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Exam 3 Student Questions

Terms in this set (57)

What question might a solution-focused therapist ask a client?

a. "Tell me about your past with this person."
b. "If you woke up tomorrow and the problem was solved, how would you know?"
c. "Why do you think this problem is happening?"
d. "Why do you think your sister is treating you that way?"
b. "If you woke up tomorrow and the problem was solved, how would you know?"

Rationale: The other questions are focusing on problems, past, and not superficial. Solution-focused therapy focuses on solution questions and the present/future.
In person-centered therapy, which techniques are encouraged?

a. Giving advice
b. Interpreting
c. Reflecting
d. Persuasion
c. Reflecting

Rationale: In person-centered therapy, techniques that are encouraged are reflecting, clarifying, and exploring. Techniques avoided are giving advice, interpreting, and persuasion. therapist goal should be to engage the patient to discover more awareness of own experiences.
In Emotion-Focused Therapy a technique used to address a marker is one where the patient has a dialogue with someone not actually in the therapy session. This technique is called

a. 2-chair work
b. Visualization technique
c. Empty chair work
d. Role play
c. Empty chair work
There are seven characteristics of Humanistic-Existential Therapies. An example of one of these characteristics is :

a. Focus on past experiences
b. Belief in a universal truth
c. Belief in holism
d. Use of empirically tested techniques
c. Belief in holism
The existential psychotherapist is most likely to refer the client with this chief complaint to a provider who uses a different therapeutic approach.

a. "I keep getting depressed lately. I have too much to do to be depressed. I need to know what I can do to get out of this funk and feel better so I can take care of business. Can you teach me?"

b. "I wake up every day and I wonder, 'Is this what life is; waking up every day and going through the motions? Am I raising these children so that they can continue this way, too?' I can't find the joy and purpose in life right now. I don't want to scare my spouse, he might think I'm suicidal, and I'm not. Not yet, anyway. I just need to talk to someone who will understand me, and help me find myself again."

c. "My husband has been sober for two months, and he told me to come see a therapist. I feel like he wants me to just be ok and trust him already, but I can't. I'm on high alert, looking for signs that he's using again, or going to hurt me again. I want to do my part to make the marriage work, so I'm here. But I'm not sure how much longer I can stay married to him."

d. "I failed a drug screen at work and they said I have to get 16 hours of therapy before I can return. I don't think I need therapy, but since I have to be here anyway I'm willing to talk to you and see where this goes."
a. "I keep getting depressed lately. I have too much to do to be depressed. I need to know what I can do to get out of this funk and feel better so I can take care of business. Can you teach me?"

Rationale: Based on the chief complaint, patient A may be a better candidate for approaches such as Solutions-Focused Therapy or Cognitive Behavioral Therapy. Even though patient D does not believe they need therapy, they still may do well with existential psychotherapy because of their commitment, willingness, and openness.
In emotional-focused therapy, how would the psychotherapeutic technique of unfinished business be best described?

a. When feelings of fragility, shame, or insecurity are expressed, the therapist validates the individual and normalizes their emotional response
b. When an individual says that there is an inner tenseness, the therapist guides the individual to visualize an image that is a metaphor for the tenseness
c. An empty chair represents a person in the individual's life who they need to express emotions that are still affecting them in the present
d. Assist the individual to speak about a traumatic experience that they have difficulty talking about
c. An empty chair represents a person in the individual's life who they need to express emotions that are still affecting them in the present
In solution-focused therapy, how would the psychotherapeutic technique of miracle questions be best described?

a. This is designed for the individual to evaluate their progress. They are asked to rate their problem on a scale of 1-10
b. A series of questions asked in a hypnotic voice that is designed to help the individual visualize goals and a future where the problem does not exist
c. Questions are asked to shift the focus from the problem to envisioning a better future and how things would be improved without the problem
d. The therapist asks about any new discoveries and follows up on assigned homework
b. A series of questions asked in a hypnotic voice that is designed to help the individual visualize goals and a future where the problem does not exist
Which therapy recognizes the unity of human beings as integrated wholes and assists with restoring a natural state of self-regulation?

a. Interpersonal psychotherapy
b. Gestalt psychotherapy
c. Solution-focused therapy
d. Emotion-focused therapy
b. Gestalt psychotherapy
Which layer of personality is known as the death or paralyzed layer where a part of self has been cut off or interrupted?

