NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 243
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1. Eradication of unwanted habits by associating unpleasant condition with it is called:
a. Biofeedback
b. Desensitization
c. Aversive conditioning
d. Classical conditioning
Answer: c. Aversive conditioning
Description:Aversive conditioning is a method used to eliminate unwanted habits or behaviors by associating them with unpleasant consequences or conditions. In this process, the individual learns to associate the habit they want to eradicate with something negative or aversive, such as discomfort, pain, or a negative outcome. Over time, this association can weaken the habit and reduce its occurrence because the person wants to avoid the unpleasant consequence.
2. Which of the following therapy is based on learning theory?
a. Logo therapy
b. Psychoanalysis
c. Behavior therapy
d. Interpersonal therapy
Answer: c. Behavior therapy
Description:Behavior therapy is based on learning theory, specifically the principles of classical and operant conditioning. It focuses on changing behavior through techniques such as reinforcement, punishment, and exposure therapy. This therapeutic approach aims to help individuals modify their maladaptive behaviors and replace them with more desirable ones through learned associations and new learning experiences.
3. The purpose of self-help group is to provide:
a. Support
b. Confrontation
c. Psychotherapy
d. Self-awareness
Answer: a. Support
Description:Self-help group members share similar experiences and can provide support to each other.
4. Identify the correct statement regarding Milieu therapy (therapeutic community)
a. Manipulate the environment to bring about positive changes in behavior
b. The client owns his or her own environment
c. Each client owns his her own behavior
d. All of the above.
Answer: d. All of the above.
Description:Milieu therapy manipulates the environment so that all aspects of the clinet’s hospital experience become therapeutic. All the above mentioned statements are correct in relation to Milieu therapy.
5. Desensitization is a type of:
a. Psychotherapy
b. Psychoanalysis
c. Behavioral therapy
d. None
Answer: c. Behavioral therapy
Description:Desensitization is a therapeutic technique used in behavioral therapy, specifically in a method known as systematic desensitization. It is commonly used to treat anxiety disorders and phobias. The goal of desensitization is to reduce an individual's emotional response (fear or anxiety) to a specific stimulus or situation through gradual exposure and relaxation techniques. This helps the person become less sensitive or "desensitized" to the feared stimulus over time.
6. Behavior therapy is useful in all of the following conditions; EXCEPT:
a. OCD
b. Phobia
c. Mania
d. Hysterical conversation reaction
Answer: c. Mania
Description:Behavior therapy is not typically used as a primary treatment for mania. Mania is a symptom of bipolar disorder and is characterized by elevated mood, increased energy, and impulsive behavior. It is typically treated with medications like mood stabilizers or antipsychotics, along with psychotherapy that may include cognitive-behavioral elements. Behavior therapy is more commonly used to treat conditions like OCD (Obsessive-Compulsive Disorder), phobias, and certain anxiety disorders.
7. A specialized type of group therapy is:
a. Psychodrama
b. Psychotherapy
c. Cognitive behavioral therapy
d. Reminiscence therapy
Answer: c. Cognitive behavioral therapy
Description:Psychodrama is a specialized form of group therapy that involves participants acting out their thoughts, feelings, and conflicts in a dramatic or theatrical format. It's a therapeutic approach that encourages individuals to explore and understand their emotions and interpersonal dynamics by physically embodying them through role-playing and dramatization. While psychotherapy is a general term that encompasses various forms of talk therapy, psychodrama is a specific and unique approach within the broader category of psychotherapy.
8. The most effective psychotherapy for a 9 year old child diagnosed iwht attention deficit hyperactivity disorder (ADHD) is:
a. Play therapy
b. Milieu therapy
c. Behavior therapy
d. Family therapy
Answer: c. Behavior therapy
Description:Behavior therapy, particularly behavioral interventions and parent training, is often considered one of the most effective psychotherapeutic approaches for children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). This type of therapy focuses on teaching children and their parents strategies to manage and modify the child's behavior, improve attention and impulse control, and reinforce positive behaviors. Behavior therapy for ADHD may include techniques like behavior modification, positive reinforcement, and skill-building exercises to help the child develop better self-control and coping skills. While play therapy, milieu therapy, and family therapy can be beneficial in certain situations, behavior therapy is typically the primary approach for addressing the core symptoms of ADHD.
