1. Which of the following is not consistent with recommendations for teachingTrauma Resiliency Model (TRM)skills?
A.TRM self-care skills can be taught and used in any order.
B.TRM skill may be taught in individual or group settings
C.To teach TRM skills, the therapist should be adept at using the skills themself.
D. Teaching TRM is cost effective as only one teacher is needed individually or with groups.
2. The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This supportincludes which of thefollowing?
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.
3. 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 thefollowing?
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.
4. Which of the following is true about communication with children andadolescents?
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.
5. Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one's ability toheal.
A.Somatic approaches
B.Talk therapies focused on cognitive understanding*****
C.EMDR
D.A and C
6. Which of the following trends life trends suggests advanced practice psychiatric nursebe prepared to provide mental health and illness treatment in a variety of community and non- traditionalsettings.
A.More older men than women living alone.
B.Greatest percentage of older adults living in nursing homes.
C. Projected doubling of number of homeless adults between 2010 and 2050
D.More older adults preferring to leave their homes to seek other living arrangements.
7. Dialectical Behavior Therapists realize which of thefollowing:
A.Everyone with borderline personality has comorbid posttraumatic stress disorder (PTSD
B.Everyone diagnosed with PTSD can be diagnosed with comorbid borderline personality disorder.
C. There are important overlapping symptoms and neuropsychological correlates that PTSDand borderline personality disorder have incommon.
D.DBT should only be used with individuals diagnosed with personality disorder or those with chronic suicidal thoughts.
8. Research support that children with serious emotional disorders (SED) are likely tohave which of thefollowing?
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
9. 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
10. Which of the following is not consistent with a family-centered approach in childtherapy?
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.
11. In working with children between the ages of about 7-11 years of age, the advancedpractice psychiatric nurse would include activities consistent with which of stage of Piaget's stages of cognitive development?
A.Sensorimotor
B.Preoperational
C.Formal operational
D.Concrete operational
12. The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with Borderline personalitydisorder?
A.Secure attachment style
B.Unresolved attachment style
C.Preoccupied attachment style
D.Disorganized attachment style
13. Which of the following medications may be recommended for patients with insomnia dueto 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
14. According to the MacArthur Study of Successful Aging protective factors on mentaland cognitive functioning and successful aging include:
A.Positive mental attitude
B.Regularly scheduled activities
C.Exercise
D.All the above
15. 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 CBTprocess?
A.Introductory phase
B.Middle phase
C.Late middle phase
D.Termination
16. Strategies for terminating a therapy relationship with an older adultincludes:
A.The advanced practice psychiatric nurse needs to develop a checklist to determine goals have been made and it is time to terminate.
B.The advanced practice psychiatric nurse determines therapy goals attained, terminate the therapeutic relationship, and schedule to meet the patient for coffee to ease the transition out of therapy.
C.The advanced practice psychiatric nurse should set clear therapy goals, commend patient on goal attainment and terminate the therapy.
D.Termination should occur by mutual decision between advanced practice psychiatric nurse and patient based on the therapy goals attained.
17. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with apatient with borderline personality disorder uses persuasive dialogue to do which of thefollowing?
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
18. Which of the following would not be a first-line intervention for an individual withPTSD?
A. CPT
B.CPT-PE
C.EMDR therapy
D.Pharmacological interventions.
19. Emotion-Focused therapy integrates which of the following?
A.Person-centered therapy and Gestalt therapy
B.Gestalt therapy and Neuroscience research of emotions.
C.Neuroscience research of emotions and Person-centered therapy.
D.Person-centered therapy, Gestalt therapy and Neuroscience research of emotions.
20. 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 thefollowing?
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.
21. The purpose of Mindfulness-Based Stress Reduction in the older adultis
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
22. The stabilization skills and concepts that form the foundation of Trauma Resiliency Model stand alone as a model in and of itself called CRM. CRM stands for which ofthe following?
A.Cognitive Restructuring Model
B.Cognitive Resiliency Model
C.Community Resiliency Model
D.Cognitive Regeneration Model
23. Which of the following is not an underlying assumption that differentiates childtherapies from adultpsychotherapy?
A.Family inclusion
B.The concept of Recovery
C.The concept of Resiliency
D.Developmental considerations
24. Which of the following is consistent with a Common Elementsapproach?
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.
25. 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
26. Which of the following is not true about self-regulation as it applies to therapy withchildren?
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.
