Sophie Questions 11-20 PDF

A GP refers a 9-year-old, and this boy has a history of inattention, hyperactivity and impulsivity. The referral says he was prescribed a psychostimulant medication and the parents are ok with this short-term but would prefer other treatment options as a longer-term solution. Which interventions wou...

A GP refers a 9-year-old, and this boy has a history of inattention, hyperactivity and impulsivity. The referral says he was prescribed a psychostimulant medication and the parents are ok with this short-term but would prefer other treatment options as a longer-term solution. Which interventions would be the most effective for this case?\ \ a) Relaxation training\ b) Parent management training\ c) Interpersonal therapy\ d) Supportive counselling\ e) Exposure therapy ANS: B\ You need to work with parents with any child client with ADHD.\ Interpersonal therapy is usually used for adults and adolescents and was originally used for depression but now is used for some other types of presentations, eg. Eating disorders and anxiety. It is very structured and deals with 4 types of problems, 1 grief and loss, 2. Interpersonal disputes, 3. Interpersonal sensitivity and 4. Role transitions. 12. A 40-year-old male comes to you referred by occupational physician for chronic pain management treatment. The client tells you he does not understand why he\'s there as \"i have real pain, it\'s not in my head\". What is the most important initial step in treating this client?\ \ a) Refer to client back to the occupational physician\ b) Begin behavioural analysis of the client\'s pain behaviour\ c) Explore the client\'s willingness to consider psychological therapy\ d) Gather more information to better understand the client\'s resistance\ e) Evaluate the ability of the client to engage in treatment ANS: D\ Usually when the question asks about \"the first step\", especially if the client is showing resistance\...the answer is \"to explore\". This will allow you to find out what the client is thinking, what the reasons are for his resistance. 13. 18 year old presents for treatment because of academic performance. Depressed and agitated and considering dropping out of his degree. As part of the assessment tells you hes\' been taking methyphenedate and has recently ceased. Which most likely explains why he was taking methyphenedate?\ \ a) History of GAD\ b) History of ADHD\ c) History of major depressive disorder\ d) History of childhood psychosis\ e) Long-term history of drug use ANS: B\ Methyphenedate is another name for Ritalin. 14. 17 year old student in final year of high school. Referral says student is feeling stressed about studies and difficulty getting to sleep. Student attends initial consult with mum who reports girl did not want to attend. Refuses to make eye contact. Which is your first priority.\ \ a) Administer the student a battery of clinical questionnaires\ b) Provide the student with psychoeducation about sleep hygiene\ c) Ask the student what she would like to get out of the consultation\ d) Obtain a detailed developmental history separately from the mother\ e) Prepare the student by relaxing them using progressive muscle relaxation ANS: C\ C the best of the not so good alternatives. Probably won't get a question like this. 15. You have been seeing a 20-something year old woman for panic disorder. She was referred by a gp who prescribed her a clinically effective dose of benzodiazapine. She has been taking it for 3 months. She has taken it throughout treatment. She comes in and tells you that she has ceased her benzo medication this morning. What is the best response?\ \ a) Praise the client for successfully taking control of her anxiety\ b) Provide the client about information about over the counter anti-anxiety meds\ c) Discuss with the client about treatment adherence\ d) Plan to monitor the coping resources of the client without the benzos\ e) Immediately contact the GP with the client present to discuss cessation ANS: E Ceasing benzodiazepine medication abruptly can result in death. End of story! This is the same for a situation where a person has been a heavy drinker and ceases abruptly. 16. You are developing your learning plan for the next 12 months. As a psychologist you consider a number of different workshops available and then conduct a literature review about the outcomes of different psychological interventions. Which of the following statements best represents the research on outcomes of different psychological interventions?\ \ a) CBT is inferior to most other forms of therapy in the treatment of anxiety\ b) Psychodynamic therapy is superior to most other forms of therapy for OCD\ c) Interpersonal psychotherapy is superior to most other forms of treatment for depression\ d) There is little evidence to support any one form of therapy being superior to other forms of therapy\ e) Solution-focused therapy is inferior to most other forms of therapy in dealing with existential issues ANS: E\ (C) IPT has level 1 evidence. However, there are a lot of therapies for depression. And AHPRA would suggest that CBT would be superior.