9. The nurse is planning to formulate a psychotherapy group; several clients are interested in attending the session. The nurse plans the group, knowing that the maximum number of group members to include in this group is:
a. 20
b. 16
c. 12
d. 6
Answer: c. 12
Description:In psychotherapy groups, the maximum number of group members can vary depending on the specific type of therapy and the therapist's preference. However, a common guideline is to limit the group size to ensure that all members have an opportunity to participate and receive adequate attention and support. A group size of around 12 members is often considered manageable, allowing for meaningful interactions and therapeutic progress while still maintaining a sense of intimacy within the group.
10. Group therapy can most useful for those who are
a. Dependent on others
b. Distressed
c. Emotionally ill
d. Isolated
Answer: c. Emotionally ill
Description:Group therapy can be most useful for individuals who are emotionally ill or experiencing mental health issues. Group therapy provides a supportive and therapeutic environment in which individuals with similar concerns or conditions can come together to share their experiences, receive feedback, and learn coping strategies. It can be particularly effective for addressing a wide range of emotional and psychological issues. While it may also benefit individuals who are dependent on others, distressed, or isolated, its primary focus is on providing therapeutic support and interventions for emotional and psychological well-being.
11. Psychoanalysis is an attempt to explain:
a. Normal psychological functioning
b. Abnormal psychological functioning
c. Normal and abnormal psychological functioning
d. Cognitive thinking.
Answer: c. Normal and abnormal psychological functioning
Description:Psychoanalysis is a comprehensive theory and therapeutic approach developed by Sigmund Freud. It seeks to explain both normal and abnormal psychological functioning by exploring unconscious thoughts, emotions, and conflicts. While it is often associated with the treatment of abnormal psychological conditions, such as neuroses and other mental disorders, psychoanalysis also aims to understand the underlying processes of human psychology, including aspects of normal development and functioning. Therefore, it addresses both normal and abnormal aspects of psychological functioning.
12. Which of the following action can minimize agitation in a disturbed client?
a. Increasing environment stimuli
b. Limiting unnecessary interaction with patient
c. Discussing the reasons for suspicious belief
d. All of the above.
Answer: b. Limiting unnecessary interaction with patient
Description:In cases of agitation or distress in a disturbed client, it is often advisable to minimize unnecessary interactions or stimuli. This can help reduce potential triggers and further agitation. It's important to create a calm and controlled environment. While discussing the reasons for suspicious beliefs (option c) can be important in some therapeutic contexts, it should be approached with caution and at an appropriate time, as it may not always immediately reduce agitation. Increasing environmental stimuli (option a) can actually exacerbate agitation in some cases, so it should also be done thoughtfully and selectively.
13. Characteristics of milieu therapy includes:
a. Distribution of power
b. Structure interactions
c. Work related activities
d. All of the above.
Answer: d. All of the above.
Description:Milieu therapy is a therapeutic approach used in psychiatric settings to create a therapeutic environment that promotes healing and recovery. It incorporates various characteristics, including: a. Distribution of power: Milieu therapy often involves shared decision-making and power among staff and patients, promoting a sense of responsibility and empowerment. b. Structured interactions: The therapy emphasizes structured and therapeutic interactions between staff and patients, as well as among patients themselves, to foster a supportive and healing environment. c. Work-related activities: Milieu therapy can include work-related activities, group therapy, recreational therapy, and other therapeutic interventions that engage patients in meaningful and purposeful activities as part of their treatment.
14. All of the following behavior techniques are used to treat OCD; EXCEPT:
a. Exposure and response prevention
b. Aversive conditioning
c. Flooding
d. Thought stoppage.
Answer: b. Aversive conditioning
Description:Aversive conditioning is not typically used to treat Obsessive-Compulsive Disorder (OCD). The other techniques mentioned, such as exposure and response prevention and thought stoppage, are commonly used in the treatment of OCD: a. Exposure and response prevention: This is a primary and highly effective technique for treating OCD. It involves exposing the individual to their obsessive fears (exposure) and then preventing them from engaging in their compulsive behaviors (response prevention). b. Aversive conditioning: Aversive conditioning involves associating an unwanted behavior with an unpleasant stimulus to reduce the behavior. While it can be used in some therapeutic contexts, it is not a primary technique for treating OCD. d. Thought stoppage: Thought stoppage is a cognitive-behavioral technique used to interrupt and replace obsessive or distressing thoughts with more positive or constructive thoughts. It can be a part of OCD treatment but is not the sole technique. So, option c. Flooding is the one that is not typically used as a primary technique in the treatment of OCD. Flooding involves exposing a person to their fear or phobia in an intense and prolonged manner, which may not be well-suited for OCD treatment.
