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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q96-Q101):

NEW QUESTION # 96
A consumer-provider meets with a new referral and finds she knows the person from church. If she decides to provide services to this referral, this would be an example of a:

A. Conflict of interest.
B. Dual relationship.
C. Transference issue.
D. Boundary issue.

Answer: B

Explanation:
This question pertains to Domain II: Professional Role Competencies, which focuses on maintaining professional ethics and boundaries, particularly in managing dual relationships. The CPRP Exam Blueprint and PRA Code of Ethics define a dual relationship as "a situation where a practitioner has a pre-existing personal or professional relationship with a client outside the therapeutic context, such as knowing them from a community setting like church." The scenario involves a consumer-provider (a peer provider) knowing a referral from church, creating a dual relationship if services are provided.
* Option D: Providing services to someone known from church constitutes a dual relationship, as the consumer-provider has both a professional (service provider) and personal (church acquaintance) relationship with the individual. This situation requires careful ethical management to avoid boundary violations, per PRA guidelines.
* Option A: Transference involves unconscious feelings projected onto the provider, not a pre-existing relationship, making it irrelevant here.
* Option B: A conflict of interest involves competing interests (e.g., financial gain), not a personal acquaintance from a community setting.
* Option C: A boundary issue may arise from a dual relationship but is a consequence, not the definition of the situation itself.
Extract from CPRP Exam Blueprint (Domain II: Professional Role Competencies):
"Tasks include: 1. Identifying and managing dual relationships to maintain professional boundaries and ethical practice."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 3 - Professional Role Competencies.
PRA Code of Ethics (2019). Defines dual relationships and ethical management.

NEW QUESTION # 97
A practitioner and an individual have spent months developing a plan to achieve the individual's goal to "stop using drugs." On the day the individual has identified as the start date, he decides that he no longer wants to quit. This is an example of

A. resistance.
B. withdrawal.
C. substitution.
D. denial.

Answer: A

Explanation:
The individual's decision to abandon his goal to stop using drugs on the planned start date reflects a shift in motivation, often seen in the context of change processes. The CPRP Exam Blueprint (Domain IV:
Assessment, Planning, and Outcomes) addresses assessing readiness and responses to change, noting that resistance can manifest as reluctance or reversal of commitment, particularly when facing the reality of action (Task IV.A.2: "Assess individual's stage of change and readiness for goal-setting"). Option A (resistance) aligns with this, as the individual's sudden decision not to quit suggests ambivalence or fear of change, common in the transition from planning to action in the Stages of Change model (e.g., moving from preparation to contemplation or pre-contemplation).
Option B (denial) implies rejecting the problem entirely, which is not indicated, as he previously acknowledged the goal. Option C (withdrawal) refers to physical or emotional retreat, not a change in goal commitment. Option D (substitution) involves replacing one behavior with another, which is not described.
The PRA Study Guide identifies resistance as a common response to change, supporting Option A.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.2.
PRA Study Guide (2024), Section on Stages of Change and Resistance.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

NEW QUESTION # 98
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. Including the treatment provider and individual when determining plans
C. Telling the individual the most important steps to take to determine their future
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 # 99
An individual living in an agency-owned residence is not following the rules of the house. After multiple warnings, the individual continues to break the rules. He expresses dissatisfaction with the residence. The infractions are causing a safety risk for others in the home. The agency's BEST approach would be to

A. encourage him to change his behavior through a reward system.
B. refer him to a higher level of care.
C. refer him to the local shelter.
D. assist him in locating a living environment that will work with his behavior.

Answer: D

Explanation:
When an individual in an agency-owned residence repeatedly breaks rules, causing safety risks, and expresses dissatisfaction, the agency must prioritize person-centered, recovery-oriented solutions that support community integration. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes assisting individuals in finding housing that aligns with their needs and preferences to promote stability and safety (Task III.A.1: "Support individuals in accessing and maintaining stable housing"). Option B (assist him in locating a living environment that will work with his behavior) aligns with this by addressing the individual' s dissatisfaction and safety concerns through a collaborative process to find a more suitable living arrangement, such as independent housing or a setting with different rules or supports that better match his behavior and needs.
Option A (refer to a local shelter) is not recovery-oriented, as it risks homelessness and destabilization, contradicting community integration principles. Option C (refer to a higher level of care) assumes a clinical need without evidence and may not address the individual's dissatisfaction or housing mismatch. Option D (encourage behavior change through rewards) does not address the underlying issue of dissatisfaction or ensure safety for others, as the behavior persists despite warnings. The PRA Study Guide emphasizes person- centered housing solutions to resolve conflicts and promote stability, supporting Option B.
:
CPRP Exam Blueprint (2014), Domain III: Community Integration, Task III.A.1.
PRA Study Guide (2024), Section on Housing Stability and Person-Centered Solutions.
CPRP Exam Preparation & Primer Online 2024, Module on Community Integration.

NEW QUESTION # 100
One of the components of wellness is

A. avoidance of stress.
B. absence of illness.
C. purpose in life.
D. compliance with medication.

Answer: C

Explanation:
Wellness in psychiatric rehabilitation is a multidimensional concept that encompasses physical, mental, emotional, and social well-being, guided by recovery principles. The CPRP Exam Blueprint (Domain VII:
Supporting Health & Wellness) includes supporting individuals in finding meaning and purpose as a key component of wellness (Task VII.A.1: "Promote holistic wellness, including purpose and meaning in life").
Option C (purpose in life) aligns with this task, as having a sense of purpose-through roles, goals, or activities-is a recognized dimension of wellness that fosters resilience and recovery.
Option A (compliance with medication) is a clinical strategy, not a core component of wellness, though it may support health (Domain VII). Option B (avoidance of stress) is impractical and not explicitly listed as a wellness dimension, as wellness involves managing, not eliminating, stress. Option D (absence of illness) is inaccurate, as wellness is not defined by the absence of illness but by positive attributes like purpose, relationships, and self-management, even in the presence of symptoms. The PRA Study Guide, referencing models like SAMHSA's Eight Dimensions of Wellness, includes purpose as a key element, supporting Option C:
CPRP Exam Blueprint (2014), Domain VII: Supporting Health & Wellness, Task VII.A.1.
PRA Study Guide (2024), Section on Wellness Dimensions.
CPRP Exam Preparation & Primer Online 2024, Module on Supporting Health & Wellness.

NEW QUESTION # 101
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