CPRP Questions and Answers

The Illness Management and Recovery (IMR) model is an evidence-based practice that helps individuals manage their mental health conditions through psychoeducation, goal-setting, and skill-building. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) emphasizes that the success of IMR depends on the expertise and training of practitioners who deliver the model with fidelity (Task V.B.2: "Facilitate the development of self-management skills"). Option D (skilled practitioners) aligns with this, as trained practitioners are essential to effectively implement IMR’s structured components, including psychoeducation, cognitive-behavioral techniques, and motivational strategies, while adapting to individual needs and maintaining engagement.

Option A (motivational enhancement strategies) is a component of IMR but not the most critical, as it relies on practitioner skill to be effective. Option B (goal setting standards) is part of IMR but secondary to the practitioner’s ability to facilitate the process. Option C (cognitive behavioral therapy) is one technique within IMR, not the overarching driver of success. The PRA Study Guide highlights skilled practitioners as the cornerstone of IMR implementation, supporting Option D.

Wellness Coaching is a structured, recovery-oriented approach that empowers individuals to make intentional choices to enhance their overall health. The CPRP Exam Blueprint (Domain VII: Supporting Health & Wellness) defines wellness coaching as a process that promotes awareness and decision-making to improve physical and emotional health (Task VII.A.3: "Facilitate wellness coaching to support physical and emotional health"). Option C (improved physical and emotional health) aligns with this, as wellness coaching focuses on holistic health outcomes, such as better nutrition, exercise, stress management, and emotional resilience, which are central to psychiatric rehabilitation’s wellness framework.

Option A (a longer life expectancy) is a potential long-term outcome but not the primary focus of coaching, which targets immediate health improvements. Option B (a more satisfying lifestyle) is too broad and less specific than health-focused outcomes. Option D (stronger interpersonal relationships) is a component of wellness but secondary to the core focus on physical and emotional health in coaching. The PRA Study Guide, referencing SAMHSA’s wellness dimensions, emphasizes physical and emotional health as primary targets of wellness coaching, supporting Option C.

The offer of full-time employment represents a significant opportunity for community integration through a valued role. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes supporting individuals in making informed choices about community-based employment opportunities (Task III.A.3: "Support individuals in pursuing self-directed community activities, including employment"). Option A (discuss the opportunity) aligns with this, as the job coach’s first step should be to present the full-time job offer to the individual, explore his interest, and ensure the decision reflects his goals and preferences, setting the stage for further considerations like stress or benefits.

Option B (review past employment) is less relevant, as the focus is on the current opportunity, not historical experiences. Option C (explore stress) and Option D (discuss benefits) are important but secondary steps that follow after confirming the individual’s interest in the opportunity. The PRA Study Guide underscores discussing employment opportunities as the initial step in supported employment, supporting Option A.

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 Kübler-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.

Exploring needs, clarifying values, and discussing family expectations are critical steps in assessing an individual’s preparedness to engage in rehabilitation. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) specifies that readiness assessment involves understanding an individual’s motivations, values, and contextual factors, such as family dynamics, to determine their commitment to change and goal-setting (Task IV.A.2: "Assess individual’s stage of change and readiness for goal-setting"). Option A (readiness assessment) aligns with this, as these interventions help evaluate the individual’s desires, priorities, and support systems, which inform their readiness to pursue recovery-oriented goals.

Option B (determining environments of choice) is a later step related to community integration (Domain III), not readiness. Option C (writing rehabilitation goals) follows readiness assessment, building on its findings. Option D (resource assessment) focuses on external supports, not internal values or family expectations. The PRA Study Guide emphasizes readiness assessment as the process for exploring needs and values, supporting Option A.

The Stages of Change model guides the development of rehabilitation plans by assessing an individual’s readiness to pursue specific goals. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) emphasizes evaluating stages of change to prioritize goals in person-centered planning (Task IV.A.2: "Assess individual’s stage of change and readiness for goal-setting"). Option C (Contemplation) aligns with this, as the individual is considering returning to college (indicating awareness of the goal) but prioritizes other objectives first, suggesting she is not yet ready to act on the college goal but is weighing its importance.

