NSG 526 CLINICAL MODAL EXAM 1
REVIEWED & UPDATED 2026/2027| ALL 186
REAL QUESTIONS AND ANSWERS HAVE
RATIONALES |GUARANTEED PASS
|ALREADY GRADED A+ (BRAND NEW!!)
1. Which documentation of a patient's behavior best
demonstrates a psychiatric advanced practice nurse's professional
observations regarding the patient's psychotic symptoms?
A) Isolates self from others. Frequently fell asleep during group.
Vital signs stable.
B) Calmer; more cooperative. Participated actively in group. No
evidence of psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume on
television, causing conflict with others.
D) Wore four layers of clothing. States, "I need protection from evil
bacteria trying to pierce my skin. ANS: D. wore four layers of
clothing. states "i need protection from evil bacteria trying to pierce
my skin"
2. In using the communication technique of reflection, the
psychiatric advanced practice nurse:
A) Interprets the difference between a patient's thoughts and his or
her behaviors.
B) Repeats something that the patient has said to encourage the
,patient to give more information.
C) Provides prompts such as "tell me more."
D) Seeks more information in order to have a more clear
understanding. ANS: B. repeats something the patient has said to
encourage the patient to give more information
3.Which one of the following is not true regarding the mental
status examination?
A) Racing thoughts are considered part of the thought process
B) Blunted is a term used to describe affect
C) Hallucinations are part of thought content
D) Delusions are part of thought content ANS: C. Hallucinations are a
part of thought content.
**** Delusions are a part of thought content
** suicidal thoughts, homicidal thoughts, and thoughts of self-
harm are all covered in thought content -- think - it is the
CONTENT of your thoughts!!!
4.The PMHNP has a new patient in the clinic. While looking at the
materials the patient filled out in the waiting area, the PMHNP
ascertains the patient has a substance abuse history. The PMHNP
immediately says, "stupid drug addicts, they're so annoying. There
such a waste of time. They never want to get better. "This is an
example of:
A) Projection
,B) Transference
C) Countertransference
D) Resistance
ANS: C. countertransference
5.Which comment(s) by an elderly person best indicates successful
completion of developmental tasks? Select all that apply.
A) "I am proud of my children's successes in life."
B) "I should have given to charities more often."
C) "My relationship with my father made life more difficult for me."
D) "I often wonder what would have happened if I had chosen
a different career." ANS: A. I am proud of my children's
success in life
6. The purposes of the psychiatric interview include all except:
A) Gaining an understanding of the patient's illness.
B) Obtaining information efficiently.
C) Providing education about psychiatric disorders.
D) Establishing a therapeutic alliance. ANS: C. providing education
about psychiatric disorders
7.Operates to the pleasure principle. Seeking please and
avoiding pain. It drives wishes, desires and fantasies.
No real perception of reality. It uses primary
process... Seeks to satisfy its needs. ANS: ID
, 8.ID has 2 major instincts, what are they?: EROS - focus on
pleasure-seeking tendencies such as sexual urges.
THANATOS - motivates people to use aggressive urges to destroy.
9.Aware of reality and understands that behaviors have
consequences. It uses secondary processes... perception,
recognition, judgement, memory, reasoning,
problem-solving, impulse control and formation of relationships ANS:
EGO
10. Contains morals and values and is developed from our
parents through childhood and society. Contains the rules of
right and wrong. ANS: SUPER EGO
11. What reason does the nurse give the patient for the
emphasis and attention being paid to the recovery phase of their
treatment plan?
a. Recovery care, even when intensive, is less expensive than acute
psychiatric care.
b. Effective recovery care is likely to result in fewer relapses and
subsequent hospitalizations.
c. Planning for recovery care is time consuming and involves
dealing with many complicated details.
d. Recovery care is usually done on an outpatient basis and so is
generally better accepted by patients. ANS: B. Effective recovery
care is likely to result in fewer relapses and subsequent
hospitalizations.