15. Steps of systematic desensitization include following steps; EXCEPT:
a. Hierarchy construction
b. Testing anxiety level
c. Learning of relaxation techniques
d. Desensitization of stimulus.
Answer: b. Testing anxiety level
Description:Systematic desensitization is a therapeutic technique used to treat anxiety disorders, particularly phobias. It involves a series of steps, but "testing anxiety level" is not one of them. The typical steps in systematic desensitization are: a. Hierarchy construction: The first step involves creating a hierarchy of anxiety-provoking situations or stimuli related to the phobia. These situations are ranked from least anxiety-inducing to most anxiety-inducing. b. Learning relaxation techniques: The next step is to teach the individual relaxation techniques, such as deep breathing or progressive muscle relaxation, which they will use to manage anxiety. c. Pairing relaxation with the hierarchy: The individual gradually works through the hierarchy, starting with the least anxiety-inducing situation while practicing relaxation techniques to counter anxiety as they progress through each step. The purpose of systematic desensitization is to replace anxiety responses with relaxation responses when confronted with the feared situations, ultimately reducing the phobia's impact.
16. Which of the following is a type of relaxation therapy?
a. Reiki therapy
b. Acupuncture
c. Catharsis
d. Deep breathing exercise
Answer: d. Deep breathing exercise
Description:Deep breathing exercises are a type of relaxation therapy. These exercises involve deliberate, slow, and controlled breathing techniques that can help reduce stress and induce a state of relaxation. Deep breathing is often used in various relaxation and stress management techniques, such as mindfulness, meditation, and progressive muscle relaxation. Options a (Reiki therapy) and b (Acupuncture) are not types of relaxation therapy but rather alternative therapies with their own principles and techniques. Option c (Catharsis) is a psychological concept related to emotional release and expression, rather than a relaxation therapy.
17. A treatment for phobias in which the patient is exposed to progressively more anxiety-provoking stimuli and taught relaxation techniques is known as:
a. Aversive therapy
b. Flooding
c. Deterrent therapy
d. Systematic desensitization
Answer: d. Systematic desensitization
Description:Systematic desensitization is a treatment approach for phobias and anxiety disorders in which the patient is exposed to progressively more anxiety-provoking stimuli while simultaneously being taught relaxation techniques. The goal is to reduce the patient's anxiety response to the feared stimuli by associating them with relaxation, ultimately helping the individual overcome their phobia or anxiety. This process is gradual and systematic, which is why it's called systematic desensitization.
18. Which of the following behavior modification techniques useful in the treatment of phobias?
a. Positive reinforcement
b. Modeling
c. Desensitization therapy
d. Token economy
Answer: c. Desensitization therapy
Description:Desensitization therapy is a behavior modification technique commonly used in the treatment of phobias. It involves exposing the individual to the feared object or situation in a gradual and controlled manner, allowing them to become less sensitive or anxious over time. This exposure is typically paired with relaxation techniques to reduce anxiety and help the person learn to cope with their phobia. While positive reinforcement (option a), modeling (option b), and token economy (option d) are valuable behavior modification techniques in various therapeutic contexts, they are not typically the primary techniques used in the treatment of phobias, as desensitization therapy is more specifically designed for this purpose.
19. The technique used in hypnosis is:
a. Exploration
b. Questioning
c. Suggestion
d. Sensitization
Answer: c. Suggestion
Description:In hypnosis, the technique often involves the use of suggestions. During hypnotherapy, the hypnotist or therapist provides suggestions to the person in a relaxed state to encourage changes in behavior, thoughts, or perceptions. These suggestions can be used for various therapeutic purposes, such as reducing anxiety, managing pain, or addressing specific issues like smoking cessation or weight loss. So, suggestion is a key technique in the practice of hypnosis.