Option A (Acceptance) is not a stage of change, though it may describe an attitude in later stages. Option B (Action) involves actively pursuing a goal, which does not match the individual’s focus on other objectives. Option D (Maintenance) applies to sustaining changes already made, not planning future goals. The PRA Study Guide describes contemplation as the stage where individuals are aware of a goal but not yet committed to action, supporting Option C.

Assessing readiness for change requires a foundation of trust to ensure open communication and accurate evaluation of the individual’s motivation. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes building trust and rapport as the primary initial goal to facilitate engagement and effective assessment (Task I.B.3: "Adapt communication strategies to build trust and engagement"). Option A (building trust and rapport with the individual) aligns with this, as a trusting relationship encourages the individual to share their thoughts and feelings about change, enabling the practitioner to assess readiness (e.g., through the Stages of Change model) accurately.

Option B (understanding the context) is important but secondary to trust, which enables context exploration. Option C (assessment of routines) is specific to action planning, not readiness assessment. Option D (identifying goals) follows readiness assessment, which first evaluates motivation. The PRA Study Guide highlights trust as critical for readiness assessment, supporting Option A.

The individual’s workplace anger outbursts threaten her job, indicating a need for skill-building to manage emotions effectively. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) emphasizes teaching self-management skills to support recovery goals, such as maintaining employment (Task V.B.4: "Teach skills using evidence-based methods"). Option B (provide the individual with anger management techniques) aligns with this, as techniques like deep breathing, cognitive reframing, or time-outs can help her regulate emotions, address the behavior that led to the warning, and reduce the risk of job loss.

Option A (check medication) assumes a clinical issue without evidence and is outside the rehabilitation focus. Option C (encourage a meeting with the supervisor) may be a later step but does not address the individual’s immediate need to manage anger. Option D (reassure she will not lose her job) is unrealistic and avoids addressing the behavior. The PRA Study Guide highlights skill-based interventions for workplace challenges, supporting Option B.

When an individual makes a threat of harm, the practitioner must prioritize safety through a structured risk assessment. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes assessing risk to ensure safety for the individual and others when threats are expressed (Task I.C.1: "Assess and respond to safety concerns in a trauma-informed manner"). Option A (determine the level of risk in this situation) aligns with this, as it involves evaluating the seriousness, intent, and means of the threat to guide immediate actions, such as de-escalation or referral to crisis services, protecting the family and individual.

Option B (provide a quiet environment) may be a follow-up but is not the initial priority over safety. Option C (judge emotional upset) is vague and less actionable than risk assessment. Option D (encourage calming down) risks escalating the situation without assessing risk. The PRA Study Guide underscores risk assessment as the first step in managing threats, supporting Option A.

Engaging individuals with co-occurring substance abuse and psychiatric disabilities in supportive housing requires addressing barriers rooted in their experiences. The CPRP Exam Blueprint (Domain III: Community Integration) highlights past experiences with restrictive or punitive settings (e.g., institutionalization or rigid programs) as a significant barrier to engaging in housing services (Task III.B.1: "Identify and address barriers to community participation"). Option C (past experience with restrictive settings) aligns with this, as individuals with co-occurring disorders often distrust or avoid structured services due to negative encounters with rules-heavy environments, which can feel controlling or stigmatizing.

Option A (preference for homelessness) oversimplifies complex motivations and is not a primary barrier. Option B (impairment of reasoning) may contribute but is less specific than past experiences, which directly shape engagement attitudes. Option D (negative mental health symptoms) is a factor but secondary to experiential barriers like distrust from restrictive settings. The PRA Study Guide emphasizes addressing historical distrust to improve housing engagement, supporting Option C.

Community integration involves connecting individuals with natural supports—such as community activities, faith-based organizations, or volunteer roles—to enhance their recovery and reduce reliance on formal services. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes facilitating access to natural supports to promote community participation and meaningful roles (Task III.C.2: "Promote the use of natural supports to enhance community integration"). Option A (maximizing the use of natural supports) aligns with this, as modifying the rehabilitation program schedule to accommodate church volunteer training enables the individual to engage with a community-based, faith-oriented support system, fostering social inclusion and personal fulfillment.

Option B (providing relapse prevention planning) is unrelated, as the scenario focuses on scheduling to support community engagement, not crisis prevention. Option C (minimizing the use of program services) is a secondary effect but not the primary intent, which is to support the individual’s community role. Option D (performing an assessment across life domains) is not indicated, as the action is schedule modification, not assessment. The PRA Study Guide highlights natural supports, such as faith communities, as critical for community integration, supporting Option A.

Community integration aims to empower individuals with psychiatric disabilities to participate fully in community life through activities that reflect their choices and autonomy. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes supporting self-directed activities that align with individualmeant by the individual’s preferences (Task III.A.3: "Support individuals in pursuing self-directed community activities"). Option D (self-directed) aligns with this, as community integration facilitates opportunities for activities chosen by the individual—such as employment, volunteering, or hobbies—that promote independence and meaningful community roles.

Option A (peer led) is relevant for peer support but narrower, as not all community activities are peer-led. Option B (staff led) contradicts the recovery-oriented focus on autonomy, as staff-led activities are more program-based. Option C (group directed) is less precise, as group activities may not always reflect individual choice. The PRA Study Guide highlights self-directed activities as the hallmark of community integration, supporting Option D.

This question pertains to Domain I: Interpersonal Competencies, which includes understanding how mental health conditions, such as schizophrenia, impact communication and how practitioners can adapt their approach to facilitate effective interactions. The CPRP Exam Blueprint notes that practitioners must “understand the impact of psychiatric symptoms on communication and employ strategies to support effective interpersonal interactions.” Schizophrenia is characterized by symptoms such as disorganized thoughts, hallucinations, delusions, negative symptoms (e.g., flat affect, anhedonia), and motivational challenges. The question asks which symptom most directly affects communication ability.

Option A: Disorganized thoughts, a positive symptom of schizophrenia, significantly impair communication by causing incoherent speech, difficulty staying on topic, and challenges in organizing ideas. This directly disrupts the ability to convey thoughts clearly, making it the most impactful symptom on communication.

Option B: Anhedonia, the inability to experience pleasure, is a negative symptom that affects emotional engagement but does not directly impair the cognitive or verbal processes required for communication.

Option C: Flat affect, another negative symptom, refers to reduced emotional expressiveness, which may make communication appear less engaging but does not fundamentally disrupt the ability to convey thoughts or ideas.

Option D: Lack of motivation, also a negative symptom, may reduce an individual’s willingness to engage in communication but does not directly affect their ability to communicate when they choose to do so.

Extract from CPRP Exam Blueprint (Domain I: Interpersonal Competencies):

“Tasks include: 3. Understanding the impact of psychiatric conditions and symptoms on communication and behavior. 4. Adapting communication strategies to meet the needs of individuals with psychiatric disabilities.”

Supported employment services aim to help individuals with psychiatric disabilities achieve and maintain competitive employment through ongoing, individualized supports. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes that supported employment provides long-term supports to ensure job retention and success, tailored to the individual’s evolving needs (Task III.A.3: "Support individuals in pursuing self-directed community activities, including employment"). Option B (long-term) aligns with this, as supported employment models, like Individual Placement and Support (IPS), offer continuous assistance (e.g., job coaching, workplace accommodations) without predetermined time limits, recognizing that employment challenges may persist.

Option A (time-limited) contradicts the supported employment model, which avoids arbitrary cutoffs. Option C (focused on past employment) is irrelevant, as supports address current and future job needs. Option D (focused on vocational testing) is a preliminary step, not the core of ongoing employment support. The PRA Study Guide and IPS guidelines confirm long-term supports as essential for supported employment, supporting Option B.

This question pertains to Domain V: Strategies for Facilitating Recovery, which includes implementing interventions like direct skills teaching to address skill deficits. The CPRP Exam Blueprint states that “direct skills teaching is the most appropriate intervention when an individual lacks specific skills needed to achieve a desired role, as it provides structured, hands-on instruction.” The scenario indicates a clear skill deficit for a desired role, making direct skills teaching the most targeted approach.

Option C: Direct skills teaching involves structured, hands-on instruction to teach specific skills (e.g., job tasks, social skills) needed for the desired role. This intervention is tailored to the individual’s needs and promotes skill acquisition, aligning with recovery-oriented practice.

Option A: A readiness assessment evaluates motivation or preparedness but does not address the skill deficit directly, making it inappropriate for this scenario.

