NRNP 6645/NRNP6645 MidTerm Exam.Questions And Answers Latest Update 2024, Exams of Nursing

Download NRNP 6645/NRNP6645 MidTerm Exam.Questions And Answers Latest Update 2024 and more Exams Nursing in PDF only on Docsity! Reid, Caleb [Date] [Document title] NRNP 6645/NRNP6645 MidTerm Exam.Questions And Answers Latest Update 2024.Assured A+ . Question 28: 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? Answer: D. Maximize adaptive coping mechanisms Question 29: Which of the following is consistent with literature regarding suicide? Check all that apply: Answers: A. Assessing patient is of paramount importance for the advanced practice psychiatric nurse during the initial patient contact D. Suicidality can be assessed by using reliable and valid self-report questionnaires Question 30: Common ancestry through which individuals have evolved shared values and customs is knowns as which of the following? Answer: B. Ethnicity Question 31 The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following? Answer: B.Questioning the Evidence [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 32 Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? Answer: A. What happened in the past determine what we do today Question 33 The advanced practice psychiatric nurse is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The advanced practice psychiatric nurse recognizes the patient is a high suicide risk and recommends which of the following? Answer: B. Hospital psychiatric admission and suicide precautions. Question 34: Which of the following assumptions would the therapist be safe in making about cultural influences in a family? Answer: D. The cultural context of families is complicated by the fact that most families are influenced by multiple contexts. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 45: Good practice habits that are relevant for legal and ethical professional responsibility include which of the following? Check all that apply A. It is essential that emergency coverage is in place B. How patients contact you between sessions and emergencies should be included in the contract given to the patient during the initial session C. Explicitly stated whether you will be available for phone calls between sessions and adhere to clear limits. D. Check message at least once per day and call back within 24 hours. Rationale: All are correct. These are all good practice habits that are relevant for legal and ethical professional responsibility. Hence, improving health service and quality with prevention of legal and ethical complaints. Question 46: A Hispanic woman whose mother recently died reports that she continues to hear voice of her deceased mother. The advanced practice psychiatric nurse considering the Hispanic woman's culture determines which of the following? A. The woman is likely grieving according to her Hispanic social norms Rationale: The woman is not necessarily being psychotic because she is still in the process of bereavement and grieving which is a stressful life event. Question : 47 Which of The following is consistent research related to posttraumatic growth? A. Resilience and Posttraumatic growth are inversely related [Document title] Reid, Caleb Question 44: A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factors? Answer: B. Universality Reid, Caleb [Date] [Document title] Rationale: Across studies the results showed that high levels of resilience were associated with the lowest posttraumatic growth scores. The results imply that although growth and resilience are both salutogenic constructs they are inversely related. Question 48: Which of the following is not consistent with the current research related to psychotherapy and psychotropic medication? C. Studies comparing medications with psychotherapy found both produce psychological but brain changes are different for medications than psychotherapy Rationale: Both medications and psychotherapy has same changes if used together or individually. Question 49 Which of the following is not consistent with the resilience model proposed by Miller-Krauss? C. We feel our best when we have a strong sympathetic system to regulate emotions Rationale: This was not mentioned in the model. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 50: A family has been court-ordered to family therapy. The family does not want to participate in therapy. The advanced practice nurse using a solution focused therapy model would most likely do which of the following? B. Review the case and offer suggestions for solving the issue Rationale: Assessing and suggesting solutions are one of the jobs to be done by the nurse to help families and individuals to cope up with problems. Question 51: According to Freud, failure to successfully accomplish the task of learning independence and control is associated with which of the following problematic traits? A. Excessive dependency Rationale: Developing this control to accomplish things leads to a sense of accomplishment and independence. Failure to this will lead to dependence Question 52: According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior? D. All of the above Rationale: Imitative behavior generally plays a more important role in the early stages of therapy as members identify with more senior members and the therapist. Behavior is learned by observing and imitating the behavior of others. Yalom also stated that finding out what we are not is progress toward finding out. Question 53: In classical psychodynamic Therapy, the