27. Which of the following is not consistent with Eye Movement Desensitizationand Reprocessing (EMDR) literature in treatingPTSD?
A.Treatment effects are long lasting.
B.EMDR involves extended exposure
C.EMDR treatment for trauma is less time intensive.
D.The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event.
28. Which of the following is true about Complementary and Alternative Medicine(CAM) Therapies and OlderAdults?
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.
29. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approachwith a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of thefollowing?
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
30. 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
31. The advanced practice psychiatric nurse working with children/adolescents in psychotherapy is aware of which of thefollowing?
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.
32. When using a Dialectical Behavior Therapy (DBT) approach with a patient withBorderline Personality Disorder the advanced practice psychiatric nurse knows which of the following is inconsistent DBT assumptions aboutpatients?
A.Patients can fail in therapy.
B.Patients are doing the best they can.
C.Patients need to do better, try harder and be more motived to change.
D.Patients may not have caused all their problems, but they need to solve them anyway.
33. A natural process whereby the individual is continually disturbed by the emergence ofa need, strives to restore equilibrium by constantly reorganizing and adapting to changing circumstances in recognized by the Gestalt therapist as which of thefollowing?
A.Figure and ground
B.Organismic self-regulation
C.Layers of the personality
D.None of the above
34. Which of the following does the advanced practice psychiatric nurse need to consider when treating older adults with Substance UseDisorders?
A.Co-existing medical or psychiatric disorder
B.Age-related physiological and psychological changes
C.Collaboration with primary care providers
D.All of the above
35. In following the rules for the Dialectical Behavior Therapy (DBT) therapist, thetherapist 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. ???
36. According to Dearing, Stuewig, and Tangney (2005), understanding the difference between guilt and shame and its impact on an individual's motivation is critical to hope and therecovery process. Which of the following is true regarding guilt andshame?
A.Shame drives a person to engage in treatment while guilt drives a person to avoid treatment.
B.Shame causes a person to perceive self as a failure and guilt causes avoidance of treatment.
C.Guilt causes a person to perceive himself as a loser and shame drives a person to avoid treatment.
D.Shame drives avoidance from treatment, Guilt often motivates a person to seek treatment.
37. Which of the following is true about use of medications and/or psychotherapy in treatment of PTSD?
A.Medications alone can cure PTSD
B.Medication may be a helpful as an adjunctive treatment but is not a first-line treatment
C.Medication directly promotes new learning and processing.
D.Medications assuage the guilt, grief and interpersonal difficulties specifically in patients with PTSD.
38. Research suggests that psychodynamic therapeutic approaches are effective forsome children, particularly those with which of the followingdisorders?
A.Conduct Disorders
B.Anxiety and Depression
C.Depression and Psychosis
D.Attention Deficit-Hyperactivity Disorders
39. 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 isknown as which of the following Trauma Resiliency Modelskills?
A. Tracking
B.Resourcing and resource intensification
C.Grounding
D.Gesturing
40. During your second CBT session with an older adult the patient expresses to you comfort with the CBT model and begins to ask questions about how the therapy works. Thisindicates which of thefollowing?
A.It is time to move to the middle phase of CBT
B.This comment seems contradictory, perhaps the patient has a dementia.
C.The patient is just trying to rush through the therapy, a type of resistance.
D.The patient clearly needs at least one more introductory/early phase session.
41. Dysfunctional processes, developed early in life that people employ in an attempt tomeet their Needs, are referred to by the Gestalt therapist as which of thefollowing?
A.Interruptions
B.Figure and ground
C.Layers of personality
D.Organismic self-regulation
42. Using a Common elements approach with a child with ADHD who despitestimulant medication continues to exhibit frequent angry outbursts, opposition and aggression the advanced practice psychiatric nurse begin with which of thefollowing?
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.
43. When doing psychotherapy with older adult's accommodations which targetcognitive symptoms and functional deficitsinclude:
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
44. When doing psychotherapy with older adult's accommodations which targetcognitive symptoms and functional deficitsinclude:
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
45. The underlying assumptions of Trauma Resiliency Model therapy include which ofthe following?
A.Human response to threat are subcortical in nature.
B.Response to trauma is likely transient and should go away with or without treatment.
C.The mind has no bias; thus, we make sense of the world in a symmetrical manner.