Option B: A functional assessment identifies skill deficits but is a diagnostic step, not an intervention to teach skills.

Option D: Indirect skills teaching (e.g., modeling or environmental supports) is less structured and may be less effective for addressing specific skill deficits compared to direct teaching.

Extract from CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery):

“Tasks include: 2. Implementing direct skills teaching to address specific skill deficits required for desired roles or goals.”

This question aligns with Domain III: Community Integration, which focuses on supporting individuals to maintain employment through strategies like workplace accommodations. The CPRP Exam Blueprint emphasizes “assisting individuals to request reasonable accommodations to address disability-related barriers, such as medication side effects, to sustain community employment.” The individual’s lateness is due to medication side effects, and accommodations can address this barrier while preserving her job.

Option D: Discussing the option of requesting accommodations (e.g., a later start time or flexible schedule) is the best course of action, as it directly addresses the medication side effects causing lateness. This approach, supported by laws like the Americans with Disabilities Act (ADA), empowers the individual to maintain her job while managing her disability, aligning with recovery-oriented employment support.

Option A: Exploring alternative employment is premature and unnecessary, as accommodations may resolve the issue without requiring a job change, which could disrupt stability.

Option B: A work adjustment program focuses on general work skills, not specific barriers like medication side effects, and may not address the immediate risk of job loss.

Option C: Scheduling transportation does not address the root cause (difficulty waking up due to medication), making it an ineffective solution.

Extract from CPRP Exam Blueprint (Domain III: Community Integration):

“Tasks include: 2. Supporting individuals in maintaining employment through strategies like reasonable accommodations to address disability-related barriers. 3. Promoting self-advocacy in workplace settings.”

Rehabilitation readiness assesses an individual’s preparedness to engage in the process of setting and pursuing recovery-oriented goals. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) defines readiness as the individual’s desire and motivation to set goals, reflecting their hope, confidence, and commitment to change (Task IV.A.2: "Assess individual’s stage of change and readiness for goal-setting"). Option A (desire to set a goal) aligns with this, as readiness focuses on the individual’s willingness to identify and work toward specific objectives, such as employment or education, often evaluated through tools like the Stages of Change model.

Option B (specific skill set) relates to functional assessment, not readiness. Option C (ability to reach a goal) focuses on outcomes, not the initial motivation. Option D (functional capacity) assesses skills and deficits, not motivational readiness. The PRA Study Guide emphasizes desire as the core of rehabilitation readiness, supporting Option A.

Managing co-occurring substance abuse and mental health disorders requires integrated treatment that addresses both conditions collaboratively and non-punitively. The CPRP Exam Blueprint (Domain VI: Systems Competencies) emphasizes integrated dual diagnosis treatment (IDDT), which promotes harm reduction and shared decision-making rather than exclusionary practices (Task VI.B.2: "Promote integration of mental health, physical health, and substance use services"). Option C (a lack of understanding of integrated treatment) aligns with this, as the practitioner’s decision to withhold medication due to alcohol consumption reflects a punitive approach, ignoring harm reduction principles and the need to maintain medication continuity for mental health stability, which is critical in co-occurring disorders.

Option A (failure to employ shared decision-making) is relevant but less specific, as the core issue is the lack of integrated treatment principles. Option B (consequences for actions) contradicts recovery-oriented, non-judgmental care. Option D (caution due to medication interactions) is plausible but incorrect, as the scenario does not indicate a specific interaction risk, and integrated treatment prioritizes continuity over exclusion. The PRA Study Guide underscores integrated, harm reduction-based approaches for co-occurring disorders, supporting Option C.

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.”

Reducing stigma toward individuals with psychiatric disabilities requires strategies that challenge stereotypes and foster understanding. The CPRP Exam Blueprint (Domain VI: Systems Competencies) highlights promoting direct interaction with individuals with lived experience as a key method to reduce stigma, as it humanizes mental health conditions and counters misconceptions (Task VI.A.3: "Advocate for stigma reduction through community engagement"). Option C (interaction with diverse individuals) aligns with this, as personal contact—such as through peer-led programs, community events, or storytelling—has been shown to effectively decrease prejudice and promote empathy among the public.

