AP211P0001 Which are the therapists most important tasks in the phase, that leads to the psychotherapeutic intervention? (There are four correct answers) establishing if a psychotherapeutic intervention is needed deciding on the type of intervention relapse prevention gaining patient's trust problem solving training formulation of the problem to be treated by psychotherapy together with the patient AP2111P0001 Select the correct statements! (There are two correct answers) After the first psychotherapeutic interview, 15-17% of the patients do not go to the first session. Further 15-17% of patients drop out after the first or second session. After the first psychotherapeutic interview, 26-30% of the patients do not go to the first session. Further 26-30% of patients drop out after the first or second session. A_P2121P0001 Select the correct number of DSM-IV axis Somatic conditions 12345 Psychiatric diseases and other conditions worth clinical attention 12345 Psychosocial and social environmental problems 12345 Personality disorder, mental retardation 12345 Comprehensive summary of functioning 12345 Ez párosító kérdés! A_P2121P0002 Match the GAF scores with the appropiate therapeutic settings. 1. Frequent observation, medicinal and/or psychosocial treatments are also required in their case. They are in the need for communal psychotherapeutic treatment, family intervention and social skill-building interventions. In the case of dysfunctional personality characteristics, long term interventions are also needed. 2. Patient is in need of hospital treatment. In most cases, medicinal treatment is also required. Stabilization of behavior and emotional state, enhancement of correct reality assessment, improvement of social skills, developing the system of social support and cooperation with medical treatment are the most essential interventions.. 3. Shorter consultations are sometimes required, especially at time of difficult life situations such as stress caused by illnesses. 4. The length of psychotherapeutic intervention depends on whether the symptoms are temporary or situational, or are largely determined by dysfunctional personality characteristics or interpersonal problems. For children and adults experiencing relationship problems pair therapy and family therapy can be useful. 5. Patient is a danger to public or themselves, and is not able to take care of themselves, is in need of treatment in a locked psychiatric ward or in an ICU (intensive care unit). Solution/megoldás – ez is párosító 1-20 GAF 5 21-40 GAF 2 41-60 GAF 1 61-80 GAF 4 80-100 GAF 3 A_P21221P0001 Select the inner barriers of enforcing basic social needs (There are five correct answers) Feeling of desolation: Conviction of the patient that they cannot rely on others. Distrust: Others want to abuse them. Feeling of having defective value: If their defects are revealed, they will be desolated or humiliated. Lack of self-reliance: Patient does not dare to make decisions independently. Fear of being neglected: they cannot expect care, appreciation, support. Estrangement: Not belonging to social groups. A_P21221P0002 Select the inner barriers of enforcing basic needs of independence and identity formation (There are three correct answers) Secure attachment: The belief that important attachment figures are available. Feeling of being doomed to fail: Unable to complete tasks independently. Lack of self-reliance: Patient does not dare to make decisions independently. Estrangement: Not belonging to social groups. Dependency: Patient feels they cannot have an own identity, as that would damage their important personal relations. A_P21221P0003 Select the inner barriers of enforcing basic needs of freedom of expressing justified demands and emotions (There are three correct answers) Self-submission: they do not dare to stand up for their needs, desires, emotions, because they are afraid of displeasing the other or being punished or abandoned by them. Elidegenedettség: Nem tartozik egy csoporthoz sem. Self-sacrifice: Patient surrenders their own desires in order to please others. Feeling of being doomed to fail: Unable to complete tasks independently. Feeling of being doomed to fail: Unable to complete tasks independently. Chasing appreciation: In order to gain appreciation, admiration of others, the patient conforms to others’ needs, and gives up their own demands for the sake of being appreciated. AP326P0001 Line up the steps of optimal cycles of psychotherapeutic inventions: A: processing, elaboration, wording and structuring of the experience B: experience-like visualization of yet another episodic autobiographical memory which matches the phenomenon put in abstract terms C: experience-like visualization of an episodic autobiographic memory D: conclusion of the phenomenon which is in the background of the experience using abstract concepts 1 2 3 4 Solution megoldás – ez is párosító! C A D B AP328P0001 Line up the steps of psychotherapeutic inventions aimed at to question internalized self-other representation: A: identification of important people who react similarly to the internal thoughts related to the fulfillment of needs B: visualization of concrete, episodic memories, and relocation of internal processes to the past C: formation of opinions of alternative approaches related to the fulfillment of needs D: identification of internal dialogues, thoughts: what is patient's approach to their own needs E: revelation of the connection between bad mood and needs Ez is párosító Megoldás 1 E 2 D 3 A 4 B 5 C AP3213P0001 Which are the characteristics of behavioral experiments? (There are three correct answers) Participation in psychotherapy research Monitoring the adequacy of their opinions on themselves, others and the outside world Establishment and testing of new, more adaptive ideas Justification and further development of case conceptualization AP3214P0001 Which are the initial indicators of change? (There are four correct answers) Patient accepts the existence of their problem Patient recognizes new aspect of his/her personality Patient accepts his/her need for help Patient becomes hopeful in connection to be given a hand. Patient accepts the therapist as a competent experts of the problem Patient develops new skills AP3214P0002 Which are the indicators of change of the intermediary phase? (There are three correct answers) Patient accepts the existence of their problem Patient regains his/her problem-related competency Patient accepts his/her need for help Patient becomes acquainted with the new aspects of his/her personality. Patient becomes hopeful in connection to be given a hand. Patient regains his/her problem-related competency AP3214P0003 Which are the highest level indicators of the change? (There are three correct answers) Patient establishes an applicable concept embedded in their autobiographies about themselves and their relations to their environment. Patient accepts the existence of his/her problem Redefinition of problems and symptoms. Transformation of feelings and assessments about themselves and others. Patient accepts his/her need for help Based on their personality traits, problems, symptoms and certain traits of their environment, they create a new subjective construction of themselves. AP33P0001 The following conditions must be met to start to make arrangements for the conclusion of the therapy: (There are three correct answers) Patient accepts the existence of their problem A considerable improvements took place in the field of achieving the treatment goals. Patient accepts the therapeutic case-conceptualization. Patient