WGU D344 Section 5: Apply Psychotherapy Techniques Questions with 100% corrrect answers + rationales

Which examples are not rationales for the implementation of integrative treatment? Multiple answers.

-There is a shift toward thinking about transdiagnostic syndromes.

-Nursing practice is holistic in nature.

-All clients who share the same diagnosis respond to the same treatment.

-Psychophysiological pathways underlying symptoms are nonlinear and multidimensional.

-All clients who share the same diagnosis respond to the same treatment.

The PMHNP is assessing a client with depression and anxiety. The client does not disclose to the PMHNP that they are using St. John's wort, which is an over-the-counter supplement used for depression. According to the article by Bauer et al. (2020), what is a barrier to discussing the use of complementary and integrative medicine (CIM) during an office visit?

-Lack of understanding by the PMHNP regarding the importance of CIM to the patient's treatment plan

-Time constraints

-Lack of trust in medical providers

-Fears of being ridiculed

-Time constraints

A PMHNP is talking with a client about their treatment plan. The PMHNP recommends integrative treatment including pharmacotherapy and cognitive-behavioral psychotherapy. The client is receptive to taking medication but asks why psychotherapy is recommended and how it will be of benefit.

What is the best response by the PMHNP?

-"Psychotherapy and pharmacotherapy target different areas of the brain and may better manage your symptoms."

-"Two different treatments are more likely to decrease your symptoms compared to one."

-"Our agency requires that any clients receiving medications also participate in psychotherapy."

-"Research shows that medication alone is never sufficient to treat psychiatric disorders."

-"Psychotherapy and pharmacotherapy target different areas of the brain and may better manage your symptoms."

The author of "Integrative Mental Health, Part 1" uses antidepressant medications as an example of a conventional mental health treatment model.

Which statement about this model is incorrect?

-There is a limited number of antidepressant medication options available.

-Antidepressants do not cause withdrawal symptoms.

-Antidepressant medications have a minimal risk of causing adverse effects.

-Antidepressants have a minimal risk of precipitating suicidal thoughts.

-There is a limited number of antidepressant medication options available.

According to Dr. Shaw, a deficiency of which supplement has been associated with disorders such as autism, ADHD, depression, and bipolar depression?

-Thiamine

-Lithium

-Magnesium

-Omega-3

-Omega-3

According to your reading, the PMHNP who uses an integrative approach may employ which type of treatment modalities?

-A combination of psychotherapy and pharmacotherapy

-A combination of complementary/alternative approaches and pharmacotherapy

-A combination of psychotherapy, pharmacotherapy, and complementary/alternative approaches

-A combination of two different types of psychotherapy

Unanswered

-A combination of psychotherapy, pharmacotherapy, and complementary/alternative approaches

Which statement best describes the transdiagnostic concept?

-Each diagnostic category has a unique neurobiological pathway.

-Most symptoms are present in only one psychiatric disorder.

-The same symptoms and syndromes may be present in multiple psychiatric disorders.

-The recognition that most clients have comorbid disorders.

-The same symptoms and syndromes may be present in multiple psychiatric disorders.

Which statement regarding evidence-based research on integrative treatment is correct?

-Building an evidence base of integrative treatment is in the beginning stages.

-There is a compelling evidence base of research studies demonstrating the effectiveness of integrative treatment.

-To date, there are no outcomes studies on integrative treatment.

-Most of the research studies on integrative treatment were poorly designed.

-Building an evidence base of integrative treatment is in the beginning stages.

After discussing her childhood history and behaviors, Ana states, "When my stress levels are high and I am feeling overwhelmed, I feel like I am watching a movie about my life and removed from what is happening. Why does this happen?" What is the most appropriate response to Ana's question?

-You are using sublimation as a coping strategy. You are channeling unacceptable impulses through socially acceptable responses such as being distracted.

-You are projecting. Mentally, you are blaming others for your inability to cope with your stressors.

-You are experiencing this because your amygdala is hypo responsive. A hypo-responsive amygdala causes irritability, anger, hypervigilance, and exaggerated startle responses.

-You may be experiencing dissociation. Dissociation can happen when you are experiencing elevated levels of stress in situations that remind you of past traumatic experiences.

-You may be experiencing dissociation. Dissociation can happen when you are experiencing elevated levels of stress in situations that remind you of past traumatic experiences.

During the interview, you review Ana's dietary habits. As you prepare to ask about daily eating habits, Ana asks you, "How are diet and mental health symptoms related?" What is the best response to this question?

-Eating foods such as simple sugars improve symptoms of depression and anxiety because they make you feel good.

-Nutritional status can impact mental health and deficiencies in vitamins can produce psychiatric symptoms.

-The intestinal tract improves both physical and mental symptoms by disposing of nutrients in a person's diet.

-There is no relationship between dietary habits and mental health conditions. We ask for this information because it is required for intake.

-Nutritional status can impact mental health and deficiencies in vitamins can produce psychiatric symptoms.

During the intake evaluation, you ask Ana when her last physical exam was completed. She states it was more than one year ago. What is the significance of annual physicals in the management of mental health conditions?

-Yearly physical health assessments protect the PMHNP (psychiatric mental health nurse practitioner) from legal action.