Option A (sensitivity training workshops) is useful but less impactful than direct interaction, which provides lived experience. Option B (public awareness demonstrations) raises visibility but may not foster deep understanding like personal contact. Option D (research of oppressed populations) informs policy but does not directly engage communities to reduce stigma. The PRA Study Guide, referencing contact-based stigma reduction strategies, supports Option C as a best practice.

This question pertains to Domain V: Strategies for Facilitating Recovery, which includes implementing evidence-based practices like Supported Education. The CPRP Exam Blueprint states that “Supported Education programs are grounded in recovery-oriented values, including hope, dignity, and individualization, to empower individuals to pursue educational goals.” Individualization ensures services are tailored to the unique needs and goals of each person, a core principle of psychiatric rehabilitation.

Option D: Individualization is a key value in Supported Education, as it ensures that support is customized to the individual’s educational aspirations, learning style, and needs (e.g., accommodations, pacing). This aligns with the person-centered focus of recovery and Supported Education.

Option A: Self-actualization, while a psychological concept, is not a specific value emphasized in Supported Education programs, which prioritize practical and recovery-oriented principles.

Option B: Achievement is an outcome, not a foundational value, and is less central than individualization in shaping program design.

Option C: Self-help is related but less precise than individualization, which encompasses tailored support beyond self-reliance.

Extract from CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery):

“Tasks include: 3. Implementing Supported Education programs grounded in values of hope, dignity, and individualization to support personalized educational goals.”

Empathy is a cornerstone of interpersonal competencies in psychiatric rehabilitation, enabling practitioners to build trust and understand the lived experiences of individuals with psychiatric disabilities. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes self-awareness and ongoing personal development as essential for empathy (Task I.A.3: "Engage in ongoing self-assessment and professional development"). Option D (involved in their own personal growth) directly aligns with this task, as personal growth fosters self-reflection, emotional resilience, and the ability to connect authentically with clients. This involves examining personal biases, values, and experiences to enhance empathetic engagement.

Option A (active in the peer empowerment movement) pertains to advocacy and systems competencies (Domain VI) but is not a requirement for empathy. Option B (physically, spiritually, and mentally healthy) is overly broad and not explicitly linked to empathy in the blueprint, though practitioner wellness supports overall competence (Domain VII). Option C (knowledgeable about therapeutic interventions) relates to professional role competencies (Domain II) rather than interpersonal empathy. The PRA Code of Ethics further underscores self-awareness and personal growth as foundational for ethical, empathetic practice, reinforcing Option D.

This question aligns with Domain III: Community Integration, which focuses on supporting individuals to access community resources, such as housing, and addressing barriers like discrimination. The CPRP Exam Blueprint emphasizes “advocating for fair housing practices and referring individuals to appropriate resources to address discrimination or barriers to community integration.” The scenario involves potential discrimination based on the source of income (disability benefits), which violates fair housing laws in many jurisdictions.

Option A: Referring the woman to a legal advocacy group is the best response, as it equips her to address potential discrimination under fair housing laws (e.g., the Fair Housing Act in the U.S., which prohibits discrimination based on disability or income source in some states). Legal advocacy groups can provide expertise to challenge the landlord’s decision and secure housing access.

Option B: A peer support organization may offer emotional support but lacks the legal expertise to address housing discrimination effectively.

Option C: A family advocacy group may not be relevant unless family members are directly involved, and it does not address the legal issue of discrimination.

Option D: A government benefits agency could clarify her benefits but does not address the landlord’s discriminatory decision, which is the primary barrier.

Extract from CPRP Exam Blueprint (Domain III: Community Integration):

“Tasks include: 3. Supporting individuals in accessing housing and addressing barriers, such as discrimination. 4. Referring individuals to advocacy resources to ensure fair treatment in community settings.”

Supporting an individual recently discharged from inpatient care involves addressing barriers to community integration, such as past housing conflicts, while prioritizing self-determination. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes empowering individuals to make choices about their living arrangements to foster stability and safety (Task III.A.1: "Support individuals in accessing and maintaining stable housing"). Option D (help him make a decision about where he wants to live) aligns with this by focusing on person-centered planning, allowing the individual to explore housing options that address his feelings of unsafety and anger, such as locations or settings that feel secure and supportive.