a. Cliche
b. Role
c. Impasse
d. Implosion
d. Implosion
Which boundary disturbance is self-harming behaviors an example of?

a. Confluence
b. Deflection
c. Retroflection
d. Projection
c. Retroflection
Which of the following is an example of a secondary emotion?

a. Initial fear in response to a dangerous situation
b. Extreme fear of sexual activity with a trusted partner due to a history of sexual abuse by someone else
c. Throwing a tantrum to get attention
d. Feeling guilty due to feeling anger towards another person
d. Feeling guilty due to feeling anger towards another person
Which of the following is an example of an instrumental emotion?

a. Initial fear in response to a dangerous situation
b. Extreme fear of sexual activity with a trusted partner due to a history of sexual abuse by someone else
c. Throwing a tantrum to get attention
d. Feeling guilty due to feeling anger towards another person
c. Throwing a tantrum to get attention
Which type of therapy implements postmodernism and social constructionism?

a. Interpersonal psychotherapy
b. Gestalt psychotherapy
c. Solution-focused therapy
d. Emotion-focused therapy
c. Solution-focused therapy
An APPN utilizing Solution focused therapy (SFT) is discussing with the client her unhappy marriage. The APPN asks the patient, "If you woke up tomorrow and the problem was gone, how would you know? What would be different?" The practitioner is using what SFT technique?

a. Joining
b. Miracle Question
c. Exception Question
d. Scaling Question
b. Miracle Question
In Emotion Focused Therapy the goal is to access primary maladaptive emotions and transform them and to reduce secondary emotions. What type of emotion is being described as "Guilt" in the following scenario? In treatment a patient describes an argument she had with her partner, when he mentioned wanting to go have drinks with the guys. She explained that she felt extremely angry that he was just going to leave her at home doing nothing. She yelled at him for being inconsiderate and stormed off slamming the door. She later felt guilty for yelling instead of talking out the situation calmly.

a. Primary Adaptive Emotion
b. Primary Maladaptive Emotion
c. Secondary Emotion
d. Instrumental Emotion
c. Secondary Emotion
Strategies used in EMDR therapy during patient abreaction include all of the following EXCEPT:

a. Calm voice
b. Changing the rate or direction of BLS
c. Call the patient by name
d. Using physical touch to ground the patient
d. Using physical touch to ground the patient
All of the following are phases of EMDR therapy EXCEPT:

a. Preparation
b. Assessment
c. Bilateral Stimulation
d. Installation
c. Bilateral Stimulation
Which is not a type of experiment or technique used in Gestalt therapy?

a. Body awareness
b. Empty chair dialogue
c. Dreamwork
d. Trauma narrative
d. Trauma narrative
Since relapse is a persistent risk in patient with addiction, what are the three modes of relapse?

a. Family triggered relapse, stress-triggered relapse, drug-triggered relapse
b. Drug or reward-triggered relapse, cue-triggered relapse, stress-triggered relapse
c. Finance-triggered relapse, interpersonal issues-triggered relapse, relational-triggered relapse
d. Stress-triggered relapse, family-triggered relapse, cue-triggered relapse
b. Drug or reward-triggered relapse, cue-triggered relapse, stress-triggered relapse
What is considered the third stage of adduction?

a. Triggers
b. Abuse
c. Dependence
d. Relapse
c. Dependence
What are the overall treatment goals of Addiction treatment:

a. sustain periods of remission
b. decrease the frequency and intensity of relapses
c. optimize the person's level of functioning during periods of remission
d. All of the above
e. A & C
d. All of the above
Which of the following therapies has the goal of constructing solutions to problems instead of dwelling on problems?

a. existential psychotherapy
b. person centered therapy
c. solution focused therapy
d. Gestalt therapy
c. solution focused therapy
Which of the following is not a core condition of person-centered therapy?

a. Figure and ground
b. Congruence
c. Unconditional positive regard
d. Accurate empathetic understanding
a. Figure and ground
Which type of therapy helps the patient face the anxieties of life/death and make decisions to live a meaningful life?

a. Solution focused therapy
b. Gestalt therapy
c. Person centered therapy
d. Existential psychotherapy
d. Existential psychotherapy
Changes to the DSM-V diagnostic criteria for addiction have been made to now include which of the following behaviors?

