NSG527 Exam 1: Psychopathology, Theories, & Advanced Clinical
Modalities Questions and Answers and Explanations | Latest Wilkes
1. According to Hildegard Peplau’s Theory of Interpersonal Relations, which
phase is characterized by the patient seeking professional assistance and the
nurse helping the patient identify their problem?
A. Exploitation phase
B. Orientation phase
C. Resolution phase
D. Identification phase
Answer: B
Explanation: The orientation phase is the initial meeting where the nurse and patient
identify the problem and establish the parameters of the relationship.
2. Which brain structure is primarily responsible for regulating emotions,
memory, and the fight-or-flight response, often implicated in anxiety disorders?
A. Basal ganglia
B. Limbic system
C. Cerebellum
D. Parietal lobe
Answer: B
,Explanation: The limbic system, particularly the amygdala and hippocampus, is the
emotional center of the brain.
3. In Freud’s Psychoanalytic theory, which component of the personality
operates on the ‘reality principle’ and seeks to mediate between internal drives
and external reality?
A. Id
B. Superego
C. Ego
D. Libido
Answer: C
Explanation: The ego balances the impulsive id and the moralistic superego by following
the reality principle.
4. A patient exhibits ‘waxy flexibility’ and remains in a fixed position for hours.
This is a characteristic symptom of which condition?
A. Catatonia
B. Bipolar I Disorder
C. Obsessive-Compulsive Disorder
D. Generalized Anxiety Disorder
Answer: A
,Explanation: Waxy flexibility is a psychomotor symptom associated with catatonia, often
seen in schizophrenia or mood disorders.
5. Which neurotransmitter is primarily targeted by Selective Serotonin Reuptake
Inhibitors (SSRIs) to treat Depression and Anxiety?
A. Dopamine
B. GABA
C. Acetylcholine
D. Serotonin
Answer: D
Explanation: SSRIs work by inhibiting the reuptake of serotonin in the synaptic cleft,
increasing its availability.
6. Erikson’s developmental stage for middle adulthood (ages 40-65) is
characterized by which conflict?
A. Intimacy vs. Isolation
B. Generativity vs. Stagnation
C. Identity vs. Role Confusion
D. Integrity vs. Despair
Answer: B
Explanation: Generativity vs. Stagnation involves the adult’s need to create or nurture
things that will outlast them, often through parenting or work.
, 7. In Cognitive Behavioral Therapy (CBT), the ‘Cognitive Triad’ of depression
refers to negative views about:
A. Past, Present, and Future
B. Family, Friends, and Career
C. Self, World, and Future
D. Biology, Environment, and Stress
Answer: C
Explanation: Aaron Beck’s cognitive triad consists of negative thoughts about the self, the
world (experience), and the future.
8. Which defense mechanism involves attributing one’s own unacceptable
feelings or impulses to another person?
A. Reaction Formation
B. Displacement
C. Sublimation
D. Projection
Answer: D
Explanation: Projection is a defense mechanism where individuals deal with conflict by
falsely attributing their own feelings to others.
Modalities Questions and Answers and Explanations | Latest Wilkes
1. According to Hildegard Peplau’s Theory of Interpersonal Relations, which
phase is characterized by the patient seeking professional assistance and the
nurse helping the patient identify their problem?
A. Exploitation phase
B. Orientation phase
C. Resolution phase
D. Identification phase
Answer: B
Explanation: The orientation phase is the initial meeting where the nurse and patient
identify the problem and establish the parameters of the relationship.
2. Which brain structure is primarily responsible for regulating emotions,
memory, and the fight-or-flight response, often implicated in anxiety disorders?
A. Basal ganglia
B. Limbic system
C. Cerebellum
D. Parietal lobe
Answer: B
,Explanation: The limbic system, particularly the amygdala and hippocampus, is the
emotional center of the brain.
3. In Freud’s Psychoanalytic theory, which component of the personality
operates on the ‘reality principle’ and seeks to mediate between internal drives
and external reality?
A. Id
B. Superego
C. Ego
D. Libido
Answer: C
Explanation: The ego balances the impulsive id and the moralistic superego by following
the reality principle.
4. A patient exhibits ‘waxy flexibility’ and remains in a fixed position for hours.
This is a characteristic symptom of which condition?
A. Catatonia
B. Bipolar I Disorder
C. Obsessive-Compulsive Disorder
D. Generalized Anxiety Disorder
Answer: A
,Explanation: Waxy flexibility is a psychomotor symptom associated with catatonia, often
seen in schizophrenia or mood disorders.
5. Which neurotransmitter is primarily targeted by Selective Serotonin Reuptake
Inhibitors (SSRIs) to treat Depression and Anxiety?
A. Dopamine
B. GABA
C. Acetylcholine
D. Serotonin
Answer: D
Explanation: SSRIs work by inhibiting the reuptake of serotonin in the synaptic cleft,
increasing its availability.
6. Erikson’s developmental stage for middle adulthood (ages 40-65) is
characterized by which conflict?
A. Intimacy vs. Isolation
B. Generativity vs. Stagnation
C. Identity vs. Role Confusion
D. Integrity vs. Despair
Answer: B
Explanation: Generativity vs. Stagnation involves the adult’s need to create or nurture
things that will outlast them, often through parenting or work.
, 7. In Cognitive Behavioral Therapy (CBT), the ‘Cognitive Triad’ of depression
refers to negative views about:
A. Past, Present, and Future
B. Family, Friends, and Career
C. Self, World, and Future
D. Biology, Environment, and Stress
Answer: C
Explanation: Aaron Beck’s cognitive triad consists of negative thoughts about the self, the
world (experience), and the future.
8. Which defense mechanism involves attributing one’s own unacceptable
feelings or impulses to another person?
A. Reaction Formation
B. Displacement
C. Sublimation
D. Projection
Answer: D
Explanation: Projection is a defense mechanism where individuals deal with conflict by
falsely attributing their own feelings to others.
