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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q72-Q77):

NEW QUESTION # 72
An individual complains to a practitioner about major maintenance problems at her apartment, including lack of heat at the apartment complex. The first step for the practitioner to take is to:

A. Contact the agency's supported housing services.
B. Suggest she report problems to the landlord.
C. Report the complaint to the apartment landlord.
D. Suggest she schedule a meeting with other tenants.

Answer: B

Explanation:
This question aligns with Domain III: Community Integration, which focuses on empowering individuals to access and navigate community resources, such as housing, while promoting independence. The CPRP Exam Blueprint emphasizes "supporting individuals to self-advocate and address barriers in community settings, such as housing issues, as a first step." The scenario involves a maintenance issue (lack of heat), and the practitioner's initial response should empower the individual to take action while respecting her autonomy.
Option D: Suggesting that the individual report the problems to the landlord is the first step, as it empowers her to advocate for herself and address the issue directly with the responsible party. This aligns with the recovery-oriented principle of promoting independence and self-advocacy in community living.
Option A: Reporting the complaint directly to the landlord bypasses the individual's autonomy and may undermine her ability to self-advocate, which is not person-centered.
Option B: Contacting supported housing services escalates the issue prematurely without first encouraging the individual to address it herself, which is not the initial step.
Option C: Suggesting a meeting with other tenants may be a later strategy but is not the first step, as it does not directly address the immediate issue of reporting the maintenance problem to the landlord.
Extract from CPRP Exam Blueprint (Domain III: Community Integration):
"Tasks include: 3. Supporting individuals in accessing housing and addressing barriers through self-advocacy.
4. Empowering individuals to navigate community resources independently." References:
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.
Anthony, W. A., Cohen, M., & Farkas, M. (1990). Psychiatric Rehabilitation. Center for Psychiatric Rehabilitation, Boston University (emphasizes empowerment in community settings).

NEW QUESTION # 73
What are the components of a psychiatric rehabilitation diagnosis?

A. Functional assessment, diagnostic assessment, and skill programming
B. Social skill assessment, psychiatric diagnosis, and an overall rehabilitation goal
C. Readiness assessment, skill management, and resource evaluation
D. Resource assessment, functional assessment, and an overall rehabilitation goal

Answer: D

Explanation:
A psychiatric rehabilitation diagnosis focuses on identifying an individual's strengths, needs, and aspirations to guide recovery-oriented planning, distinct from a clinical diagnosis. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) outlines the components as a functional assessment (to identify strengths and deficits), a resource assessment (to evaluate available supports), and an overall rehabilitation goal (to set a person-centered objective) (Task IV.A.1: "Conduct functional assessments to identify individual goals and strengths" and Task IV.A.3: "Assess available resources to support goal attainment"). Option A (resource assessment, functional assessment, and an overall rehabilitation goal) aligns with this framework, capturing the holistic, recovery-focused approach of psychiatric rehabilitation.
Option B (social skill assessment, psychiatric diagnosis, rehabilitation goal) is incorrect, as psychiatric diagnosis is clinical and not part of rehabilitation diagnosis, and social skills are a subset of functional assessment. Option C (readiness assessment, skill management, resource evaluation) mixes assessment and intervention terms, missing the goal component. Option D (functional assessment, diagnostic assessment, skill programming) includes clinical diagnostic assessment, which is not relevant, and skill programming is an intervention, not a diagnostic component. The PRA Study Guide details these components as essential for rehabilitation planning, supporting Option A.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Tasks IV.A.1 and IV.A.3.
PRA Study Guide (2024), Section on Psychiatric Rehabilitation Diagnosis.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

NEW QUESTION # 74
An individual has recently begun hearing voices. The most important thing the practitioner can do to assist the individual in dealing with the voices is to

A. ask the individual how the voices are impacting daily functioning.
B. encourage him to speak with his psychiatrist.
C. help him learn skills to distract himself from the voices.
D. assess the individual's risk of harm.

