD

B .

Anxiety

C .

Bipolar Disorder

D .

Adolescent Depression

The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?

A .

This indicates the change(s) really did not take

B .

The patient is unconsciously sabotaging the therapy.

C .

This indicates process is trying to force a change too fast.

D .

As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.

 

 

The use of medications is indicated in combination with psychosocial interventions in several child and adolescent severe emotional disorders (SED) including which of the following?

A .

Pediatric bipolar disorder

B .

Mild ADHD

C .

Antisocial personality disorder

D .

All of the above

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

A .

Conduct Disorders

B .

Anxiety and Depression

C .

Depression and Psychosis

D .

Attention Deficit-Hyperactivity Disorders

Evidence-based therapeutic modalities for treating older adults with anxiety include which of the following:

A .

Cognitive Behavioral Therapy, Relaxation training, Biofeedback

B .

Dialectical Behavior Therapy, Reminiscence Therapy, Biofeedback

C .

Guided Imagery, Music Therapy, Yoga

D .

A and C

The advanced practice psychiatric nurse is working with the patient on maintaining treatment outcomes and developing a guide for surviving difficult times. These strategies are consistent with which phase in the CBT process?

A .

Introductory phase

B .

Middle phase

C .

Late middle phase

 

 

D .

Termination

Which of the following is true about Complementary and Alternative Medicine (CAM) Therapies and Older Adults?

A .

CAM therapies are a good alternative to conventional medicine

B .

CAM therapies can be used in conjunction with psychotherapy to provide effective, evidence-based treatments to older adults with psychiatric disorder.

C .

Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults.

D .

Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns.

The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following?

A .

The support is provided through case management

B .

The support is designed to focus on clinical issues of the patient

C .

The DBT therapist in solo practice does not need a consultation group for support.

D .

The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use.

During the middle phase of CBT with an older adult the advanced practice psychiatric nurse notices that homework is not getting done and suggest that the homework be done during the therapy session. This indicates which of the following?

A .

The patient is not vested in the therapy.

B .

Clearly the advanced practice psychiatric nurse needs more training in CBT.

C .

The advanced practice psychiatric nurse is enabling the patient and thus undermining the therapy.

D .

The advanced practice psychiatric nurse is suggesting an acceptable modification to facilitate the therapy process.

Research support that children with serious emotional disorders (SED) are likely to have which of the following?

A .

Children with SEDs are likely to be severely impaired

B Children with SEDs are likely to have many community agencies involved in their

 

 

. care and support.

C .

Children with SEDs are likely to have a comorbid disorder.

D .

A and C

The role of the therapist during Stage 4 of the Dialectical Behavior Therapy procession model includes which of the following?

A .

Prepare the patient to safely let go of therapy.

B .

Maintain calmness without over-reacting to the patient’s behavior.

C .

Reassure the patient that extinction bursts are reasonable and normal.

D .

ONLY A and B

In working with an older female patient, the advanced practice psychiatric nurse notices the patient seems to respond superficially reminding the advanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. The advanced practice psychiatric nurse recognizes this as

A .

Gerotransference

B .

Transcendence

C .

Countertransference

D .

A sign of a close therapeutic relationship

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?

A .

Focusing

B .

Body awareness

C .

Language of responsibility

D .

Empty-chair dialogue

Which of the following is a biologically based psychotherapy methodology used to treat patients who have experienced trauma?

 

 

A .

Trauma Resiliency Model

B .

Cognitive Behavioral Therapy

C .

Psychodynamic Psychotherapy

D .

Existential Psychotherapy

Functional status refers to

A .

A person’s capacity to manage activities of daily living independently

B .

A person’s positive perspective on their own capabilities

C .

A person’s expected increase in dependency as one ages

D .

A person’s expected decrease in independence as one ages

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

A .

Treatment needs to be readily accessible.

B .

Psychotropic medication should be stopped prior to treatment.

C .

Treatment does not need to be voluntary to be effective.

D .

Drug use during treatment must be monitored continuously as lapses may occur during treatment.

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

A .

To avoid using psychotropic medications

B .

To escape from stressful situations and relationships

C .

To learn to be present in the moment non- judgmentally.

D .

To avoid stigma of traditional psychotherapy

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

 

 

A .

Life Review Therapy

B .

Contingency Management

C .

Motivational Interviewing

D .

Interpersonal Psychotherapy

E .

B and C

In working with a patient with borderline personality disorder, the Dialectical Behavior Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are the highest priority for treatment. Which of the following would be inconsistent with DBT therapy?