MOCK Final EXAM –
NR605 (75 Multiple
Choice)
Diagnosis Management in Psychiatric
Mental Health (Chamberlain
University)
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MOCK FINAL EXAM – NR605 (75 Multiple Choice) answers at the end
1. In CBT, “secondary thinking” is BEST described as:
A. Fast, automatic, global appraisals that feel unquestionably true
B. Deliberate, reflective thinking that evaluates automatic thoughts against evidence
C. A defense mechanism that blocks distressing cognitions
D. A behavioral chain analysis focused on antecedents and consequences
2. A client says, “If my partner would change, I’d finally be happy.” This is MOST consistent with which cognitive
distortion category?
A. Emotional reasoning
B. Fallacy of change (others)
C. Catastrophizing
D. Personalization
3. “Decatastrophizing” in CBT MOST directly involves:
A. Generating multiple alternative explanations and choosing the best one
B. Estimating realistic probability and impact, then planning coping responses
C. Identifying core schemas and linking them to early childhood events
D. Reframing distress as value-consistent action
4. A therapist asks, “What is the evidence for and against that thought?” This is BEST described as: A. Interpretation
B. Socratic dialogue
C. Paradoxical intervention
D. Empty-chair technique
5. Which diagnosis is MOST classically treated with CBT as a first-line psychotherapy?
A. Schizophrenia (primary treatment)
B. Panic disorder
C. Antisocial personality disorder
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D. Acute mania
6. CBT’s relationship to nursing theory is BEST captured by: A. CBT rejects therapeutic relationship as clinically
meaningful
B. CBT aligns with nursing’s emphasis on education, collaboration, and self-management
C. CBT is incompatible with holistic nursing frameworks
D. CBT primarily relies on transference analysis
7. The MOST defensible reason CBT includes homework is:
A. To test therapist authority and compliance
B. To generalize learning and create behavioral experiments outside session
C. To reduce the need for alliance building
D. To uncover unconscious conflict
8. Motivational Interviewing (MI) founder(s) are:
A. Beck and Ellis
B. Linehan
C. Miller and Rollnick
D. Minuchin and Haley9. In MI, OARS stands for:
A. Observe, Assess, Reframe, Summarize
B. Open questions, Affirmations, Reflections, Summaries
C. Options, Advice, Reinforcement, StrategyD. Outcome measures, Agenda setting, Role play, Scaling
10. In MI, RULE refers to:
A. Resist, Understand, Lead, Evaluate
B. Review, Use, Listen, Educate
C. Resist the righting reflex; Understand motivations; Listen; Empower
D. Respect, Unify, Leverage, Engage
11. Sustain talk is BEST handled by:
A. Immediate confrontation to reduce avoidance