Answer: A

Explanation:
When an individual reports hearing voices, the practitioner's initial focus is to understand the experience's impact to inform person-centered planning. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) emphasizes assessing how symptoms affect daily functioning to identify needs and strengths (Task IV.A.1: "Conduct functional assessments to identify individual goals and strengths"). Option C (ask the individual how the voices are impacting daily functioning) aligns with this, as understanding the voices' effect on activities like work, relationships, or self-care guides the development of tailored interventions, ensuring they address the individual's priorities and functional challenges.
Option A (assess risk of harm) is important but not the most immediate step, as not all voices indicate risk, and functioning assessment informs risk evaluation. Option B (encourage speaking with a psychiatrist) assumes a medical intervention without first understanding the impact, which may not align with the individual's needs. Option D (learn distraction skills) is a potential intervention but premature without assessing functional impact. The PRA Study Guide underscores functional assessment as the starting point for addressing symptoms like voices, supporting Option C.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.1.
PRA Study Guide (2024), Section on Functional Assessment of Symptoms.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

NEW QUESTION # 75
Which of the following BEST describes motivational interviewing?

A. Providing the individual with information about how their mental disabilities will affect their future
B. Helping the individual to come to an understanding about how they want to advance their recovery
C. Telling the individual the most important steps to take to determine their future
D. Including the treatment provider and individual when determining plans

Answer: B

Explanation:
Motivational interviewing (MI) is a collaborative, person-centered approach that helps individuals explore and resolve ambivalence to advance their recovery goals. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) describes MI as a technique to support individuals in clarifying their motivations and developing a personal vision for change (Task V.B.2: "Facilitate the development of self-management skills"). Option D (helping the individual to come to an understanding about how they want to advance their recovery) aligns with this, as MI uses empathetic, non-directive techniques (e.g., open-ended questions, reflective listening) to guide individuals toward self-determined recovery steps.
Option A (providing information about disabilities) is educational, not MI, which avoids directive advice.
Option B (including provider and individual) is too vague and does not capture MI's focus on internal motivation. Option C (telling important steps) is directive, contradicting MI's collaborative nature. The PRA Study Guide defines MI as fostering self-directed recovery understanding, supporting Option D.
:
CPRP Exam Blueprint (2014), Domain V: Strategies for Facilitating Recovery, Task V.B.2.
PRA Study Guide (2024), Section on Motivational Interviewing.
CPRP Exam Preparation & Primer Online 2024, Module on Strategies for Facilitating Recovery.

NEW QUESTION # 76
An individual with a psychiatric disability has been taking a psychotropic medication that has been effective in reducing the intensity of psychotic symptoms but has caused weight gain and high cholesterol. The individual expresses concern to his practitioner regarding his newly developed medical conditions but feels they are unavoidable. The practitioner's BEST response would be to

A. assist the individual in choosing between having a stable mental health status or a good physical health status.
B. remind the individual that he is not alone in dealing with declining physical health and inform him of the prevalence of the issue.
C. express support of the individual's feelings about his medical conditions, but emphasize the positive changes in his mental health.
D. provide education on metabolic syndrome and discuss how to talk about his concerns with his primary physician and psychiatrist.

Answer: D

Explanation:
Supporting holistic health, particularly when addressing side effects of psychotropic medications, is a critical competency in psychiatric rehabilitation. The CPRP Exam Blueprint (Domain VII: Supporting Health & Wellness) emphasizes educating individuals about health conditions and facilitating communication with healthcare providers (Task VII.A.2: "Provide education on health conditions and treatment options"). Option A (provide education on metabolic syndrome and discuss how to talk about his concerns with his primary physician and psychiatrist) aligns with this task by empowering the individual with knowledge about metabolic syndrome-a common side effect of antipsychotics characterized by weight gain, high cholesterol, and increased diabetes risk-and supporting collaborative care with medical professionals to explore management options (e.g., lifestyle changes or medication adjustments).
Option B (choosing between mental and physical health) is inappropriate, as it presents a false dichotomy and contradicts recovery-oriented principles that integrate both mental and physical health (Domain V). Option C (emphasizing mental health over physical concerns) dismisses the individual's valid concerns, violating person-centered care principles (Domain I). Option D (highlighting prevalence) normalizes the issue but fails to provide actionable steps, unlike Option A. The PRA Study Guide underscores the importance of holistic health education and advocacy, reinforcing Option A.
:
CPRP Exam Blueprint (2014), Domain VII: Supporting Health & Wellness, Task VII.A.2.
PRA Study Guide (2024), Section on Physical Health and Medication Side Effects.
CPRP Exam Preparation & Primer Online 2024, Module on Supporting Health & Wellness.

NEW QUESTION # 77
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