  All of the following are essential to building a therapeutic relationship EXCEPT:

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• Answer: do not divulge information of potential risk in treatment to the patient regarding their care due to the chance they won’t try the treatment
• Explanation: Withholding information about potential risks in treatment would undermine trust, which is crucial for building a therapeutic relationship.

  The therapist using a cognitive behavioral therapy approach says to the patient: “You say you become depressed. Explain to me what depression feels like to you.” This is an example of what question type in Socratic Dialogue?

• Answer: Translation question
• Explanation: The therapist is asking the patient to translate or describe their feelings in a way that makes sense to them, a hallmark of translation questions.

  Cultural relativity is defined as:

• Answer: the relevancy of presenting symptoms to being considered normal or abnormal depends on a person’s cultural or social norms
• Explanation: Cultural relativity emphasizes that what is deemed normal or abnormal varies across cultures and social norms.

  Psychodynamic therapy with children principles emphasizes “following the child”. This thought principle guides the therapy structure in all the following ways EXCEPT:

  Psychodynamic psychotherapy interventions focus on which of the following?

  Which of the following statements is true for Cognitive-Behavioral Therapy (CBT)?

  All of the following are potential ethical and legal violations for therapists when conducting therapy EXCEPT:

  The HPA axis is a component of the stress response. The HPA axis regulates all the following EXCEPT:

  Conducting psychotherapy is a skill and an art that must be learned by nurses transitioning from registered nurse to advanced practice registered nurses…

  The therapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The therapist is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are the best ethical actions?

  Who is the founding theorist of Cognitive Behavioral Therapy?

  According to Peplau’s Interpersonal Relations Model for nursing, a cornerstone for the psychotherapeutic process is understanding, assessing, and managing which of the following?

  A patient comments at the end of their group therapy session on how helpful it was for them to hear about David’s experience with grief as they don’t feel as if the world will end as they did prior to the group meeting. This is consistent with which of Yalom’s therapeutic factors?

  Cross-cultural research supports which of the following statements?

  There are three categories of defense mechanisms for regulating emotions and self-esteem known as immature defenses, neurotic defenses, and mature defenses. The therapist recognizes all of the following defense mechanisms are associated with neurotic defenses EXCEPT:

  A Hispanic woman whose mother recently died reports that she continues to hear the voice of her deceased mother. The therapist considering the woman’s Hispanic culture determines which of the following?

  The therapist using a CBT approach in which the therapist encourages the patient to investigate whether their thoughts are based on facts or assumptions is known as which of the following?

  In multi-cultural groups, therapists must address the clinical factor of universality by doing which of the following?

  Which of the following neurotransmitter stimulates the hypothalamic-pituitary-adrenal axis and acts on the reward system?

  The novice advanced practice psychiatric nurse working as a new nurse psychotherapist may become increasingly aware of being incompetent as progress is made. According to the Stages of Learning model the advanced practice psychiatric nurse is in which stage of learning?

1. All of the following are features of Interpersonal Psychotherapy EXCEPT:
2. Which is NOT a phase of group therapy formation/development?
3. Which of the following is consistent regarding termination of treatment in brief psychodynamic psychotherapy?
4. According to Minuchin, two patterns common to troubled families are:
5. Cognitive Behavioral Therapy (CBT) interventions focus on:
6. In relational psychodynamic psychotherapy the therapist helps the patient with which of the following?
7. According to Yalom, which of the following is consistent with the therapeutic benefit of imitative behavior?
8. Which of the following is true about Automatic Thought Records (ATR)?

  All of the following are left-brain functions EXCEPT:

  Role play in the context of the therapy session is an example of which of the following behavioral techniques:

  The therapist working with a patient who is distraught because they did not get a job they really wanted. The individual is guided by the therapist on how to identify how to use what appears to be a negative situation to his or her advantage. This Cognitive Behavioral Therapy technique is known as which of the following?

  According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-3 years of experience, who coordinates care and sees situations as wholes with long-term solutions, draws upon experiences for understanding certain situations, gains perspective from planning actions is functioning at which level of competency?

  When treating a family in which a child has been sexually abused the primary goals include which of the following?

  The study of theories and principles for mental health, mental illness, and general psychodynamics is a strategy that supports which therapeutic group factor?

  Structural Family Therapy focuses on the family unit and interactions between members of the family. All of the following are benefits to Structural Family Therapy EXCEPT:

  All of the following are underlying assumptions of family therapy EXCEPT:

  “If I was in a relationship, all of my problems would be solved” is an example of which type of cognitive distortion?

  The positive outcomes of family therapy derive from:

  The overall main goal of psychotherapy is for patients to gain a better understanding of themselves so they may make their own health decisions.

  Choose the two most theorized psychiatric disorders that are thought to have heritability and epigenetic roots.

  Evidenced-based clinical guidelines are considered gold standard patient treatment options. These guidelines are formulated from which of the following?

  The main goal in relational psychodynamic therapy is which of the following?

  In group therapy, which Yalom principle is displayed when one group member shares vulnerable information about their own experiences in order to help another member of the group?

  A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factor?

  Staff in an independent living facility notice that Mr. Smith, a 75-year-old male resident is alone most of the time and seems to have alienated most of the other residents and staff. The therapist understands that from Erikson’s psychosocial stages perspective, he is dealing with which psychosocial stage of development?

  Key Concepts for Emotionally Focused Family Therapy include all the following EXCEPT:

  Which of the following is NOT consistent with the underlying assumptions of psychodynamic psychotherapy?

  The therapist is assessing a patient for suicide risk. All of the following are considered protective factors to lower suicide risk for patients EXCEPT:

  All of the following are general principles of brief psychodynamic psychotherapy EXCEPT:

  Internal resources in the paradigms of care include which of the following?