therapist's role is which one of the following? C. Participant-Observer [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] A. Commitment to a new system. B. Accepting the shifting generational roles. C. Accepting new members into the system. D. Accepting emotional and financial responsibility for self. Question 7 It is important for the new nurse psychotherapist to become comfortable with which of the following? A. Learning to be directive to help the patient feel better. B. Letting the psychotherapeutic process unfold over time. C. Helping the patient feel better is the main goal of psychotherapy D. Bui [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 8 Internal resources include which of the following? A. Internal resources are more tangible than external resources B. Internal resources consist of the person's ability to manage primarily negative emotions C. Internal resources include the person's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. D. Question 9 When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture? A. The therapist should consider the unique subculture of the family. B. The therapist should consider assumptions of the larger cultural background of the family. C. The therapist should ask the family to share their experiences and traditions D. All of the above Question 10 Which of the following is consistent with use of direct advice as a strategy of imparting of information? A. Specific advice-giving supports intimate group engagement. B. The most effective form of direct advice is direct suggestion. C. Direct advice is often an important clue in elucidation of interpersonal pathology in the group. D. The least effective form of direct advice was a series of alternative suggestion for g Question 11 "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 C. Fallacy of perfect effect D. Fallacy of the change of others. Question 12 Optimal family development is thought to take place in which of the following circumstances? [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] A. Family members are differentiated, anxiety is low, and partners maintain emotional contact with their own families. B. Family members lack differentiation, anxiety is low, and partners maintain emotional contact with their own families. C. Family members are differentiated, anxiety is moderate, and partners reduce emotional contact with their parents and siblings. D. Family members lack differentiation, avoid anxiety and partners avoid emotional contact with parents and siblings. Question 13 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? [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] B. Paranoia, obsessions, compulsions C. Phobias, psychosomatic disorders D. Inertia, creative inhibition Question 20 The goal in a holistic paradigm is to A. Cure B. Minimize symptoms C. Eliminate symptoms with medication D. Question 21 In multi-cultural groups, therapists must address the clinical factor of universality by doing which of the following? A. Assist group members in learning about the cultural differences. B. Minimize the cultural differences within the group. C. Help the group move past a focus on concrete cultural differences to transcultural human responses to situations. D. The therapist should do nothing as that would be interfering in the group process. Question 22 Groups with a greater sense of solidarity exhibit which of the following? Check all that apply. A. Higher rate of attendance B. Acceptance for a variable level of active participation C. A concrete system for measuring cohesiveness D. A and B Question 23 [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] There is evidence that suggests certain individuals may obtain greater benefit from group therapy than from other approaches. These include which of the following individuals? Check all that apply. A. Individuals dealing with stigma B. Individuals dealing with social isolation C. Individuals seeking new coping skills D. B and C only Question 24 Object relations theorists work from a framework which includes which of the following? A. The central motivating force in development is the drive for gratification. B. Primary maternal preoccupation will lead to development of a false sense of self. C. The central motivating force in development is that people are primarily motived to seek other people. D. The good enough mother creates a dynamic in which the person feels never good enough in relationships. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 25 The concept that reminds us that families are open systems, and our interpretations are shaped by assumptions we absorb from the culture is known as: A. Constructivism B. Systems Theory C. Attachment Theory D. Social Constructionism Question 26 According to Benner's role acquisition model, the advanced practice psychiatric nurse with 2-5 years of experience who coordinates complex care and sees situations as wholes with long term solutions, is functioning at which level of competency? A. Novice B. Advanced beginner C. Competency/ proficiency D. Expert Question 27 The decision to use supportive psychotherapy should be based on which of the following? Check all that apply: A. Recent losses B. Present coping skills C. The patient's ego strength and weaknesses D. Highest level of functioning previously achieved. Share Question Answer & Explanation Solved by verified expert #2 - C. Imparting behavior [Document title] Reid, Caleb ScienceNursingNRNP 6645Health Science Reid, Caleb [Date] [Document title] Emphasis on here and now; exploring and working with resistance to treatment, the working alliance. D. Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships. Question 32 A group member becomes angry with the group leader accusing the leader of being too controlling and showing favoritism. This behavior is consistent with which of Yalom's therapeutic factors? A. Catharsis B. Interpersonal learning C. Development of socializing techniques D. The corrective recapitulation of the primary family group. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 33 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. Question 34 The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy? A. Workbook exercises are only an adjunct to treatment. B. Workbook exercises simplify the real work in therapy. C. Treatment manuals consistently correlate positively with treatment outcome. D. Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic process. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 39 Which of the following is inconsistent with Socratic Dialogue basic rules for the therapist? A. The collaborative dialogue is goal-directed and specific. B. The therapist may use everyday experiences as therapeutic metaphors. C. Self-disclosure is frequently used to motivate the patient in problem solving. D. Socratic Dialogue questions should be framed in a way to elicit an affirmative response. Question 40 A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following? A. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] D. Both A and B Question 48 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 49 The advanced practice psychiatric nurse is working with a couple on conflict management. They report during a recent argument the husband threw a plate across the room. Based on the current advances in neuroscience the advanced practice psychiatric nurse explains: A. People do things because of what happens in their brain. B. Biological events cause human actions. C. One can learn to activate their prefrontal cortex and retrain emotional reactions. D. Biological events always over-rides free will. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 53 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 Share Question Answer & Explanation Solved by verified expert 31. A 32. D 33. D 34. D [Document title] Reid, Caleb ScienceNursingNURS 6640Health Science Reid, Caleb [Date] [Document title] 39. C 40. A 44. D 45. B 46. D 48. D 49. C 53. B 1. The advanced practice psychiatric nurse helps the patient to identify and name feelings, focus on somatic sensations associated with emotions, and encourages use of metaphor to describe feelings. This is consistent with which basic strategy of supportive psychodynamic therapy? A. Make connections B. Decrease alexithymia C. Encourage patient activity D. Maximize adaptive coping mechanisms 2. Schizoid personality is a pathological outcome associated with which of Erickson's psychosocial stages? A. Autonomy vs. self-doubt B. Industry vs. inferiority C. Identity vs. role confusion D. Intimacy vs. isolation 3. What distinguishes psychoanalytic therapy from other types of therapies? A. The focus on problem-solving B. The focus on irrational thoughts C. The focus on dreams and wishes D. The deep analysis of the patient relationship with the therapist. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] 9. The therapist using a CBT approach says to the patient: "You say you become depressed. Explain to me what depressed feels like to you." This is an example of what question type in Socratic Dialogue? A. Memory question B. Translation question C. Application question D. Interpretation question 10. According to the Stages of the Family Life Cycle the key emotional process of transition for single young adults is: [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 11 Evidenced based guidelines for patient treatment are based on which of the following? A. Consensus of expert panel B. Systematic reviews of case studies. C. Systematic reviews of randomized controlled studies (RTC). D. A and C Question 12 Which of the following is true about the CBT cognitive processes of primary and secondary thinking? A. Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action. [Document title] Reid, Caleb A. Commitment to a new system. B. Accepting the shifting generational roles. C. Accepting new members into the system. Reid, Caleb [Date] [Document title] B. Secondary thinking recognizes the indeterminate, negative and irrational thinking as foremost. C. Primary thinking views the social and cultural world in determinate, positive and rational terms. D. B and C Question 13 Internal resources include which of the following? A. Internal resources are more tangible than external resources B. Internal resources consist of the person's ability to manage primarily negative emotions C. Internal resources include the person's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. D. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] C. Participant-Observer D. Enmeshed Question 19 If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment. A. The health care provider B. The managed care company. C. The individual at the managed care company who failed to authorize necessary treatment. D. All of the above Question 20 Which of the following is not consistent with therapeutic process of the corrective recapitulation of the primary family group in group psychotherapy? A. The therapeutic value is that early familial conflicts are simply relived. B. The therapeutic value is that early familial conflicts are relived correctively. C. Fixed roles must be constantly explored and challenged. D. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Working out problems in the group setting is also working through unfinished business from long ago. Share Question Answer & Explanation Solved by verified expert Question 11 Evidenced based guidelines for patient treatment are based on which of the following? A. Consensus of expert panel Question 12 Which of the following is true about the CBT cognitive processes of primary and secondary thinking? A. [Document title] Reid, Caleb ScienceNursing NURS 6650 Health Science Reid, Caleb [Date] [Document title] Primary thinking recognizes the indeterminate, negative and irrational thinking as forever part of human action. Question 13 Internal resources include which of the following? C. Internal resources include the person's ability to self-soothe, demonstrate adequate impulse control, and regulate moods. Question 14 According to Benner's role acquisition model, the advanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long- term solutions, is functioning at which level of competency? C. Competency/proficiency Question 15 According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse A. Is key to understanding others [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Question 57 In relational psychodynamic psychotherapy the therapist helps the patient with which of the following? A. To understand the patient's impact on others. B. To deepen the patient's understanding of others. C. Both A and B D. Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy. Question 58 Role play in the context of the therapy session is an example of which of the following behavioral techniques: A. Bibliotherapy B. Behavioral rehearsal C. Contingency management [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] D. Cognitive restructuring Question 59 Which of the following is not consistent with the underlying assumptions of psychodynamic psychotherapy? A. What has happened in the past determines what we do today. B. Psychodynamic psychotherapy is rooted in developmental theory C. By changing one's thoughts, emotions and behaviors can be changed. D. Through understanding the past, the individual is impowered to make more conscious decisions. Question 61 "They probably think I am stupid" is an example of which type of cognitive distortion? A. Comparing B. Mind reading C. Objectifying the subjective D. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Externalization of self-worth Question 62 Which of the following best describes the difference between standards of care and practice guidelines? A. Practice guidelines are legally binding while standards of care are not. B. Standards of care are legally binding while practice guidelines are not. C. There is no difference between standards of care and practice guidelines. D. Practice guidelines should be followed as written while standards of care are more flexible. Question 63 The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking," If this is true then what happens?" [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] Psychodynamic psychotherapy interventions focus on which of the following? A. The person's thoughts beliefs and behaviors B. The person's relationships and family dynamics C. The person's emotions and thoughts, deepening understanding of triggers form the past played out in the present. D. The person's body, beliefs, images, and emotions to process trauma Question 68 When working with a couple the therapist observes the wife seems to have more power in the relationship and the husband seems disengaged. The advanced practice psychiatric nurse can safely assume which of the following based on the couple's Appalachian culture/roots? A. This is a culturally consistent framework where the wife is typically the decision maker in the family. B. This is not culturally consistent with Appalachian norms and is an issue for the couple's therapy. C. The couple is aware of the gender inequality in the family and is fine with it. D. The advanced practice psychiatric nurse cannot assume any of the above and needs to further assess roles in the relationship. Question 70 The decision to use supportive psychotherapy should be based on which of the following? Check all that apply. [Document title] Reid, Caleb Reid, Caleb [Date] [Document title] A. Recent losses B. Present coping skills C. The patient's ego strength and weaknesses D. Highest level of functioning previously achieved Share Question Answer & Explanation Solved by verified expert 55. B. [Document title] Reid, Caleb ScienceNursingNURS 6640 Health Science Reid, Caleb [Date] [Document title] Downward Arrow 57. D. Neither A nor B is consistent with the focus of relational psychodynamic psychotherapy. 58.B. Behavioral rehearsal 59. A. What has happened in the past determines what we do today. 61. D. Externalization of self-worth 62. D. Practice guidelines should be followed as written while standards of care are more flexible. 63. C. Downward Arrow 64. A. The less active the therapist must be. 65. A. A biomedical model 66. D. 24 to 36 months 67. C. The person's emotions and thoughts, deepening understanding of triggers form the past played out in the present. 68. D. The advanced practice psychiatric nurse cannot assume any of the above and needs to further assess roles in the relationship. 70. A. [Document title] Reid, Caleb