Nursing Midterm Exam Review Part 3

Question 31 Factors that distinguish psychodynamic therapy from... Question 31 Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors. A. Emphasis on the past; Focus on expression of emotion; Emphasis on transference B. Focus on here and now, focus on current relationships, exploration of intra psychic issues. C. 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. 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. 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. Cultural syndrome B. Cultural formulation C. Cultural idiom of distress D. Cultural explanation or perceived cause Question 44 Hildegard Peplau developed the psychodynamic interpersonal model for psychiatric nursing based on which theorist's framework? A. Eric Erickson B. Sigmund Freud C. Margaret Mahler D. Harry Stack Sullivan Question 45 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 46 Which of the following is a responsible way for the therapist to safely set appropriate limits on availability. A. The therapist just needs to notify either in person or by mail that they will not be available at certain times. B. The therapist has an answering machine that clearly states that if this is an emergency, the patient should go to the ED or call a crises hotline. C. Ask another therapist to cover for vacations and time off, as this is for emergency only specifics about patients should not be shared. 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. 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