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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q105-Q110):

NEW QUESTION # 105
A consumer-provider meets with a new referral and finds she knows the person from church. If she decides to provide services to this referral, this would be an example of a:

A. Conflict of interest.
B. Transference issue.
C. Boundary issue.
D. Dual relationship.

Answer: D

Explanation:
This question pertains to Domain II: Professional Role Competencies, which focuses on maintaining professional ethics and boundaries, particularly in managing dual relationships. The CPRP Exam Blueprint and PRA Code of Ethics define a dual relationship as "a situation where a practitioner has a pre-existing personal or professional relationship with a client outside the therapeutic context, such as knowing them from a community setting like church." The scenario involves a consumer-provider (a peer provider) knowing a referral from church, creating a dual relationship if services are provided.
* Option D: Providing services to someone known from church constitutes a dual relationship, as the consumer-provider has both a professional (service provider) and personal (church acquaintance) relationship with the individual. This situation requires careful ethical management to avoid boundary violations, per PRA guidelines.
* Option A: Transference involves unconscious feelings projected onto the provider, not a pre-existing relationship, making it irrelevant here.
* Option B: A conflict of interest involves competing interests (e.g., financial gain), not a personal acquaintance from a community setting.
* Option C: A boundary issue may arise from a dual relationship but is a consequence, not the definition of the situation itself.
Extract from CPRP Exam Blueprint (Domain II: Professional Role Competencies):
"Tasks include: 1. Identifying and managing dual relationships to maintain professional boundaries and ethical practice."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 3 - Professional Role Competencies.
PRA Code of Ethics (2019). Defines dual relationships and ethical management.

NEW QUESTION # 106
What is the primary objective of an initial meeting with an individual seeking rehabilitation services?

A. Creating the rehabilitation plan
B. Establishing a trusting relationship
C. Reducing symptoms
D. Determining the diagnosis

Answer: B

Explanation:
The initial meeting with an individual seeking rehabilitation services sets the foundation for a recovery- oriented, person-centered relationship. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes building trust and rapport as the primary objective to engage individuals effectively (Task I.B.3:
"Adapt communication strategies to build trust and engagement"). Option D (establishing a trusting relationship) aligns with this, as trust is essential for fostering collaboration, understanding the individual's needs, and ensuring future engagement in rehabilitation planning.
Option A (creating the rehabilitation plan) is premature, as planning requires trust and assessment (Domain IV). Option B (reducing symptoms) is a clinical goal, not the focus of an initial meeting in psychiatric rehabilitation. Option C (determining the diagnosis) is outside the scope of rehabilitation practitioners, who focus on functional goals, not diagnostic assessment. The PRA Study Guide underscores trust-building as the cornerstone of initial interactions, supporting Option D.
:
CPRP Exam Blueprint (2014), Domain I: Interpersonal Competencies, Task I.B.3.
PRA Study Guide (2024), Section on Building Trust and Engagement.
CPRP Exam Preparation & Primer Online 2024, Module on Interpersonal Competencies.

NEW QUESTION # 107
An individual with a psychiatric disability tells her job coach that she has been written up for the third time for being late and is worried about losing her job. She is struggling to wake up on time due to medication side effects. The best course of action for the job coach is to:

A. Help her explore alternative employment options.
B. Schedule transportation so she can be on time.
C. Refer her to a work adjustment program to practice being on time.
D. Discuss the option of requesting accommodations with her.

Answer: D

Explanation:
This question aligns with Domain III: Community Integration, which focuses on supporting individuals to maintain employment through strategies like workplace accommodations. The CPRP Exam Blueprint emphasizes "assisting individuals to request reasonable accommodations to address disability-related barriers, such as medication side effects, to sustain community employment." The individual's lateness is due to medication side effects, and accommodations can address this barrier while preserving her job.
* Option D: Discussing the option of requesting accommodations (e.g., a later start time or flexible schedule) is the best course of action, as it directly addresses the medication side effects causing lateness. This approach, supported by laws like the Americans with Disabilities Act (ADA), empowers the individual to maintain her job while managing her disability, aligning with recovery-oriented employment support.
* Option A: Exploring alternative employment is premature and unnecessary, as accommodations may resolve the issue without requiring a job change, which could disrupt stability.
* Option B: A work adjustment program focuses on general work skills, not specific barriers like medication side effects, and may not address the immediate risk of job loss.
* Option C: Scheduling transportation does not address the root cause (difficulty waking up due to medication), making it an ineffective solution.
Extract from CPRP Exam Blueprint (Domain III: Community Integration):
"Tasks include: 2. Supporting individuals in maintaining employment through strategies like reasonable accommodations to address disability-related barriers. 3. Promoting self-advocacy in workplace settings."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 4 - Community Integration.
Bond, G. R., & Drake, R. E. (2015). Making the Case for IPS Supported Employment. Administration and Policy in Mental Health (emphasizes accommodations in employment).

NEW QUESTION # 108
An individual is hospitalized for psychiatric reasons and has asked staff to be able to engage in the ritual of smudging, which is the religious burning of herbs during treatment. She states that this would help with her recovery. The hospital administrator states there are rules against burning substances due to fire codes. When advocating for the individual's request, the practitioner should apply the following psychiatric rehabilitation principle.

A. Interventions should be aligned with cultural practices.
B. Positive cultural relations should be conveyed to the larger community.
C. Solutions to problems should be sought with individuals, families, and their cultures.
D. A strengths/wellness approach should be applied to all cultures.

Answer: C

Explanation:
Advocating for an individual's cultural and spiritual practices, such as smudging, requires interpersonal competencies that prioritize collaborative, culturally sensitive problem-solving. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes working with individuals and their cultural contexts to find solutions that respect their beliefs and needs (Task I.B.1: "Collaborate with individuals and their support systems to address barriers in a culturally competent manner"). Option B (solutions to problems should be sought with individuals, families, and their cultures) aligns with this by advocating for a collaborative approach to address the fire code barrier, such as exploring alternative ways to incorporate smudging (e.g., using smokeless methods) while respecting the individual's cultural practice.
Option A (positive cultural relations to the community) is unrelated to the immediate advocacy need within the hospital. Option C (strengths/wellness approach) is relevant but too broad, as it does not specifically address problem-solving for cultural practices. Option D (interventions aligned with cultural practices) is close but less precise, as it focuses on intervention design rather than collaborative problem-solving to overcome barriers. The PRA Study Guide highlights culturally collaborative advocacy as a key principle, supporting Option B.
:
CPRP Exam Blueprint (2014), Domain I: Interpersonal Competencies, Task I.B.1.
PRA Study Guide (2024), Section on Cultural Competence and Advocacy.
CPRP Exam Preparation & Primer Online 2024, Module on Interpersonal Competencies.

NEW QUESTION # 109
Which of the following lists best reflects positive symptoms of schizophrenia?

A. Disorganized speech, hallucinations, delusions, disorganized behavior
B. Disorganized thinking, social isolation, flat affect, disturbances of sleep
C. Delusions, avolition, abnormal psychomotor activity, disturbances of sleep
D. Hallucinations, anhedonia, poverty of speech, social withdrawal

Answer: A

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 # 110
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