is able to practice skills they acquired during the therapy in solving their problems. Changes can be experienced in central relationship patterns of the patient. AP33P0001 Main steps of the conclusion the therapy: (There are four correct answers) Suggest the opportunity for concluding the therapy (preferably, conclusion should not take place in the session when the idea emerges) Construct a case conceptualization Discuss the date of the last session Strengthen the skills and lessons learned by patient throughout the therapy Prepare the patient for the prevention of possible relapses AP331P0001 Effectiveness of psychotherapeutic process can be evaluated based on the following aspects: (There are five correct answers) Number of symptoms decreases Activation of core beliefs Abilities to tolerate (tolerance) effects of symptoms increases Poor alliance Adaptive capacities increase Consideration increases Basic conflicts, patterns are solved, or become treatable AP4113P0001 Which is the most characteristic logical fallacy in panic disorder? Should statements Emotional reasoning Catastrophizing Personalization AP4114P0001 What are the basic coping strategies in danger? Fight Relaxation Flight Exploration Freezing AP4113P0001 Identify the logical fallacy category that fits best to the following definition! Thinking of things in absolute terms, like "always", "every", "never", and "there is no alternative". All-or-nothing thinking Magnification and minimization Overgeneralization Should statements AP4113P0002 Identify the logical fallacy category that fits best to the following statement! My painting is not perfect, so it is a failure. All-or-nothing thinking Magnification and minimization Overgeneralization Should statements AP4113P0003 Identify the logical fallacy category that fits best to the following statement! This tachycardia will lead to cardiac failure. Should statements Emotional reasoning Catastrophizing Personalization AP4113P0004 Identify the logical fallacy category that fits best to the following statement! Focusing on the worst possible outcome, however unlikely, or thinking that a situation is unbearable or impossible when it is really just uncomfortable. Should statements Emotional reasoning Catastrophizing Personalization AP4113P0005 Identify the logical fallacy category that fits best to the following statement! Continually deemphasizing or "shooting down" positive experiences for arbitrary, ad hoc reasons. Should statements Emotional reasoning Disqualifying the positive Catastrophizing Personalization AP4113P0006 Identify the logical fallacy category that fits best to the following statement! My boss liked the way I did it, but it does not mean that I am good at my job. Should statements Emotional reasoning Disqualifying the positive Catastrophizing Personalization AP4113P0007 Identify the logical fallacy category that fits best to the following statement! I feel it, therefore it must be true. Should statements Emotional reasoning Disqualifying the positive Catastrophizing Personalization AP4113P0008 Identify the logical fallacy category that fits best to the following statement! I feel anxious, therefore it must be dangerous. Should statements Emotional reasoning Disqualifying the positive Catastrophizing Personalization AP4113P0009 Identify the logical fallacy category that fits best to the following statement! Assuming special knowledge of the intentions or thoughts of others. Should statements Emotional reasoning Mind reading Catastrophizing Personalization AP4113P0010 Identify the logical fallacy category that fits best to the following statement! She says, she loves me, but I know that it is a lie. Should statements Emotional reasoning Mind reading Catastrophizing Personalization AP4113P0011 Identify the logical fallacy category that fits best to the following statement! Attribution of personal responsibility (or causal role) for events over which the patient has no control. Should statements Emotional reasoning Mind reading Catastrophizing Personalization AP92P0001 Which of the following is true in psychotic disorders? (More than one correct answer) In schizophrenia, psychotic episodes are present Schizophrenia can be treated with antipsychotic medication Schizophrenia can be cured with psychotherapy Psychotherapy and psychosocial rehabilitation techniques has a role in the treatment of schizophrenia AP92P0002 Which of the following is true in psychotic disorders? (More than one correct answer) Psychotic patients always has an insight about their illness Lack if insight of the disease is common in psychotic diseases Lack of insight does not cause a problem Lack of disease insight often leads to noncompliance and stopping antipsychotic medication AP92P0003 Which of the following is true in psychotic disorders? (More than one correct answer) It is more crucial that the patient understands the advantages of taking the medication, than disease insight itself If the patient does not accept the fact that he has schizophrenia, he won’t take medication One main goal of the LEAP method is that the patient recognizes the advantages of taking the medication Main goal of the LEAP method is referring the patient to psychiatry institute AP92P0004 Components of the LEAP method (More than one correct answer) Listening Liability Empathy Agreement Partnership Psychiatry P_IX_3 AP93P0001 Psychoterapy and psychosocial techniques used in schiophrenia are the following. (More than one correct answer) There is no such technique as schizophrenia should be treated only with antipsychotic drugs Social problem solving training Cognitive remediation Family therapy Hypnosis AP93P0002 Phases of social communication (More than one correct answer) Social perception Social problem solving and decision making Expressing oneself using the appropiate verbal, nonverbal and paralinguistic channels AP93P0003 Which of the following are true for cognitive remediation? (More than one correct answer) Main technique is the evaluation of negative automatic thoughts It includes the improvement of basic cognitive skills such as attention and memory It is useful as part of a complex rehabilitation program It cures schizophrenia AP93P0004 What is „Expressed Emotion”? (More than one correct answer) Amount of expressed positive feelings Hostility Emotional overinvolvement Critical comments Nonverbal expression of emotions AP513P0001 It is a symptom of depression: reduced appetite excessive appetite loosing weight gaining weight AP5431P0001 Choose the typical life events that activate depressive episodes? Regular sport activity Relational conflicts Conflicts at the workplace Economic problems AP54321P0001 Line up the steps of six steps problem solving technique! Definition of the problem or goal. Plan exactly how to carry out the solution. Highlight the main advantages and disadvantages of each suggestion. Review progress in carrying out plan List all possible solutions -- brain storming. Choose the most practical suggestion. Solutions 1 5 3 6 2 4 AP533P0001 Identify the logical fallacy category that fits best to the following definition! Explaining behaviors or events, merely by naming them. Labeling and mislabeling Magnification and minimization Overgeneralization Should statements AP533P0002 Identify the logical fallacy category that fits best to the following statement! I am stupid. Labeling and mislabeling Magnification and minimization Overgeneralization Should statements AP533P0003 Identify the logical fallacy category that fits best to the following definition! Distorting aspects of a memory or