5 stages in the Family Life Cycle

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Homework Instructions

Describe 5 stages in the Family Life Cycle and provide a realistic example of how each stage would impact and influence the type of residence a consumer would have.

Brief and long-term psychodynamic psychotherapy cannot be compared.

Which of the following is consistent regarding termination in brief psychodynamic therapy?

The termination date is set within 10 weeks of anticipated termination.

The termination date is set in the beginning of treatment within 30 sessions

The termination date is set in the beginning of treatment within 60 sessions.

The termination date is flexible and is set mutually by the therapist and patient once major issues have been addressed.

According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)

The client must first envision where they want to be prior to moving forward

Processing is the key to stabilization and future visioning

Increasing internal resources leads to increasing external resources

Resources must be procured and stabilization guaranteed before trauma can be processed.

Question 6

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

The therapist should consider the unique subculture of the family.

The therapist should consider assumptions of the larger cultural background of the family.

The therapist should ask the family to share their experiences and traditions

All of the above

Question 7

The advanced practice psychiatric nurse working with a patient from another culture is recommended to do which of the following?

Ask the individual how he or she feels about working with you.

Automatically refer patient to a provider of the same or similar culture.

Research the individual’s culture and let the patient know you are an expert in that culture.

The Advanced practice psychiatric nurse explains her own culture to the patient to minimize misunderstandings.

Question 8

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

All or nothing

Personalization

Overgeneralization

Emotional reasoning

Question 9

A patient comments at the end of their group therapy how important it was for them to have observed the improvement of others. This is consistent with which of Yalom’s therapeutic factors?

Altruism

Universality

Instillation of hope

Imparting of information

Question 10

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

Anger

Anxiety

Resilience

Holism

Question 11

The capacity to be alone is known as which of the following?

Oneness

Autonomy

Independence

Object constancy

Question 12

In classical psychodynamic therapy the therapist’s role is which of the following?

Objective

Subjective

C. Participant-Observer

Enmeshed

Question 13

For severe trauma and phobias it is recommended to teach the patient some relation techniques prior to beginning exposure therapy. When is it appropriate to use these relaxation techniques?

It is appropriate to use relaxation techniques in between exposures

It is appropriate to use relaxation techniques during the actual exposures conducted by the therapist.

It is appropriate to use relaxation techniques after the exposures

A and C

Question 14

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?”

Idiosyncratic Meaning

Labeling of distortions,

Downward Arrow

Questioning the Evidence

Question 15

Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.

Emphasis on the past; Focus on expression of emotion; Emphasis on transference

Focus on here and now, focus on current relationships, exploration of intra psychic issues.

Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.

Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.

Question 16

Which of the following is true about Automatic Thought Records (ATR)? Check all that apply.

The ATR is a key component of CBT

This is a homework technique in which troubling situations and resulting emotions and thoughts are captured.

The therapist and patient work on clarification and development of “rational” responses to challenge the original responses.

All the above

Question 17

Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following?

Biomedical model

Psychosocial framework

Overdeterminism

Resiliency

Question 18

The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are ethical options?

It is incumbent on the therapist to ensure that treatment continues.

Stop treatment immediately.

Attempt to work out a payment plan with the patient.

A and C

Question 19

According to Freud’s Psychosexual Stages framework a patient exhibiting excessive envy and jealousy failed to successfully manage anxiety during which stage?

Oral

Anal

Latency

Phallic/Oedipal

Common ancestry through which individuals have evolved shared values and customs is known as which of the following?

Culture

Ethnicity

Cybernetics

Constructivism

Question 21

When treating a family in which a child has been sexually abused the primary goals include which of the following? Check all that apply.

Ensure the abuse doesn’t recur

Reduce the long-term effects of the trauma

Preserve the integrity of the family at all cost.

A and B

Question 22

The nurse psychotherapist realizes that “true presence” in a therapeutic relationship involves which of the following? Check all that apply.

Listening to what is important to the patient.

Listening to what the meaning of a situation is in the moment.

“Being with” the patient rather than “doing to” the patient.

Acceptance, nonjudgmental attitude and empathy.

Question 23

“They probably think I am stupid” is an example of which type of cognitive distortion?

Comparing

Mind reading

Objectifying the subjective

Externalization of self-worth

Question 24

Which of the following are consistent with findings related to levels of cohesiveness in groups?

The higher the overall levels of cohesiveness are associated with significantly better total outcome than groups with low cohesiveness.

Group member with little sense of belonging or attraction to a group is unlikely to have a negative outcome.

The attraction to the group is a powerful determinant of outcome.

A and C

Question 25

An advanced practice psychiatric nurse is sued for continuing to work with a patient despite the treatment not working. The advanced practice psychiatric nurse realizes that which of the following will be considered in this case?

Was the standard of care followed?

Was there harm to the patient?

This is a frivolous lawsuit. The advanced practice psychiatric nurse cannot be sued for this.

A and

Question 26

Diverting conflict between two people by involving a third is known as the concept of:

Emotional reactivity

Relationship triangles

Differentiation of self

Enmeshment

Question 27

Cognitive Behavioral Therapy (CBT) interventions focus on

The person’s relationships and family dynamics

The person’s thoughts, beliefs, or behaviors

The person’s understanding of how the past gets triggered and plays out in the present

The person’s body, beliefs, images, and emotions to process trauma

Question 28

In psychodynamic case formulation three personality organization levels have been identified along a continuum. A patient who primarily uses primitive defenses is likely to be in which personality range?

Healthy

Neurotic

Psychotic

Borderline

Question 29

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

Memory question

Translation question

Application question

Interpretation question

Question 30

The power of family therapy comes from

Focusing on dysfunctional emotions

Ignoring dysfunctional emotions

Bringing parents and children together to transform their interactions.

Clearly identifying fault and restructuring

Question 31

Strategies for working with anxiety are central to all therapy approaches. Which strategy would be consistent with a behavioral therapy approach?

Restructuring

Interpretations

Desensitization

Exploring wishes

Question 32

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?

termination letter indicating only that the therapy is being terminated effective immediately.

Send a termination letter to the patient indicating therapist concern, reason for termination, reason for patient to continue in treatment and referral to another provider if patient wants to continue in treatment and put a copy of this in the patient chart.

Make sure patient not in crisis and refer to a specific provider.

B and C

Question 33

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

Cognitive rehearsal

Paradox or Exaggeration

Turning Adversity to Advantage

Decatastrophizing

Question 34

According to H. Peplau (1991) self-awareness for the advanced practice psychiatric nurse

Is key to understanding others

Increases likelihood therapist acts out their own agenda.

Allows for nurse-patient boundaries to be safely ignored to better meet patient needs.

Undermines objectivity

Question 35

Which of the following is not consistent with the resilience model proposed by Miller-Kraus?

This resilience model is based on neurophysiology.

The resilience zone in an internal state of adaptability and flexibility.

We feel our best when we have a strong sympathetic system to regulate emotions.

We feel our best and deal effectively with life when we are in our resilience zone.

Question 36

Which of the following is not consistent with practice guides?

Practice guidelines are legally binding

Practice guidelines are recommendations for care only.

Practice guidelines should be tailored to individual patient needs.

Practice guidelines are official statements that summarize research findings and appropriate management for specific problems.

Complete Answer: