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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q65-Q70):
NEW QUESTION # 65
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. Solutions to problems should be sought with individuals, families, and their cultures.
- B. Positive cultural relations should be conveyed to the larger community.
- C. A strengths/wellness approach should be applied to all cultures.
- D. Interventions should be aligned with cultural practices.
Answer: A
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 # 66
Which of the following statements regarding psychiatric rehabilitation services is consistent with helping individuals with a severe mental illness achieve maximum community integration?
- A. Identify natural supports and encourage the use of medications
- B. Develop small group homes and supervised apartments in the community
- C. Enroll individuals in supported employment programs
- D. Provide services to individuals in environments of their choice
Answer: D
Explanation:
This question aligns with Domain III: Community Integration, which focuses on supporting individuals to live, work, and socialize in their chosen communities. The CPRP Exam Blueprint emphasizes "providing services in environments of the individual's choice to promote independence and integration." Maximum community integration involves enabling individuals to participate fully in community life, with services tailored to their preferences and delivered in natural settings.
* Option A: Providing services in environments of the individual's choice directly supports maximum community integration by respecting their autonomy and enabling participation in community settings (e.g., home, workplace, or social spaces) rather than segregated or institutional environments. This aligns with the PRA's person-centered, recovery-oriented approach to integration.
* Option B: Supported employment programs are valuable but focus specifically on work, which is only one aspect of community integration. This option is too narrow to represent "maximum" integration.
* Option C: Developing group homes and supervised apartments provides housing options but may limit integration if they are segregated from the broader community, making this less consistent with maximum integration.
* Option D: Identifying natural supports and encouraging medication use supports recovery but does not directly address the delivery of services in community settings, which is central to integration.
Extract from CPRP Exam Blueprint (Domain III: Community Integration):
"Tasks include: 1. Supporting individuals to live, work, and socialize in environments of their choice. 2.
Promoting independence and integration through person-centered services in community 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 (recommended CPRP study literature, emphasizes community-based services).
NEW QUESTION # 67
Effective programmatic level strategies for addressing comorbidity include the integration of
- A. alternative treatments.
- B. mental and physical health services.
- C. group social activities.
- D. dual recovery and spiritual services.
Answer: B
Explanation:
Comorbidity, particularly the co-occurrence of mental health and physical health conditions, requires integrated service delivery to address complex needs effectively. The CPRP Exam Blueprint (Domain VI:
Systems Competencies) emphasizes the development of integrated service systems to address co-occurring disorders (Task VI.B.2: "Promote integration of mental health, physical health, and substance use services").
Option B (mental and physical health services) aligns with this, as integrating these services ensures holistic care, addressing both psychiatric symptoms and physical health issues (e.g., metabolic syndrome from antipsychotics) through coordinated care plans, shared records, and interdisciplinary collaboration.
Option A (alternative treatments) is vague and not a primary strategy for comorbidity, as it lacks specificity and evidence-based support. Option C (group social activities) supports wellness but does not directly address comorbidity's clinical needs. Option D (dual recovery and spiritual services) is relevant for substance use and mental health comorbidity but is narrower than Option B, which encompasses a broader range of physical health issues. The PRA Study Guide highlights integrated care models as best practice for comorbidity, supporting Option B.
:
CPRP Exam Blueprint (2014), Domain VI: Systems Competencies, Task VI.B.2.
PRA Study Guide (2024), Section on Integrated Care for Comorbidity.
CPRP Exam Preparation & Primer Online 2024, Module on Systems Competencies.
NEW QUESTION # 68
An individual has been using the bus to get to work, but weekend service has been eliminated. He works every other Saturday. He and the practitioner research possible options including riding with co-workers. This strategy is an example of
- A. job coaching.
- B. resource modification.
- C. peer support.
- D. resource coordination.
Answer: D
Explanation:
Community integration involves connecting individuals with resources to maintain participation in valued roles, such as employment. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes coordinating resources to overcome barriers to community participation (Task III.C.1: "Coordinate access to community resources to support integration"). Option A (resource coordination) aligns with this, as the practitioner and individual collaboratively research alternative transportation options (e.g., riding with co- workers) to address the barrier of eliminated bus service, ensuring the individual can continue working.
Option B (peer support) is incorrect, as the strategy involves practical resource exploration, not emotional or experiential support from peers. Option C (job coaching) focuses on workplace skill-building, not transportation solutions. Option D (resource modification) implies altering existing resources (e.g., changing bus schedules), which is not described, as the strategy involves finding new options. The PRA Study Guide underscores resource coordination as a key practice for maintaining community roles, supporting Option A.
:
CPRP Exam Blueprint (2014), Domain III: Community Integration, Task III.C.1.
PRA Study Guide (2024), Section on Resource Coordination.
CPRP Exam Preparation & Primer Online 2024, Module on Community Integration.
NEW QUESTION # 69
A 30-year-old individual has been living with his parents for six years. Previously he worked part-time at various jobs. He quit the jobs because the work was too physically demanding. His parents have told him that he must get a job or they will not continue to support him. What is the FIRST BEST step for the practitioner to take?
- A. Identify potential resources for employment and job hunting
- B. Assess the individual's strengths and weaknesses
- C. Assess the local labor market for opportunities
- D. Assist the individual to determine his capacity and goals
Answer: D
Explanation:
The individual faces family pressure to secure employment due to past job challenges, indicating a need to align his aspirations with feasible goals. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) emphasizes that the first step in person-centered planning is to assist the individual in identifying their capacity (e.g., abilities, limitations) and goals to ensure rehabilitation efforts are meaningful and tailored (Task IV.A.1: "Conduct functional assessments to identify individual goals and strengths"). Option D (assist the individual to determine his capacity and goals) aligns with this, as understanding his physical limitations, interests, and employment aspirations (e.g., less physically demanding roles) provides the foundation for subsequent steps like job matching or resource identification.
Option A (assess the labor market) is premature without knowing the individual's goals. Option B (assess strengths and weaknesses) is part of a functional assessment but follows goal identification to ensure relevance. Option C (identify resources) assumes employment as the goal without confirming the individual's preferences. The PRA Study Guide highlights goal-setting as the initial step in addressing employment challenges, supporting Option D.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.1.
PRA Study Guide (2024), Section on Person-Centered Goal-Setting.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.
NEW QUESTION # 70
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