2024 Psychiatric Rehabilitation CPRP Exam With Answers (384 Solved Questions)

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CERTIFIED PSYCHIATRIC REHABILITATION PRACTITIONER (CPRP) EXAMPREP 2024 VERIFIED QUESTIONS AND ANSWERS ALREADY PASSED12 Core Principles and Values (1) - Principle 1: Psychiatric rehabilitation practitioners conveyhope and respect, and believe that all individuals have the capacity for learning and growth.12 Core Principles and Values (2) - Principle 2: Psychiatric rehabilitation practitionersrecognize that culture is central to recovery, and strive to ensure that all services areculturally relevant to individuals receiving services.12 Core Principles and Values (3) - Principle 3: Psychiatric rehabilitation practitionersengage in the processes of informed and shared decision‐making and facilitate partnershipswith other persons identified by the individual receiving services.12 Core Principles and Values (4) - Principle 4: Psychiatric rehabilitation practices build onthe strengths and capabilities of individuals.12 Core Principles and Values (5) - Principle 5: Psychiatric rehabilitation practices areperson‐centered; they are designed to address the unique needs of individuals, consistentwith their values, hopes and aspirations.12 Core Principles and Values (6) - Principle 6: Psychiatric rehabilitation practices supportfull integration of people in recovery into their communities where they can exercise theirrights of citizenship, as well as to accept the responsibilities and explore the opportunitiesthat come with being a member of a community and a larger society.12 Core Principles and Values (7) - Principle 7: Psychiatric rehabilitation practices promoteself‐determination and empowerment. All individuals have the right to make their owndecisions, including decisions about the types of services and supports they receive.12 Core Principles and Values (8) - Principle 8: Psychiatric rehabilitation practices facilitatethe development of personal support networks by utilizing natural supports withincommunities, peer support initiatives, and self‐and mutual‐help groups.

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12 Core Principles and Values (9) - Principle 9: Psychiatric rehabilitation practices strive tohelp individuals improve the quality of all aspects of their lives; including social,occupational, educational, residential, intellectual, spiritual and financial.12 Core Principles and Values (10) - Principle 10: Psychiatric rehabilitation practices promotehealth and wellness, encouraging individuals to develop and use individualized wellnessplans.12 Core Principles and Values (11) - Principle 11: Psychiatric rehabilitation services emphasizeevidence‐based, promising, and emerging best practices that produce outcomes congruentwith personal recovery. Programs include structured program evaluation and qualityimprovement mechanisms that actively involve persons receiving services.12 Core Principles and Values (12) - Principle 12: Psychiatric rehabilitation services must bereadily accessible to all individuals whenever they need them. These services also should bewell coordinated and integrated with other psychiatric, medical, and holistic treatments andpractices.Priniciples 1 - 3 Focus - Focus on the role of practitionersPrinciples 4 - 10 Focus - Focus on best practices in the fieldPrinciples 11 - 12 - Focus on psychiatric rehabilitation service delivery12 Core Principles and Values (1) - Principle 1: Psychiatric rehabilitation practitioners conveyhope and respect, and believe that all individuals have the capacity for learning and growth.-12 Core Principles and Values (2) - Principle 2: Psychiatric rehabilitation practitionersrecognize that culture is central to recovery, and strive to ensure that all services areculturally relevant to individuals receiving services.

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12 Core Principles and Values (3) - Principle 3: Psychiatric rehabilitation practitionersengage in the processes of informed and shared decision‐making and facilitate partnershipswith other persons identified by the individual receiving services.12 Core Principles and Values (4) - Principle 4: Psychiatric rehabilitation practices build onthe strengths and capabilities of individuals.12 Core Principles and Values (5) - Principle 5: Psychiatric rehabilitation practices areperson‐centered; they are designed to address the unique needs of individuals, consistentwith their values, hopes and aspirations.12 Core Principles and Values (6) - Principle 6: Psychiatric rehabilitation practices supportfull integration of people in recovery into their communities where they can exercise theirrights of citizenship, as well as to accept the responsibilities and explore the opportunitiesthat come with being a member of a community and a larger society.12 Core Principles and Values (7) - Principle 7: Psychiatric rehabilitation practices promoteself‐determination and empowerment. All individuals have the right to make their owndecisions, including decisions about the types of services and supports they receive.12 Core Principles and Values (8) - Principle 8: Psychiatric rehabilitation practices facilitatethe development of personal support networks by utilizing natural supports withincommunities, peer support initiatives, and self‐and mutual‐help groups.12 Core Principles and Values (9) - Principle 9: Psychiatric rehabilitation practices strive tohelp individuals improve the quality of all aspects of their lives; including social,occupational, educational, residential, intellectual, spiritual and financial.12 Core Principles and Values (10) - Principle 10: Psychiatric rehabilitation practices promotehealth and wellness, encouraging individuals to develop and use individualized wellnessplans.12 Core Principles and Values (11) - Principle 11: Psychiatric rehabilitation services emphasizeevidence‐based, promising, and emerging best practices that produce outcomes congruent

