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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q66-Q71):
NEW QUESTION # 66
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. express support of the individual's feelings about his medical conditions, but emphasize the positive changes in his mental health.
- C. provide education on metabolic syndrome and discuss how to talk about his concerns with his primary physician and psychiatrist.
- D. remind the individual that he is not alone in dealing with declining physical health and inform him of the prevalence of the issue.
Answer: C
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 # 67
Which of the following strategies is most important for practitioners to use in order to help individuals move forward?
- A. Individualized teaching techniques
- B. Basic listening skills
- C. Reflecting on emotions
- D. Problem-solving processes
Answer: B
Explanation:
Helping individuals move forward in recovery requires establishing a foundation of trust and understanding.
The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) identifies basic listening skills as the most critical strategy for engaging individuals, as they enable practitioners to understand needs, build rapport, and foster collaboration (Task I.B.3: "Adapt communication strategies to build trust and engagement").
Option A (basic listening skills) aligns with this, as active listening-attending, paraphrasing, and clarifying- creates a safe space for individuals to express goals and challenges, driving progress.
Option B (reflecting on emotions) is a component of listening but narrower. Option C (problem-solving processes) is action-oriented and secondary to understanding. Option D (individualized teaching) is relevant for skill-building but not the foundation for moving forward. The PRA Study Guide emphasizes listening as the primary engagement strategy, supporting Option A.
:
CPRP Exam Blueprint (2014), Domain I: Interpersonal Competencies, Task I.B.3.
PRA Study Guide (2024), Section on Listening Skills in Engagement.
CPRP Exam Preparation & Primer Online 2024, Module on Interpersonal Competencies.
NEW QUESTION # 68
The parents of an individual visit the group home and complain to the practitioner that the home is a mess and insist that the staff should clean it. The practitioner:
- A. Suggests to the parents that they speak to a supervisor.
- B. Acknowledges that the home might not be as clean as the parents would like and listens to their suggestions.
- C. Advises the parents to explore alternative housing for their child.
- D. Explains to the parents that the residents are required to do their chores and that it is not the staff's responsibility.
Answer: B
Explanation:
This question aligns with Domain II: Professional Role Competencies, which focuses on professional ethics, boundaries, advocacy, and effective communication with stakeholders, including family members. The CPRP Exam Blueprint highlights that practitioners must "maintain professional boundaries while engaging with families and other stakeholders in a collaborative and respectful manner." The scenario involves a practitioner responding to parents' concerns about the cleanliness of a group home, requiring a response that balances professionalism, collaboration, and respect for the recovery-oriented environment.
* Option A: Acknowledging the parents' concern and listening to their suggestions demonstrates professionalism, respect, and a collaborative approach. It opens a dialogue without deflecting responsibility or escalating the situation, aligning with the PRA's emphasis on engaging stakeholders respectfully. This response also maintains boundaries by not immediately deferring to a supervisor or dismissing the concern.
* Option B: Suggesting the parents speak to a supervisor deflects responsibility and may be perceived as dismissive, failing to address the concern directly or collaboratively.
* Option C: Advising alternative housing is an extreme response that does not address the parents' concern or promote collaboration. It also risks undermining the individual's recovery environment without justification.
* Option D: Explaining that residents are responsible for chores, while factually correct in many recovery-oriented settings, may come across as defensive and dismissive of the parents' valid concern.
It does not foster collaboration or invite further discussion.
Extract from CPRP Exam Blueprint (Domain II: Professional Role Competencies):
"Tasks include: 1. Adhering to professional ethics and boundaries. 2. Engaging with families, caregivers, and other stakeholders in a collaborative manner. 3. Advocating for individuals while maintaining professionalism in all interactions."
:
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). Emphasizes respectful and collaborative engagement with stakeholders.
NEW QUESTION # 69
What is the MOST critical component to successful implementation of the Illness Management and Recovery model?
- A. Motivational enhancement strategies
- B. Goal setting standards
- C. Cognitive behavioral therapy
- D. Skilled practitioners
Answer: D
Explanation:
The Illness Management and Recovery (IMR) model is an evidence-based practice that helps individuals manage their mental health conditions through psychoeducation, goal-setting, and skill-building. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) emphasizes that the success of IMR depends on the expertise and training of practitioners who deliver the model with fidelity (Task V.B.2:
"Facilitate the development of self-management skills"). Option D (skilled practitioners) aligns with this, as trained practitioners are essential to effectively implement IMR's structured components, including psychoeducation, cognitive-behavioral techniques, and motivational strategies, while adapting to individual needs and maintaining engagement.
Option A (motivational enhancement strategies) is a component of IMR but not the most critical, as it relies on practitioner skill to be effective. Option B (goal setting standards) is part of IMR but secondary to the practitioner's ability to facilitate the process. Option C (cognitive behavioral therapy) is one technique within IMR, not the overarching driver of success. The PRA Study Guide highlights skilled practitioners as the cornerstone of IMR implementation, supporting Option D.
:
CPRP Exam Blueprint (2014), Domain V: Strategies for Facilitating Recovery, Task V.B.2.
PRA Study Guide (2024), Section on Illness Management and Recovery Model.
CPRP Exam Preparation & Primer Online 2024, Module on Strategies for Facilitating Recovery.
NEW QUESTION # 70
The detail below is presented by the client.
What strategy is good for embodied energy saving?
- A. Fly ash concrete
- B. External shading
- C. Waterproofing with SRI of 84%
- D. Aluminum sliding window
Answer: A
Explanation:
Embodied energy refers to the total energy consumed in the production, transportation, and installation of building materials, a key consideration for sustainable design that supports health and wellness through environmentally responsible practices. The CPRP Exam Blueprint (Domain VII: Supporting Health & Wellness) indirectly relates to this through promoting wellness via sustainable, health-focused environments (Task VII.A.1: "Promote holistic wellness, including purpose and meaning in life"). Option B (fly ash concrete) is the best strategy for embodied energy saving, as fly ash-a byproduct of coal combustion- replaces a portion of Portland cement in concrete, which has high embodied energy due to its energy-intensive production (e.g., 4,000-5,000 MJ/ton for cement vs. 800-1,000 MJ/ton for fly ash concrete). Using fly ash reduces energy consumption, lowers greenhouse gas emissions, and enhances concrete durability, aligning with sustainable practices that support wellness by reducing environmental impact.
Option A (external shading) reduces operational energy (e.g., cooling) but has minimal impact on embodied energy, as shading materials (e.g., louvers) still require production energy. Option C (aluminum sliding window) has high embodied energy, as aluminum production is energy-intensive (around 200 MJ/kg). Option D (waterproofing with SRI of 84%) focuses on solar reflectance to reduce heat gain, affecting operational energy, not embodied energy, and waterproofing materials (e.g., coatings) have moderate production energy.
Literature on sustainable construction, such as guidelines from the U.S. Green Building Council, emphasizes fly ash concrete for embodied energy savings, supporting Option B.
:
CPRP Exam Blueprint (2014), Domain VII: Supporting Health & Wellness, Task VII.A.1.
PRA Study Guide (2024), Section on Environmental Wellness (contextual application).
U.S. Green Building Council, LEED Guidelines on Embodied Energy (general knowledge).
NEW QUESTION # 71
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