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One of the components of wellness is
A. avoidance of stress.
B. absence of illness.
C. purpose in life.
D. compliance with medication.
Answer: C
Explanation:
Wellness in psychiatric rehabilitation is a multidimensional concept that encompasses physical, mental, emotional, and social well-being, guided by recovery principles. The CPRP Exam Blueprint (Domain VII:
Supporting Health & Wellness) includes supporting individuals in finding meaning and purpose as a key component of wellness (Task VII.A.1: "Promote holistic wellness, including purpose and meaning in life").
Option C (purpose in life) aligns with this task, as having a sense of purpose-through roles, goals, or activities-is a recognized dimension of wellness that fosters resilience and recovery.
Option A (compliance with medication) is a clinical strategy, not a core component of wellness, though it may support health (Domain VII). Option B (avoidance of stress) is impractical and not explicitly listed as a wellness dimension, as wellness involves managing, not eliminating, stress. Option D (absence of illness) is inaccurate, as wellness is not defined by the absence of illness but by positive attributes like purpose, relationships, and self-management, even in the presence of symptoms. The PRA Study Guide, referencing models like SAMHSA's Eight Dimensions of Wellness, includes purpose as a key element, supporting Option C:
CPRP Exam Blueprint (2014), Domain VII: Supporting Health & Wellness, Task VII.A.1.
PRA Study Guide (2024), Section on Wellness Dimensions.
CPRP Exam Preparation & Primer Online 2024, Module on Supporting Health & Wellness.
NEW QUESTION # 114
Which of the following lists best reflects positive symptoms of schizophrenia?
A. Hallucinations, anhedonia, poverty of speech, social withdrawal
B. Disorganized speech, hallucinations, delusions, disorganized behavior
C. Delusions, avolition, abnormal psychomotor activity, disturbances of sleep
D. Disorganized thinking, social isolation, flat affect, disturbances of sleep
Answer: B
Explanation:
This question aligns with Domain I: Interpersonal Competencies, which requires understanding the symptoms of psychiatric conditions like schizophrenia to inform person-centered practice. The CPRP Exam Blueprint specifies that "positive symptoms of schizophrenia include hallucinations, delusions, disorganized speech, and disorganized behavior, which represent additions to normal functioning." Positive symptoms are distinguished from negative symptoms (e.g., anhedonia, avolition) and cognitive symptoms (e.g., disorganized thinking).
* Option A: This list accurately reflects positive symptoms: hallucinations (sensory experiences without stimuli), delusions (false beliefs), disorganized speech (incoherent communication), and disorganized behavior (erratic actions). These are hallmark positive symptoms of schizophrenia, per DSM-5 and CPRP study materials.
* Option B: Includes anhedonia, poverty of speech, and social withdrawal, which are negative symptoms, not positive, making it incorrect.
* Option C: Includes social isolation and flat affect (negative symptoms) and disturbances of sleep (not specific to positive symptoms), making it inaccurate.
* Option D: Includes avolition (a negative symptom) and disturbances of sleep (not specific), making it less accurate than Option A.
Extract from CPRP Exam Blueprint (Domain I: Interpersonal Competencies):
"Tasks include: 3. Understanding the symptoms of psychiatric conditions, including positive symptoms of schizophrenia (hallucinations, delusions, disorganized speech, and behavior), to support effective communication."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 2 - Interpersonal Competencies.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (defines positive symptoms of schizophrenia).
NEW QUESTION # 115
A strength-focused assessment for psychiatric rehabilitation includes which of the following assessments?
A. Ability to change, personal resources, community resources
B. A positive attitude, support systems, opportunities for change
C. Readiness, functional strengths and needs, and environmental resources/barriers
D. Knowledge and skills, resources, and barriers for meaningful change
Answer: C
Explanation:
A strength-focused assessment emphasizes an individual's capabilities and supports to inform recovery- oriented planning. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) defines such assessments as including readiness (motivation), functional strengths and needs (skills and deficits), and environmental resources/barriers (supports and obstacles) to create a holistic, person-centered plan (Task IV.
A:1: "Conduct functional assessments to identify individual goals and strengths"). Option C (readiness, functional strengths and needs, and environmental resources/barriers) aligns with this, capturing the key components needed to leverage strengths and address challenges effectively.
Option A (knowledge, skills, resources, barriers) omits readiness, a critical factor. Option B (positive attitude, support systems, opportunities) is vague and less comprehensive. Option D (ability to change, personal
/community resources) is incomplete without functional needs and barriers. The PRA Study Guide details these components for strength-focused assessment, supporting Option C.
