Question 1

Which of the following scenarios best demonstrates the relationship between physical health and distress? A)A patient's high calorie diet contributes to his diagnosis of type 2 diabetes. B)A patient with an elevated HbA₁C reports that he was recently evicted from his home. C)A patient with depression reports an increase in suicidal thoughts. D)A patient reports feeling "numb" after learning her malignant tumor is inoperable.

Accepted Answer

This scenario demonstrates the relationship between physical health and distress, as the patient's elevated HbA1C (a marker of diabetes) could be exacerbated by the stress of being evicted, showing how distress can impact physical health.

Question 2

BATHEing the patient is an advanced practice nursing intervention that allows the practitioner to:&#10;A)Develop a therapeutic relationship without &#34;owning&#34; the patient's problem&#10;B)Conduct psychological counseling within the context of the primary care encounter&#10;C)Focus on the &#34;process&#34; and not the assessment&#10;D)Make the patient and family happier

Accepted Answer

BATHEing the patient refers to a technique in which the nurse focuses on the patient's background, affect, troubles, handling, and empathy. It helps create a therapeutic relationship with the patient without taking ownership of their problems.

Question 3

Basic human needs are identified as:&#10;A)Autonomy and feeling valued by others&#10;B)Exhilaration and productivity&#10;C)Spirituality&#10;D)Career success and material rewards

Accepted Answer

Autonomy (the ability to have some control over our lives and decisions) and feeling valued by others (having social connections and support) are two of the most widely recognized and studied basic human needs, according to various psychological and sociological theories. Exhilaration, productivity, spirituality, career success, and material rewards may be important for some individuals or in certain contexts, but they are not considered universal or essential for human well-being.

Question 4

Commonalities among psychotherapeutic techniques include the following:&#10;A)Dream therapy, listening, and reflection&#10;B)Psychodrama, group psychotherapy, and 12-step programs&#10;C)Self-help groups&#10;D)Obtaining external perspective and participation in a helping relationship

Accepted Answer

Obtaining an external perspective and participation in a helping relationship are commonalities among many psychotherapeutic techniques, regardless of the specific approach or modality. This includes techniques such as cognitive-behavioral therapy, psychodynamic therapy, and humanistic therapy. The therapeutic relationship, which involves active listening and reflection, is also an important aspect of many psychotherapeutic approaches. While self-help groups can be a helpful adjunct to therapy, they are not considered a formal psychotherapeutic technique. Group psychotherapy and 12-step programs are specific types of therapy, but not all psychotherapeutic techniques fall into these categories. Dream therapy and psychodrama are specific types of therapy, but not necessarily commonalities among all psychotherapeutic techniques.

Question 5

The BATHE technique was developed more than 20 years ago and has been used extensively in primary care and family practice.The new 'Positive BATHE' stresses:&#10;A)A belief that all things are possible through positive affirmations&#10;B)A belief that one should only refer to practitioners who embrace the viewpoint of positive psychology&#10;C)Personal accomplishment, thankfulness, autonomy, and general positive effect&#10;D)The patient's problems and concerns

Accepted Answer

The new 'Positive BATHE' technique emphasizes aspects such as personal accomplishment, thankfulness, autonomy, and general positive effect, focusing on enhancing positive psychological aspects in patients.

Question 6

BATHEing the patient refers to:&#10;A)A technique used in primary care to get the patient to accept the need for psychological or psychiatric referral&#10;B)A technique used to facilitate cultural understanding&#10;C)A technique used to perform psychotherapy&#10;D)A technique that is a quick screen for psychiatric issues and interventions for psychological problems

Accepted Answer

BATHE stands for Background, Affect, Trouble, Handling and Empathy. It is a technique used to quickly screen patients for psychiatric issues as well as interventions for psychological problems.

Question 7

One benefit of motivational interviewing (MI) is:&#10;A)It assumes that ambivalence is a normal part of the change process.&#10;B)It can be utilized during routine office visits.&#10;C)It is a therapeutic technique which is not necessarily time intensive.&#10;D)All are benefits of MI.

