Practice guidelines for complex trauma and dissociative identity… Practice guidelines for

Practice guidelines for complex trauma and dissociative identity… Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal. A . Somatic approaches B . Talk therapies focused on cognitive understanding C . EMDR D . A and C Which of the following is consistent with a Common Elements approach? A . Common Elements involves use of individual treatment approaches that are part of many manualized treatment B . Evidenced-based strategy is viewed in light of the actual intervention as well as diagnostic category. C . The Common Elements method is seen as a transdiagnostic approach to treat a variety of common mental health issues. D . Is Common Elements method should not be used with child/adolescents with PTSD. Which of the following is not an underlying assumption that differentiates child therapies from adult psychotherapy? A . Family inclusion B . The concept of Recovery C . The concept of Resiliency D . Developmental considerations The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition? A . Congruence B . Actualizing tendency C . Belief of human nature D . Accurate empathic understanding 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? A . ADHD B . Anxiety C . Bipolar Disorder D . Adolescent Depression 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 . 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 use of medications is indicated in combination with psychosocial interventions in several child and adolescent severe emotional disorders (SED) including which of the following? A . Pediatric bipolar disorder B . Mild ADHD C . Antisocial personality disorder D . All of the above Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders? A . Conduct Disorders B . Anxiety and Depression C . Depression and Psychosis D . Attention Deficit-Hyperactivity Disorders Evidence-based therapeutic modalities for treating older adults with anxiety include which of the following: A . Cognitive Behavioral Therapy, Relaxation training, Biofeedback B . Dialectical Behavior Therapy, Reminiscence Therapy, Biofeedback C . Guided Imagery, Music Therapy, Yoga D . A and C 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 . Introductory phase B . Middle phase C . Late middle phase D . Termination Which of the following is true about Complementary and Alternative Medicine (CAM) Therapies and Older Adults? A . CAM therapies are a good alternative to conventional medicine B . CAM therapies can be used in conjunction with psychotherapy to provide effective, evidence-based treatments to older adults with psychiatric disorder. C . Evidence is unclear whether CAM therapies improve quality of life or wellness in older adults. D . Most middle age and older adults are reluctant to use CAM therapies for management of mental health concerns. The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following? A . The support is provided through case management B . The support is designed to focus on clinical issues of the patient C . The DBT therapist in solo practice does not need a consultation group for support. D . The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use. During the middle phase of CBT with an older adult the advanced practice psychiatric nurse notices that homework is not getting done and suggest that the homework be done during the therapy session. This indicates which of the following? A . The patient is not vested in the therapy. B . Clearly the advanced practice psychiatric nurse needs more training in CBT. C . The advanced practice psychiatric nurse is enabling the patient and thus undermining the therapy. D . The advanced practice psychiatric nurse is suggesting an acceptable modification to facilitate the therapy process. Research support that children with serious emotional disorders (SED) are likely to have which of the following? A . Children with SEDs are likely to be severely impaired B Children with SEDs are likely to have many community agencies involved in their . care and support. C . Children with SEDs are likely to have a comorbid disorder. D . A and C The role of the therapist during Stage 4 of the Dialectical Behavior Therapy procession model includes which of the following? 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 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 A . Gerotransference B . Transcendence C . Countertransference D . A sign of a close therapeutic relationship 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? A . Focusing B . Body awareness C . Language of responsibility D . Empty-chair dialogue Which of the following is a biologically based psychotherapy methodology used to treat patients who have experienced trauma? A . Trauma Resiliency Model B . Cognitive Behavioral Therapy C . Psychodynamic Psychotherapy D . Existential Psychotherapy Functional status refers to 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 Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH? 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. The purpose of Mindfulness-Based Stress Reduction in the older adult is A . To avoid using psychotropic medications B . To escape from stressful situations and relationships C . To learn to be present in the moment nonjudgmentally. D . To avoid stigma of traditional psychotherapy 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 . Life Review Therapy B . Contingency Management C . Motivational Interviewing D . Interpersonal Psychotherapy E . B and C In working with a patient with borderline personality disorder, the Dialectical Behavior Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are the highest priority for treatment. Which of the following would be inconsistent with DBT therapy? A . The patient must agree to reduce self-harming behaviors as a goal for therapy. B . The patient must agree to work with the therapist before acting on self-harming urges. C . If the patient engages in the self-harming behavior and is admitted to the hospital the therapist can continue to support the patient through scheduled telephone or inperson sessions. D . If the patient engages in the self-harming behavior and is admitted to the hospital the therapist suspends direct consultation with the patient until 24 hours after the patient is discharged from the hospital. In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following? A . Recognize the therapist is human and fallible. B . Make every reasonable effort to provide competent treatment for the patient. C . Share the rules for the DBT therapist with the patient during orientation to the therapy. D . The therapist agrees to use consultation and allow the patient to view this directly if desired.  Health Science Science Nursing NRNP 6645 Share QuestionEmailCopy link Comments (0)

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