20 (1 point) The therapist utilizing Beck’s

20 (1 point) The therapist utilizing Beck’s therapy will help the client to: 20 options: a) Recognize and change his/her automatic thoughts b) See reality as the therapist sees it c) Change his/her reality by changing his/her environment d) Recognize and accept that automatic thoughts suggest delusional thinking 21 (1 point) The PMHNP also asks the parents to keep a record of the number of nights the child stays in his own room and to reward him with a treat if he can do it three nights in a row. This intervention is known as: 21 options: a) Homework b) Paradoxical prescription c) Sculpting d) Triangling 22 (1 point) A therapist who utilizes the Structural Family Therapy of Minuchin would NOT utilize symptoms by: 22 options: a) Moving to new symptoms b) De-emphasizing symptoms c) Exaggerating symptoms d) Rewarding symptoms 23 (1 point) In Orem’s theory, Nursing Systems are described as: 23 options: a) Descriptions of a variety of ideal hospital staffing models b) The theories that she drew from c) Simple, complex, and combined d) Wholly compensatory, partly compensatory, and supportive-educative 24 (1 point) In NLP, human modeling does NOT involve: 24 options: a) Generalization b) Deletion c) Distortion d) Disintegration 25 (1 point) Dorothea Orem’s theory of nursing is also called the theory of: 25 options: a) Behavioral Systems b) Self-care c) The environment d) Adaptation 26 (1 point) Concepts in Systems Theory include: 26 options: a) Systems are designed to serve people b) Systems are by nature complex c) All systems are hierarchically arrayed d) All systems have five functions 27 (1 point) Ann and John lose their first child to sudden infant death syndrome. They decide to attend a hospital-sponsored group for people who have had this experience. What type of group will they be attending? 27 options: a) Teaching group b) Psychotherapy group c) Task group d) Supportive/Therapeutic group 28 (1 point) In facilitating change the PMHNP should: 28 options: a) Avoid deliberate goal-directed activity since this will inhibit the process b) Restrict clients to few choices to avoid overwhelming them c) Give up if resistance is encountered d) Form a helping relationship and collaborate with clients 29 (1 point) Techniques in Gestalt therapy do NOT include: 29 options: a) Playing the projection b) Making the rounds c) Exaggeration of a feeling or action d) Paradoxical prescription 30 (1 point) In helping a client change, the PMHNP should: 30 options: a) Encourage the client to move rapidly to avoid delay b) Realize that the problems the client is facing will make him or her eager to change c) Encourage feelings of hope d) Understand that change is a natural process that never involves anxiety and fear 31 (1 point) Whose responsibility is it to deal with transference issues in group therapy? 31 options: a) The PMHNP b) The group members c) The PMHNP and the group members d) The group member who is involved in the transference 32 (1 point) One concept of Skinner’s theory is that an individual performs a behavior that leads to a positive or negative reinforcement, making it either more or less likely that the behavior will be repeated. This is called: 32 options: a) A schedule of reinforcement b) A fixed ratio c) A variable interval d) Operant conditioning 33 (1 point) In the structural approach to Role Theory, roles are considered: 33 options: a) Subject to change depending on immediate circumstances b) Fixed positions with certain expectations and demands c) Responses to a number of things in the environment d) Synonymous with job descriptions 34 (1 point) Purposes of self-disclosure include: 34 options: a) Exploring oneself b) Locating oneself in relation to others c) Social control d) Cutting off feedback 35 (1 point) According to Carl Rogers, the important attributes of the therapist are: 35 options: a) Congruence, unconditional positive regard, and empathetic understanding b) Knowledge of Rogers’ theory, patience, and ability to interpret dreams c) Knowledge of Rogers’ theory, congruence, and interest in human development d) Willingness to drop facades, openness to individual meanings, and compassion 36 (1 point) In NLP, the sentences that native speakers of a language Is called: 36 options: a) Deep structure b) Surface structure c) Multimodel sentences d) Cues to beliefs 37 (1 point) In a session with the PMHNP, the client begins to whine about his inability to complete his assigned task from the previous session. The PMHNP responds by scolding him for his failure. This is an example of: 37 options: a) Transference b) Countertransference c) Transference and Countertransference d) Goal setting 38 (1 point) In TA, a message that occurs on two levels is: 38 options: a) A crossed transaction b) An ulterior transaction c) A complementary transaction d) A game 39 (1 point) The therapist who is utilizing Glasser’s therapy will emphasize: 39 options: a) Unconscious motivation b) Dream interpretation c) Changing behavior d) Re-experiencing traumatic childhood events 40 (1 point) According to Monat and Lazarus which of the following would be considered as part of emotion-focused coping? 