a. Gambling
b. Sex
c. Internet porn
d. Shopping
a. Gambling
In addiction treatment, a relapse is considered:

a. a treatment failure
b. a lack of motivation to change by the patient
c. an indicator that renewed and tailored intervention is needed
d. an alternate modality of therapy is required
c. an indicator that renewed and tailored intervention is needed
The four dimensions of recovery that are the focus of treatment include all of the following except:

a. Health
b. Home
c. Happiness
d. Community
c. Happiness
A patient's ability to process trauma depends on all of the following except:

a. Support from others
b. Safety of the therapeutic relationship
c, Current life stressors
d. Cognitive and developmental stage
d. Cognitive and developmental stage
Clinicians working in the addiction field must attend to issues of all of the following EXCEPT:

a. Burnout
b. Countertransference
c. Secondary traumatization
d. Secondary transference
d. Secondary transference
What theories primarily inform evidence-based psychotherapy practice in children, adolescents, and older adults?

a. Erikson's psychosocial development theory and Piaget's cognitive developmental theory
b. Erikson's psychosocial development theory and Freud's psychosexual stages
c. Bandura's social learning theory and Piaget's cognitive developmental theory
d. Bandura's social learning theory and Freud's psychosexual stages
a. Erikson's psychosocial development theory and Piaget's cognitive developmental theory
An underlying assumption that differentiates child therapies from adult psychotherapies:

a. The concept of healing
b. The concept of resiliency
c. Family exclusion
d. Adult development
b. The concept of resiliency
True or False: The APPN will often provide psychotherapeutic and psychosocial interventions during diagnostic evaluations and medication management appointments for children and adolescents.

a. True
b. False
a. True
When working to promote mental health in children and adolescents, the provider should use evidence-based approaches that are all of the following EXCEPT:

a. Individualized
b. Strength-based
c. Sublimation
d. Family centered
c. Sublimation
5 parenting styles the therapist needs to take into consideration when developing a treatment plan include all of the following EXCEPT:

a. Authoritarian
b. Authoritative
c. Abreaction
d. Neglectful
c. Abreaction
A primary focus of therapy in school-aged children identified by the capability to focus on a goal, cope with frustrations, and appropriately express emotions:

a. Self-regulation
b. Problem-solving
c. Self-confidence
d. Healing
a. Self-regulation
A co-worker tells you her elderly grand-father is participating in therapy to alleviate symptoms of depression where the therapist has him recall notable life events starting with his oldest memories to current day. Her grand-father is learning how to replace negative past beliefs with positive thoughts. He is most likely participating in which therapy type?

a. Mindful meditation
c. Cognitive behavioral therapy
c. Life review therapy
d. Interpersonal therapy
c. Life review therapy
Child brain development is affected by the serve and return cycle. When a caregiver is consistently unresponsive there can be negative effects on cognition.
Which of the four types of unresponsive care is part of normal development and does not cause long-term damage?

a. Occasional inattention
b. Chronic under stimulation
c. Severe neglect in a family context
d. Severe neglect in an institutional setting
a. Occasional inattention
A major difference in therapy with adults versus children, is that adult therapy focuses on ___________ which therapy with children focuses on ______________

a. Pharmacotherapy; play therapy
b. Recovery; resiliency
c. Community support; family support
d. Psychosocial development; cognitive developmental stage
b. Recovery; resiliency
Evidence has shown positive outcomes for addiction treatment that utilize integrated treatments focusing on all of the following EXCEPT:

a. Contingency management
b. Mindfulness
c. Motivational interviewing
d. Processing trauma
d. Processing trauma
True or False: A PMHNP would be a mandated reporter only if they were to witness the abuse or neglect of any child, elderly, or disabled individual.

a. True
b. False
b. False
True or False: The core CBT theme that is reinforced in every session for child and adolescents is: How you think affects how you feel and how you behave.

a. True
b. False
a. True
________________ explains that healing the traumatized child will allow for stability in the mind-body connection, allowing for interpersonal connection to take place.

