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| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Professional Role and Policy | 14% | - Collaboration and Consultation
|
| Diagnosis and Treatment | 43% | - Clinical Management
|
| Scientific Foundation | 19% | - Psychopathology
|
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NEW QUESTION # 969
A PMHNP is most likely to observe client behaviors of provocation and regression in which stage of therapy?
Answer: D
Explanation:
The termination phase may be difficult for a client, and they may begin to exhibit a return of symptoms previously resolved. The client may also exhibit provocation and regression in an attempt to continue therapy. These are examples of resistance to termination of therapy.
NEW QUESTION # 970
Attachment, in terms of infant psychosocial development, is the enduring and specific affective bond that develops over the first year of life. In an insecure-disorganized attachment the underlying process/emotion is which of the following?
Answer: D
Explanation:
In the realm of infant psychosocial development, attachment theory, as originally formulated by John Bowlby and later expanded by Mary Ainsworth, posits that infants form a close emotional bond with their caregivers, which significantly influences their emotional and social development. This bond, or attachment, varies in its nature and quality, leading to different patterns of attachment: secure, insecure-avoidant, insecure-anxious (or ambivalent), and insecure-disorganized.
The correct answer to the question regarding the underlying process or emotion in an insecure-disorganized attachment is confusion/dysfunction. To understand why, it's helpful to differentiate among the types of attachment: 1. **Secure Attachment**: Typically evident when the caregiver is responsive and consistently available to meet the needs of the child. The underlying emotion in this type of attachment is love, characterized by feelings of safety, security, and comfort when the caregiver is present. 2. **Insecure-Avoidant Attachment**: This form develops when the caregiver is emotionally distant or unresponsive. The child learns to suppress their natural desire for closeness and intimacy, leading to a predominant emotion of anger or indifference towards the caregiver. 3. **Insecure-Anxious Attachment**: Here, the caregiver's response is inconsistent-sometimes sensitive, sometimes neglectful. This inconsistency leads to feelings of anxiety and ambivalence in the child, as they are unsure of whether and when their needs will be met. 4. **Insecure-Disorganized Attachment**: This type of attachment occurs in the most extreme and dysfunctional caregiving environments. It is often seen in children who have been exposed to serious neglect or abuse. The primary emotion and process underlying this attachment style are confusion and dysfunction. The child shows a lack of clear attachment behavior because their caregivers, who are supposed to be sources of comfort and safety, are simultaneously sources of fear or disorientation. This leads to contradictory behaviors where the child may both seek and resist closeness, exhibiting disorganized or disoriented reactions to the caregiver.
In conclusion, when discussing insecure-disorganized attachment, the focus is on the significant confusion and dysfunctional interactions that characterize the relationships between the child and caregiver. These children do not exhibit a consistent strategy for getting their needs met by their caregivers, which significantly differentiates this type of attachment from the others where a more organized approach to dealing with stress and fear can be observed.
NEW QUESTION # 971
Which type of therapy builds on CBT techniques and Socratic questioning, focusing on the goal of self-actualization?
Answer: A
Explanation:
Humanistic therapy specifically focuses on self-growth and self-actualization, finding meaning in life and its circumstances.
Existential therapy also targets finding meaning and purpose in life but is based on accepting reality and making responsible decisions. Interpersonal therapy is time-limited and focused on the present stressor. Dialectical behavioral therapy stresses emotional regulation, increasing stress tolerance, developing interpersonal skills, and mindfulness.
NEW QUESTION # 972
Which of the following is an appropriate use of seclusion and restraint?
Answer: C
Explanation:
Indications for seclusion and restraint are to:
* Prevent clear, imminent harm to the patient or others
* Prevent significant disruption to the treatment program or physical surroundings
* Assist in treatment as part of ongoing behavior therapy
* Decrease sensory overstimulation
* Patient's voluntary reasonable request
Contraindications for seclusion and restraint include:
* Extremely unstable medical or psychiatric condition
* Delirious or demented patients unable to tolerate decreased stimulation
* Overtly suicidal patients
* Patients with severe drug reactions or overdoses who require close monitoring of their drug dosages
* For punishment or convenience of staff
NEW QUESTION # 973
The primary goal in the clinical management of major depressive disorder (MDD) during the acute phase is which of the following?
Answer: A
Explanation:
Client safety is the top management goal during the acute phase of MDD. It may happen concurrently with starting medication and psychotherapy to achieve a resolution of symptoms, but it is the primary goal.
NEW QUESTION # 974
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