situation through magnifying or minimizing them such that they no longer correspond to objective reality. Labeling and mislabeling Magnification and minimization Overgeneralization Should statements AP533P0004 Identify the logical fallacy category that fits best to the following sentence! Even though I have good marks, I am stupid. Labeling and mislabeling Magnification and minimization Overgeneralization Should statements AP533P0005 Identify the logical fallacy category that fits best to the following definition! Focusing almost exclusively on certain, usually negative or upsetting, aspects of an event while ignoring other positive aspects. Labeling and mislabeling Mental filter Overgeneralization Should statements AP533P0006 Identify the logical fallacy category that fits best to the following definition! My wife was very happy at our anniversary, although she found the wine too sweet. So the dinner was a disaster. Labeling and mislabeling Mental filter Overgeneralization Should statements AP533P0007 Identify the logical fallacy category that fits best to the following definition! Taking isolated cases and using them to make wide generalizations. Labeling and mislabeling Mental filter Overgeneralization Should statements AP533P0008 Identify the logical fallacy category that fits best to the following statement! I missed the train, I always miss everything. Labeling and mislabeling Mental filter Overgeneralization Should statements AP533P0009 Identify the logical fallacy category that fits best to the following definition! Having rigid rules which the patient believes will "always apply" no matter what the circumstances are. Labeling and mislabeling Mental filter Overgeneralization Should statements AP61P0001 A psychological symptom occurring sooner or later in the case of insomnias (There is only one correct answer) Hypnagogic hallucinations Nightmares Hyperarousal Parasomniac phenomena (sleepwalking or somnambulism, grinding of the teeth or bruxomania, etc.) AP61P0002 A psychological symptom occurring sooner or later in the case of insomnias (There is only one correct answer) Coping attempts impairing sleeping disorder Generalized anxiety disorder Nocturnal panic attacks Phase advancement of REM AP61P0003 A psychological symptom occurring sooner or later in the case of insomnias (There is only one correct answer) Nocturnal vegetative agitations Confused nocturnal awakenings Worrying on account of sleeping Hypnopompic hallucinations AP61P0004 What may be the cause of a paradox increase of wakefulness prior to falling asleep? (There are two correct answers) Lifestyle factors (e.g. unsystematicness, over-consumption of stimulants) The lack of daytime exhaustion on account of passivity Thoughts independent of sleep but inducing tension (e.g. brooding over the day’s worries in the evening) Too few daytime stimuli AP61P0005 What may be the cause of a paradox increase of wakefulness prior to falling asleep? (There are two correct answers) Relaxation, mellowing out (on account of the paradoxical effect) Tension inducing thoughts associated to sleeping, which are connected to the circumstance of falling asleep or the lack of sleep of the following day Everyday stress which is not worked off Physical exercises of the early or late morning hours or of the early afternoon AP61P0006 Which are the activities, normally serving the overcoming of sleeping disorders or lack of sleep, that paradoxically are able to impair sleeping disorders? (There are two correct answers) The over-consumption of coffee and energy drinks Excessive daytime physical exercises Behaviours aiming at promoting but paradoxically impairing falling asleep (e.g. the counting of sheep) Keeping a diary AP61P0007 Which are the activities, normally serving the overcoming of sleeping disorders or lack of sleep, that paradoxically are able to impair sleeping disorders? (There are two correct answers) Evening activities done in bed Striving to control environmental stimuli (e.g. ear-plugs, shading systems) Using bedroom only for sleep Evening conversations (on the phone or in person) AP61P0008 Which are the activities, normally serving the overcoming of sleeping disorders or lack of sleep, that paradoxically are able to impair sleeping disorders? (There are two correct answers) Regular daytime sports Daytime naps at hours breaking the circadian rhythm Decreasing time spent in bed Avoidance of socializing AP61P0009 Which are the activities, normally serving the overcoming of sleeping disorders or lack of sleep, that paradoxically are able to impair sleeping disorders? (There are two correct answers) The increase of time spent in bed Establishing sleeping habits Sleeping together with a sleeping mate who provides assurance Going to bed early AP61P0010 Which are the thoughts that are able to raise the level of wakefulness in a situation of falling asleep? (There are two correct answers) Worrying about sleeping Neutral thoughts that follow each other loosely and incoherently Thoughts concomitant with mellowing out (on account of the paradoxical effect) Thinking of the correct time AP64P0001 Which of the following are important sleep-educational areas? (There are two correct answers) The need for sleep is subjective, there is no “normal value” of it. It is 7-7.5 hours on an average (not 8!), but there can be huge deviations from this. Dreaming is an important process, for it reveals our unconscious desires. The measurement of the quality of sleep is whether we wake unrefreshed or not, and not the quantity of our sleep and how deep we consider it to be. Sleeping cycles are approx. ninety minutes long, and their conscious timing is very important in terms of the biorhythm. AP64P0002 Which of the following are important sleep-educational areas? (There are two correct answers) Dreaming is of crucial importance; a part of our normal sleep is that we remember our dreams. The sleep before midnight is the most useful part of the sleep. Nocturnal awakenings are natural, but many times they do not get conscious. Sleeping is a part of the daily biorhythm, thus the best way to regulate it is to have a lifestyle as orderly as possible. AP64P0003 Which of the following are important sleep-educational areas? (There are two correct answers) Sleeping has its set time in the biorhythm. If “we are not yet at the fallingasleep phase,” it is not sure, we can fall asleep, if, however, we succeed, that may impair the quality of our sleep. It is recommended to wait for the arrival of drowsiness in bed, ready to sleep. Evening meals impair the quality of sleep. Efforts made against lack of sleep may very easily impair the next night’s sleep. AP64P0004 Which are the aims of sleep hygiene counselling? (There are two correct answers) Developing a “sleep-friendly” lifestyle. Developing the skill of conscious dreaming. Preparation for a conscious falling-asleep. Reducing behaviours, which are directed to the treatment of the symptoms of lack of sleep, but which nevertheless impair the following night’s sleep. AP64P0005 Which are the aims of sleep hygiene counselling? (There are two correct answers) Training the skill of remembering dreams Resetting/stabilizing the circadian rhythm Creating an optimal sleeping environment Training of the methods serving the counterbalancing of lack of sleep AP64P0006 Which are the aims of sleep restriction? (There are two correct answers) Demonstrating what a real lack of sleep is like Increasing homeostatic sleep pressure Questioning the patients’ beliefs about performance decrease Increasing sleeping spindles in the sleep structure