Option A (anger management group) addresses anger but not the root issue of housing-related distress or safety concerns. Option B (residential program) assumes a specific solution without involving the individual’s preferences, which may not align with his recovery goals. Option C (supported housing with a roommate) is prescriptive and may not suit his needs, especially given past conflicts with others, without first exploring his preferences. The PRA Study Guide underscores the importance of choice in housing to promote community integration, supporting Option D.

The individual’s frustration with providers requires a response that rebuilds trust and fosters collaboration. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes validating concerns and offering empathetic, person-centered engagement to address barriers in provider relationships (Task I.B.3: "Adapt communication strategies to build trust and engagement"). Option A (I’m here and I’m listening. Let’s work together to develop an action plan for the future) aligns with this, as it acknowledges the individual’s feelings, reinforces the practitioner’s commitment to listening, and proposes a collaborative approach to address the issue, empowering the individual.

Option B (you are right) risks reinforcing negativity without offering a constructive path. Option C (issue is common) minimizes the individual’s experience. Option D (I can fix problems) is practitioner-centered and premature. The PRA Study Guide highlights empathetic, collaborative responses as key for trust-building, supporting Option A.

The individual’s pattern of running away when symptomatic, following repeated hospitalizations in a locked unit, suggests a response to potentially traumatic experiences. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes trauma-informed care, which recognizes that institutional settings like locked units can re-traumatize individuals, prompting avoidance behaviors (Task I.A.4: "Apply trauma-informed principles in service delivery"). Option A (avoiding re-traumatization) aligns with this, as the individual’s running away likely reflects an attempt to avoid the distress and loss of autonomy associated with involuntary hospitalizations, which can feel re-traumatizing, especially for someone with a history of mental health challenges.

Option B (breakdown of the therapeutic relationship) is possible but not directly supported, as the scenario focuses on hospitalization, not staff interactions. Option C (attention-seeking behavior) is a stigmatizing assumption that contradicts recovery-oriented care. Option D (learned helplessness) implies passivity, not the proactive avoidance behavior described. The PRA Study Guide highlights avoidance as a trauma-informed response to re-traumatizing settings, supporting Option A.

This question aligns with Domain IV: Assessment, Planning, and Outcomes, which focuses on developing individualized rehabilitation plans that incorporate assessment findings, personal goals, and strategies to support recovery. The CPRP Exam Blueprint emphasizes that rehabilitation plans should include “specific interventions, supports, and monitoring strategies to address identified needs and prevent adverse outcomes, such as hospitalization.” The scenario involves incorporating a monitoring strategy (alerting the individual to early warning signs) into the individual’s plan to prevent hospitalizations.

Option D: The rehabilitation plan is the comprehensive document that integrates assessment data, goals, interventions, and monitoring strategies tailored to the individual’s needs. Including a strategy to alert the individual when signs of feeling scared, disorganized, or isolated are observed fits within the rehabilitation plan, as it addresses early intervention to prevent hospitalization. This aligns with person-centered planning principles.

Option A: A strategic goal typically outlines a broad, long-term outcome (e.g., maintaining stability), not specific interventions like monitoring and alerting.

Option B: A skills training plan focuses on teaching specific skills (e.g., coping or social skills), not monitoring or alerting strategies.

Option C: The overall rehabilitation goal is a high-level aim (e.g., living independently), not a detailed plan that includes specific interventions like alerting the individual to warning signs.

Extract from CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes):

“Tasks include: 2. Developing individualized rehabilitation plans that incorporate assessment findings and monitoring strategies. 3. Identifying early warning signs and interventions to prevent adverse outcomes, such as hospitalization.”

Social support networks are critical for enhancing wellness among individuals with schizophrenia, as they provide emotional, practical, and social resources that foster recovery. The CPRP Exam Blueprint (Domain VII: Supporting Health & Wellness) emphasizes the role of social connections in promoting overall well-being (Task VII.B.1: "Support the development of social and interpersonal skills to enhance wellness"). Option C (sense of well-being) aligns with this, as literature consistently shows that strong social support networks improve emotional and psychological well-being by reducing isolation, enhancing self-esteem, and providing a sense of belonging, which are particularly vital for individuals with schizophrenia.

