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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q58-Q63):

NEW QUESTION # 58
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. assist the individual in choosing between having a stable mental health status or a good physical health status.
C. express support of the individual's feelings about his medical conditions, but emphasize the positive changes in his mental health.
D. remind the individual that he is not alone in dealing with declining physical health and inform him of the prevalence of the issue.

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 # 59
An individual, who has been diagnosed with both mental illness and substance abuse, does not believe his substance abuse is a problem. He understands that others feel that it is a problem, but he has no intention of changing his behavior. This individual is in what stage of change?

A. Bargaining.
B. Denial.
C. Precontemplation.
D. Contemplation.

Answer: C

Explanation:
The Stages of Change model (Prochaska and DiClemente) is used in psychiatric rehabilitation to assess an individual's readiness to modify behaviors, such as substance use. The CPRP Exam Blueprint (Domain IV:
Assessment, Planning, and Outcomes) includes assessing readiness for change to inform person-centered planning (Task IV.A.2: "Assess individual's stage of change and readiness for goal-setting"). Option C (Precontemplation) aligns with this, as individuals in the precontemplation stage are not yet considering change, often denying or minimizing the problem (e.g., the individual does not believe his substance abuse is a problem and has no intention of changing).
Option A (Denial) is not a formal stage of change, though denial may characterize precontemplation. Option B (Bargaining) is a stage in the Kubler-Ross grief model, not the Stages of Change. Option D (Contemplation) involves considering change but not acting, which does not match the individual's lack of intention to change. The PRA Study Guide details the Stages of Change model, confirming precontemplation as the stage for lack of problem recognition, supporting Option C.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.2.
PRA Study Guide (2024), Section on Stages of Change Model.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

NEW QUESTION # 60
One of the most devastating and feared mental illnesses within society, affecting 1% of the population, is:

A. Bipolar disorder.
B. Schizophrenia.
C. Borderline personality disorder.
D. Major depression.

Answer: B

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 # 61
The detail below is presented by the client.

What strategy is good for embodied energy saving?

A. Aluminum sliding window
B. Fly ash concrete
C. External shading
D. Waterproofing with SRI of 84%

Answer: B

Explanation:
Embodied energy refers to the total energy consumed in the production, transportation, and installation of building materials, a key consideration for sustainable design that supports health and wellness through environmentally responsible practices. The CPRP Exam Blueprint (Domain VII: Supporting Health & Wellness) indirectly relates to this through promoting wellness via sustainable, health-focused environments (Task VII.A.1: "Promote holistic wellness, including purpose and meaning in life"). Option B (fly ash concrete) is the best strategy for embodied energy saving, as fly ash-a byproduct of coal combustion- replaces a portion of Portland cement in concrete, which has high embodied energy due to its energy-intensive production (e.g., 4,000-5,000 MJ/ton for cement vs. 800-1,000 MJ/ton for fly ash concrete). Using fly ash reduces energy consumption, lowers greenhouse gas emissions, and enhances concrete durability, aligning with sustainable practices that support wellness by reducing environmental impact.
Option A (external shading) reduces operational energy (e.g., cooling) but has minimal impact on embodied energy, as shading materials (e.g., louvers) still require production energy. Option C (aluminum sliding window) has high embodied energy, as aluminum production is energy-intensive (around 200 MJ/kg). Option D (waterproofing with SRI of 84%) focuses on solar reflectance to reduce heat gain, affecting operational energy, not embodied energy, and waterproofing materials (e.g., coatings) have moderate production energy.
Literature on sustainable construction, such as guidelines from the U.S. Green Building Council, emphasizes fly ash concrete for embodied energy savings, supporting Option B.
:
CPRP Exam Blueprint (2014), Domain VII: Supporting Health & Wellness, Task VII.A.1.
PRA Study Guide (2024), Section on Environmental Wellness (contextual application).
U.S. Green Building Council, LEED Guidelines on Embodied Energy (general knowledge).

NEW QUESTION # 62
An individual asks a practitioner whether or not he should disclose his disability to a potential employer after being offered a position. One thing the practitioner recommends the individual to consider is:

A. That the offer will be rescinded.
B. How much detail to disclose.
C. The relationship between the agency and that employer.
D. The right of the employer to be made aware of his disability.

Answer: B

Explanation:
This question falls under Domain III: Community Integration, which focuses on supporting individuals in employment settings, including navigating disability disclosure decisions. The CPRP Exam Blueprint emphasizes "assisting individuals in making informed decisions about disability disclosure, including considering the level of detail to share based on their needs and workplace context." The individual has been offered a job and is deciding whether to disclose his disability, and the practitioner's role is to guide him in weighing relevant factors.
* Option C: Recommending that the individual consider how much detail to disclose is the best guidance, as it empowers him to make an informed decision about whether to disclose and, if so, to what extent (e.g., general disability vs. specific diagnosis). This aligns with recovery-oriented principles of self-determination and the Americans with Disabilities Act (ADA), which does not require disclosure unless accommodations are needed.
* Option A: There is no legal "right" for an employer to be aware of a disability unless it directly impacts job performance or accommodations are requested, making this inaccurate and potentially coercive.
* Option B: Warning that the offer will be rescinded assumes a negative outcome, which is speculative and may discourage the individual unnecessarily.
* Option D: The agency's relationship with the employer is irrelevant to the individual's personal decision about disclosure and does not prioritize his autonomy or needs.
Extract from CPRP Exam Blueprint (Domain III: Community Integration):
"Tasks include: 2. Supporting individuals in making informed decisions about disability disclosure in employment settings, including the level of detail to share. 3. Promoting self-advocacy in workplace contexts."
:
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.
U.S. Equal Employment Opportunity Commission. (2000). EEOC Enforcement Guidance on Disability- Related Inquiries (referenced in CPRP study materials for disclosure guidance).

NEW QUESTION # 63
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