Nursing Midterm Exam Review Part 2

Didactic instruction about mental health, mental illness and general psychodynamics is a strategy which supports which therapeutic group factor? A. Imitative behavior B. Interpersonal learning C. Imparting of information D. Development of socializing techniques Question 3 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 4 A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. The advanced practice psychiatric nurse recognizes this behavior as which of the following? A. Avoidance B. A sign the patient has met goals. C. The patient is ready to talk about termination of therapy. D. The patient is bored because the sessions have not been very interesting. Question 5 Yalom identifies eleven primary factors to describe the therapeutic benefit of group psychotherapy. Which of the following statements is not consistent with these factors? A. Therapeutic change is an intricate interplay of human experiences. B. The distinctions among these factors are well delineated. C. The distinctions among these factors are arbitrary. D. The factors are interdependent Question 6 According to the Stages of the Family Life Cycle the key emotional process of transition for single young adults is: 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 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? 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? A. Make connections B. Encourage patient activity C. Manipulate the environment D. Maximize adaptive coping mechanisms Question 14 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. 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 15 According to Freud's Psychosexual stages development of sexual identity occurs during what age range? A. 18 months to 3 years B. 3 years to 6 years C. 6 years to 12 years D. 13 years to 20 years Question 16 The aim in relational psychodynamic therapy is which of the following? A. Make the unconscious conscious B. Resolve ruptures in the therapeutic alliance. C. Provide interpretation based on past experiences D. Provide interpretation of wish/defense conflicts. Question 17 Yalom states the group therapy analogue to relationship in individual therapy is which of the following? A. Universality B. Cohesiveness C. Social microcosm D. The corrective emotional experience Question 18 Diverting conflict between two people by involving a third is known as the concept of: A. Emotional reactivity B. Relationship triangles C. Differentiation of self D. Enmeshment Question 19 According to Erikson's Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes? A. Psychosis, addictions, depression 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 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. 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.