D.Current psychiatric concepts adequately account for the impact of multiple or long-term
46. Addiction is now recognized as which of thefollowing?
A.A preventable personality disorder
B.A family disorder due to poor parenting
C.A volitional behavior that can be managed independently'
D.A primary disease of the brain's neurocircuitry.
47. The advanced practice psychiatric nurse is using a Dialectical Behavior Therapy (DBT) approach with a patient who has experienced trauma. In which stage of the DBT modelwould the advanced practice psychiatric nurse begin exposuretherapy?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4
48. A specific type of CBT therapies aimed to reduce distress as a personexperiences sensation with danger is known as which of thefollowing?
A.Shame-Attacking
B.Exposure Therapy
C.Cognitive Rehearsal
D.Guided relaxation and meditation
49. Which of the following statements would be consistent with Trauma-Informed Carewhen treating patients with comorbid PTSD and Substance UseDisorder?
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.
50. Which of the following activities is not consistent with the first phase of the eight-phase protocol for Eye Movement Desensitization and Reprocessing (EMDR) when working witha patient who has PTSD?
A.Desensitization
B.Identification of targets.
C.Screening for use of EMDR
D.Screening for affect tolerance and dissociation
51. Evidence supports use of Dialectical Behavior Therapy patients with which of thefollowing diagnoses?
A.Schizophrenia
B.New onset depression
C.Bipolar Affective Disorder
D.Borderline Personality Disorder
52. Which therapy approach has been shown to be effective in reducing depressivesymptoms and suicidality in older adult with co-existing personality disorders?
A.Dialectical Behavior Therapy (DBT)
B.Ecosystem-Focused Therapy (EFT)
C.Cognitive Behavioral Therapy for Executive Dysfunction (CBT-MD)
D. Problem Adaptation Therapy(PATH)
53. Which of the following is a philosophical approach to psychotherapy which deals with universal themes oflife?
A.Gestalt Therapy
B.Psychoanalysis
C.Existential psychotherapy
D.Person-Centered Psychotherapy
54. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with apatient diagnosed with a personality disorder explains that for success in treatment, the patient must attend the individual and group skills sessions consistently. It is explained to the patient that if four sessions are missed consecutively the treatment will end. Which of the following is true about this rule?
A.This is a guideline, not a requirement.
B.It gives the patient control over his or her commitment to treatment
C. This is one of the optional rules for Dialectical Behavior Therapy and may be done at the therapist's discretion.
D.This is a therapeutic strategy to exert control over the patient and therapy process.
55. Which of the following is consistent with Trauma Resiliency Model (TRM)therapy?
A.TRM therapy facilitates patient's awareness of pleasant, unpleasant, and neutral body sensations.
B.TRM acknowledges negative affect and it's accompanying unpleasant physical sensations.
C.TRM therapist teaches patient techniques to intentionally modulate negative emotions by shifting away from negative sensations.
D.All of the above
56. The advanced practice psychiatric nurse working with the older adult cohortrecognizes:
A.As a group, the elderly, regardless of specific age, race or experiences have similar issues.
B.This is basically the baby boomer generation, with great empowerment and entitlement
C.This enlightened cohort sees no stigma with mental health diagnosis or treatment.
D.There is great diversity with individual variation and cohort effects
57. Evidence-based therapeutic modalities for treating older adults with anxiety include whichof 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
58. The patient in Dialectical Behavior Therapy with a history of self-harming throughcutting, has shown progress in effectively using skills to manage urges integrating skills to manage emotions and behaviors with increased awareness of self. The advanced practice psychiatric nurse recognizes the patient is ready for which of thefollowing?
A.The patient is ready to focus on self-fulfillment
B.The patient is ready to focus on self-efficacy
C.The patient is ready to begin exposure therapy.
D.The patient is ready to begin termination from therapy.
59. Which of the following screening tools is geared toward screening pregnant womenfor alcohol and drugabuse
A.CAGE-AID
B.CRAFFT
C.TWEAK
D. UNCOPE
60. Which of the following statements is consistent with a humanistic-existential approachwhen the patient starts talking about pastevent?
A.Tell me about your childhood.
B.Tell me what happened last week.
C.Let's just focus on the here and now.
DTell me the story as if it were happening now.
61. Recovery, according to behavioral health leaders, is considered a lifelong process that encompasses which four majordimensions:
A.Health, Wealth, Relationships, Sleep
B.Health, Home, Purpose and Community
C.Purpose, Personality, Health, Relationships
D.Community, Relationships, Wealth, Health
62. Which of the following are "Help Now!" skills? Select all that apply.
A.Drink a glass of water, tea, or juice.
