NSG526 Exam 4 V3 | NSG 526 Clinical
Modalities Adv. Psych | Wilkes University
1. In the Roberts Seven-Stage Crisis Intervention Model, what is the therapist’s first priority
when meeting a client in acute distress?
A. Establish rapport and relationship building
B. Assess lethality and safety
C. Explore feelings and emotions
D. Develop an action plan
Answer: B
Rationale: According to Roberts Seven-Stage Crisis Intervention Model, the immediate
priority is to assess for lethality and provide for the safety of the client. This involves
determining the risk of suicide or homicide and the immediate environment of the client.
Only after safety is assured can the therapist proceed to building rapport and developing
further treatment interventions.
2. Which family therapy approach focuses on ‘triangulation’ and the importance of
differentiating the self within the family unit?
A. Strategic Family Therapy
B. Structural Family Therapy
C. Bowen Family Systems Therapy
,D. Solution-Focused Therapy
Answer: C
Rationale: Murray Bowen’s Family Systems Theory emphasizes the concept of
differentiation of self, which is the ability to separate one’s own emotional and intellectual
functioning from the family’s. Triangulation occurs when two people in a stressful
relationship bring in a third person to reduce anxiety. Understanding these dynamics is
essential for family therapy interventions aimed at long-term systemic change.
3. A PMHNP is utilizing Dialectical Behavior Therapy (DBT) for a patient with Borderline
Personality Disorder. Which of the following is a core component of this modality?
A. Free association
B. Systemic desensitization
C. Mindfulness and distress tolerance
D. Dream analysis
Answer: C
Rationale: DBT is a cognitive-behavioral approach that emphasizes the balance between
acceptance and change. The four primary modules include mindfulness, distress tolerance,
emotion regulation, and interpersonal effectiveness. These skills help patients manage
intense emotions and decrease self-destructive behaviors frequently associated with
personality disorders.
, 4. In the context of Community Mental Health, which level of prevention is aimed at reducing
the prevalence and duration of a mental disorder through early detection and treatment?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Answer: A
Rationale: Secondary prevention focuses on early case finding and prompt treatment of an
existing condition to prevent it from becoming chronic. Screening for depression in a
primary care setting is a classic example of secondary prevention. This differs from
primary prevention, which focuses on reducing incidence, and tertiary prevention, which
focuses on rehabilitation and reducing disability.
5. Assertive Community Treatment (ACT) is primarily designed to serve which of the following
populations?
A. Individuals with severe and persistent mental illness (SPMI) who have high service
needs
B. Individuals with mild anxiety disorders
C. Children with ADHD
D. Corporate executives with burnout
Modalities Adv. Psych | Wilkes University
1. In the Roberts Seven-Stage Crisis Intervention Model, what is the therapist’s first priority
when meeting a client in acute distress?
A. Establish rapport and relationship building
B. Assess lethality and safety
C. Explore feelings and emotions
D. Develop an action plan
Answer: B
Rationale: According to Roberts Seven-Stage Crisis Intervention Model, the immediate
priority is to assess for lethality and provide for the safety of the client. This involves
determining the risk of suicide or homicide and the immediate environment of the client.
Only after safety is assured can the therapist proceed to building rapport and developing
further treatment interventions.
2. Which family therapy approach focuses on ‘triangulation’ and the importance of
differentiating the self within the family unit?
A. Strategic Family Therapy
B. Structural Family Therapy
C. Bowen Family Systems Therapy
,D. Solution-Focused Therapy
Answer: C
Rationale: Murray Bowen’s Family Systems Theory emphasizes the concept of
differentiation of self, which is the ability to separate one’s own emotional and intellectual
functioning from the family’s. Triangulation occurs when two people in a stressful
relationship bring in a third person to reduce anxiety. Understanding these dynamics is
essential for family therapy interventions aimed at long-term systemic change.
3. A PMHNP is utilizing Dialectical Behavior Therapy (DBT) for a patient with Borderline
Personality Disorder. Which of the following is a core component of this modality?
A. Free association
B. Systemic desensitization
C. Mindfulness and distress tolerance
D. Dream analysis
Answer: C
Rationale: DBT is a cognitive-behavioral approach that emphasizes the balance between
acceptance and change. The four primary modules include mindfulness, distress tolerance,
emotion regulation, and interpersonal effectiveness. These skills help patients manage
intense emotions and decrease self-destructive behaviors frequently associated with
personality disorders.
, 4. In the context of Community Mental Health, which level of prevention is aimed at reducing
the prevalence and duration of a mental disorder through early detection and treatment?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Answer: A
Rationale: Secondary prevention focuses on early case finding and prompt treatment of an
existing condition to prevent it from becoming chronic. Screening for depression in a
primary care setting is a classic example of secondary prevention. This differs from
primary prevention, which focuses on reducing incidence, and tertiary prevention, which
focuses on rehabilitation and reducing disability.
5. Assertive Community Treatment (ACT) is primarily designed to serve which of the following
populations?
A. Individuals with severe and persistent mental illness (SPMI) who have high service
needs
B. Individuals with mild anxiety disorders
C. Children with ADHD
D. Corporate executives with burnout
