Download NURS 6645 WEEK 11 FINAL EXAM QUESTIONS AND ANSWERS LATEST and more Exams Nursing in PDF only on Docsity!
A Peers
B Family
C School
D Communi
ty
A Gestalt Therapy
B Psychoanalysis
C Existential psychotherapy
D Person-Centered
Psychotherapy
A Locus
coeruleus
B Cerebellum
C Thalamus
D Hypothalamu
s
NURS 6645 WEEK 11 FINAL EXAM QUESTIONS AND
ANSWERS LATEST (2024 / 2025) (VERIFIED
ANSWERS)
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?
- Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life? 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. 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.
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
A Introjectio
n
B Projection
C Deflection
D Retroflecti
on
A A major HIPPA violation
B Lack^ of^ confidence^ in^ the^ patient and^ the^ therapeutic
process of CBT
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? 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? 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? 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 Shame-Attacking
B Exposure Therapy
C Cognitive Rehearsal
D Guided^ relaxation^ and
meditation
A Tolerance
B Withdraw
al
C Addiction
D A craving
A The patient’s motivation
B The therapist’s structure
C The^ therapist-patient
relationship
D The^ patient-family
relationship
A Tracking
A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following? 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? The primary source for constructive change in a humanistic-existential approach is which of the follow: 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?
C An^ appropriate^ strategy^ to^ solidify^ a^ supportive^ network^ for
the patient.
D Resistance to terminating the therapeutic relationship.
A Congruence
B Actualizing tendency
C Belief of human nature
D Accurate^ empathic
understanding
A ADHD
B Anxiety
C Bipolar Disorder
D Adolescent
Depression
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 person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition? 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? 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 Family inclusion
B The concept of Recovery
C The concept of Resiliency
D Developmental
considerations
A Pediatric bipolar disorder
B Mild ADHD
C Antisocial^ personality
disorder
D All of the above
A Conduct Disorders
B Anxiety and Depression
C Depression and Psychosis
D Attention^ Deficit-Hyperactivity
Disorders
A Cognitive^ Behavioral^ Therapy,^ Relaxation^ training,
Biofeedback
B Dialectical^ Behavior^ Therapy,^ Reminiscence^ Therapy,
Biofeedback
C Guided Imagery, Music Therapy, Yoga
D A and C
A Introductory
phase
B Middle phase
C Late^ middle
phase 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? Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders? Evidence-based therapeutic modalities for treating older adults with anxiety include which of the following: 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 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
A Gerotransference
B Transcendence
C Countertransference
D A^ sign^ of^ a^ close^ therapeutic
relationship
A Focusing
B Body awareness
C Language^ of
responsibility
D Empty-chair dialogue
The role of the therapist during Stage 4 of the Dialectical Behavior Therapy procession model includes which of the following? 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 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? Which of the following is a biologically based psychotherapy methodology used to treat patients who have experienced trauma?
care and support.
C Children with SEDs are likely to have a comorbid disorder.
D A and C
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
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.
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
Functional status refers to Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH? The purpose of Mindfulness-Based Stress Reduction in the older adult is 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 Trauma Resiliency Model
B
Cognitive Behavioral
Therapy
C Psychodynamic
Psychotherapy
D Existential Psychotherapy
A IPT is not an appropriate model for treating depression in older adults.
B This is a common IPT issue with older adults during the initial sessions.
C The^ advanced^ practice^ psychiatric^ nurse^ should^ consider^ using^ a^ standardized^ scale
to quantify the depression and use this to educate the patient and the family.
D B and C
A Mindfulness underlies all stabilization.
B Mindfulness is described as having internal and external awareness in abundance.
C Mindfulness^ allows^ patient^ to^ become^ fully^ aware^ of^ their^ experiences^ and^ enables
them to react to their experiences.
D Mindfulness^ allows^ patient^ to^ become^ fully^ aware^ of^ their^ experiences^ and^ enables
them to respond to their experiences.
A Denial of symptoms.
B Age-related variations in symptom presentation.
C Making^ of^ symptoms^ by^ comorbid^ disorder^ and
medications.
D Difficulty^ in^ obtaining^ an^ accurate^ mental^ health
history. The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) is working with an older adult who does not realize she has depression. Which of the following is true? Which of the following is not consistent with the use of mindfulness in patients requiring stabilization following trauma? Challenges assessing psychiatric symptoms in the elderly include which of the follow 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?
