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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q104-Q109):
NEW QUESTION # 104
Which of the following BEST describes motivational interviewing?
- A. Helping the individual to come to an understanding about how they want to advance their recovery
- B. Telling the individual the most important steps to take to determine their future
- C. Including the treatment provider and individual when determining plans
- D. Providing the individual with information about how their mental disabilities will affect their future
Answer: A
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 # 105
Retention in community-based services by persons with serious mental illness is MOST often disrupted by
- A. hospital recidivism.
- B. family dynamics.
- C. medication management.
- D. financial instability.
Answer: A
Explanation:
Retention in community-based services, such as outpatient programs or supported housing, is critical for individuals with serious mental illness to maintain community integration. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes identifying and addressing barriers to sustained community participation (Task III.B.2: "Identify barriers to community integration and develop strategies to overcome them"). Hospital recidivism (Option C) is the most frequent disruptor, as recurrent hospitalizations due to symptom exacerbation or crises interrupt engagement with community-based services, leading to disengagement from supports like case management or rehabilitation programs.
Option A (family dynamics) can influence retention but is less universally disruptive than hospitalizations, which directly remove individuals from community settings. Option B (medication management) is a factor, but its impact is often secondary to crises leading to hospitalization. Option D (financial instability) is a barrier to community living but less directly tied to service retention compared to hospital recidivism, which physically and logistically disrupts service continuity. The PRA Study Guide notes that hospital recidivism is a primary challenge to maintaining community-based service engagement, supporting Option C.
:
CPRP Exam Blueprint (2014), Domain III: Community Integration, Task III.B.2.
PRA Study Guide (2024), Section on Barriers to Community Integration.
CPRP Exam Preparation & Primer Online 2024, Module on Community Integration.
NEW QUESTION # 106
Community integration facilitates opportunities for activities that are
- A. peer led.
- B. group directed.
- C. self-directed.
- D. staff led.
Answer: C
Explanation:
Community integration aims to empower individuals with psychiatric disabilities to participate fully in community life through activities that reflect their choices and autonomy. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes supporting self-directed activities that align with individualmeant by the individual's preferences (Task III.A.3: "Support individuals in pursuing self-directed community activities"). Option D (self-directed) aligns with this, as community integration facilitates opportunities for activities chosen by the individual-such as employment, volunteering, or hobbies-that promote independence and meaningful community roles.
Option A (peer led) is relevant for peer support but narrower, as not all community activities are peer-led.
Option B (staff led) contradicts the recovery-oriented focus on autonomy, as staff-led activities are more program-based. Option C (group directed) is less precise, as group activities may not always reflect individual choice. The PRA Study Guide highlights self-directed activities as the hallmark of community integration, supporting Option D.
:
CPRP Exam Blueprint (2014), Domain III: Community Integration, Task III.A.3.
PRA Study Guide (2024), Section on Self-Directed Community Participation.
CPRP Exam Preparation & Primer Online 2024, Module on Community Integration.
NEW QUESTION # 107
One of the most devastating and feared mental illnesses within society, affecting 1% of the population, is:
- A. Bipolar disorder.
- B. Major depression.
- C. Schizophrenia.
- D. Borderline personality disorder.
Answer: C
Explanation:
This question aligns with Domain I: Interpersonal Competencies, which includes understanding the impact of psychiatric conditions on individuals and society. The CPRP Exam Blueprint requires knowledge of
"prevalence and societal perceptions of major mental illnesses, including schizophrenia, which affects approximately 1% of the population and is often stigmatized as severe and debilitating." Schizophrenia is frequently cited in psychiatric rehabilitation literature as one of the most feared and misunderstood mental illnesses due to its complex symptoms and societal stigma.
* Option D: Schizophrenia affects approximately 1% of the global population and is widely regarded as one of the most devastating mental illnesses due to its chronic nature, positive symptoms (e.g., hallucinations, delusions), negative symptoms (e.g., avolition), and significant functional impact. Its societal fear stems from stigma and misconceptions, making it the best fit for the question.
* Option A: Borderline personality disorder is severe but has a prevalence of about 1.6-5.9% and is less universally feared compared to schizophrenia.
* Option B: Major depression is highly prevalent (about 7% lifetime prevalence) and debilitating but does not match the 1% criterion or the same level of societal fear.
* Option C: Bipolar disorder has a prevalence of about 1-2% and, while severe, is less stigmatized as
"feared" compared to schizophrenia.
Extract from CPRP Exam Blueprint (Domain I: Interpersonal Competencies):
"Tasks include: 3. Understanding the prevalence, symptoms, and societal perceptions of major mental illnesses, such as schizophrenia, to inform person-centered practice."
:
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) (referenced in CPRP study materials for prevalence data).
NEW QUESTION # 108
What is the best location for learning the skills and activities of food preparation?
- A. A community college which offers cooking courses near the individual's home
- B. A residential program with an intensive skill-training component
- C. The individual's own home
- D. The kitchen unit of a Clubhouse
Answer: C
Explanation:
This question pertains to Domain III: Community Integration, which emphasizes providing services in natural, normalized environments to promote independence and skill development. The CPRP Exam Blueprint highlights "teaching skills in the individual's own environment to enhance generalization and community integration." Learning food preparation skills is most effective in a setting where the individual will apply them, ensuring relevance and practicality.
Option B: The individual's own home is the best location, as it is the natural environment where food preparation will occur. Learning in this setting ensures skills are tailored to the individual's kitchen, resources, and routines, promoting generalization and independence, which aligns with recovery-oriented principles.
Option A: A residential program may provide structured training but is less normalized and may not reflect the individual's actual living situation, limiting skill transfer.
Option C: A community college cooking course is a community-based option but may be too generalized or inaccessible (e.g., cost, transportation), and it is not tailored to the individual's home environment.
Option D: A Clubhouse kitchen unit offers a supportive environment but is not the individual's natural setting, reducing the direct applicability of learned skills.
Extract from CPRP Exam Blueprint (Domain III: Community Integration):
"Tasks include: 1. Supporting skill development in natural environments, such as the individual's home, to promote independence. 2. Providing services in settings that enhance community integration and skill generalization." 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.
Bond, G. R., & Drake, R. E. (2015). Making the Case for IPS Supported Employment. Administration and Policy in Mental Health (emphasizes normalized settings for skill development).
NEW QUESTION # 109
......
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