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with personal recovery. Programs include structured program evaluation and qualityimprovement mechanisms that actively involve persons receiving services.12 Core Principles and Values (12) - Principle 12: Psychiatric rehabilitation services must bereadily accessible to all individuals whenever they need them. These services also should bewell coordinated and integrated with other psychiatric, medical, and holistic treatments andpractices.-Mental health affects about 20% of the population. - TruePsychiatric rehabilitation emerged out of the deinstitutionalization movement of the 1930's. -False________________ is/are example(s) of evidence-based practices. - All of the aboveDelusion are bizarre beliefs or ideas that a person cannot be talked out of whilehallucinations are incorrect sensory information that the individual experiences as real. -TrueMood disorders effect between - about 5-20% of the population.The "Vermont study" by Dr. Hardng was one of the first longitudinal studies to demonstratethat persons with schizophrenia could have positive long-term outcomes. - TrueIllness Management and Recovery is an evidence based practice consisting of -psychoeducation and self-management strategies.Recovery is a operationalized construct that can only be measured by medical doctors. -FalseThe main goal of Psychiatric Rehabilitation is: - to promote recovery.

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Shared decision making involves consumers defering to the needs of the treatment teamthey are working with. - FalseThe PsyR process has three stages: the diagnostic stage, the planning stage and the_________________ stage. - intervention stage.Since deinstitutionalization PsyR has had a focus on the concept of interdependence. - TrueA wellness coach helps individuals identify strengths in the 8 dimensions of wellness andthen helps them to clarify what they hope to change or improve. - TrueMuch of the early development of psychiatric rehabilitation took place in psychiatrichospitals and asylums. - FalseSMART goals are integral to the coaching process and are used to help individuals achievehealth and wellness goals. The acronym SMART stands for: - Specific, Measurable, Attainable,Realistic, and Time-framed.Research shows that the life span of individuals with mental illnesses is 10 years less thanthat of the general population. - FalsePsychiatric rehabilitation day programming services maintain a strong reputation and areoverwhelmingly popular with consumers and families. - FalseThe authors discussed 4 basic service objectives of case management. They include: -continuity of care, accessibility, accountability and efficiency.Historically, there are six models of case management. Which of the following has been mostresearched and is the only evidence-based practice? - Assertive Community Treatment.Research conducted by Dr. Gary Bond on ACT programs found that service recipients havesuperior treatment outcomes, such as: - less use of emergency, crisis intervention andother services.

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Long-term unemployment can result in the deterioration of physical, emotional andpsychiatric well-being and overall functioning. - TrueOne of the greatest barriers to employment for people with mental illnesses is symptommanagement and hospitalization. - FalseActual Supported Education (SEd) programs are only located on college campuses. - FalseThe strategies used for supported employment are also used when providing SEd services. -TrueDeinstitutionalization and transinstitutionalization are synonymous terms to describe a keyresidential movement from the 60's. - FalseThe US Fair Housing Act of 1968, was originally enacted to prohibit discrimination based onrace or ethnicity in the sale or rental of housing; however, 20 years later it was amended toadd protections against individuals with disabilities. - TrueInstitutionalization syndrome was a formerly diagnosable condition in the DSM-III. - FalseSupported housing and independent living sought to facilitate opportunities for people toreside in independent living situations of their choice in the community and receive supportservices to help them maintain those situations. - TrueThe Olmstead v L.C. US Supreme Court case was a major victory for the disability communityand upheld Title IV of the Americans with Disabilities Act. - FalseThe WRAP is the best known, evidence based self-help approach in psychiatric rehabilitation.- FalsePsychiatric Rehabilitation - .... promotes recovery, full community integration and improvedquality of life for persons who have been diagnosed with any mental health condition thatseriously impairs their ability to lead meaningful lives. Psychiatric rehabilitation services

