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Cognitive Behavioral Therapy for Psychosis

1. A health care professional has questions regarding CBTp. Which of the following informational points of interest should be communicated to the health care professional?

A. CBTp is not empirically indicated to address the distress and functional impairment experienced by individuals with SSD.

B. CBTp is empirically indicated to address the distress and functional impairment experienced by individuals with SSD.

C. CBTp is not the most well-researched psychotherapeutic intervention for individuals experiencing psychosis.

D. Current CBTp research only applies to individuals over the age of 65.


2. A health care professional is developing an educational lecture focused on CBTp. Which of the following informational points of interest should be included in the health care professional's lecture?

A. Evidence does not support the use of CBTp for individuals with at-risk mental states.

B. Evidence supports the use of CBTp for multi-episode psychosis.

C. Evidence only supports the use of CBTp for medication-resistant psychosis in patients over the age of 65.

D. Evidence only supports the use of CBTp for male individuals, under the age of 40, with co-occurring substance use disorders involving opioids.


3. A 32-year-old male patient has questions regarding CBTp and antipsychotic medications. Which of the following educational points should be expressed to the patient?

A. Patients over the age of 25 should not undergo CBTp if they are taking antipsychotic medications.

B. Patients under the age of 40 should not undergo CBTp if they are taking antipsychotic medications.

C. CBTp is not recommended as an adjunctive to pharmacotherapy.

D. CBTp is recommended as an adjunctive to pharmacotherapy for individuals who are willing to take medications.


4. Which of the following statements is most accurate?

A. CBTp can facilitate symptom reduction for individuals who do not wish to take medication.

B. CBTp cannot facilitate symptom reduction for individuals who do not wish to take medication.

C. CBTp cannot facilitate symptom reduction for individuals unless they take an antidepressant medication.

D. CBTp cannot facilitate symptom reduction for individuals unless they take an antipsychotic medication.


5. Which of the following best represents a requirement for implementation of APA recommendations on inclusion of CBTp?

A. A patient population consisting of male individuals over the age of 40.

B. A patient population consisting of female individuals over the age of 40.

C. A service model and workflow that allows for implementation of CBTp in a manner consistent with evidence-based methods.

D. A service model and workflow that allows for implementation of CBTp via telehealth in a manner consistent with evidence-based methods that represents a patient population over 250 or more individuals.


6. Which of the following statements best defines the term "readiness?"

A. Readiness is defined as the perceived need for change and organization’s ability to implement change successfully.

B. Readiness is defined as the perceived need for change involving payment for health care and an organization’s ability to implement change successfully.

C. Readiness is defined as the perceived need for health care administration changeover and an organization’s ability to implement change successfully.

D. Readiness is defined as the perceived need for health care management changeover.


7. Which of the following best represents a factor that facilitates readiness?

A. An awareness of the deficits of the current system.

B. An awareness of the deficits of the current system, and how current staff created such deficits.

C. Focusing solely on the benefits of the current system.

D. Focusing solely on the benefits of the current system, and how current management created such benefits.


8. Which of the following statements best represents a conclusion of the IOM's report, Crossing the Quality Chasm?

A. Telehealth technology should not play a role in the design of health care systems.

B. Telehealth technology should not play a role in the design of health care systems when it is used during a health care emergency.

C. Information technology “must play a central role in the design of health care systems if a substantial improvement in health care quality is to be achieved.”

D. Information technology “must not play a central role in the design of health care systems if a substantial improvement in health care quality is to be achieved."


9. A health care professional has questions regarding CBTp and the mental health system. Which of the following informational points of interest should be communicated to the health care professional?

A. The mental health system is transitioning from symptom-focused care to person-centered care.

B. The mental health system is transitioning from person-centered care to symptom-focused care.

C. The mental health system is transitioning from person-centered care to disease state care.

D. The mental health system is transitioning from disease state care to symptom-focused care.


10. Which of the following statements is most accurate?

A. CBT is optimally delivered within the context of a multidisciplinary team setting.

B. CBT should not be delivered within the context of a multidisciplinary team setting.

C. CBT should only be delivered within a hospital setting under the direct supervision of an attending physician.

D. CBT should only be delivered within a hospital setting under the direct supervision of a nurse practitioner and social worker.


11. A health care professional has questions regarding Coordinated Specialty Care teams. Which of the following informational points of interest should be communicated to the health care professional?

A. Coordinated Specialty Care teams typically include a vocational specialist.

B. Coordinated Specialty Care teams do not typically include a case manager.

C. Coordinated Specialty Care teams should only include a peer or recovery specialist when a patient is suffering from alcohol addiction.

D. Coordinated Specialty Care teams should only include a peer or recovery specialist when a patient is suffering from an opioid addiction.


12. Which of the following best represents a reason why CBTp scale-up is limited?

A. Increasing SSD patient populations.

B. Decreasing SSD patient populations.

C. Access to CBTp training for behavioral health care professionals.

D. Access to CBTp training for behavioral health care professionals due to telehealth restrictions and decreasing patient populations.


13. Which of the following explanations supports the claim that CBTp aligns with the mission andvalues of health care organizations?

A. EBTs, such as CBTp, are negatively correlated with health care quality, safety, and client outcomes.

B. EBTs, such as CBTp, are positively correlated with health care quality, safety, and client outcomes, and EBTs are known to foster practitioners’ active engagement in their clients’ care.

C. CBTp, like other EBTs, does not rely on measurement-based care.

D. CBTp, unlike other EBTs, relies on measurement-based care and patient satisfaction reports.


14. Which of the following statements may serve as evidence for the following element of recovery-oriented systems of care and services: person-centered?

A. Providers aim to include natural supports for portions of sessions across the treatment course.

B. Treatment goals are established collaboratively; symptoms are considered treatment targets only when they pose barriers to short- or long-term goals.

C. CBTp is intended to maintain community tenure.

D. CBTp assesses and leverages strengths, resources, assets, and other protective factors.


15. Which of the following statements may serve as evidence for the following element of recovery-oriented systems of care and services: responsiveness to personal belief systems?

A. CBTp is intended to maintain community tenure.

B. CBTp assesses and leverages strengths, resources, assets, and other protective factors.

C. CBTp is both process- and outcomes-driven.

D. CBTp builds on expanded understanding of unusual beliefs and sensory misperceptions; experiences are targeted to the extent that they cause distress or impairment.


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