Option A (social skills) may improve indirectly through social engagement, but it is not the primary outcome, as skills are a means to well-being, not the end goal. Option B (ability to work) is a secondary benefit, as employment depends on multiple factors beyond social support (Domain III). Option D (symptomatology) may see some improvement, but well-being is a broader, more direct outcome of social support, as symptom reduction is not guaranteed by social networks alone. The PRA Study Guide, referencing recovery-oriented research, highlights social support as a key driver of well-being, supporting Option C.

A functional assessment in psychiatric rehabilitation evaluates an individual’s current abilities and barriers to inform recovery-oriented planning. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) defines functional assessment as identifying current functional successes (strengths) and challenges (deficits) across domains like self-care, social skills, or employment to guide goal-setting (Task IV.A.1: "Conduct functional assessments to identify individual goals and strengths"). Option B (assessment of current functional successes and challenges) aligns with this, as it focuses on the individual’s present capabilities and limitations to develop relevant, person-centered interventions.

Option A (activities of daily living for future roles) is narrower and future-focused, not capturing the full scope of current functioning. Option C (educational successes and goals) is too specific, as functional assessment spans multiple domains. Option D (past functional successes) is retrospective and less relevant than current functioning for planning. The PRA Study Guide emphasizes assessing current strengths and challenges as the core of functional assessment, supporting Option B.

Psychiatric rehabilitation focuses on enhancing an individual’s ability to live, work, and engage in the community while achieving personal fulfillment. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) defines the mission as improving functioning (e.g., skills for daily living, employment) and increasing satisfaction with life roles and environments (Task V.A.1: "Promote recovery principles, including self-determination and satisfaction"). Option A (increase satisfaction) aligns with this, as psychiatric rehabilitation prioritizes person-centered outcomes, such as achieving goals that enhance quality of life and personal fulfillment, alongside functional improvements.

Option B (decrease symptoms) is a clinical goal, not the primary focus of rehabilitation, which emphasizes functioning over symptom reduction. Option C (increase insight) is not a core rehabilitation outcome, as insight is secondary to practical and personal goals. Option D (decrease stigma) is a broader advocacy goal (Domain VI) but not the mission’s core focus. The PRA Study Guide defines psychiatric rehabilitation as improving functioning and life satisfaction, supporting Option A.

Cognitive deficits, such as difficulties with memory or attention, are common in schizophrenia and can hinder academic performance. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) emphasizes developing compensatory strategies to support individuals in achieving educational goals despite functional challenges (Task V.B.4: "Teach skills using evidence-based methods"). Option C (assist the individual in developing compensatory strategies) aligns with this, as strategies like using planners, breaking tasks into smaller steps, or employing mnemonic devices can help the individual manage cognitive deficits and succeed in her college course, aligning with her goal to continue education.

Option A (attend class) is intrusive and not a sustainable support strategy. Option B (inform the instructor) may violate confidentiality and is not the first step without the individual’s consent or input. Option D (explore dropping the course) assumes disengagement rather than supporting her educational goal. The PRA Study Guide highlights compensatory strategies as a primary intervention for cognitive challenges, supporting Option C.

The Wellness Recovery Action Plan (WRAP), developed by Mary Ellen Copeland, is a self-directed, recovery-oriented framework that empowers individuals to manage their mental health and wellness. The CPRP Exam Blueprint (Domain V: Strategies for Facilitating Recovery) highlights WRAP as a tool for developing self-management skills, particularly for managing stress and preventing crises (Task V.B.2: "Facilitate the development of self-management skills"). Option B (providing tools to handle stress) aligns with WRAP’s core components, which include identifying triggers, creating a wellness toolkit (e.g., coping strategies like mindfulness or exercise), and developing action plans to manage stress and symptoms effectively.

Option A (adapting 12-step programs) is incorrect, as WRAP is a distinct, personalized recovery model, not an adaptation of 12-step programs, which focus on addiction recovery. Option C (increasing adherence to treatment) may be an indirect benefit but is not WRAP’s primary purpose, which emphasizes self-empowerment over compliance. Option D (replacing advance directives) is incorrect, as WRAP complements, but does not replace, legal documents like advance directives, which are addressed separately (Task V.C.3). The PRA Study Guide emphasizes WRAP’s role in fostering resilience and stress management, supporting Option B.