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are collaborative, person-directed and individualized. These services are an essentialelement of the health care and human services spectrum, and should be evidenced-based.WRAP - Wellness Recovery Action PlanAssertive Community Treatment (ACT) - -an evidence-based practice that improvesoutcomes for people with severe mental illness who are most vulnerable to homelessnessand hospitalization.Principles of Psych Rehab Groupings - 1-3= Roles of the Practitioners4-10= Best Practices in the Field11-12 PsyR Service DeliveryEvidence-Based Practice (EBP) - - recognizes the importance of understanding and followingresearch recommendations, while taking into account the service provider's clinicalexpertise and the goals, preferences, interests, values, and characteristics of the peopleusing the serviceEmpirically Supported Treatment (EST) - -a type of intervention that has been proveneffective, such as cognitive behavioral therapy for treatment of depression.Evidenced-Based Medicine (EBM) - -the process an individual practitioner follows in selectingthe appropriate intervention for one individual diagnosed with a particular condition who isexperiencing specific symptoms.Recovery - ......a deeply personal unique process of changing one's attitudes, values, feelings,goals, skills, and/or roles. it is a way of living a satisfying, hopeful, and contributing life evenwith limitations cause by illness. Recovery involves the development of new meaning andpurpose in one's life as one grows beyond the catastrophic effects of mental illness.Recovery Relating to principles of PsyR - Recovery from mental illness involves much morethan recovery from the illness. itself. People with mental illness(es) may have to recoverfrom the stigma that they incorporated into their very being; from the iatrogenic effects oftreatment setting; from the lack of recent opportunities for self-determination; from the

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negative side effects of unemployment; and from crushed dreams. Recover is a complex,time-consuming process.The Eight Essential Features of recover-oriented mental health services - 1. Recovery canoccur without professional intervention.2. A common denominator of recovery is the presence of individuals who believe in theperson in recovery and will stand by him/her.3. Recovery as a vision does function as a part of a person's ideas or theories about "mentalillnesses".4. Recovery occurs despite that mental health symptoms may reoccur.5. Recovery changes frequency and duration of mental health symptoms.6. Recovery is not necessarily a linear process.7. The consequences of the "illness" (eg. stigma) often can be harder to overcome than anyof its symptoms.8. Recovery does not suggest that a person never had a mental illness of never experiencedmental health symptoms.Noordsy et al. definition of recovery is centered around what 3 core concepts: - 1. hope 2.taking personal responsibility 3. getting on with life.Principles of Psychiatric Rehabilitation - 1. Psychiatric rehabilitation practitioners (PRP)convey hope and respect and believe that all individuals have the capacity for learning andgrowth.2. PRP recognize that culture is central to recovery and strive to ensure that all servicesare culturally relevant to individuals receiving services.3. PRP engage in the processes of informed and shared-decision making and facilitatepartnerships with other people the individual receiving services has identified4. PsyR practices build on strengths and capabilities of individuals.5. PsyR practices are person-centered; they are designed to address the unique needs ofindividuals, consistent with their values, hopes, and aspirations.6. PsyR practices support full integration of people in recovery into their communitieswhere they exercise their rights of citizenship as well as to accept the responsibilities and

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explore the opportunities that come with being a member of a community and a largersociety.7. PsyR practices promote self-determination and empowerment. All individuals have theright to make their own decisions, including decisions about the types of services andsupport they receive.8. PsyR practices facilitate the development of personal support networks by utilizing natualsupports within communities, peer support initiatives, and self-and mutual-help groups.9. PsyR practices strive to help individuals improve the quality of all aspects of their lives,including social, occupational, educational, residential, intellectual, spiritual, and financial.10. PsyR practices promote health and wellness, encouraging individuals to develop and useindividualized wellness plans.11. PsyR Services emphasize evidence-based, promising, and emerging best practices thatproduce outcomes congruent with personal recovery. Programs include structuredprogram evaluatioSAMHSA's definition of recovery: - A process of change through which individuals improvetheir health and wellness, live a self-directed life, and strive to reach their full potential.SAMHSA's Four Major Dimensions of Recovery - 1. HEALTH: Overcoming or managing one'sdisease(s) as well as living in a physically and emotionally healthy way;2. HOME: A stable and safe place to live;3. PURPOSE: Meaningful daily activities, such as a job, school, volunteerism, familycaretaking, or creative endeavors, and the independence, income, and resources toparticipate in society;4. COMMUNITY: Relationships and social networks that provide support, friendship, love, andhope.The Medical Perspective on Psychiatric Disability - -Focused on treating the mental healthcondition (the symptoms of the psychiatric illness).-Use language such as mental impairment, psychiatric disorder, emotional disturbance, ordiagnosis.-Follows the DSM- to be a disorder:-symptoms must be noticeable (clinically significant)

