NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam

NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam

Question 1

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 2

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? NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam

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

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Question 3

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 8

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 20

Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques?

	A.	Social learning is a therapeutic factor that operates in all therapy groups.
	B.	Groups permit members to understand there is a huge discrepancy between their intent and their actual impact on others.
	C.	Social skills learned in therapy groups can serve individuals well in future social interactions outside of the group setting.
	D.	All of the above

Question 21

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 22

The advanced practice psychiatric nurse using a Bowenian Therapy approach in working with families realizes:

	A.	Problem-solving is the primary goal of therapy
	B.	Understanding is the primary goal of therapy.
	C.	Behavior change is the primary goal of therapy
	D.	Family dialogue is encouraged.

Question 85

Which of the following assumptions would the therapist be safe in making about cultural influences in a family?

	A.	Cultural context is consistent within family members.
	B.	People of the same culture share the same values and assumptions
	C.	Everything assumed to be a cultural norm is functional for the family.
	D.	The cultural context of families is complicated by the fact that most families are influenced by multiple contexts.

Question 86

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 87

Which of the following is consistent with the aims of supportive psychotherapy?

	A.	Restructure defenses
	B.	Strengthen defenses
	C.	Promote problem-solving
	D.	B and C

Question 88

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 89

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 90

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 91

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 NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam

Question 92

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 93

For severe trauma and phobias it is recommended to teach the patient some relation techniques prior to beginning exposure therapy. NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam When is it appropriate to use these relaxation techniques?

	A.	It is appropriate to use relaxation techniques in between exposures
	B.	It is appropriate to use relaxation techniques during the actual exposures conducted by the therapist.
	C.	It is appropriate to use relaxation techniques after the exposures
	D.	A and C

NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam Question 94

Family dialogue is encouraged.

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

Question 95

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 96

“If I was in a relationship, all of my problems would be solved” is an example of which type of cognitive distortion?

	A.	Fallacy of attachment
	B.	Fallacy of worrying NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam
	C.	Fallacy of perfect effect
	D.	Fallacy of the change of others

Question 97

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

	A.	Research demonstrates psychodynamic therapy is not effective.
	B.	Research reflects inherent difficulties in experimental controlled design for this approach.
	C.	Most psychodynamic research consists of case studies which limits the ability to generalize to other situations and populations.
	D.	Psychodynamic techniques do not lend themselves to the precision required for a clinical trial.

Question 98

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 99

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.

NRNP 6645: Psychotherapy with Multiple Modalities Midterm Exam Question 100

“Everything always goes wrong for me” is an example of which type of cognitive distortion?

	A.	All or nothing
	B.	Personalization
	C.	Overgeneralization
	D.	Emotional reasoning

Question 101

When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Yes