WILKES UNIVERSITY
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 2 Comprehensive Review
Academic Year:
Question 1
Which of the following is a characteristic of insecure-avoidant attachment according to
Ainsworth?
A. Tends to avoid close contact with people and lingers near caregivers rather than
approaching them directly
B. Finds exploratory play difficult, even in the absence of danger
C. Children have parents who are emotionally absent
D. Child seeks comfort and confidence from caregiver
CORRECT ANSWER:
A. Tends to avoid close contact with people and lingers near caregivers rather than
approaching them directly
RATIONALE:
Insecure-avoidant attachment is characterized by the child tending to avoid close contact with
people and lingering near caregivers rather than approaching them directly.
, Question 2
Which of the following is a form of cognitive distortion where you attach a negative
label to yourself instead of saying "I made a mistake"?
A. Labeling
B. Personalization
C. Emotional reasoning
D. Mental filter
CORRECT ANSWER: A. Labeling
RATIONALE:
Labeling is an extreme form of all-or-nothing thinking. Instead of saying "I made a mistake," you
attach a negative label to yourself: "I'm a loser."
Question 3
Which of the following is a characteristic of a laissez-faire leader?
A. Allows members to behave in any way they choose and does not attempt to control the
direction of the group
B. Supports extensive group interaction in problem solving
C. Exerts control over the group
D. Encourages interaction among members
CORRECT ANSWER:
A. Allows members to behave in any way they choose and does not attempt to
control the direction of the group
RATIONALE:
A laissez-faire leader allows the group members to behave in any way they choose and does not
attempt to control the direction of the group. In a creative group, such as an art group, the
leader may choose this style of leadership, giving minimal direction to allow for a variety of
responses.
, Question 4
Which of the following is a characteristic of insecure-disorganized attachment?
A. Child is distressed when caregiver leaves and not comforted by return
B. Child avoids connection with caregiver and shows no distress
C. Child is confused, shows contradictory behavior, and appears dazed or apprehensive
D. Child is distressed when caregiver leaves but happy upon return
CORRECT ANSWER:
C. Child is confused, shows contradictory behavior, and appears dazed or
apprehensive
RATIONALE:
Insecure-disorganized attachment is characterized by the child being confused, showing
contradictory behavior, and appearing dazed or apprehensive in the presence of the caregiver.
This often occurs with abusive or neglectful caregivers.
Question 5
Which of the following is a technique for dealing with an "Interrupting Ivan" client in
group therapy?
A. "We seem to be having an active discussion about [insert topic] today, but several
members are talking at the same time. I'm wondering how this is affecting the group and
what the group thinks we should do."
B. Ignoring the interruptions
C. Ending the group session early
D. Telling the client to stop interrupting
CORRECT ANSWER:
A. "We seem to be having an active discussion about [insert topic] today, but
several members are talking at the same time. I'm wondering how this is affecting
the group and what the group thinks we should do."
RATIONALE:
Interrupting behavior is disruptive to group discussions. By reflecting the behavior back to the
group and asking for input on how to manage it, the leader can help the group develop norms
around respectful communication.
, Question 6
Which of the following is a benefit of milieu therapy for patients with depression?
A. Protection from stressful environments and supervised treatment
B. Elimination of all emotional expression
C. Complete isolation from others
D. Focusing exclusively on medication management
CORRECT ANSWER:
A. Protection from stressful environments and supervised treatment
RATIONALE:
The client with depression needs protection from suicidal acts and a supervised environment for
regulating treatments. Often, being removed from a stressful interpersonal situation increases
therapeutic value.
Question 7
The goal of the cognitive-behavioral model according to Beck and Ellis is to:
A. Provide symptom relief, facilitate remission, resolve problems, and teach relapse prevention
B. Uncover unconscious conflicts
C. Analyze childhood experiences
D. Change attachment styles
CORRECT ANSWER:
A. Provide symptom relief, facilitate remission, resolve problems, and teach
relapse prevention
RATIONALE:
The goals of the cognitive-behavioral model according to Beck and Ellis are to provide symptom
relief, facilitate a remission of the disorder, help patients resolve their most pressing problems,
and teach them skills to avoid relapse.
