Clinical Modalities NSG 526 Exam 1 prep test bank
with a comprehensive review of 200 well-structured
questions with Correct answers/ NSG 526 Exam 1
Latest Review Test Bank| Wilkes | 2026-2027
According to the Holmes and Rahe Stress Scale, which of the following
individuals would be expected to have the highest difficulty coping with life
events based on the accumulated stress?
A) Sarah, who recently started a new job and moved to a new city.
B) John, who recently got married, bought a house, and is expecting a child.
C) Maria, who experienced the death of her spouse, was hospitalized for a serious
illness, and lost her job.
D) David, who graduated from college and started a new career.
C) Maria, who experienced the death of her spouse, was hospitalized for a serious
illness, and lost her job.
According to Sullivan, the development of the self-concept is largely influenced
by:
A) Biological factors
B) Early childhood experiences
C) Interpersonal relationships and feedback from others
D) Environmental stressors
C) Interpersonal relationships and feedback from others
What are the four "problem areas" identified in interpersonal psychotherapy that
can be identified as causes of depression/mental illness?
A) Grief, role disputes, role transition, and interpersonal deficit
B) Grief, anxiety, role disputes, and interpersonal deficit
C) Role disputes, role transition, interpersonal deficit, and trauma
1
,D) Grief, trauma, role disputes, and interpersonal deficit
-ANSWER- A) Grief, role disputes, role transition, and interpersonal deficit
In Peplau's model, the nurse's role in the working phase of the relationship involves
which of the following?
A) Establishing rapport
B) Identifying patient needs and goals
C) Evaluating the outcomes of the patient's treatment
D) Providing education on medication management
B) Identifying patient needs and goals
The nurse-client relationship is primarily built on which of the following
principles?
A) Professionalism and boundaries
B) Personal friendships
C) Family dynamics
D) Financial incentives
A) Professionalism and boundaries
In the therapeutic nurse-client relationship, the nurse's role includes which of the
following?
A) Offering personal opinions about the patient's choices
B) Establishing trust and rapport with the patient
C) Keeping information confidential only when convenient
D) Avoiding discussions about the patient's feelings
B) Establishing trust and rapport with the patient
Which phase of the nurse-client relationship involves the nurse assessing the
patient's needs and setting mutual goals?
A) Orientation phase
B) Working phase
C) Termination phase
D) Assessment phase
2
,A) Orientation phase
A nurse recognizes that a patient feels anxious and withdrawn due to their recent
diagnosis. The nurse decides to sit quietly with the patient to offer support. This is
an example of which aspect of the nurse-client relationship?
A) Countertransference
B) Empathy
C) Transference
D) Boundaries
B) Empathy
In the termination phase of the nurse-client relationship, which of the following
actions is most appropriate for the nurse to take?
A) Discuss personal feelings about the patient's progress;
B) Reflect on the progress made and summarize the outcomes
C) Avoid discussing the end of the relationship to prevent distress
D) Suggest that the patient find a new therapist
B) Reflect on the progress made and summarize the outcomes
Hildegard Peplau expanded upon Harry Stack Sullivan's interpersonal theory by
emphasizing the importance of which specific aspect in nursing practice?
A) The unconscious mind
B) Psychosexual stages of development
C) The nurse-client relationship
D) Behavioral conditioning
C) The nurse-client relationship
In a patient-centered care approach, the healthcare provider prioritizes which of the
following strategies when interacting with patients?
A) Directing patients on what they should do to improve their health
B) Allowing patients to guide their own care by asking appropriate questions and
encouraging reflection
C) Making decisions for patients to ensure they follow medical advice
D) Avoiding discussions about the patient's feelings or preferences
3
, B) Allowing patients to guide their own care by asking appropriate questions and
encouraging reflection
A therapist notices that a patient often talks about their childhood experiences,
attributing their current anxiety to specific events from that time. The therapist
interprets this as the patient trying to uncover unresolved conflicts. Which
Freudian concept is the therapist applying in this situation?
A) Defense mechanisms
B) Transference
C) Repression
D) Psychosexual development
C) Repression
During a therapy session, a patient expresses anger towards their therapist for
perceived negligence, even though the therapist has been attentive. The therapist
recognizes that this behavior may be a projection of the patient's feelings toward a
critical parent. Which Freudian concept is at play here?
A) Rationalization
B) Projection
C) Displacement
D) Sublimation
B) Projection
A client is discussing their desire for success and recognition, stating that they will
do anything to achieve their goals, including manipulating others. The therapist
identifies this behavior as an indication of a dominant id. How would Freud
describe this situation in terms of personality structure?
A) The id is in conflict with the superego.
B) The ego is effectively mediating between the id and reality.
C) The superego is preventing the id from achieving gratification.
D) The id is operating in accordance with the moral standards of the superego.
A) The id is in conflict with the superego.