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.1.
PRA Study Guide (2024), Section on Strength-Focused Assessment.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.
NEW QUESTION # 116
Which of the following would most affect the ability of an individual with schizophrenia to communicate?
A. Lack of motivation
B. Disorganized thoughts
C. Flat affect
D. Anhedonia
Answer: B
Explanation:
This question pertains to Domain I: Interpersonal Competencies, which includes understanding how mental health conditions, such as schizophrenia, impact communication and how practitioners can adapt their approach to facilitate effective interactions. The CPRP Exam Blueprint notes that practitioners must
"understand the impact of psychiatric symptoms on communication and employ strategies to support effective interpersonal interactions." Schizophrenia is characterized by symptoms such as disorganized thoughts, hallucinations, delusions, negative symptoms (e.g., flat affect, anhedonia), and motivational challenges. The question asks which symptom most directly affects communication ability.
* Option A: Disorganized thoughts, a positive symptom of schizophrenia, significantly impair communication by causing incoherent speech, difficulty staying on topic, and challenges in organizing ideas. This directly disrupts the ability to convey thoughts clearly, making it the most impactful symptom on communication.
* Option B: Anhedonia, the inability to experience pleasure, is a negative symptom that affects emotional engagement but does not directly impair the cognitive or verbal processes required for communication.
* Option C: Flat affect, another negative symptom, refers to reduced emotional expressiveness, which may make communication appear less engaging but does not fundamentally disrupt the ability to convey thoughts or ideas.
* Option D: Lack of motivation, also a negative symptom, may reduce an individual's willingness to engage in communication but does not directly affect their ability to communicate when they choose to do so.
Extract from CPRP Exam Blueprint (Domain I: Interpersonal Competencies):
"Tasks include: 3. Understanding the impact of psychiatric conditions and symptoms on communication and behavior. 4. Adapting communication strategies to meet the needs of individuals with psychiatric disabilities."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 2 - Interpersonal Competencies.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
(Referenced in CPRP study materials for understanding schizophrenia symptoms).
NEW QUESTION # 117
An individual describes sadness due to the death of a loved one. The best first response to the individual is:
A. "You feel distraught because you lost someone important to you."
B. "This is an opportunity for you to build your coping skills."
C. "What are the good things about the relationship you could focus on?"
D. "Do you need to talk to your doctor about a medication adjustment?"
Answer: A
Explanation:
This question falls under Domain I: Interpersonal Competencies, which emphasizes building therapeutic relationships, effective communication, and person-centered approaches to support recovery. The CPRP Exam Blueprint specifies that Interpersonal Competencies include "demonstrating empathy, active listening, and responding to individuals in a manner that validates their feelings and experiences." The best first response to an individual expressing sadness due to a loved one's death should demonstrate empathy and validate their emotions, aligning with the principles of psychiatric rehabilitation, which prioritize person- centered, recovery-oriented communication.
* Option B: "You feel distraught because you lost someone important to you" is a reflective listening statement that acknowledges and validates the individual's emotional experience. It shows empathy by restating their feelings and the cause (loss of a loved one), fostering a therapeutic connection. This aligns with the PRA's emphasis on active listening and empathy as core interpersonal skills in psychiatric rehabilitation.
* Option A: Suggesting a medication adjustment assumes a medical need without exploring the individual's emotional state, which is premature and not person-centered. It does not address the expressed sadness or demonstrate empathy.
* Option C: Focusing on positive aspects of the relationship shifts attention away from the individual's current emotional experience, potentially invalidating their grief. This response lacks empathy and does not align with active listening principles.
* Option D: Framing the loss as an opportunity for coping skills development is directive and dismissive of the individual's immediate emotional needs. It fails to validate their feelings, which is critical in the initial response.
Extract from CPRP Exam Blueprint (Domain I: Interpersonal Competencies):
"Tasks include: 1. Establishing and maintaining a therapeutic relationship with individuals. 2. Demonstrating empathy and active listening skills. 3. Using person-centered communication to validate individuals' experiences and promote recovery."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 2 - Interpersonal Competencies.
Anthony, W. A., Cohen, M., & Farkas, M. (1990). Psychiatric Rehabilitation. Center for Psychiatric Rehabilitation, Boston University (recommended study literature emphasizing empathy in recovery-oriented practice).
NEW QUESTION # 118
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