\ (D) terms of \"little\", seems improper. AHPRA would not be happy with this answer, based on APS evidence based guidelines, suggesting that one form of therapy is superior to another, without considering client presentation, psychologists expertise etc.\ (E) is there evidence for \"inferior\"? No. It appears to be the most correct answer. 17. A 50 year old male client is referred by a GP for anxiety following a car accident. The client tells you that he does not understand why he is there to see you, as he is coping quite well and has restricted his driving to his local area and relies on his wife to drive outside of the local area. What is the most important initial step in treatment?\ \ a) Develop a fear hierarchy relating to driving difficulties\ b) Refer the client for a driving assessment by an Occupational Therapist\ c) Explore with the client, the reasons for only driving in his local area\ d) Begin an assessment of the clients difficulties in driving outside his local area\ e) Begin an assessment of the client for PTSD ANS: C\ (C) is inclusive then D. When the question presents you with resistant clients, you should start very soft, build rapport, and explore what is happening and why he is only driving in his local area.\ (A) you would not START with this. If you started initially talking about exposure, they would not come back, as you need preparation. Exposure would come in the 4th to 6th session. 18. You are referred a 30 year old client for treatment of anxiety. He reports a series of crises at work and in his personal relationships. You decide to use a time-limited, 10 session, psychodynamic therapy approach. Which of the following will provide the best pay to anticipate and manage the termination of therapy?\ a) Continue with therapy if the client resists terminating therapy to maintain rapport\ b) Seek supervision to discuss the psychologist\'s anxiety regarding premature endings\ c) Explore the client\'s reaction regarding the ending of therapy at session 9\ d) Set client expectations regarding the length of therapy, at the beginning of treatment\ e) Continue with therapy until the client is symptom free and was motivated to finish ANS: D\ Psychodynamic approach is a red herring.\ (D) The client deals with theoretical clients that do not exist. If they are telling you are on a time limited therapy approach, you need to tell them at the beginning of therapy about the number of sessions. 19. You are treating a client for depression using IPT. In the first session the client tells you that they really like you and never want therapy to end. From an IPT perspective which of the following options would be the best way to address the development of transference feelings?\ a) Address the transference as it is considered an active target within an IPT approach\ b) Ignore the client\'s comments as IPT considers that transference is unimportant\ c) Focus on interpersonal functioning which IPT considers more important than transference\ d) Let transference develop overtime as this is a hallmark of an IPT approach\ e) Transference should be actively addressed to prevent these problems being repeated ANS: C\ (A) This is a trick question. Psychodynamic people say that IPT considers the therapeutic relationship, however, evidence-based people state that they will use this, but it is not the main focus or active target of IPT.\ (B) is not therapeutic. You would pay attention to those comments, try to understand why, and how they are feelings in the external world.\ (C) use this to identify what is happening outside for this client (interpersonal functioning), as they have just met you and don\'t want therapy to end.\ (D) this is not a main focus. In psychodynamic therapy, it could be considered.\ (E) you would not \"actively\" address transference. The fact that your client likes you and want to continue therapy is not a problem, as transference is a human characteristic - \"prevent transference\" ruined the question. 20. You are in the middle stage of delivering IPT with a 40-year-old male client. You decide to focus on interpersonal conflict involving the client and his daughter. What would be the techniques used to address the interpersonal conflict within the IPT framework?\ \ a) Problem solving and communication analysis\ b) Thought monitoring and challenging of distortions\ c) Free association and interpretation of distortions\ d) Pleasant event scheduling and distraction\ e) Emotional regulation and distress tolerance ANS: A\ (B) CBT\ (C) Psychodynamic\ (D) CBT\ (E) DBT