B.Name 6 colors you see wherever you are.
C.Open and close your eyes.
D.A and B only.
63. The loss of control over the intense urge to take a drug even at the expense ofadverse consequences is known as which of thefollowing?
A.Tolerance
B.Withdrawal
C.Addiction
D.A craving
64. The situation in which increasing amounts of a substance is needed to achieve thesame desired effect is known as which of thefollowing?
A.Addiction
B. Tolerance
C.Withdrawal
D.Dependence
65. In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structured approach includes which of the following?
A.Relaxation skills
B.Problem solving skills
C.Constructing the trauma narrative
D.Psychoeducation with child and parent about trauma response and what causes it.
66. 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?
A.Freedom
B.Responsibility
C.Authenticity
D.Meaning
67. The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of the followinginterventions?
A.Active interventions to facilitate emotional expression and connection. ???
B.Supportive interventions to help the patient contain overwhelming emotions.
C.Any interventions on the psychodynamic continuum with not customizations.
D.None of the above. Attachment style has no bearing on psychodynamic therapy.
68. 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 thisas
A.Gerotransference
B.Transcendence
C.Countertransference
D.A sign of a close therapeutic relationship
69. Problems in the preschool child's self-regulation has been tied to subsequent issueswith which of thefollowing?
A.Aggression
B.Conduct Problems
C.Social Withdrawal
D.All of the above.
70. 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 theDBT model are explained. This is consistent with which stage of treatment within the DBTmodel?
A.Pretreatment
B.Stage 1
C. Stage 2
D.Stage 3
71. Evidence supports which of the following statements about women and addictionstreatment?
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.Women are less likely than men to participate in group therapy.
72. The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking andasks the patient "What are you experiencing right now in your body?" This is a type of creative experimentation known as which of thefollowing?
A.Focusing
B.Body awareness
C.Language of responsibility
D.Empty-chair dialogue
73. The advanced practice psychiatric nurse realizes which of the following with respectto individuals with personality disorders oftraits?
A.Often these individuals will see their problems as independent of their own behaviors.
B.These individuals will often describe themselves as a victim.
C.These individuals often present for treatment at the request of a significant other or other external pressure.
D.All the above.
74. McGovern et al (2014) have found which of the following therapeutic approaches helpful In working with post-stroke patients experiencingdepression?
A.Interpersonal Therapy for Mild Cognitive Impairment (IPT-CT)
B.Problem-Solving Therapy for Executive Dysfunction (PST-ED)
C.Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
D.Ecosystem-Focused therapy (EFT)
75. The Dialectical Behavior Therapy (DBT) therapist addresses life-threatening behaviorsand therapy-interfering behaviors with the patient. This is consistent with which stage of treatment within the DBTmodel?
A.Pretreatment
B.Stage 1
C.Stage 2
D.Stage 3
76. In child psychotherapy consideration of systems that promote a child's ongoingdevelopment include which of thefollowing?
A.Peers
B.Family
C.School
D.Community
77. The advanced practice psychiatric nurse encourages the older adult to recall longforgotten experiences, events which are memorable to the person. This is knownas
A.Life Review Therapy (LRT)
B.Reminiscence Therapy (RT)
C.A Mindfulness Strategy
D.Interpersonal Psychotherapy (IPT)
78. The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The advanced practice psychiatric nurse using the DBT model would do which of thefollowing?
A.Do nothing different.
B.Increase the frequency and intensity of contact.
C.Decrease the frequency and intensity of contact.
D.Express concern to the patient about premature distancing and regression
79. Which of the following is not consistent with a family-centered approach in workingwith children/adolescents?
A.The family is the focus of the treatment
B.Family treatment is appropriate to improve family interactions.
C.Family treatment is appropriate to keep families engaged in services.
D.Family treatment is appropriate to increase family knowledge about mental health.
80. 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 thefollowing?
A.Introjection
B.Projection
C.Deflection
D.Retroflection
81. 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 BehaviorTherapy approach recognizes this ability is consistent with which stage oftreatment?
A.Stage 1
B.Stage 2
C.Stage 3
D.Stage 4
82. n 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 beinconsistent with DBTtherapy?
A.The patient must agree to reduce self-harming behaviors as a goal for therapy.
B.The patient must agree to work with the therapist before acting on self-harming urges.
