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Psychiatric Rehabilitation Association Certified Psychiatric Rehabilitation Practitioner Sample Questions (Q99-Q104):
NEW QUESTION # 99
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- A. That the offer will be rescinded.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. The relationship between the agency and that employer.
- C. How much detail to disclose.
- D. The right of the employer to be made aware of his disability.
Answer: C
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* Option B: Warning that the offer will be rescinded assumes a negative outcome, which is speculative and may discourage the individual unnecessarily.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 # 100
An individual's treatment team is divided regarding her decision to work a full-time job. Part of the team is supportive of the idea. Others feel that the stress will be too much and will cause her to become symptomatic.
The IPS model of supported employment would encourage the practitioner to assist her with
- A. improving her symptom management skills prior to getting a job.
- B. integrating her vocational and mental health services.
- C. developing strong natural supports before moving forward.
- D. determining appropriate vocational and treatment goals.
Answer: B
Explanation:
The Individual Placement and Support (IPS) model of supported employment is an evidence-based approach that emphasizes rapid job placement and integrated support for individuals with mental health conditions. The CPRP Exam Blueprint (Domain III: Community Integration) highlights the IPS principle of integrating vocational and mental health services to support employment goals (Task III.A.3: "Support individuals in pursuing self-directed community activities, including employment"). Option A (integrating her vocational and mental health services) aligns with this, as IPS encourages close collaboration between employment specialists and mental health providers to provide seamless support, such as on-the-job coaching and mental health interventions, to help the individual manage stress and succeed in her full-time job despite team concerns.
Option B (developing natural supports) is valuable but not a core IPS principle, which prioritizes rapid placement over prerequisite conditions. Option C (improving symptom management skills prior) contradicts IPS's focus on immediate job placement rather than pre-employment skill-building. Option D (determining vocational and treatment goals) is part of planning but less specific than integration, which addresses the team' s concerns directly. The PRA Study Guide and IPS guidelines emphasize integrated services as central to supported employment, supporting Option A.
:
CPRP Exam Blueprint (2014), Domain III: Community Integration, Task III.A.3.
PRA Study Guide (2024), Section on Individual Placement and Support (IPS) Model.
CPRP Exam Preparation & Primer Online 2024, Module on Community Integration.
NEW QUESTION # 101
A practitioner provides services to two individuals with psychiatric disabilities who are roommates. One roommate told the practitioner she is concerned that the other is not taking his medications correctly. The practitioner would:
- A. Talk about the issue with the two roommates together.
- B. Privately convey the concern to the other roommate.
- C. Report the information to the roommate's psychiatrist.
- D. Listen to the roommate without disclosing any information.
Answer: D
Explanation:
This question pertains to Domain II: Professional Role Competencies, which emphasizes maintaining confidentiality and professional boundaries in interactions with individuals and stakeholders. The CPRP Exam Blueprint and PRA Code of Ethics state that "practitioners must protect confidentiality by not disclosing information about one individual to another, even in shared living situations, unless consent is provided." The scenario involves a roommate sharing concerns about another's medication adherence, and the practitioner must respond ethically while respecting confidentiality.
* Option A: Listening to the roommate without disclosing any information is the best response, as it respects the confidentiality of the other roommate while allowing the practitioner to hear the concern.
The practitioner can then address the issue separately (e.g., checking in with the other roommate without revealing the source) or encourage the concerned roommate to discuss it directly, maintaining ethical boundaries.
* Option B: Conveying the concern privately to the other roommate risks breaching confidentiality by implying the source of the information, violating ethical standards.
* Option C: Reporting to the psychiatrist without the individual's consent breaches confidentiality and is inappropriate unless there is imminent risk, which is not indicated.
* Option D: Discussing the issue with both roommates together violates confidentiality by revealing the concern to the other roommate without consent, compromising trust.
Extract from CPRP Exam Blueprint (Domain II: Professional Role Competencies):
"Tasks include: 2. Maintaining confidentiality and professional boundaries, even in shared living arrangements, unless consent is provided or imminent risk is present."
:
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). Emphasizes confidentiality in multi-client scenarios.
NEW QUESTION # 102
An individual complains to a practitioner about major maintenance problems at her apartment, including lack of heat at the apartment complex. The first step for the practitioner to take is to:
- A. Contact the agency's supported housing services.
- B. Suggest she schedule a meeting with other tenants.
- C. Report the complaint to the apartment landlord.
- D. Suggest she report problems to the landlord.
Answer: D
Explanation:
This question aligns with Domain III: Community Integration, which focuses on empowering individuals to access and navigate community resources, such as housing, while promoting independence. The CPRP Exam Blueprint emphasizes "supporting individuals to self-advocate and address barriers in community settings, such as housing issues, as a first step." The scenario involves a maintenance issue (lack of heat), and the practitioner's initial response should empower the individual to take action while respecting her autonomy.
Option D: Suggesting that the individual report the problems to the landlord is the first step, as it empowers her to advocate for herself and address the issue directly with the responsible party. This aligns with the recovery-oriented principle of promoting independence and self-advocacy in community living.
Option A: Reporting the complaint directly to the landlord bypasses the individual's autonomy and may undermine her ability to self-advocate, which is not person-centered.
Option B: Contacting supported housing services escalates the issue prematurely without first encouraging the individual to address it herself, which is not the initial step.
Option C: Suggesting a meeting with other tenants may be a later strategy but is not the first step, as it does not directly address the immediate issue of reporting the maintenance problem to the landlord.
Extract from CPRP Exam Blueprint (Domain III: Community Integration):
"Tasks include: 3. Supporting individuals in accessing housing and addressing barriers through self-advocacy.
4. Empowering individuals to navigate community resources independently." 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.
Anthony, W. A., Cohen, M., & Farkas, M. (1990). Psychiatric Rehabilitation. Center for Psychiatric Rehabilitation, Boston University (emphasizes empowerment in community settings).
NEW QUESTION # 103
An individual has recently begun hearing voices. The most important thing the practitioner can do to assist the individual in dealing with the voices is to
- A. help him learn skills to distract himself from the voices.
- B. ask the individual how the voices are impacting daily functioning.
- C. encourage him to speak with his psychiatrist.
- D. assess the individual's risk of harm.
Answer: B
Explanation:
When an individual reports hearing voices, the practitioner's initial focus is to understand the experience's impact to inform person-centered planning. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) emphasizes assessing how symptoms affect daily functioning to identify needs and strengths (Task IV.A.1: "Conduct functional assessments to identify individual goals and strengths"). Option C (ask the individual how the voices are impacting daily functioning) aligns with this, as understanding the voices' effect on activities like work, relationships, or self-care guides the development of tailored interventions, ensuring they address the individual's priorities and functional challenges.
Option A (assess risk of harm) is important but not the most immediate step, as not all voices indicate risk, and functioning assessment informs risk evaluation. Option B (encourage speaking with a psychiatrist) assumes a medical intervention without first understanding the impact, which may not align with the individual's needs. Option D (learn distraction skills) is a potential intervention but premature without assessing functional impact. The PRA Study Guide underscores functional assessment as the starting point for addressing symptoms like voices, supporting Option C.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.1.
PRA Study Guide (2024), Section on Functional Assessment of Symptoms.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.
NEW QUESTION # 104
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