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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 19% | - Neuroscience and Neurobiology
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| Topic 2: Advanced Practice Skills | 24% | - Psychotherapy Modalities
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| Topic 3: Diagnosis and Treatment | 43% | - Special Populations
|
| Topic 4: Professional Role and Policy | 14% | - Ethical and Legal Standards
|
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NEW QUESTION # 746
Which of the following takes place during the desensitization phase of eye movement desensitization and reprocessing (EMDR)?
Answer: B
Explanation:
EMDR is a form of behavioral therapy that was developed by Francine Shapiro. It is most commonly used in posttraumatic stress disorder, and its goal is adaptive resolution.
There are three phases in EMDR: desensitization, installation, and body scan.
1. Desensitization: The patient visualizes the trauma, verbalizes negative or maladaptive beliefs, and remains attentive to physical sensations. The patient also blocks out negative thoughts, breathes deeply, and verbalizes what they are imagining.
2. Installation: The patient installs and strengthens the positive thought that they declared as a replacement for the original negative thought.
3. Body scan: The patient visualizes the trauma along with the positive thoughts and then scans their body mentally to identify any tension.
NEW QUESTION # 747
A PMHNP is conducting a clinical interview with a patient with a trauma history. During the interview, the patient avoids eye contact and folds their arms across their chest. Which of the following is the most appropriate response by the PMHNP?
Answer: A
Explanation:
Nonverbal communication is an important aspect of clinical interviews, especially when working with patients with a trauma history. Avoiding eye contact and crossing one's arms are common nonverbal cues that may indicate discomfort or anxiety. Ignoring these cues or trying to force the patient to change their behavior can lead to further anxiety and mistrust.
Instead, the PMHNP needs to acknowledge the patient's nonverbal cues and explore their concerns in a non-confrontational manner. This may involve validating the patient's feelings and concerns and asking open-ended questions to encourage the patient to share more about their experiences. By doing so, the PMHNP can create a safe and supportive environment that allows the patient to feel heard and understood, which can help build trust and facilitate effective treatment.
NEW QUESTION # 748
During a family session using solution-focused therapy, the PMHNP uses Socratic questioning to learn about the problem and identify possible solutions. What type of question does the PMHNP use to inquire about a time in the family's life when the problem did not exist?
Answer: D
Explanation:
In solution-focused therapy, a PMHNP can utilize several types of Socratic-type questions to elicit information and find solutions. Exception-finding questions seek to find solutions by deep-diving into the past when the problem did not exist and discovering what the family did and did not do at that time.
The miracle question asks how the family's life would be different if the problem miraculously disappeared overnight. Scaling questions help people realize incremental changes over time. Interrogation questions are not used in solution-focused therapy.
NEW QUESTION # 749
Which of the following speech findings would be least expected during the mental status exam of an anxious patient?
Answer: A
Explanation:
Anxiety typically pairs with restlessness and overstimulation, which results in rapid and distractible speech. Monotonal speech is more likely associated with depression in a mental status exam.
NEW QUESTION # 750
Which of the five phases of group dynamics is marked by participants frequently exhibiting resistance and sabotaging behaviors?
Answer: C
Explanation:
The stages of group dynamics are similar to the three phases of individual therapy in that the early phases are characterized by hesitancy and resistance until a therapeutic alliance is established. The second phase of the formation of groups is called "storming," as clique formation and loss of control behaviors may surface. These behaviors include hesitancy and sabotage.
NEW QUESTION # 751
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