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 2 Comprehensive Review
Academic Year:
Question 1
Which of the following is a characteristic of insecure-avoidant attachment according to
Ainsworth?
A. Tends to avoid close contact with people and lingers near caregivers rather than
approaching them directly
B. Finds exploratory play difficult, even in the absence of danger
C. Children have parents who are emotionally absent
D. Child seeks comfort and confidence from caregiver
CORRECT ANSWER:
A. Tends to avoid close contact with people and lingers near caregivers rather than
approaching them directly
RATIONALE:
Insecure-avoidant attachment is characterized by the child tending to avoid close contact with
people and lingering near caregivers rather than approaching them directly.
, Question 2
Which of the following is a form of cognitive distortion where you attach a negative
label to yourself instead of saying "I made a mistake"?
A. Labeling
B. Personalization
C. Emotional reasoning
D. Mental filter
CORRECT ANSWER: A. Labeling
RATIONALE:
Labeling is an extreme form of all-or-nothing thinking. Instead of saying "I made a mistake," you
attach a negative label to yourself: "I'm a loser."
Question 3
Which of the following is a characteristic of a laissez-faire leader?
A. Allows members to behave in any way they choose and does not attempt to control the
direction of the group
B. Supports extensive group interaction in problem solving
C. Exerts control over the group
D. Encourages interaction among members
CORRECT ANSWER:
A. Allows members to behave in any way they choose and does not attempt to
control the direction of the group
RATIONALE:
A laissez-faire leader allows the group members to behave in any way they choose and does not
attempt to control the direction of the group. In a creative group, such as an art group, the
leader may choose this style of leadership, giving minimal direction to allow for a variety of
responses.
, Question 4
Which of the following is a characteristic of insecure-disorganized attachment?
A. Child is distressed when caregiver leaves and not comforted by return
B. Child avoids connection with caregiver and shows no distress
C. Child is confused, shows contradictory behavior, and appears dazed or apprehensive
D. Child is distressed when caregiver leaves but happy upon return
CORRECT ANSWER:
C. Child is confused, shows contradictory behavior, and appears dazed or
apprehensive
RATIONALE:
Insecure-disorganized attachment is characterized by the child being confused, showing
contradictory behavior, and appearing dazed or apprehensive in the presence of the caregiver.
This often occurs with abusive or neglectful caregivers.
Question 5
Which of the following is a technique for dealing with an "Interrupting Ivan" client in
group therapy?
A. "We seem to be having an active discussion about [insert topic] today, but several
members are talking at the same time. I'm wondering how this is affecting the group and
what the group thinks we should do."
B. Ignoring the interruptions
C. Ending the group session early
D. Telling the client to stop interrupting
CORRECT ANSWER:
A. "We seem to be having an active discussion about [insert topic] today, but
several members are talking at the same time. I'm wondering how this is affecting
the group and what the group thinks we should do."
RATIONALE:
Interrupting behavior is disruptive to group discussions. By reflecting the behavior back to the
group and asking for input on how to manage it, the leader can help the group develop norms
around respectful communication.
, Question 6
Which of the following is a benefit of milieu therapy for patients with depression?
A. Protection from stressful environments and supervised treatment
B. Elimination of all emotional expression
C. Complete isolation from others
D. Focusing exclusively on medication management
CORRECT ANSWER:
A. Protection from stressful environments and supervised treatment
RATIONALE:
The client with depression needs protection from suicidal acts and a supervised environment for
regulating treatments. Often, being removed from a stressful interpersonal situation increases
therapeutic value.
Question 7
The goal of the cognitive-behavioral model according to Beck and Ellis is to:
A. Provide symptom relief, facilitate remission, resolve problems, and teach relapse prevention
B. Uncover unconscious conflicts
C. Analyze childhood experiences
D. Change attachment styles
CORRECT ANSWER:
A. Provide symptom relief, facilitate remission, resolve problems, and teach
relapse prevention
RATIONALE:
The goals of the cognitive-behavioral model according to Beck and Ellis are to provide symptom
relief, facilitate a remission of the disorder, help patients resolve their most pressing problems,
and teach them skills to avoid relapse.
