Page 1 of 180
Wilkes University NSG 526 Exam 1 Clinical
Modalities In Advanced Psychiatric Mental
Health Nursing Practice Actual Questions
And Answers(Verified Answers),100%
Guaranteed Pass || Complete A+ Guide
1. A PMHNP is seeing a new patient for the first time. Which
action best establishes the therapeutic alliance?
• A) Completing a comprehensive biopsychosocial
assessment
• B) Explaining the limits of confidentiality upfront
• C) Demonstrating empathy, genuineness, and
unconditional positive regard
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• D) Prescribing an SSRI for anxiety symptoms
Answer: C
Rationale: The therapeutic alliance is built on Rogers’ core
conditions: empathy, genuineness, and unconditional positive
regard. While B is necessary, C is the foundation of the
alliance itself.
2. A patient tells the NP, “You’re the only one who
understands me. My family is useless.” The NP recognizes
this as:
• A) Transference
• B) Countertransference
• C) Splitting
• D) Idealization
Answer: D
Rationale: Idealization is a defense mechanism where the
patient attributes exaggerated positive qualities to the
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therapist. Splitting involves seeing people as all good or all
bad.
3. A patient with borderline personality disorder says,
“You’re just like my mother—cold and judgmental.” This is
an example of:
• A) Projection
• B) Transference
• C) Acting out
• D) Intellectualization
Answer: B
Rationale: Transference is the unconscious redirection of
feelings from a significant past person onto the therapist.
4. The PMHNP feels irritated and wants to end a session
early with a demanding patient. This feeling most likely
represents:
• A) Empathic strain
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• B) Countertransference
• C) Reality testing
• D) Boundary violation
Answer: B
Rationale: Countertransference refers to the therapist’s
emotional reactions to the patient based on the therapist’s own
unresolved conflicts.
5. Which ethical principle is primarily at stake when a
patient refuses medication but is not imminently
dangerous?
• A) Beneficence
• B) Autonomy
• C) Justice
• D) Nonmaleficence
Answer: B
Rationale: Autonomy respects the patient’s right to make their
Wilkes University NSG 526 Exam 1 Clinical
Modalities In Advanced Psychiatric Mental
Health Nursing Practice Actual Questions
And Answers(Verified Answers),100%
Guaranteed Pass || Complete A+ Guide
1. A PMHNP is seeing a new patient for the first time. Which
action best establishes the therapeutic alliance?
• A) Completing a comprehensive biopsychosocial
assessment
• B) Explaining the limits of confidentiality upfront
• C) Demonstrating empathy, genuineness, and
unconditional positive regard
,Page 2 of 180
• D) Prescribing an SSRI for anxiety symptoms
Answer: C
Rationale: The therapeutic alliance is built on Rogers’ core
conditions: empathy, genuineness, and unconditional positive
regard. While B is necessary, C is the foundation of the
alliance itself.
2. A patient tells the NP, “You’re the only one who
understands me. My family is useless.” The NP recognizes
this as:
• A) Transference
• B) Countertransference
• C) Splitting
• D) Idealization
Answer: D
Rationale: Idealization is a defense mechanism where the
patient attributes exaggerated positive qualities to the
,Page 3 of 180
therapist. Splitting involves seeing people as all good or all
bad.
3. A patient with borderline personality disorder says,
“You’re just like my mother—cold and judgmental.” This is
an example of:
• A) Projection
• B) Transference
• C) Acting out
• D) Intellectualization
Answer: B
Rationale: Transference is the unconscious redirection of
feelings from a significant past person onto the therapist.
4. The PMHNP feels irritated and wants to end a session
early with a demanding patient. This feeling most likely
represents:
• A) Empathic strain
, Page 4 of 180
• B) Countertransference
• C) Reality testing
• D) Boundary violation
Answer: B
Rationale: Countertransference refers to the therapist’s
emotional reactions to the patient based on the therapist’s own
unresolved conflicts.
5. Which ethical principle is primarily at stake when a
patient refuses medication but is not imminently
dangerous?
• A) Beneficence
• B) Autonomy
• C) Justice
• D) Nonmaleficence
Answer: B
Rationale: Autonomy respects the patient’s right to make their