AP64P0007 Which is the aim of sleep restriction from the following? (There is only one correct answer) Stabilizing the circadian rhythm Strengthening the skill of remembering dreams Improving daytime symptoms Controlling daytime anxieties AP64P0008 What second-line interventions are you familiar of in the cognitive therapy of sleeping disorders? (There are two correct answers) Cognitive restructuring Relaxation Training the skill of remembering dreams Sleep hygiene counselling AP64P0009 Which techniques may be used from the following for restructuring anxious thoughts connected to sleep? (There are two correct answers) Motivation interview Training the skill of remembering dreams Behavioural experiments Standard questions AP64P0010 Which are the basic principles of relapse prevention in insomnia? (There are two correct answers) Preparation for sleeping should always be taken seriously We should never make up for the symptoms of lack of sleep the following day Let us always take good care of getting to bed in time We should never remain in bed awake for more than 10-15 minutes. AP71P0001 What is characteristic of somatization? (There are two correct answers) Chronic somatic complaints that have no somatic illnesses or functional disorder behind them. Consciously induced symptoms by patient for the sake of secondary gains of illness. It is characterized by a special personality structure, psychosocial background factors are of no significance. The complaints cause such suffering and functional disorder to the patient, as if he indeed had severe somatic lesions. AP71P0002 What is characteristic of somatization? (There are two correct answers) It is characterized by a special personality structure, psychosocial background factors are of no significance. It is characterized by a total helplessness as far as the symptoms are concerned. Everyday stress plays an important role in it. It is usually a concomitant phenomenon of severe psychiatric illnesses (e.g. schizophrenia). AP71P0003 How prevalent somatization is? (There is only one correct answer) According to a number of different epidemiological surveys, 26-40% of medical consultations. According to a number of different epidemiological surveys, 6-36% of medical consultations. According to a number of different epidemiological surveys, 1-5% of medical consultations. According to a number of different epidemiological surveys, 10-15% of medical consultations. AP71P0004 What important additional behaviours may be observed in somatizational disorder? (There are two correct answers) Fears connected to information regarding health and illnesses, and the avoidance of these fears Increased self-monitoring, watching and seeking of somatic symptoms Worries on account of the somatic symptoms and their (presumed) consequences Anxieties connected to social situations, and the avoidance of these situations AP71P0005 What important additional behaviours may be observed in somatizational disorder? (There are two correct answers) Developing an increasingly passive lifestyle Perfectionism and a considerable achievement-centeredness in work, in private life, etc. Aspiring to intensely control others Insufficiency of the skills serving the treatment of everyday stress AP71P0006 What important additional behaviours may be observed in somatizational disorder? (There are two correct answers) Permanent gathering of information connected to illness An increased preoccupation with somatic complaints Hallucinations Fear of blood and of medical interventions AP71P0007 What is the most significant difference between somatizational disorder and hypochondriasis? (There is only one correct answer) Hypochondriasis is more prevalent in social groups of higher education. In hypochondriasis patients do not go to see doctors all the time – on the contrary, they are afraid of medical interventions. In hypochondriasis the anxiety from diseases is what dominates, while in somatization the inexplicable somatic symptoms are. In somatization hallucinations also occur. AP71P0008 Which educational elements are useful in the communication with somatizing patients? (There are two correct answers) We should emphasise that complaints can be traced back to psychic traumas. We emphasise to the patient from the beginning of the examination that his complaints are not necessarily connected to somatic diseases. We ask the patient no to worry. We emphasise that somatic complaints without a somatic lesion are of everyday occurrence. AP71P0009 Which educational elements are useful in the communication with somatizing patients? (There are two correct answers) We emphasise that the fact that we haven’t found organic lesion in the background of the complaints is a common and well known occurrence. We explain using commonplace examples, how somatic occurrences might be connected to psychic events and stress. We emphasise that the patient has no serious problems. We ask him not to care about these symptoms, since there is no disease in their background. AP71P0010 Which educational elements are useful in the communication with somatizing patients? (There are two correct answers) Discussing the patient’s fears in detail Reassurance of the patient with plain talk Supporting the patient in gradually returning to his usual everyday activities We point it out to the patient that he burdens the resources of public health gratuitously. AP71P0011 Which educational elements are useful in the communication with somatizing patients? (There are two correct answers) We tell the patient with what diagnostic means may we attain a more accurate diagnosis. Support in solving the everyday difficulties of the patient. Teaching stress treating skills. Revealing childhood traumas that are in the background of the complaints. AP722P0002 It belongs to the cognitive behavioural therapeutic model of somatization. (There are two correct answers) Anxious thoughts about the symptoms occur; the dangerous nature of the symptoms are overrated On account of the anxiety the negation of the somatic origin of complaints occurs The patient continuously monitors his symptoms Secondary gains of illness become emphatic for the patient AP722P0003 It belongs to the cognitive behavioural therapeutic model of somatization. (There are two correct answers) The patient avoids the information connected to the actual explanation of the disease. The patient neglects important areas of personal success (work, leisure time, etc.) The threshold of pain and the threshold of stimulus connected to body perception lowers. The patient is brooding over his unprocessed psychic traumas AP722P0004 It belongs to the cognitive behavioural therapeutic model of somatization. (There are two correct answers) The patient blames others for the evolvement of his complaints The lowering of the threshold of stimulus intensifies anxieties. Anxieties connected to blood and medical interventions evolve. A reassurance-seeking behaviour develops. AP722P0005 It belongs to the cognitive behavioural therapeutic model of somatization. (There are two correct answers) A self-destructive circle of catastrophization – self-monitoring – further lowering of the threshold of stimulus and strengthening of symptoms evolves. Patients see doctors partly because they seek reassurance. An adequately detailed examination may discontinue the self-destructive circle. Examinations may result in a pathological attachment to the doctor. AP722P0006 What is one of the direct purposes of a psychotherapeutic intervention in the case of a somatization disorder? (There is only one correct answer.) Restructuring the personality. A absolute termination of the anxious way of thinking. Elimination of disease consciousness. Elimination of the preoccupation with symptoms. AP722P0007 What is one of the direct purposes of a psychotherapeutic intervention in the case of a somatization disorder? (There is only one correct answer.) The reduction of anxieties connected to the symptoms. The transformation of the somatizing personality. Increasing the knowledge related to diseases. Revealing childhood traumas. AP722P0008 What is one of the direct purposes of a psychotherapeutic intervention in the case of a somatization disorder? (There is only one correct answer.) Involving the patient into diagnostic interventions which are more complicated, more painful and more costly, and thus usually avoided by patients. Instead of the continuous searching of symptoms, the realization of a positive health-behaviour (e.g. healthy lifestyle). Elimination of all thoughts related to health and illness, for in the case of somatization disorders these all induce anxiety. Decreasing generalized anxiety disorder AP722P0009 What is the aim of symptom monitoring in the somatization therapy? (There are two correct answers.) Symptom monitoring cannot be an aim in somatizing, since patients permanently monitor themselves anyway. Its aim is to support with objective data that the time spent on the symptoms and the acuteness of the symptoms are interdependent. Symptom monitoring cannot is not an aim, for it may lead to an increased disease consciousness. It throws light on the fact that on days spent more actively and with other activities, the symptoms are less intense. AP722P0010 What is the significance of stress-treatment in somatization disorders? (There are two correct answers.) It distracts attention from somatic complaints. It helps in the controlling of symptoms, for in connection with stress situations symptoms intensify. It increases the patient’s everyday activity. It helps to attain medical examinations more effectively. AP722P0011 Which questions may help patients in accepting the fact that in the background of their somatic complaints psychological factors may also possibly exist? (There are two correct answers.) How did the duration of the complaints relate to the disease feared by the patient? How does everyday stress affect the symptoms? What childhood memories come to your mind at the occurrence of the symptoms? What somatic diseases may arise in the background of your complaints? AP722P0012 Which questions may help patients in accepting the fact that in the background of their somatic complaints psychological factors may also possibly exist? (There are two correct answers.) What happens differently in those periods of time when the symptoms are worse and in those when they are more tolerable? Towards what diagnoses have you been earlier examined by doctors? What diseases came to your mind when you read about your complaints? What proofs support the fact that you have no somatic diseases? AP81P0001 Additional symptoms and behaviours that are frequent concomitants of chronic diseases. (There are three correct answers.) Helping attitude towards other patients Depressive symptoms or major depressive episode They become experts of their own diseases Compliance-problems High level of everyday stress AP81P0002 Additional symptoms and behaviours that are frequent concomitants of chronic diseases. (There are three correct answers.) Anxiety symptoms or anxiety disorders (e.g. panic disease, generalized symptom disorder) Depressive symptoms or major depressive episode Excessive disease consciousness, predominance of avoidance behaviours, introduction of gratuitously severe restrictions into the way of living They become experts of their own diseases Hallucinations and thinking disorders AP81P0003 Additional symptoms and behaviours that are frequent concomitants of chronic diseases. (There are three correct answers.) Depressive symptoms or major depressive episode Hallucinations and thinking disorders Helping attitude towards other patients Negating diseases Compliance-problems AP81P0004 A possible attitude of chronic patients towards the therapy, except for (one exception is possible) Depressive Plaintive Negating Compliant AP81P0005 A possible attitude of chronic patients towards the therapy, except for (one exception is possible) Plaintive Negating Pedantic Compliant AP81P0006 A possible attitude of chronic patients towards the therapy, except for (one exception is possible) Plaintive Negating Compliant Performance-centred AP81P0007 Select the standard questions for the questioning of the worries. (There are two correct answers.) What proves that what you think of your complaints, is true? How else may your complaints be perceived? Why do you think that you are seriously ill? Why is difficult for you to accept what the doctors say? AP81P0008 Select the standard questions for the questioning of the worries. (There are two correct answers.) What is the worst that can happen? Why do you think that your complaints are severe? Why do you think that this disease is so dreadful? How does it affect you if you believe that there is some severe disease in the background of your complaints? AP81P0009 Select the standard questions for the questioning of the worries. (There are two correct answers.) What is reassuring for you in these examination results? Why do you think that your complaints are severe? What proves that what you think of your complaints, is true? How would it affect you if your thinking concerning the situation would change? AP81P0010 Which of the following belong to the steps of a motivational interview? (There are two correct answers.) Empathic listening Cognitive restructuring Reframing responsibility Distracting attention AP81P0011 Which of the following belong to the steps of a motivational interview? (There are two correct answers.) Cognitive restructuring Inducing discrepancy Reframing responsibility Argument directed at the persuasion of the patient AP81P0012 Which of the following belong to the steps of a motivational interview? (There are two correct answers.) Argument directed at the persuasion of the patient Cognitive restructuring Rolling up resistance Inducing discrepancy AP81P0013 Which of the following are compliance increasing techniques? (There are two correct answers.) A beteg bevonása a döntéshozatalba A beteg optimista biztatása Nyílt beszélgetés a mellékhatásokról A lehetı legtöbb felelısség és feladat átvétele a betegtıl AP81P0014 Which of the following are compliance increasing techniques? (There are two correct answers.) Making an action plan Clearing up misconceptions Prohibiting browsing the Internet for disease-related data, for the sake of avoiding inadequate information Frequent diagnostic examinations AP81P0015 Which of the following are compliance increasing techniques? (There are two correct answers.) Frequent diagnostic examinations An open discussion of the side effects Patient education Limiting the patient’s questions AP81P0016 Which of the following are compliance increasing techniques? (There are two correct answers.) Making an action plan Optimistic encouragement of the patient Prohibiting browsing the Internet for disease-related data, for the sake of avoiding inadequate information Involving the patient into the decision making AP81P0017 Techniques of efficient persuasion in the case of chronic diseases. (There are two correct answers.) Soceratic questioning Proof-based reasoning Inducing discrepancy Pointing out logical fallacies in the patient’s thinking AP81P0018 