-Physical health monitoring provides appropriate care for preexisting illnesses and protects the patient's current health from potential future complications.

-Physical health assessments and labs provide a direct indication of treatment efficacy.

-Physical assessments are not always indicated. They are only indicated in patients with pre-existing conditions.

-Physical health monitoring provides appropriate care for preexisting illnesses and protects the patient's current health from potential future complications.

Ana is diagnosed with generalized anxiety disorder (GAD). After receiving this diagnosis, Ana expresses a desire to trial the least invasive approach. Which therapeutic intervention is considered the least invasive?

-Injection (pharmaceuticals)

-Talk (psychotherapy, prayer)

-Manipulation (bodywork, exercise, dance)

-Meditation (yoga, art, music)

-Meditation (yoga, art, music)

Core issues are individualized for clients in mental health treatment. What is not a core issue with psychiatric mental health care?

-Theory base and resources

Stages of treatment

-Purpose of treatment

-PMHNP's perspective and resources

-PMHNP's perspective and resources

In Mark Ragins' book A Road to Recovery, which stage of treatment promotes the use of a client-driven and self-directed treatment plan, education, choices during the process of shared decision-making, internalizing successes to increase self-pride and self-confidence, and skill building?

-Stage 2: Empowerment

-Stage 4: Having meaningful roles in life

-Stage 3: Self-responsibility

-Stage 1: Hope

-Stage 2: Empowerment

Which assessment question by the clinician best reflects the process of concordance?

-Are you aware that you are seeing things that are not real?

-Ziprasidone is the best medicine for you. Which pharmacy do you use?

-At what age did you begin to have visual hallucinations?

-Would you like to learn about a new medication that is used to treat hallucinations?

-Would you like to learn about a new medication that is used to treat hallucinations?

Psychopharmacology is the most used intervention in the specialty of mental health.

-True

-False

-True

A Black adolescent patient has relationship disruptions with authority figures in multiple environments. The patient states, "When I stand up for myself, people get angry," and due to fear of that anger, the patient does not interact further but feels angry about the situation. A nurse practitioner (NP) plans to use a psychotherapy method focused on social and political oppression. Which psychotherapy method is the NP planning to use?

-Family

-Interpersonal

-Feminist

-Cognitive

-Feminist

A patient is persistently focused on abdominal physical symptoms and believes that they have a serious illness, such as cancer. The patient has even had abdominal exploratory surgery where no pathology was discovered. The patient was referred to a nurse practitioner (NP) for this problem. Which psychotherapeutic intervention is beneficial for the patient?

-Acceptance

-Addressing physical symptoms

-Assurance

-Avoiding emotional symptoms

-Acceptance

A nurse practitioner (NP) plans to treat a patient who has post-traumatic stress disorder (PTSD) with eye movement desensitization and reprocessing (EMDR). The patient never met their biological parents, and after finding a photo album of their childhood a year ago, memories of witnessing the death of their mother were triggered. Along with insomnia, nightmares, and panic attacks, the patient has been experiencing recurrent flashbacks of the death. The patient previously underwent trauma-focused cognitive behavioral therapy (TF-CBT) and asked the NP how EMDR differs from TF-CBT. How should the NP respond?

-EMDR does not involve homework.

-EMDR involves extended, focused attention on the traumatic event.

-TF-CBT takes fewer sessions than EMDR.

-TF-CBT does not involve directly challenging the patient's beliefs.

-EMDR does not involve homework.

A patient with schizophrenia is working through the recovery process. A nurse practitioner (NP) is working with them through the four stages of recovery. The patient has already worked through the first stage of hope, but now the NP must help them focus that hope to start believing in themselves. Which tool should the NP use to empower the patient?

-Offer patient-driven and self-directed treatment plans

-Expose them to new possibilities

-Promote the use of supportive services

-Provide motivational interviewing and enhancement

-Offer patient-driven and self-directed treatment plans

A nurse practitioner (NP) performs an intervention for a patient with an alcohol use disorder. The NP wants to empower the patient to make a positive change in their life by recognizing how alcohol is negatively affecting them. What should the NP use to emphasize self-efficacy?

-Johnson model

-FRAMES approach

-CAGE questionnaire

-Gottman method

-FRAMES approach

A patient seeks treatment at a nurse practitioner's (NP) clinic for depressive symptoms, including low motivation, low self-esteem, sleep issues, and an overall reduced level of functioning. The patient would like to feel more productive and confident at work as there is an upcoming job interview. The patient has been receiving supportive psychotherapy to target symptoms and enhance self-efficacy and empowerment. Which therapy technique should help the patient?

-Reducing self-destructive behavior

-Discussing peer relationships

-Managing negative transference

-Engaging in behavioral rehearsal

-Engaging in behavioral rehearsal

A generally fit 67-year-old patient without any limiting health conditions tells a nurse practitioner (NP) they read about the importance of incorporating aerobic exercise into their routine to help prevent cognitive decline. The patient asks how much exercise they should try to do. How should the NP respond?

-Less than 75 minutes per week at a vigorous intensity

-At least 150 minutes per week at a moderate intensity

-Minimum of 75 minutes per week at a moderate intensity

-More than 150 minutes per week at a vigorous intensity

-Minimum of 75 minutes per week at a moderate intensity