REVIEWED & UPDATED 2026/2027| ALL 186
REAL QUESTIONS AND ANSWERS HAVE
RATIONALES |GUARANTEED PASS
|ALREADY GRADED A+ (BRAND NEW!!)
1. Which documentation of a patient's behavior best
demonstrates a psychiatric advanced practice nurse's professional
observations regarding the patient's psychotic symptoms?
A) Isolates self from others. Frequently fell asleep during group.
Vital signs stable.
B) Calmer; more cooperative. Participated actively in group. No
evidence of psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume on
television, causing conflict with others.
D) Wore four layers of clothing. States, "I need protection from evil
bacteria trying to pierce my skin. ANS: D. wore four layers of
clothing. states "i need protection from evil bacteria trying to pierce
my skin"
2. In using the communication technique of reflection, the
psychiatric advanced practice nurse:
A) Interprets the difference between a patient's thoughts and his or
her behaviors.
B) Repeats something that the patient has said to encourage the
,patient to give more information.
C) Provides prompts such as "tell me more."
D) Seeks more information in order to have a more clear
understanding. ANS: B. repeats something the patient has said to
encourage the patient to give more information
3.Which one of the following is not true regarding the mental
status examination?
A) Racing thoughts are considered part of the thought process
B) Blunted is a term used to describe affect
C) Hallucinations are part of thought content
D) Delusions are part of thought content ANS: C. Hallucinations are a
part of thought content.
**** Delusions are a part of thought content
** suicidal thoughts, homicidal thoughts, and thoughts of self-
harm are all covered in thought content -- think - it is the
CONTENT of your thoughts!!!
4.The PMHNP has a new patient in the clinic. While looking at the
materials the patient filled out in the waiting area, the PMHNP
ascertains the patient has a substance abuse history. The PMHNP
immediately says, "stupid drug addicts, they're so annoying. There
such a waste of time. They never want to get better. "This is an
example of:
A) Projection
,B) Transference
C) Countertransference
D) Resistance
ANS: C. countertransference
5.Which comment(s) by an elderly person best indicates successful
completion of developmental tasks? Select all that apply.
A) "I am proud of my children's successes in life."
B) "I should have given to charities more often."
C) "My relationship with my father made life more difficult for me."
D) "I often wonder what would have happened if I had chosen
a different career." ANS: A. I am proud of my children's
success in life
6. The purposes of the psychiatric interview include all except:
A) Gaining an understanding of the patient's illness.
B) Obtaining information efficiently.
C) Providing education about psychiatric disorders.
D) Establishing a therapeutic alliance. ANS: C. providing education
about psychiatric disorders
7.Operates to the pleasure principle. Seeking please and
avoiding pain. It drives wishes, desires and fantasies.
No real perception of reality. It uses primary
process... Seeks to satisfy its needs. ANS: ID
, 8.ID has 2 major instincts, what are they?: EROS - focus on
pleasure-seeking tendencies such as sexual urges.
THANATOS - motivates people to use aggressive urges to destroy.
9.Aware of reality and understands that behaviors have
consequences. It uses secondary processes... perception,
recognition, judgement, memory, reasoning,
problem-solving, impulse control and formation of relationships ANS:
EGO
10. Contains morals and values and is developed from our
parents through childhood and society. Contains the rules of
right and wrong. ANS: SUPER EGO
11. What reason does the nurse give the patient for the
emphasis and attention being paid to the recovery phase of their
treatment plan?
a. Recovery care, even when intensive, is less expensive than acute
psychiatric care.
b. Effective recovery care is likely to result in fewer relapses and
subsequent hospitalizations.
c. Planning for recovery care is time consuming and involves
dealing with many complicated details.
d. Recovery care is usually done on an outpatient basis and so is
generally better accepted by patients. ANS: B. Effective recovery
care is likely to result in fewer relapses and subsequent
hospitalizations.