Techniques of efficient persuasion in the case of chronic diseases. (There are two correct answers.) Inducing discrepancy Intensified or double-sided reflection Proof-based reasoning Reasoning based on medical authority and expertise AP81P0019 Techniques of efficient persuasion in the case of chronic diseases. (There are two correct answers.) Soceratic questioning Reducing discrepancy Proof-based reasoning Motivational interview AP81P0020 Techniques of efficient persuasion in the case of chronic diseases. (There are two correct answers.) Reducing discrepancy Pointing out logical fallacies in the patient’s thinking Empathic feedbacks Inducing discrepancy P_X_2 questions AP102P0001 Who can use the brief intervention technique? (More than one correct answer) Psychiatrists Surgeons Family doctors AP102P0002 Which of the following statements is true? (More than one correct answer) Some of the risk drinkers will develop alcohol dependeny in the future The aim of Brief Intervention is to screen risky drinkers and motivate them for change Brief Intervention takes 3 to 4 days Brief Intervention is not evidence based AP102P0003 What is the WHO’s suggestion for treating the patients who are in Risk Zone 2 (AUDIT score 8-15)? Education Simple advice Advice, brief consuelling and skill training Referral to addictology AP102P0004 Which of the following statements is true? (More than one correct answer) Those patients are in Risk Zone 3, who already experience the alcoholassociated problems, such as somatic or mental illness, accidents, legal problems, reduced work achievement, interpersonal conflicts. Patients in Risk Zone 3. should be referred to an addictology or psychiatry ward. Treatment in risk zone 3. includes advice, brief consuelling and skill training. Consuelling includes discussion of the advantages and disadvantages of drinking. P_X_3 questions AP103P0001 The patient does not recognize or accept the problem, does not want a change, is verbally aggressive and hostile with the terapist. Which motivational phase is this? Contemplation Precontamplation Determination Action Relapse AP103P0002 The patiens recognizes and accepts the problem, is considering change, but is not determined yet, but ambivalent. Which motivational phase is this? Contemplation Precontamplation Determination Action Relapse AP103P0003 The patient have recognized the problem and decided to change. Which motivational phase is this? Contemplation Precontamplation Determination Action Relapse AP112P0001 Female sexual disorders in DSM IV. (More than one correct answer) Female hypoactive sexual disorder Female hyperactive sexual disorder Vaginismus Attention deficit hyperactivity disorder Female hypoactive sexual arousal AP112P0002 What is the circular modell of female sexual arousal? (More than one correct answer) It is the same as the linear modell If the intercourse is rewarding, it increases desire and arousal in the future In many cases, the reason for sexual intercourse is not sexual desire AP112P0003 Cognitive modell of erectile dysfunction includes: (More than one correct answer) Dysfunctional attitudes towards sexuality Catastrophization of failure Negative automatic toughts about performance Focusing on erotic clues AP122P0001 They would like to get near to others, but are afraid that others would criticise, hurt and refuse them. Since they are afraid of the doctor’s criticism, they do not dare to ask if they haven’t understood something from the therapeutic suggestions. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0002 During medical interventions they have difficulties with giving feedback if they have complaints or do not agree with the doctor’s opinion. For this reason they have to be asked to give regular feedback. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0003 They feel totally helpless without the support of another person. For this reason they are willing to give up many things to win the other’s support. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0004 At first, the doctors are impressed by the patient’s respect and devotion. The patient’s recurrent need for support may, however, easily become cumbersome, especially if his somatic disease does not render any further treatment necessary. In such cases doctors easily become irritable and negative, which intensifies the patient’s fear of losing the doctor. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0005 They usually show up in consulting rooms with dramatic symptoms. Conspicuous signs of self-injurious behaviour at the physical examination: self-cuts, burnings, pin-pricks, hitmarks, scratches on the body. Frequent suicide attempts or the repeated and empathic assertion of a suicidal intent. Extreme waverings of mood, even several times a day. Impulsive acts: alcohol-drug abuse, bulimia, unsafe sex life. Turbulent, extreme relationships with family members, partners, and members of the medical personnel. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0006 Those near them they alternately love or hate. They are distrustful, and dread of being forsaken by the other sooner or later. As a result of severe stress they temporarily become paranoid, and assume evil intention in the other person. The doctor-patient relationship may also become turbulent. They are particularly sensitive to any kind of frustration: waiting, cancelling or changing an appointment. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality P122P0007 Their fundamental belief of themselves is that their organism, their emotions and their behaviour are difficult to control, and world is unpredictable, so they need to create a perfect system, and they need to keep everything under control in order to avoid collapse. The idea, “to err is human,” is unacceptable for them, for even the tiniest mistake may lead to total collapse. Illness, for them, means the threatening loss of control over their bodies. Making use of medical treatment is also considered a loss of control, for their recovery becomes dependent on the doctor’s treatment. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0008 They have very rigorous expectations of the doctors and the medical personnel. They usually prepare very thoroughly from their disease, they gather information about possible treatment methods and the contingent side effects of medications and other treatment methods. They do this to alleviate their intense anxiety. Doctors, in many cases, are offended if they do not recognise that they are facing a person of compulsive personality, who tries to cope with his intense anxiety in this way. They feel that the patient contests their professional competence and criticises them. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0009 At the first appointment they inquire about the post and position of the doctor. Usually they do not let medical students, residents or freshly qualified specialists to examine them. They require the attention of high-ranking professionals. They belittle doctors who, in their opinion, are of low status, and idealize those who, in their opinion again, are standing high enough in the hierarchy. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0010 For them people are of two functions. There are those beings, idealized by them (head physicians, professors, directors), whose magnificence they share by becoming acquainted to them. And there are those inferior persons (young doctors, residents, etc.), whose job is to admire and serve them. This type of statement is consistent with what personality type? Avoidant personality Dependent personality Borderline personality Obsessive personality Narcisisstic personality AP122P0011 If they fall ill, the illness and the defencelessness arising from it increases their suspicion and hostility. They are suspicious of the treating personnel too. At times they believe that medical interventions are unwarranted and harmful. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP122P0012 It may occur during medical interventions that they misunderstand certain gestures or interventions, and take them to be attacks directed against them. In such instances their behaviour may become hostile, and they start accusing the doctor. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP122P0013 In the course of the medical service they constitute a problem mainly in those cases where they want to get the doctor to provide them such a service, prescribe such a medication or to issue such a medical certificate which, from a medical point of view, are not justified. If the doctor proceeds in a proper professional manner and rejects all these requests, these patients easily lose their temper, start putting in immodest claims, then start menacing, and neither violent actions may be excluded. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP122P0014 Since the cardinal question of antisocial personalities is “Who exploits who?”, he is on the look-out, right from the beginning of the doctor-patient relationship, whether the doctor is strong enough, whether he is able to defend himself, or he is just another weak individual whom he can exploit for his several aims. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP122P0015 In the doctor-patient relationship they primarily strive to charm and seduce the doctor. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP122P0016 Their main interpersonal strategy is being aloof, as much as possible. They may be together with others for specific purposes (e.g. entertainment, sex), but otherwise they prefer keeping themselves aloof. They perceive any sign of intrusion or interference as a threat. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP122P0017 Every kind of confidential, honest and empathic relationship that constitutes the basis of a doctor-patient relationship seems threatening for them, and for this reason they always keep putting off medical examinations. This type of statement is consistent with what personality type? Paranoid personality Antisocial personality Obsessive personality Histrionic personality Schizoid personality AP1311P0001 Nearly numbers of completed suicides/year during the past decade in Hungary: 1500 1000 2500 2000 3500 AP1311P0002 Male to female ratio of of completed suicides/year during the past decade in Hungary: with males: between 30 and 20/100,000 persons; with females: between 25 and 15/100,000 persons with males: between 60 and 50/100,000 persons; with females: between 10 and 5/100,000 persons with males: between 10 and 5/100,000 persons; with females: between 75 and 60/100,000 persons with males: between 50 and 40/100,000 persons; with females: between 15 and 10/100,000 persons AP1312P0001 Which are the most important risk factors of suicide! (there are four correct answer) A previous suicide attempt. A stable emotional, family and social background Various mental disorders: primarily the affective diseases (particularly the longstanding, recurrent and frequently untreated major depression). Bringing up children. Sociodemographical characteristics (male sex, old age, unemployment, divorced or widowed, living alone etc.). Good state of health. Other factors (a childhood negative life event, actual psychosocial stressor, suicide in the family, chronic somatic disease etc.). AP1314P0001 What is the required setting of the treatment of acute suicidal crisis? Supportive talk Acute psychiatric ward Outpatient treatment Day hospital treatment AP13212P0001 The following belong to the elements of crisis support: (there are four correct answer) supporting and fortifying the client in crisis; protection against he negative consequences of the crisis; restoration of the patient’s everyday functions and adaptive abilities; analysing the crisis inducing deeper connections and the graver personality problems hiding in the background; strivings aimed at the modification of external factors; AP13231P0001 According to the development-centred approach of modern crisis paradigm, the primary aim of crisis intervention is that the client: (there are four correct answer) systematic desensitization; survives the acute stage of the crisis; gets well and changes in the sub-acute stage; then develops further, and finally becomes a more mature personality; AP13231P0002 The maximum duration of crisis intervention is: maximum 6-8 weeks and a corresponding number of meetings, since generally we meet the client four or five times a week. maximum 2-3 weeks and a corresponding number of meetings, since generally we meet the client once or twice a week. maximum 6-8 weeks and a corresponding number of meetings, since generally we meet the client once or twice a week. maximum 6-8 months and around 64 meetings. AP13233P0001 The aims of the final stage of crisis intervention are: detachment, evaluation of the situation, redefinition and positive anticipation of the future, planning practical tasks, AP13233P0002 The aims of the final stage of crisis intervention are: emphasizing favourable changes, reinforcing strivings for independence, instead of giving concrete advice, supporting preformed decisions, clarifying the possibilities of further assistance and of future call for help AP141P0001 What is untrue concerning the notion of bad news? We call bad news every piece of information that permanently influence the prospects of future. Every piece of illness related information is qualified as bad news. Mostly information concerning an illness of fatal outcome is what constitutes bad news. Bad news is an extensive notion, and the subjective aspects of the patient greatly determine what we mean by it. AP141P0002 Models of imparting bad news: The model of individually tailored information The model of joint decision making The model of concealment The model of charting resources AP1413P0003 The advantages of the individually tailored model: The patient will more likely be able to cope with the situation and mobilize resources of help from his environment There are no concealed facts; communication remains open among the doctor, the patient and the relatives, thus therapy and the management of practical issues are more easily realizable One occasion is sufficient for it and requires less preparation on behalf of the doctor It may be routinely applied on the basis of an accurately defined algorithm AP1411P0004 What reasons are there against the concealment of bad news? The majority of patients do not want to know about the bad news concerning them. Family members are compelled to assume an air of secrecy, which burdens the patient-relative relationship Concealment spares the patient the emotional burden. The majority of patients find out about their illness form the metacommunication of the medical personnel. AP1421P0005 Concerning the imparting of bad news the following rules are needed to be taken into consideration: Bad news is imparted by the family doctor of the patient, because he is in the closest connection with the patient Bad news has to be told already at the time when suspicion arises in the doctor Bad news is imparted by the doctor who first gets to know about it Further doctors of the patient also have to be informed about the imparting of bad news AP1412P0006 