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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q64-Q69):

NEW QUESTION # 64
An individual is referred to a psychiatric rehabilitation program after a brief inpatient hospitalization. During a meeting with his practitioner and his mother, who is a primary support, she reports her son "is doing better, should find a job and stop medication; then everything will be fine." The practitioner's FIRST BEST approach is to

A. discuss with the individual and his mother, services that will incorporate medication, education, and employment.
B. discuss with the mother the likelihood of her son finding and maintaining employment.
C. engage the mother in a discussion about the importance of medication adherence and why her son is doing better.
D. acknowledge the mother's statement while engaging the individual in a discussion about his goals and objectives.

Answer: D

Explanation:
When a family member expresses opinions that may not align with recovery-oriented principles, the practitioner must prioritize the individual's autonomy while respectfully engaging supports. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes person-centered engagement by acknowledging family input while focusing on the individual's goals to build trust and collaboration (Task I.B.
1: "Collaborate with individuals and their support systems to address barriers in a culturally competent manner"). Option D (acknowledge the mother's statement while engaging the individual in a discussion about his goals and objectives) aligns with this, as it validates the mother's perspective, maintains a positive relationship, and centers the individual's aspirations, ensuring the plan reflects his priorities post- hospitalization.
Option A (discuss services incorporating medication, education, employment) is prescriptive and assumes solutions without first exploring the individual's goals. Option B (discuss medication adherence) risks alienating the mother by focusing on correction rather than collaboration. Option C (discuss employment likelihood) sidelines the individual's voice and does not address the mother's broader statement. The PRA Study Guide underscores person-centered engagement with family involvement as critical in initial meetings, supporting Option D.
:
CPRP Exam Blueprint (2014), Domain I: Interpersonal Competencies, Task I.B.1.
PRA Study Guide (2024), Section on Family Engagement and Person-Centered Care.
CPRP Exam Preparation & Primer Online 2024, Module on Interpersonal Competencies.

NEW QUESTION # 65
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. provide education on metabolic syndrome and discuss how to talk about his concerns with his primary physician and psychiatrist.
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. assist the individual in choosing between having a stable mental health status or a good physical health status.
D. express support of the individual's feelings about his medical conditions, but emphasize the positive changes in his mental health.

Answer: A

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 # 66
What is the best location for learning the skills and activities of food preparation?

A. A residential program with an intensive skill-training component
B. The kitchen unit of a Clubhouse
C. A community college which offers cooking courses near the individual's home
D. The individual's own home

Answer: D

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 # 67
Readiness in rehabilitation refers to how

A. likely an individual is to succeed or fail.
B. developed an individual's skills are.
C. prepared an individual is to set a goal.
D. likely an individual is to follow through.

Answer: C

Explanation:
Rehabilitation readiness assesses an individual's preparedness to engage in goal-setting and pursue recovery- oriented objectives. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) defines readiness as the individual's capacity and motivation to identify and work toward specific goals (Task IV.A.2:
"Assess individual's stage of change and readiness for goal-setting"). Option C (prepared an individual is to set a goal) aligns with this, as readiness involves evaluating factors like hope, confidence, and willingness to define achievable rehabilitation goals, such as employment or education.
Option A (developed skills) focuses on abilities, not readiness, which is about motivation and mindset. Option B (likelihood to follow through) is an outcome of readiness, not its definition. Option D (likelihood to succeed or fail) is overly outcome-focused and not the primary focus of readiness assessment. The PRA Study Guide describes readiness as the precursor to effective goal-setting, supporting Option C.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.2.
PRA Study Guide (2024), Section on Rehabilitation Readiness Assessment.
CPRP #### Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

NEW QUESTION # 68
Which of the following statements best describes the role of peer support?

A. Peer support is most effectively provided in self-help groups that have no connection to professionally run programs.
B. Peer support is a component of the service system that serves as an adjunct and alternative to professional services.
C. Peer support is best used as a follow-up strategy after a person has "graduated" from a psychiatric rehabilitation program.
D. Peer support is primarily used by people who do not believe that professional services are helpful.

Answer: B

Explanation:
This question pertains to Domain V: Strategies for Facilitating Recovery, which includes promoting peer support as an evidence-based practice in psychiatric rehabilitation. The CPRP Exam Blueprint describes peer support as "a component of the recovery-oriented service system that complements professional services, offering shared experiences and mutual support as both an adjunct and alternative to traditional interventions." The question tests understanding of peer support's role in the broader mental health system.
* Option C: This option accurately describes peer support as a component of the service system that complements (adjunct) and sometimes substitutes for (alternative) professional services. Peer support, provided by individuals with lived experience, fosters hope, empowerment, and community, and is integrated into many recovery-oriented programs, aligning with PRA's framework.
* Option A: Suggesting peer support is only for those who distrust professional services is incorrect, as peer support is widely used alongside professional services in recovery-oriented systems.
* Option B: Limiting peer support to a "follow-up strategy" after completing a program ignores its role throughout the recovery process, including during active rehabilitation.
* Option D: Stating peer support is most effective in isolated self-help groups ignores its integration into professionally run programs (e.g., peer-operated services), which enhances its impact.
Extract from CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery):
"Tasks include: 4. Promoting peer support as an evidence-based practice that complements and serves as an alternative to professional services, fostering mutual support and recovery."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 6 - Strategies for Facilitating Recovery.
Davidson, L., et al. (2012). Peer Support Among Persons with Severe Mental Illnesses: A Review.
Schizophrenia Bulletin (recommended CPRP study literature, details peer support's role).

NEW QUESTION # 69
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