C.If the patient engages in the self-harming behavior and is admitted to the hospital the therapist can continue to support the patient through scheduled telephone or in-person sessions.
D.If the patient engages in the self-harming behavior and is admitted to the hospital the therapist suspends direct consultation with the patient until 24 hours after the patient is dischargedfrom the hospital.
83. Sleep disturbances are common for those who have experienced trauma. Which ofthe following would not be recommended when teaching patients about good sleephygiene?
A.Regular daily exercise
B.Avoid napping during the day.
C.Maintain a quiet cool bedroom
D.Put bedroom TV on a timer so it will automatically go off after you are asleep.
84. Which of the following is not consistent with the Dialectical Behavior Therapy approachto boundary maintenance?
A.Clarify explicitly the boundaries of the therapeutic relationship.
B.The therapist will maintain confidentiality within the limits of the law and ethical practice.
C.Explain a professional relationship is based on mutual respect and the desire to help the patient.
D.Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.
85. Which of the following are psychotherapeutic techniques used in person centered psychotherapy?
A.A highly structured approach is used.
B.Process interventions are widely used.
C.Directive, interpretive techniques are used.
D.A nondirective-facilitative counseling approach is used.
86. 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 ofthe following techniques to complete unfinishedbusiness?
A.Focusing
B.Dreamwork
C.Empty-chair dialogue
D.Language of responsibility
87. According to a Gestalt framework, to uncritically accept others' beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctionalprocess knownaswhich of thefollowing:
A.Confluence
B.Projection
C.Introjection
D.Retroflection
88. Which of the following is not consistent with the Cognitive Behavioral therapistperspective when treating and individual with a personalitydisorder?
A.It is important to identify and then modify "core "problems when treating individuals with personality disorders.
B.Personality structures are unconscious and mostly unavailable to the individual.
C.Personality products and processes are within the realm of awareness, mostly accessible to the individual.
D.Dysfunctional behaviors, thoughts and feelings are largely due to the function of schemas.
89. The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skillstaught 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 thefollowing?
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
90. 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. Theadvanced practice psychiatric nurse explains the reason for this is likely which of thefollowing?
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.
91. Which of the following is consistent with the psychotherapeutic approach used by existentialpsychotherapists?
A.The existential approach has a specific set of techniques used.
B.The existential relies on the patient to drive the therapeutic direction.
C.The existential therapist presents broad existential themes but avoids in-depth questioning.
D.The existential psychotherapist is free to draw on techniques from other psychotherapeutic models .
92. This theoretically and clinically complex psychotherapeutic approach which recognizes the unity of humans as integrated wholes, not divided into parts, taken out of context, or generalized, is known as which of the following?
A.Gestalt Psychotherapy
B.Person-Centered Therapy
C.Existential Psychotherapy
D.Emotion-focused Therapy
93. Which of the following describes the basic neurobiological pathways of the reward systemin the brain?
A.Projections from the ventral tegmental area, through the median forebrain and terminate in the nucleus accumbens where there is a proliferation of dopamine neurons.
B.Projectios through the median forebrain, to the ventral tegmental area where there is a proliferation of dopamine neurons, to the nucleus accumbens.
C.Projections from the nucleus accumbens to the median forebrains where there is a proliferation of dopamine neurons to the ventral tegmental area.
D.Projections from the median forebrain through the ventral tegmental area to the nucleus accumbens where there is a proliferation of dopamine neurons.
94. Which of the following is not consistent with a "traditional" treatmentframe?
A.Enforcing established starting and ending times for each session.
B.Establishing and enforcing a clear policy in regard to payment.
C.Canceling sessions if the patient arrives under the influence of alcohol or psychoactive drugs.
D.Disclosing home or cellular phone number of therapist for emergency use only.
95. Which of the following is not consistent with the Principles of Effective Treatmentfor Addiction according to theNIH?
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.
96. Which of the following is not consistent with the Psychoanalyst's perspective whentreating and individual with a personalitydisorder?
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
97. 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 andfears relapse. Which of the following would be consistent with the traditional therapeuticframe?
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.
98. Which best describesgerotranscendence?
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
99. Critical goals in addiction treatment include improving impulse control, reducingcraving, 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 &C
100. 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 goalsinclude:
A.Life Review Therapy
B. Contingency Management
C.Motivational Interviewing
D.Interpersonal Psychotherapy
E. B & C