A patient frequently uses humor to cope with feelings of inadequacy and anxiety
about a recent job loss. According to Freud, which defense mechanism is the
4
with a comprehensive review of 200 well-structured
questions with Correct answers/ NSG 526 Exam 1
Latest Review Test Bank| Wilkes | 2026-2027
According to the Holmes and Rahe Stress Scale, which of the following
individuals would be expected to have the highest difficulty coping with life
events based on the accumulated stress?
A) Sarah, who recently started a new job and moved to a new city.
B) John, who recently got married, bought a house, and is expecting a child.
C) Maria, who experienced the death of her spouse, was hospitalized for a serious
illness, and lost her job.
D) David, who graduated from college and started a new career.
C) Maria, who experienced the death of her spouse, was hospitalized for a serious
illness, and lost her job.
According to Sullivan, the development of the self-concept is largely influenced
by:
A) Biological factors
B) Early childhood experiences
C) Interpersonal relationships and feedback from others
D) Environmental stressors
C) Interpersonal relationships and feedback from others
What are the four "problem areas" identified in interpersonal psychotherapy that
can be identified as causes of depression/mental illness?
A) Grief, role disputes, role transition, and interpersonal deficit
B) Grief, anxiety, role disputes, and interpersonal deficit
C) Role disputes, role transition, interpersonal deficit, and trauma
1
,D) Grief, trauma, role disputes, and interpersonal deficit
-ANSWER- A) Grief, role disputes, role transition, and interpersonal deficit
In Peplau's model, the nurse's role in the working phase of the relationship involves
which of the following?
A) Establishing rapport
B) Identifying patient needs and goals
C) Evaluating the outcomes of the patient's treatment
D) Providing education on medication management
B) Identifying patient needs and goals
The nurse-client relationship is primarily built on which of the following
principles?
A) Professionalism and boundaries
B) Personal friendships
C) Family dynamics
D) Financial incentives
A) Professionalism and boundaries
In the therapeutic nurse-client relationship, the nurse's role includes which of the
following?
A) Offering personal opinions about the patient's choices
B) Establishing trust and rapport with the patient
C) Keeping information confidential only when convenient
D) Avoiding discussions about the patient's feelings
B) Establishing trust and rapport with the patient
Which phase of the nurse-client relationship involves the nurse assessing the
patient's needs and setting mutual goals?
A) Orientation phase
B) Working phase
C) Termination phase
D) Assessment phase
2
,A) Orientation phase
A nurse recognizes that a patient feels anxious and withdrawn due to their recent
diagnosis. The nurse decides to sit quietly with the patient to offer support. This is
an example of which aspect of the nurse-client relationship?
A) Countertransference
B) Empathy
C) Transference
D) Boundaries
B) Empathy
In the termination phase of the nurse-client relationship, which of the following
actions is most appropriate for the nurse to take?
A) Discuss personal feelings about the patient's progress;
B) Reflect on the progress made and summarize the outcomes
C) Avoid discussing the end of the relationship to prevent distress
D) Suggest that the patient find a new therapist
B) Reflect on the progress made and summarize the outcomes
Hildegard Peplau expanded upon Harry Stack Sullivan's interpersonal theory by
emphasizing the importance of which specific aspect in nursing practice?
A) The unconscious mind
B) Psychosexual stages of development
C) The nurse-client relationship
D) Behavioral conditioning
C) The nurse-client relationship
In a patient-centered care approach, the healthcare provider prioritizes which of the
following strategies when interacting with patients?
A) Directing patients on what they should do to improve their health
B) Allowing patients to guide their own care by asking appropriate questions and
encouraging reflection
C) Making decisions for patients to ensure they follow medical advice
D) Avoiding discussions about the patient's feelings or preferences
3
, B) Allowing patients to guide their own care by asking appropriate questions and
encouraging reflection
A therapist notices that a patient often talks about their childhood experiences,
attributing their current anxiety to specific events from that time. The therapist
interprets this as the patient trying to uncover unresolved conflicts. Which
Freudian concept is the therapist applying in this situation?
A) Defense mechanisms
B) Transference
C) Repression
D) Psychosexual development
C) Repression
During a therapy session, a patient expresses anger towards their therapist for
perceived negligence, even though the therapist has been attentive. The therapist
recognizes that this behavior may be a projection of the patient's feelings toward a
critical parent. Which Freudian concept is at play here?
A) Rationalization
B) Projection
C) Displacement
D) Sublimation
B) Projection
A client is discussing their desire for success and recognition, stating that they will
do anything to achieve their goals, including manipulating others. The therapist
identifies this behavior as an indication of a dominant id. How would Freud
describe this situation in terms of personality structure?
A) The id is in conflict with the superego.
B) The ego is effectively mediating between the id and reality.
C) The superego is preventing the id from achieving gratification.
D) The id is operating in accordance with the moral standards of the superego.
A) The id is in conflict with the superego.
A patient frequently uses humor to cope with feelings of inadequacy and anxiety
about a recent job loss. According to Freud, which defense mechanism is the
4
