1. The therapeutic frame supports the clinician in which of the following ways? Select all that apply. A . Maintaining a therapeutic stance of neutrality. B . Maintaining a therapeutic stance of anonymity. C . Maintaining a therapeutic stance of non intrusiveness. D . A and C Rationale: B is wrong because it should not be anonymous. Information should be disclosed. 2. The advanced practice psychiatric nurse is working with a patient with who is chronically suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following? A . Every time the patient has suicidal ideations hospitalization is recommended. B . To the chronically suicidal patient, hospitalization reinforces the status quo and abdicating the hard work of change. C . To the chronically suicidal patient hospitalization frequent hospitalizations allow a safe place to learn new coping behaviors and promote change. D . The Advanced practice psychiatric nurse should not be using DBT with a chronically suicidal patient. Rationale: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that combinesstrategies like mindfulness, acceptance, and emotion regulation. 3. The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children? A . Family inclusion B . The concept of recovery C . Problem-based therapy D . Interacting systems consideration Rationale: Compared with the traditional study of child development, which has tended to portray 'normal'and 'abnormal' patterns, a resilience approach offers a more differentiated account. In professional practice, resilience means looking for strengths and opportunities to build on, rather than (or alongside) problems, deficits or psychopathology to be remedied or treated 4. Stigma of mental illness in the elderly: A . Has contributed to psychiatric symptoms being expressed with physical symptoms. B . Is much more severe in baby boomers than in other elderly cohorts. C . Is much less an issue in baby boomers than in other elderly cohorts D . Leads to more discussion of emotions in primary care settings. Rationale: According to Sartorius, stigma leads to discrimination in the provision of services for physicalhealth problems in older people with mental disorders. 5. Which of the following is not consistent with the Psychoanalyst's perspective when treating and individual with a personality disorder? A . It is important to identify and then modify "core" problems when treating individuals with personality disorders. B . Personality structures are unconscious and thus mostly unavailable to the individual. C . Personality products and processes are within the realm of awareness, accessible to the individual. D . Psychoanalytic therapy is an effective treatment for Borderline personality disorder Rationale: Each level of awareness has a role to play in shaping human behavior and thought. 6. Which of the following statements would not be consistent with the humanisticexistential concept of "holism" ? A People are unique. . B . The whole is greater than the sum of its parts. C . Mind, body, spirit work in a unified synergistic fashion. D . Dysfunctions such as a chemical imbalance must be identified. Rationale: Holism is the idea that various systems (e.g. physical, biological, social) should be viewed aswholes, not merely as a collection of parts. 7. Which of the following is true about dream work from a Gestalt perspective? A . The individual tells the dream in past tense B . Elements of the dream are viewed using standardized dream symbol meaning. C . A dream diary is required to capture all elements of the team. D . The characters and objects in the dream are projections of the individual whose dream it is. Rationale: In Gestalt Therapy, the client is asked to play component parts of the dream. .It helps the clientto feel the part of him/herself that he/she has disowned and has projected onto objects of the dream. Disowned parts of the self are in the unconscious, and integration is the work of therapy. 8. When the advanced practice psychiatric nurse builds a formulation when working with a child in therapy the advanced practice psychiatric nurse is doing which of the following? A . Formulation is a type of play therapy. B . Formulation is the child's diagnosis. C . The formulation explains the contexts of the child and family situation, the child's unique presentation, responses and narratives of the events that shaped the interpretation. D . The formulation is the treatment plan. Rationale: Formulation is a concise statement of the case. Unlike summary, it is a discussion about alternative ideas about diagnosis, aetiology, treatment and prognosis and of the arguments for andagainst each alternative. 9. In providing psychoeducation to patient's in recovery, the advanced practice psychiatric nurse would not include which of the following? A . Recovery is a lifelong process of change B . A patient is considered recovered after 5 years free of substance use. C . Recovery encompasses dimensions of health, home, purpose and community. D . Recovery applies to recovery from mental disorder, substance use disorders and behavioral addictions. Rationale: Recovery is a lifelong process that can take years to achieve. 10. Which best describes gerotranscendence? A Erik Erikson's ninth stage of development . B . Emphasizes ongoing growth over decrements C . Focuses on the transition to old-old (80 years and older). D . Focuses on letting go and coming to terms with end of one's life Rationale: The theory that older people transcend the limited opinions and views of life they once held orwisdom comes with age 11. The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? A . Given concerns about relapse it would be important to meet with the patient just this one time and just for 10 minutes but meet in your office. B . Remind the patient that one of the rules is not having contact outside of therapy sessions. C . Agree to meet with patient alone in the group room to resolve any outstanding concerns from the group. D . Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, but only this once and only for 10 minutes. Rationale: This will prevent harm for the nurse and allows help from other patient from the group