B CRAFFT
C TWEAK
D UNCOPE
A Confluenc
e
B Projection
C Introjectio
n
D Retroflecti
on
A Relapse indicates treatment failure.
B Relapse is a persistent risk in addiction.
C Relapse is a characteristic of all chronic medical diseases.
D Relapse^ is^ the^ return^ to^ substance^ use^ or^ addictive^ behaviors^ after^ periods
of abstinence.
A Transference
B Countertransference
C Secondary
traumatization
D Burnout
According to a Gestalt framework, to uncritically accept others’ beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctional process known as which of the following: Which of the following is not consistent with what is known about relapse? An advanced practice psychiatric nurse who has been leading groups for patients with comorbid PTSD and Substance abuse starts experiencing disturbing dreams, anxiety, irritability , withdrawal and problems in interpersonal relationships. These symptoms are consistent with the phenomenon of:
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
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
D More^ older^ adults^ preferring^ to^ leave^ their^ homes^ to^ seek^ other^ living
arrangements.
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
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.
A Treatment effects are long lasting.
B EMDR involves extended exposure
Which of the following trends life trends suggests advanced practice psychiatric nurse be prepared to provide mental health and illness treatment in a variety of community and non- traditional settings. 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? Evidence supports which of the following statements about women and addictions treatment? Which of the following is not consistent with Eye Movement Desensitization and Reprocessing (EMDR) literature in treating PTSD?
D Time^ for
termination
A Life Review Therapy (LRT)
B Reminiscence Therapy (RT)
C A Mindfulness Strategy
D Interpersonal^ Psychotherapy
(IPT)
A Interruptions
B Figure and ground
C Layers of personality
D Organismic^ self-
regulation
A Maintaining a therapeutic stance of neutrality.
B Maintaining^ a^ therapeutic^ stance^ of
anonymity.
C Maintaining^ a^ therapeutic^ stance^ of^ non-
intrusiveness.
D A and C
A Every time the patient has suicidal ideations hospitalization is recommended.
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 Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by the Gestalt therapist as which of the following? The therapeutic frame supports the clinician in which of the following ways? Select all that apply. The advanced practice psychiatric nurse is working with a patient with who is chronically suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following?
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.
A The individual tells the dream in past tense
B Elements^ of^ the^ dream^ are^ viewed^ using^ standardized^ dream^ symbol
meaning.
C A dream diary is required to capture all elements of the team.
D The^ characters and objects in^ the^ dream^ are^ projections of^ the^ individual
whose dream it is.
A Formulation is a type of play therapy.
B Formulation is the child’s diagnosis.
The formulation explains the contexts of the child and family situation, the child’s
C unique presentation, responses and narratives of the events that shaped the
. interpretation.
D The formulation is the treatment plan.
A Recovery is a lifelong process of change
B A patient is considered recovered after 5 years free of substance use.
C Recovery encompasses dimensions of health, home, purpose and community.
D Recovery applies to recovery from mental disorder, substance use disorders and
. behavioral^ addictions.
Which of the following is true about dreamwork from a Gestalt perspective? When the advanced practice psychiatric nurse builds a formulation when working with a child in therapy the advanced practice psychiatric nurse is doing which of the following? In providing psychoeducation to patient’s in recovery, the advanced practice psychiatric nurse would not include which of the following? Which best describes gerotranscendence?
A Erik^ Erikson’s^ ninth^ stage^ of^ development
B The whole is greater than the sum of its parts.
C Mind,^ body,^ spirit^ work^ in a unified^ synergistic
fashion.
D Dysfunctions^ such^ as^ a^ chemical^ imbalance^ must^ be
identified.
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.
A Addiction
B Tolerance
C
Withdraw
al
D Dependen
ce Projections from the ventral tegmental area, through the median forebrain and
A terminate in the nucleus accumbens where there is a proliferation of dopamine
. neurons.
B
Projections through the median forebrain, to the ventral tegmental area where there
is a proliferation of dopamine neurons, to the nucleus accumbens. 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 and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? Which of the following describes the basic neurobiological pathways of the reward system in the brain?
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
