25) Evidence-based therapeutic modalities for treating older adults with anxiety include which of the following: Cognitive Behavioral Therapy,…

Question Answered step-by-step 25) 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 26) 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 phaseD . Termination27) 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. 28) 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.29) 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.30) 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 C31) 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 B32)  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 relationship33) 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 34) 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 Psychotherapy35) 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 ages36)  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.37) 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 psychotherapy38) 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 39) 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 in person 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.40)  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. 41) Which of the following screening tools is geared toward screening pregnant women for alcohol and drug abuse A . CAGEAID B . CRAFFT C . TWEAK D . UNCOPE42) The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) is working with an older adult who does not realize she has depression. Which of the following is true? A . IPT is not an appropriate model for treating depression in older adults. B . This is a common IPT issue with older adults during the initial sessions. C . The advanced practice psychiatric nurse should consider using a standardized scale to quantify the depression and use this to educate the patient and the family. D . B and C 43) Which of the following is not consistent with the use of mindfulness in patients requiring stabilization following trauma? A . Mindfulness underlies all stabilization. B . Mindfulness is described as having internal and external awareness in abundance. C . Mindfulness allows patient to become fully aware of their experiences and enables them to react to their experiences. D . Mindfulness allows patient to become fully aware of their experiences and enables them to respond to their experiences.45 ) Challenges assessing psychiatric symptoms in the elderly include which of the follow A . Denial of symptoms. B . Age-related variations in symptom presentation. C . Making of symptoms by comorbid disorder and medications. D . Difficulty in obtaining an accurate mental health history. 46) In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structured approach includes which of the following? A . Relaxation skills B . Problem solving skills C . Constructing the trauma narrative D . Psychoeducation with child and parent about trauma response and what causes it47) According to a Gestalt framework, to uncritically accept others’ beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctional process known as which of the following: A . Confluence B . Projection C . Introjection D . Retroflection48)  Which of the following is not consistent with what is known about relapse? A . Relapse indicates treatment failure. B . Relapse is a persistent risk in addiction. C . Relapse is a characteristic of all chronic medical diseases. D . Relapse is the return to substance use or addictive behaviors after periods of abstinence.49) An advanced practice psychiatric nurse who has been leading groups for patients with comorbid PTSD and Substance abuse starts experiencing disturbing dreams, anxiety, irritability, withdrawal and problems in interpersonal relationships. These symptoms are consistent with the phenomenon of: A . Transference B . Countertransference C . Secondary traumatization D . Burnout 50) Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event? A . Tell me about your childhood. B . Tell me what happened last week. C . Let’s just focus on the here and now. D . Tell me the story as if it were happening now Health Science Science Nursing NRNP 6645 Share QuestionEmailCopy link Comments (0)