1. According to Freud’s Psychosexual Stages framework a patient exhibiting dependency or aggression and having excessive nail-biting or problems with eating/drinking experienced difficulty with weaning from caregivers during which stage?
2. A core theme framed for every cognitive-behavioral psychotherapy session with adolescents to assist with self-regulation and problem-solving is known as the __________ Triangle.
3. Which of the following is NOT consistent research related to resilience and posttraumatic growth?
4. Misch (2000) described 16 basic strategies of dynamic supportive therapy. The description of providing empathy, understanding, soothing, setting limits, and restricting acting out, may require hospitalization is associated with which basic strategy?
5. Techniques used to develop a therapeutic relationship with an adolescent include all of the following EXCEPT:
6. According to Yalom, members of a cohesive psychotherapy group will demonstrate all the following variables EXCEPT:
7. What commonly used clinical rating scale is most appropriate to choose when assessing a patient’s functional status?
8. The decision to use supportive psychotherapy should be based on all the following EXCEPT:

  Patients who would not be considered ideal candidates for psychoanalytic psychotherapy are which of the following?

  In family therapy, the middle phase of treatment is most associated with which of the following:

  In supportive psychodynamic psychotherapy the content of the sessions most often focuses on which of the following?

  Object relations theorists work from a framework which includes which of the following?

  When assessing families of a different culture from the therapist for treatment, the therapist should consider which of the following with respect to culture?

  Which brain structure mediates the interaction between attention and arousal becoming relevant in the phenomenology of trauma?

  A family has been court-ordered to family therapy. The family does not want to participate in therapy. The therapist using a solution-focused therapy model would most appropriately do which of the following?

  Which Psychiatric and Mental Health Nursing Theory model identifies four sequential phases in the interpersonal relationships to include orientation, identification, exploitation, and resolution?

  Accepting a multitude of exits from and entries into the family system is a key emotional process of transition in which Family Life Cycle stage?

  All the following are elements documented in the progress note in the medical record that WOULD NOT be documented in protected psychotherapy notes EXCEPT:

  Schemas are core beliefs that provide a filter to how one views things within their world. Schemas are often distorted in personality disorders. The following Schema is known to be viewed in which following Personality Disorder: “I am socially inept and undesirable.”

  According to Bowen, lack of differentiation in a family may be manifest as:

  A patient being treated with supportive psychodynamic psychotherapy has been missing sessions and coming late when coming to sessions. The therapist recognizes this behavior as which of the following?

  “Everything always goes wrong for me” is an example of which type of cognitive distortion?

  Recommending or prescribing specific readings related to the individual’s difficulties is known as which of the following?

  In patients with chronic hyperarousal their Resilience Zone may be too narrow. Strategies to widen the Resilience Zone would include which of the following?

  When working with a client of unfamiliar culture the therapist asks the client how he or she feels about working with you. This demonstrates which of the following?

  Psychodynamic psychotherapy is a continuum from supportive psychotherapy. Which processing technique is most indicative of psychodynamic therapy than supportive therapy?

  Reaching the pinnacle of Maslow’s hierarchy of needs is self-actualization. All of the following are qualities of self-actualization EXCEPT:

  The following techniques are implemented in Bowenian Family Therapy EXCEPT:

  The technique used by the CBT therapist to help the individual uncover underlying assumptions in logic and sequence through careful questioning by the therapist asking, “If this is true then what happens?”

  The therapist is working with a couple using a Cognitive Behavioral Family Therapy model. The wife states her husband must be having an affair because he comes home late from work. The therapist recognizes this as the cognitive distortion known as:

  Which of the following is not consistent with literature related to racial trauma and stress?

  Which of the following is consistent with the aims of supportive psychotherapy?

  The Psychiatric and Mental Health Nursing middle-range theory known to require the nurse to accept that recovery is possible, change is inevitable, the patient knows what is best for themselves, and the patient possesses what is needed for the recovery journey is the:

  What group therapeutic approach focuses on examining interactions among and between the group leader and group members, and assisting group members in increasing awareness of unconscious motivations and needs?

  All of the following are types of Exposure Therapy aimed to reduce distress a person experiences with stimuli associated with danger EXCEPT:

  If a health care professional terminates treatment because of managed care failure to authorize the session who is liable for harm based upon abandonment of the treatment:

  A therapist has decided to terminate treatment for a patient due to the patient continuing to miss scheduled appointments. The therapist should do which of the following?

  Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques?

  Which of the following are consistent with research about adverse childhood experiences (ACE)?

  Dialectical Behavior Therapy is known to be the most effective treatment for all the following disorders:

  Which of the following would be a red flag to therapists that their practice is bordering unprofessional and unethical practice when working with a patient?

  Controlled studies of psychotherapy outcome have shown which of the following?

  “They probably think I am stupid” is an example of which type of cognitive distortion identified in Cognitive Behavioral Therapy?

  A descriptive/biological approach of specialized knowledge that treats individuals as members of a diagnostic group is based on:

  The therapist is meeting with a patient who is in the process of an unwanted divorce. The patient endorses persistent suicidal ideations, with strong intent. The therapist recognizes the patient is at high suicide risk and recommends which of the following?

  Piaget’s Stages of Cognitive Development described abilities to grasp concrete analogies to begin during what age?

  While working with a patient who exhibits parasuicidal behaviors of cutting, the therapist has the patient sign a no-suicide contract. Which of the following is true from a legal perspective about a no-suicidal contract?

  The therapist notes the benefits of adding group therapy to their practice as all of the following EXCEPT:

  Optimal family development is thought to take place in which of the following circumstances?

  Which of the following best describes the difference between standards of care and practice guidelines?