40 options: a) Defining the problem b) Physical exercise c) Generating alternative solutions d) Weighing alternatives re cost and benefits 41 (1 point) The defense mechanism considered to be the basis for all defense mechanisms is: 41 options: a) Suppression b) Repression c) Denial d) Projection 42 (1 point) Aaron Beck developed a theory of cognitive therapy after he discovered that his clients had “automatic thoughts.” The automatic thoughts: 42 options: a) Came from too much free association b) Labeled, interpreted, and evaluated situations according to a personal set of rules c) Indicated to the client that he should not trust the therapist d) Warned clients of any physiological needs 43 (1 point) Members of a therapeutic community decide at a community meeting that it is not right for two extremely demanding clients to determine the activities for the entire group. This decision can best be classified under which ethical perspective? 43 options: a) Egoism b) Utilitarianism c) Deontology d) Formalism 44 (1 point) A psychiatric and mental health advanced practice PMHNP is the family therapist for a family whose youngest child is the identified patient. The child has been brought in for therapy because he has been doing poorly and acting out at school. How will the PMHNP begin the initial session with the family? 44 options: a) By asking the child why he is doing poorly in school b) By asking the parents why they think he is doing poorly at school c) By asking each family member how they did in school d) By asking questions about the family in general 45 (1 point) In the mental health setting, the best prescribing practice includes: 45 options: a) Assessing thoughts of harm to self or other b) Writing patient’s height and weight on all prescriptions c) Selecting the appropriate medication for the identified patient d) Both a and c are correct 46 (1 point) A PMHNP brings a client the Clozapine medication that she has been taking. The client does not look well and complains of a sore throat. The PMHNP notes that her temperature is elevated and concludes that the client has an upper respiratory infection. After giving the client the medication, she states that she will ask the doctor for a PRN aspirin order. The doctor orders a CBC and determines that the client has agranulocytosis. At which step of the nursing process did this PMHNP’s problem begin? 46 options: a) Diagnosis b) Planning c) Intervention d) Revision of plan 47 (1 point) What types of things would the PMHNP NOT work on with Mr. D’Angelo over the next few sessions? 47 options: a) How his thoughts and feelings influence his behavior b) Whether or not his behavior at the previous community meeting achieved his purpose c) What other coping strategies might be more effective d) Who seems to be “most out to get” him 48 (1 point) In the Neurolinguistic Programming (NLP) of Bandler and Grinder, the “representational systems” are: 48 options: a) Auditory, visual, and kinesthetic b) Methods of analyzing communication c) Right brain and left brain d) Parent, adult, and child 49 (1 point) Characteristics of theories include: 49 options: a) They provide laws by which to govern practice. b) They have little in common with practice. c) They can guide and improve practice. d) They need not be logical. 50 (1 point) Jerry Coleman is a 46-year-old client with Bipolar Disorder who has recently had an exacerbation of his manic symptoms. He has been referred for appropriate services to a psychiatric and mental health advanced practice PMHNP by his disability insurance company. What kind of services might he expect to receive from his case manager? 50 options: a) Thorough evaluation of his case and coordination of all services b) Referral for medication evaluation and maintenance c) Referral for vocational rehabilitation, if necessary, d) Weekly reports to his boss concerning the details of his disability

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