a. Interpersonal psychotherapy
b. Attachment theory
c. Motivational interviewing
d. Psychoanalysis
b. Attachment theory
Which of the statements about transference and countertransference in psychotherapy with older adults is TRUE?:

a. Transference in older adults is indicative of progressive cognitive impairment.
b. The origin of transference in older adults is never a previous erotic object because their sexual hormones are not intact.
c. When treating an older adult, a therapist is more likely to experience countertransference if they are simultaneously managing the care of their own aging parents or grandparents.
d. The variety of lived experiences of the older adult provides them with the wisdom to manage and separate their feelings about their therapist from any potential origin of transference, preventing transference from occurring in the first place.
c. When treating an older adult, a therapist is more likely to experience countertransference if they are simultaneously managing the care of their own aging parents or grandparents.
As patients with schizophrenia age, their ___________ symptoms persist while their ____________ symptoms decrease.

a. Depressive, manic
b. Negative, positive
c. Delusional, psychotic
d. Hallucination, suicidal
b. Negative, positive
Which approach was developed as a means to reduce barriers to treatment specifically in low-to-middle income countries and address multiple mental health and behavioral issues?

a. Transdiagnostic approach
b. Humanistic approach
c. The Common Elements Treatment Approach
d. Manualized approach
c. The Common Elements Treatment Approach
Parent management training (PMT) and problem-solving skills therapy (PSST) are evidence-based approaches commonly used for:

a. Bipolar
b. Depression
c. Disruptive behaviors
d. PTSD
c. Disruptive behaviors
_________ is aimed at treating antisocial conduct in children and is beneficial for children with disruptive behavior.

a. Interpersonal psychotherapy
b. Cognitive behavioral therapy
c. Motivational interviewing
d. Parent management training
d. Parent management training
A client undergoing EMDR is meeting with her therapist to discuss education, explore resources, and receive an introduction to bilateral stimulation. What phase of EMDR is this?

a. Phase 1: History-taking
b. Phase 2: Preparation
c. Phase 3: Assessment
d. Phase 4: Desensitization
b. Phase 2: Preparation
An adolescent male diagnosed with anxiety and depression is meeting with his new therapist today to discuss a form of therapy that the therapist believes he would benefit the best from. The client also brings his mother along to the meeting. The therapist states that this therapy is the most recommended psychotherapy for children over 8 and adolescents, as it is designed for individuals that can think abstractly and have concrete intelligence. With adolescent sessions, parents are often invited and help the adolescent to "catch it, check it, and change it." Which therapy is being described?

a. CBT
b. MI
c. EMDR
d. IPT
a. CBT
Which screening tool is a 3-point Likert-type self-report questionnaire that quickly identifies critical components of anxiety disorders and is most frequently used in primary care for adolescents ages 13 to 17?

a. Strength and Difficulties Questionnaire (SDQ)
b. General Anxiety Disorder-7 (GAD-7)
c. Patient Health Questionnaire (PHQ)
d. Spence Children's Anxiety Scale (SCAS)
b. General Anxiety Disorder-7 (GAD-7)
All of the following are challenges that older adults face when obtaining mental health treatment except for:

a. Ageism
b. Cultural norms
c. Substance use
d. Stigma
c. Substance use
Which of the following would be the best treatment option for an older adult with the diagnosis of Schizophrenia?

a. Psychosocial skills training
b. Interpersonal therapy
c. Dialectical behavioral therapy
d. Biofeedback
a. Psychosocial skills training
When planning a new childrens mental health clinic, the nurse understands the importance of including a play area. Play and toys are used to assess children with suspected mental disorders because:

a. Children do not usually relate to adults
b. Children express themselves through play
c. Only toys that are developmentally appropriate and specific to the childs biological age are used
d. Play enables the nurse to assess cognitive ability
b. Children express themselves through play
Which study looked at successful aging and revealed that a positive attitude and social life provided cognitive protection?

a. Cornell Study
b. MacArthur Study
c. ACEs
d. Montgomery-Asberg
b. MacArthur Study
Which type of therapy is helpful for the loss of social roles, role transitions, and grief?

a. DBT
b. IPT
c. MSBR
d. LRT
b. IPT
Which of the following modifications of CBT might benefit the older adult?

a. Shorter sessions
b. Longer sessions
c. Larger font
d. A & C
d. A & C
Which therapy uses mindfulness, meditation, and relaxation exercises for stress management in older adults?

a. CBT Cognitive behavioral therapy
b. IPT Interpersonal therapy
c. MBSR Mindfulness based stress reduction
d. LRT Life review therapy
c. MBSR Mindfulness based stress reduction
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