_____________________________ Ethics in Behavioral Health Documentation: Reasons, Risks, and Rewards
24. Which of the following is a component of CBT used for anxiety disorders? A) Safety signals B) Cognitive restructuring C) Analysis of parental relationships D) Acceptance of panic-related thoughts 25. Which of the following most accurately reflects anxiety disorder outcome research? A) Evidence supports routine combination therapy as initial treatment. B) Psychotherapy and drug therapy show divergent efficacy across anxiety disorders. C) Patients lacking response to CBT or drug therapy may benefit from adding the other modality. D) Psychotherapy plus drug (combination) therapy outcomes are consistently superior to either monotherapy. 26. Although all major antidepressant classes are comparably effective against anxiety disorders, which of the following is recommended due to better safety and tolerability? A) Tricyclic antidepressants (TCAs) B) Monoamine oxidase inhibitors (MAOIs) C) Selective serotonin reuptake inhibitors (SSRIs) D) None of the above 27. The only SSRI believed to lack pharmacologic activity beyond serotonin reuptake transporter inhibition is A) sertraline. B) fluoxetine. C) paroxetine. D) escitalopram. 28. The benzodiazepine with greater efficacy in panic disorder is A) diazepam. B) lorazepam. C) alprazolam. D) clonazepam. 29. Which of the following reflects an inappropriate indication for benzodiazepine prescribing? A) As-needed for ongoing treatment of chronic mild-to- moderate anxiety B) Short-term (two to four weeks) use in patients with severe anxiety and unacceptable distress C) For infrequent use, to permit exposure to situations evoking severe anxiety (e.g., plane travel) D) In the initial weeks of SSRI/SNRI initiation to quickly reduce anxiety before the onset of SSRI/SNRI anxiolytic effects
30. Which of the following statements regarding SSRI/ SNRI withdrawal syndrome is TRUE? A) Paroxetine withdrawal is complete in one to two days. B) Gradual tapering prevents the onset of SSRI withdrawal. C) Venlafaxine XR has the least severe withdrawal syndrome of all SSRI/SNRIs. D) With SSRIs, a two- to three-week duration is common, but durations longer than one year have been reported. 31. The anxiety disorder medication with greatest lethality in overdose is
A) quetiapine. B) citalopram. C) venlafaxine. D) amitriptyline.
32. In the treatment of generalized anxiety disorder, which of the following is NOT a treatment option? A) CBT B) Pregabalin C) Propranolol D) Venlafaxine XR 33. Which of the following is a first-line drug recommended for the treatment of panic disorder? A) Propranolol B) Cannabidiol C) Amitriptyline D) Venlafaxine XR 34. Which of the following statements regarding the psychologic treatment for SAD is TRUE? A) Group CBT is superior to individual CBT. B) CBT is the criterion-standard psychologic treatment for SAD. C) Interpersonal therapy is as effective as traditional CBT for SAD. D) Videotaped feedback enhances the effects of exposure therapy. 35. Which of the following statements regarding the treatment of specific phobia is TRUE? A) Pharmacotherapy plays a key role. B) Flooding is more effective than graded exposure. C) Exposure therapy is more effective with imagined (versus real) exposure. D) Exposure outcomes are improved by therapist involvement (versus self-directed). 36. Which of the following psychologic treatment approaches has been identified as effective in the treatment of phobia specific to small animals?
A) Virtual reality exposure B) Applied muscle tension C) Individual psychotherapy D) Computer-based self-help programs
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