Accepted Answer

All of the options listed are benefits of motivational interviewing. MI is founded on the assumption that ambivalence is a natural part of the change process, and it can be applied in various settings, including routine office visits. Furthermore, it is a therapeutic technique that does not require a significant amount of time to implement, making it a practical choice for healthcare providers who have limited time with their patients.

Question 8

Valliant (1979) discusses the &#34;ubiquity of stress.&#34; Ubiquity of stress maintains that:&#10;A)In a current and rapidly changing society, stress can be viewed as a positive.&#10;B)Eustress is counterproductive.&#10;C)The overwhelmed can functionally regress.&#10;D)Dream therapy has been found to be an effective treatment of overwhelming stress.

Accepted Answer

The concept of "ubiquity of stress" suggests that stress is a common and pervasive part of life, and when individuals are overwhelmed by stress, they may regress to earlier, less mature ways of coping or functioning.

Question 9

Which is not a basic principle of MI?&#10;A)People often continue behaviors with negative consequences for reasons unknown to the provider.&#10;B)The patient is the expert on his/her behavior.&#10;C)Providers are obligated to inform each patient of the negative consequences of their behaviors.&#10;D)Helping patients understand ambivalence for change is often more powerful than direct instruction.

Accepted Answer

MI does not dictate that providers are obligated to inform each patient of the negative consequences of their behaviors. Instead, the focus is on eliciting the patient's own reasons for change and building motivation to make positive changes.

Question 10

One benefit of BATHEing a patient is that:&#10;A)It allows providers an in-depth exploration of patient's presenting problems.&#10;B)It assumes that ambivalence is a normal part of the change process.&#10;C)It utilizes the therapeutic relationship to help patients in a time-sensitive approach.&#10;D)It can be done only with extensive training in therapeutic technique.

Accepted Answer

BATHE (Background, Affect, Trouble, Handling, and Empathy) technique utilizes the therapeutic relationship to help patients in a time-sensitive approach, offering a structured way to address patients' concerns and emotions during brief clinical encounters.

Question 11

The primary purpose of the &#34;Positive BATHE&#34; is intended to help patients by:&#10;A)Focusing on autonomy and accomplishment&#10;B)Creating a stronger therapeutic alliance&#10;C)Helping the patient change negative behaviors&#10;D)Engaging the patient during the psychosocial assessment .

Accepted Answer

The answer of The primary purpose of the &#34;Positive BATHE&#34;...

Question 12

According to World Health Organization data on 1,500 patients in 15 separate world sites, how many patients presenting with medical/somatic complaint had a psychiatric problem?&#10;A)Fully one-third of all patients&#10;B)One-quarter of all patients&#10;C)One-half of all patients&#10;D)60% of all patients

Accepted Answer

The answer of According to World Health Organization data on...

Question 13

The goals of the 15-minute hour approach include:&#10;A)Enhance self-esteem, expand behavioral repertoire, prevent dire consequences, and reestablish premorbid levels of functioning&#10;B)Emerge with a higher level of functioning and commitment to long-term psychotherapy&#10;C)Accept need for antidepressant therapy and psychiatric referral; share concerns with primary care clinician&#10;D)Improve family functioning and sexual performance as well as accept need for antidepressant medication

Accepted Answer

The answer of The goals of the 15-minute hour approach...

Question 14

Integrating mental health techniques and approaches, such as the 15-minute hour, into the primary care patient encounter is important for a number of reasons.These include:&#10;A)Decreasing the patient's stress and increasing your reimbursement&#10;B)Encouraging coping strategies and increasing professional satisfaction&#10;C)Assisting patients in reliving traumatic experiences&#10;D)Decreasing care clinician stress

Accepted Answer

The answer of Integrating mental health techniques and approaches, such...

Deck 23: The 15-Minute Hour