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11. When doing psychotherapy with older adult’s accommodations which target cognitive symptoms and functional deficits include: 

  A.

Shorter, more frequent sessions

 

  B.

Summarizing previous sessions

 

  C.

Quizzing patient on previous sessions

 

  D.

Insist the patient bring a notebook and take note

 

12. The 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.

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

 

 

13. 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

 

14. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?

  A.

Validate the patient ‘s frustration while encouraging and reinforcing use of skills.

 

  B.

Analyze the behaviors and consequences of the behaviors with the patient.

 

  C.

Focus on behavioral control and management with emotions as a contextual element.

 

  D.

All of the above

 

 

15. The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as

  A.

Life Review Therapy (LRT)

 

  B.

Reminiscence Therapy (RT)

 

  C.

A Mindfulness Strategy

 

  D.

Interpersonal Psychotherapy (IPT)

 

16. 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. Does this demonstrate 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.

 

17. Techniques used by the Gestalt therapist include which of the following? 

  A.

The ability to provide homework

 

  B.

The ability to craft creative experiments

 

  C.

The ability to establish an authentic I-Thou relationship with the patient.

 

  D.

B and C

 

18. Which of the following is not true about self-regulation as it applies to therapy with children?

  A.

Self-regulation is a developmental milestone of childhood in which the child controls behavior in the service of socially desirable conduct.

 

  B.

Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.

 

  C.

Self-regulation mechanisms from a neuroscience perspective are basic mechanisms predominantly located in the globus pallidus.

 

  D.

Self-regulation issues are often seen in various child psychopathology.

 

19. The mother of a 6-year-old is concerned that the child seems to always want to pretend when playing. Which would be an appropriate response to the mother?

  A.

This shows some regression as most children of this age are in the concrete operational stage and play should be more realistic.

 

  B.

This is an appropriate activity for a child of this age consistent with Piaget’s sensorimotor stage.

 

  C.

Pretend play is an appropriate activity for a child in the Preoperational stage of cognitive development.

 

  D.

Pretend play shows the ability to think abstractly which indicates cognitive ability consistent with the formal operational stage of cognitive development.

 

20. Which of the following statements would be consistent with Trauma-Informed Care when treating patients with comorbid PTSD and Substance Use Disorder?

  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. 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NRNP 6645

 

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