An 18-year-old male client has recently been diagnosed with ...

[vicky]

An 18-year-old male client has recently been diagnosed with schizophrenia and will begin split-treatment psychotherapy. What is the defining characteristic of this type of therapy?
 
  A) A focus on behavior rather than cognition
  B) Multiple, very brief treatment sessions each day
  C) The ability to perform treatment remotely
  D) The inclusion of pharmacotherapy

Question 2

Which of the following is a difference between counseling and psychotherapy?
 
  A) Psychotherapy is reserved for clients who have a documented history of failing to respond to counseling.
  B) Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role.
  C) Transference and countertransference are significant obstacles in psychotherapy that can be avoided in a counseling mode.
  D) Counseling may be used in the care of acutely psychotic clients, but psychotherapy is contraindicated.

[olderstudent]

Answer to Question 1

Ans: D
Split-treatment psychotherapy involves a protocol between a nursetherapist who provides psychotherapy and a psychiatrist or nurse practitioner who provides pharmacotherapy for the client. It is not normally performed remotely, and cognition is addressed. There are not any multiple daily sessions within this mode of treatment.

Answer to Question 2

Ans: B
The psychiatric nurse uses counseling interventions, but psychotherapy requires advanced certification according to the American Nurses Association. Psychotherapy is not reserved solely for those who have not responded to counseling. Transference and countertransference are significant obstacles in both modes, and neither intervention is appropriate during acute psychotic episodes.