Concerning the providing of immediate and comprehensive information which of the following are true? It seems to be in accord with the rights regarding patient information. It does not take the actual psychological state of the patient into consideration It takes the actual psychological state of the patient into consideration It involves the patient into deciding whether he wishes to get to know the information concerning him, or not AP1421P0007 Informing the relatives happens according to the following rules: Relatives have to be informed under all circumstances It is the patient who decides about the information of the relatives It is the doctor who decides about the information imparted to the relatives It is the patient who decides about the information imparted to the relatives AP1422P0008 When suspecting a tumour, which of the following statements are most advisable to be employed? (There is only one correct answer): “A shadow can be seen on the X-ray. We have to see about it, what it is.” “Based on the X-ray, you may have a tumour. To investigate it, further examinations are needed.” “On the X-ray a deformation can be seen, which may caused by an inflammation as well. However, in order to preclude the likelihood of a more severe disease, further examinations are needed to be make.” “Based on the X-ray, nothing certain can be said. Further examinations are needed.” AP14221P0009 What is the role of preparation in the course of an individually tailored information? (There are two correct answers) The doctor can think over how he will inform the patient, what he will tell him. The doctor may prepare the adequate examination tools, and perhaps do the washup. He may prepare the written information material that he is about to provide his patient with. He asks the relatives in advance to prepare the patient for the prospective bad news. AP14222P0010 The opening question is important because: It will be on the basis of the answer that the doctor will be able to decide how to impart the bad news. This is the time when it comes to light what further examinations the patient is needed to be sent to. It introduces the imparting of bad news according to the norms of politeness. It reveals the patient’s preliminary knowledge and beliefs. AP14222P0011 Decide, which ones of the following may be suitable opening questions in the process of communicating bad news: “Why did you come to me just now?” “Has anything changed in your condition since our last meeting?” “Would you like one of your relatives to take part in the conversation?” “Could you find my office easily?” AP14223P0012 What does asking for consent pertain to in the process of communicating bad news? Whether the patient approves of our examining him. Whether the patient approves of his relatives being present. Whether the patient approves of painful interventions being performed on him. Whether the patient approves of being informed. AP14224P0013 Which statement is not true of the information providing stage of the SPIKES model: The gradual and to-the-point communication is very important. There should be a constant striving for a bilateral communication. Semantic confusions often cause problems in the process of communication. Meta-communication plays a minor part in the process of providing information. AP14224P0014 Which of the following statements are true of the information providing stage? We may use figures, emphasizing the chances of mortality. The stage of providing information may extend over further doctor-patient meetings. Information is always imparted in the presence of relatives, so that patients should have immediate support. The word cancer often has a different meaning for patients and for doctors. AP14224P0016 Semantic confusion means that: The patient and the doctor uses the same expression in a different sense. The patient gets confused concerning the significance of an examination. The doctor uses a jargon the patient does not understand. The doctor gets confused when a complaint, uncharacteristic of the disease, occurs. AP14225P0018 By what supportive communicational techniques can we forward a conversation that has faltered? By empathic reflection. By open-ended questions and summarizing. By taking over the lead. By offering further explanations. AP14225P0019 It is characteristic of supportive behaviour that: It takes the patient’s actual condition into consideration. It responds to the occurring reactions that stir up emotions. It is an inherent faculty, which cannot be developed. It assures the patient that we know exactly what he may feel. AP14225P0020 Which are the avoidable sentences in the process of communicating bad news? “I know exactly what you feel. Many of my patients have already gone through the same!” “I’m very sorry that I have to say this to you.” “Don’t worry, cheer up, everything’s gonna be all right!” “I see this upsets you very much.” AP14224P0022 Which of the following statements are true of the imparting of bad news? The imparting of bad news constitutes tension for doctors, so they often try to use “flower language”. The imparting of bad news takes place at the first occasion following the establishment of the diagnosis, later we do not touch upon the subject any more. Subsequent to the imparting of bad news, we may also involve a professional helper, who will give assistance to the patient in decreasing emotional burdens. The empathic behaviour of the doctor increases the risk of burning out. AP14225P0023 By an information block we mean (there is only one correct answer): When processing bad news, the patient, due to the emotional trauma, cannot receive any more information. When the doctor gets stuck in the process of providing information. When the patient gets stuck in the process of providing information. When the flow of information between doctor and patient becomes congested, because they use certain expressions differently. AP1423P0025 In connection with the handling of difficult questions the following suggestions are valid: We should always be honest and supportive at the same time. We shouldn’t take charge of what we don’t know, for by this we decrease the patient’s trust in us. We shouldn’t determine the time of the expectable death in a fixed point of time. Hope may be maintained only if there is any chance of survival. AP1424P0026 After having told the bad news, what further duties does the doctor have? After having told the bad news, the doctor has no further duties. The doctor has to inform the members of the attending workgroup of the conversation. The doctor has an obligation of official secrecy, ha must not speak about what has been said during the conversation; he may only make a written record of it. He must also make a record of the persons who were present at the conversation. AP1411P0029 What false beliefs preserve the concealment of bead news? The majority of patients do not want to know the bad news. We spare the patient emotionally, if we don’t tell him the bad news. Patients will find out about their illness anyway if they wish to. The patient will be less able to influence the process of his recovery. AP141221P0030 The steps of the stage of preparation are the following: Providing a convenient place. Arranging tissue paper and water. Organizing a medical consultation Arranging a medical specialised textbook . AP14225P0031 Which of the following are suitable for supporting the patient? Handing over written materials Involving family members Sports, a change of lifestyle Providing a stress-free environment
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