20. The induction of state of altered consciousness in which a person apparently loses the power of voluntary action and in highly responsive to suggestion is known:
a. Psychotherapy
b. Rehabilitation
c. Hypnosis
d. Cognitive therapy
Answer: c. Hypnosis
Description:Hypnosis is the induction of a state of altered consciousness in which a person may appear to lose the power of voluntary action and become highly responsive to suggestions given by a hypnotist or therapist. This altered state of consciousness is characterized by deep relaxation, heightened focus, and an increased openness to suggestion. Hypnosis is often used for therapeutic purposes and can be employed in various forms of psychotherapy to address specific issues or concerns.
21. The most effective form of somatic therapy for patient with schizophrenia is:
a. Minor tranquilizers
b. Electroconvulsive therapy
c. Major tranquilizers
d. Biofeedback
Answer: c. Major tranquilizers
Description:Major tranquilizers, also known as antipsychotic medications or neuroleptics, are the primary form of somatic therapy for schizophrenia. These medications are used to alleviate the positive symptoms of schizophrenia, such as hallucinations and delusions. They help stabilize the individual's mental state and reduce the severity of psychotic symptoms. Electroconvulsive therapy (ECT) is sometimes used for severe cases of schizophrenia that do not respond to other treatments, but it is typically not the first-line choice. Minor tranquilizers and biofeedback are not typically used as primary treatments for schizophrenia.
22. Useful intervention for a patient with adjustment disorder is:
a. Extended follow-up
b. Individual psychotherapy
c. Group therapy
d. CBT
Answer: b. Individual psychotherapy
Description:Individual psychotherapy, specifically tailored to address the specific issues and challenges faced by the patient with adjustment disorder, is a useful intervention. It allows the individual to work one-on-one with a therapist to explore and process their emotional responses and develop coping strategies for dealing with the stressor or life change that triggered the adjustment disorder. While other interventions like extended follow-up (option a), group therapy (option c), and cognitive-behavioral therapy (CBT - option d) can also be beneficial in some cases, individual psychotherapy is often the primary and most targeted approach for addressing the unique needs of the patient with adjustment disorder.
23. The ideal size for group therapy is:
a. 8-12 members
b. 10-55 members
c. 15-20 members
d. 15-25 members
Answer: a. 8-12 members
Description:This range allows for a large enough group to provide diverse perspectives and interactions while still maintaining a manageable size that facilitates meaningful and therapeutic communication among members. Group therapy dynamics can become less effective if the group is too small or too large, so the range of 8-12 members is often recommended for optimal therapeutic outcomes.
24. Pre-sleep rituals that help to initiate relaxation each night before sleep include allof the following EXCEPT;
a. Warm bath before bedtime
b. Eating heavy meals near bedtime
c. Eating light snacks
d. Reading or listing to music
Answer: b. Eating heavy meals near bedtime
Description:Eating heavy meals close to bedtime can disrupt sleep because the body needs time to digest food properly, and lying down with a full stomach can lead to discomfort and indigestion. This discomfort can interfere with the ability to relax and fall asleep. It's generally advisable to have your last meal or a heavy snack at least a few hours before bedtime to allow for proper digestion and a more restful night's sleep. Options a, c, and d (warm bath, eating light snacks, reading or listening to music) are all commonly suggested pre-sleep rituals that can promote relaxation and help initiate sleep.
25. Behavioral therapy is helpful in:
a. Schizophrenia
b. Agoraphobia
c. Personality disorder
d. Neurotic depression
Answer: b. Agoraphobia
Description:Behavioral therapy can be helpful in addressing a range of mental health conditions, and one of the conditions it is particularly effective for is b. Agoraphobia. Agoraphobia is an anxiety disorder characterized by a fear of situations or places where escape might be difficult or help might not be available if a panic attack occurs. Behavioral therapy, specifically exposure therapy, is often used to treat agoraphobia. Exposure therapy involves gradually exposing the individual to feared situations or places in a controlled and systematic way to reduce their anxiety and avoidance behavior. Behavioral therapy can also be beneficial for other conditions, including neurotic depression, but its specific techniques and approaches may vary depending on the condition and the individual's needs. It may also be used as part of a comprehensive treatment plan for schizophrenia or personality disorders in some cases. However, the primary focus and effectiveness of behavioral therapy often depend on the specific condition and its underlying factors.
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