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-must be/or at risk of causing difficulty in role functioning-must have abnormal/not "culturally-sanctioned"reactions/behaviors to events-a faulty way of perceiving or reacting to the worldThe Disability Perspective - -psych disabilities occur when a mental health conditioninterferes with a person's function in living, learning, working, and/or social environmentsand roles.Americans with Disabilities Act (ADA) definition for Disability - -a physical or mentalimpairment that substantially limits one or more major life activities of such individualSocial Security Act (SSA) definition for Disability - -"the inability to engage in any substantialgainful activity by reason of any medically determinable physical or mental impairmentwhich can be expected to result in death or which has lasted or can be expected to last for acontinuous period of no less than 12 months."PRA's definition for Disability - -the concept is seen as more relevant to rehabilitation thanis the concept of illness and implies the hope of reacquiring abilities and valued roles.The Bio-Psycho-Social Perspective - -the health condition is seen as interacting withenvironmental and personal factors to affect an individual's functioning at the level of bodyfunctions and structures, in performance of daily activities, and in participation in valuesroles and life domains.Bio-Psycho-Social Perspective Functions related to Symptoms of the Body - ABC-Affective functions: experience, expression, regulation of affect.-Behavioral functions: energy and drive, sleep and appetites, and psychomotor functions-Cognitive functions: experience of self and time, attention/concentration, memory, andexecutive functionsPositive Symptoms (in regards to Medical Perspective of Psychiatric Disbility) - -additions totypical behaviors (present)Ex. delusion, hallucinations, bizzare behaviors, etc.

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Negative Symptoms (in regards to Medical Perspective of Psychiatric Disbility) - -showing alack of something (absent)Ex. social withdrawl, difficulty producing thoughts or speech, blunted of flat affect, etc.The Social Perspective on Psychiatric Disability - -sees the disability as a product of thesocial and interpersonal factors.-"there is no such thing as a mental illness"-believes that psychiatric symptoms can be a healthy response to a dysfunctional world.-"what looks like illness often represents a method of surviving difficult times or coping withtrauma-Believes that because the environment helps to define 'disability', disability is a sociallyconstructed concept.Competency - -the ability to apply or use knowledge, skills, attitudes, and personalcharacteristics to successfully perform critical work tasks, specific functions, or operate ina given role or position.KSA - Knowledge, Skills, and AttitudesKSA's Three competency blocks - Foundational (bottom tier), industry-related (middle tier),and occupation-related (top tier)KSA's Foundational Block - -can be generalized/are core competencies-three tiers: basic workplace skills, basic academic skills, and the personal effectivenessskill (soft skills)Accredidation - the approval of an organization stating that they meet the expectedstandards and competenciesCertification - granted to an individual by a non-governmental agencyLicensure/Registration - granted to an individual by a government agency

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Person-Centered Planning (PCP) - -an ongoing collaborative process between an individualand his or her team members (including clinical and rehabilitation professionals as well asnatural supports)Process Perspective (in regards to PCP) - -how roles, relationships, and planning meetingslook different when conducted in a person-centered fashionDocumentation Perspective (in regards to PCP) - -how the person-centered process isreflected in a written plan."Dignity of Risk"/"Right to Fail" - -respecting each individual's autonomy and self-determination (or "dignity") to make choices for himself or herselfIAPSRS Plans Should Include: - -person-first language-diagnosis is not as important as the persons' individuality-language should be understandable to all involved and if professional terminology isnecessary it should be explained to all.-goals should be written using individuals' own words.PROS - Personalized Recovery-Oriented ServicesA Comprehensive approach to Psychiatric Rehabilitation Assessment includes anassessment of: - 1. the person's readiness and preferences for life changes2. the person's everyday functional strengths and needs3. the nature of the person's resource supports an barriersAssessment in PsyR Practice - -an ongoing process that the person in recovery and theirpsych practitioner engage in mutually to determine the need to and direction of change inthe person's daily living skills and living learning, and working domainsRehabilitation Readiness Assessment explores: - 1. Need for Change (is person dissatisfiedwith their current situation?)2. Commitment to Change (are they committed to making changes?)3. Personal Closeness (are they open to connect w/others?)

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4. Self-Awareness (have insight?)5. Environmental Awareness (aware of the differences between environments?)Psych Rehab Assessment includes: - 1. a readiness assessment2. an assessment of the person's functional strengths and needs3. an assessment of the environmental and/or contextual resources and barriers.Focus of Functional Assessment - -the behavioral routines and skills needed for the lifedomains targeted for change by the rehabilitation readiness assessment.-the starting point is always the person's expressed goals.Performance-Based Assessments - -assessments in which the person in recovery isactually engaged in doing the activity, and the CPRP is observing the person's engagement.Interventions - -the actions service providers take to help individuals achieve their personalrecovery goals, and in a service plan, they indicate the methods by which goals andobjectives are achieved.Psych Rehab Interventions Defnition - -building the skills and supports needed to help peoplechoose and achieve their personal goals.Best Practice definition - -is valued by the people who use it, has been evaluated as effectivethrough high quality research , and has been implemented correctly by a competentpractitionerthe APA's Three Relationship Components for Effective Indidvidual Therapy: - 1.Demonstrating empathy2. Monitoring the alliance3. achieving goal consensusA Skill: - -a complex action made up of both knowledge and behaviorA Behavior: - -a simple observable action and is conceptually small than a skill

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