WILKES UNIVERSITY
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 1 Comprehensive Review
Academic Year:
Question 1
What is the primary purpose of defense mechanisms?
A. To facilitate personal growth and self-awareness
B. To ward off anxiety by preventing conscious awareness of threatening feelings
C. To strengthen the superego's moral standards
D. To enhance the id's pleasure-seeking abilities
CORRECT ANSWER:
B. To ward off anxiety by preventing conscious awareness of threatening feelings
RATIONALE:
Defense mechanisms operate unconsciously to manage anxiety by denying, falsifying, or
distorting reality to make it less threatening. They are necessary for managing the anxiety that is
an inevitable part of living.
Question 2
In the THINC MED mnemonic, "H" stands for:
A. Hepatitis
B. Hormones
C. Head trauma
D. Hypoglycemia
CORRECT ANSWER: B. Hormones
RATIONALE:
In the THINC MED mnemonic, "H" stands for Hormones, referring to thyroid, parathyroid, adrenal
gland, and gonad-related conditions.
, Question 3
The concept of transference in psychotherapy refers to:
A. The therapist's unconscious response to the client
B. When the client experiences feelings toward the therapist originally held toward significant
others
C. The client expressing all thoughts freely without censorship
D. The therapist providing interpretations of the client's behavior
CORRECT ANSWER:
B. When the client experiences feelings toward the therapist originally held
toward significant others
RATIONALE:
Transference occurs when the client unconsciously redirects feelings from significant past
relationships onto the therapist, allowing these feelings to be explored in therapy.
Question 4
According to Sullivan, what is the purpose of all behavior?
A. To fulfill biological drives
B. To get needs met through interpersonal interactions and to decrease or avoid anxiety
C. To achieve self-actualization
D. To resolve unconscious conflicts
CORRECT ANSWER:
B. To get needs met through interpersonal interactions and to decrease or avoid
anxiety
RATIONALE:
Sullivan proposed that the purpose of all behavior is to get needs met through interpersonal
interactions and to decrease or avoid anxiety, reflecting his interpersonal theory of personality.
, Question 5
The Joint Commission emphasizes which of the following in client-centered care?
A. Performance improvement and outcomes
B. Multidisciplinary approach
C. Compliance with documentation regulations
D. All of the above
CORRECT ANSWER: D. All of the above
RATIONALE:
JCAHO emphasizes performance improvement, outcomes, a multidisciplinary approach to client-
centered care, and compliance with documentation regulations to ensure quality and
accountability.
Question 6
According to Freud, the phallic stage occurs between the ages of:
A. Birth and 18 months
B. 18 months and 3 years
C. 3 and 6 years
D. 6 and 12 years
CORRECT ANSWER: C. 3 and 6 years
RATIONALE:
The phallic stage typically occurs between the ages of 3 and 6 years, during which the pleasure
zone switches to the genitals.
, Question 7
Which of the following is a component of the motor system evaluation in a neurological
exam?
A. Body position, involuntary movements, muscle bulk, tone, strength, and coordination
B. Pain, temperature, light touch, and vibration
C. Biceps, triceps, supinator, and knee reflexes
D. Cranial nerves I-XII
CORRECT ANSWER:
A. Body position, involuntary movements, muscle bulk, tone, strength, and
coordination
RATIONALE:
Motor system components assessed in a neurological exam include body position, involuntary
movements, muscle bulk, tone, strength, and coordination.
Question 8
Which of the following is a characteristic of the anal stage of psychosexual
development?
A. The child's focus of pleasure is on eliminating and retaining feces
B. The child's focus is on oral pleasures such as sucking
C. The pleasure zone switches to the genitals
D. Sexual urges remain repressed
CORRECT ANSWER:
A. The child's focus of pleasure is on eliminating and retaining feces
RATIONALE:
The anal stage (18 months to 3 years) is characterized by the child's focus of pleasure on
eliminating and retaining feces.
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 1 Comprehensive Review
Academic Year:
Question 1
What is the primary purpose of defense mechanisms?
A. To facilitate personal growth and self-awareness
B. To ward off anxiety by preventing conscious awareness of threatening feelings
C. To strengthen the superego's moral standards
D. To enhance the id's pleasure-seeking abilities
CORRECT ANSWER:
B. To ward off anxiety by preventing conscious awareness of threatening feelings
RATIONALE:
Defense mechanisms operate unconsciously to manage anxiety by denying, falsifying, or
distorting reality to make it less threatening. They are necessary for managing the anxiety that is
an inevitable part of living.
Question 2
In the THINC MED mnemonic, "H" stands for:
A. Hepatitis
B. Hormones
C. Head trauma
D. Hypoglycemia
CORRECT ANSWER: B. Hormones
RATIONALE:
In the THINC MED mnemonic, "H" stands for Hormones, referring to thyroid, parathyroid, adrenal
gland, and gonad-related conditions.
, Question 3
The concept of transference in psychotherapy refers to:
A. The therapist's unconscious response to the client
B. When the client experiences feelings toward the therapist originally held toward significant
others
C. The client expressing all thoughts freely without censorship
D. The therapist providing interpretations of the client's behavior
CORRECT ANSWER:
B. When the client experiences feelings toward the therapist originally held
toward significant others
RATIONALE:
Transference occurs when the client unconsciously redirects feelings from significant past
relationships onto the therapist, allowing these feelings to be explored in therapy.
Question 4
According to Sullivan, what is the purpose of all behavior?
A. To fulfill biological drives
B. To get needs met through interpersonal interactions and to decrease or avoid anxiety
C. To achieve self-actualization
D. To resolve unconscious conflicts
CORRECT ANSWER:
B. To get needs met through interpersonal interactions and to decrease or avoid
anxiety
RATIONALE:
Sullivan proposed that the purpose of all behavior is to get needs met through interpersonal
interactions and to decrease or avoid anxiety, reflecting his interpersonal theory of personality.
, Question 5
The Joint Commission emphasizes which of the following in client-centered care?
A. Performance improvement and outcomes
B. Multidisciplinary approach
C. Compliance with documentation regulations
D. All of the above
CORRECT ANSWER: D. All of the above
RATIONALE:
JCAHO emphasizes performance improvement, outcomes, a multidisciplinary approach to client-
centered care, and compliance with documentation regulations to ensure quality and
accountability.
Question 6
According to Freud, the phallic stage occurs between the ages of:
A. Birth and 18 months
B. 18 months and 3 years
C. 3 and 6 years
D. 6 and 12 years
CORRECT ANSWER: C. 3 and 6 years
RATIONALE:
The phallic stage typically occurs between the ages of 3 and 6 years, during which the pleasure
zone switches to the genitals.
, Question 7
Which of the following is a component of the motor system evaluation in a neurological
exam?
A. Body position, involuntary movements, muscle bulk, tone, strength, and coordination
B. Pain, temperature, light touch, and vibration
C. Biceps, triceps, supinator, and knee reflexes
D. Cranial nerves I-XII
CORRECT ANSWER:
A. Body position, involuntary movements, muscle bulk, tone, strength, and
coordination
RATIONALE:
Motor system components assessed in a neurological exam include body position, involuntary
movements, muscle bulk, tone, strength, and coordination.
Question 8
Which of the following is a characteristic of the anal stage of psychosexual
development?
A. The child's focus of pleasure is on eliminating and retaining feces
B. The child's focus is on oral pleasures such as sucking
C. The pleasure zone switches to the genitals
D. Sexual urges remain repressed
CORRECT ANSWER:
A. The child's focus of pleasure is on eliminating and retaining feces
RATIONALE:
The anal stage (18 months to 3 years) is characterized by the child's focus of pleasure on
eliminating and retaining feces.
