Exam 3 NSG 526 Clinical Modalities prep test bank
with a comprehensive review of 300+ well-structured
questions with Correct answers/ NSG 526 Exam 3
Latest Review Test Bank| Wilkes | 2026-2027
During family therapy sessions, a nurse realizes that the mother frequently allies
with her daughter against the father. This is an example of which of Bowen's
concepts of family functioning?
A) Multigenerational transmission of anxiety
B) Differentiation of self
C) Emotional triangles
D) Genogram generation
-ANSWER- C) Emotional triangles
During the first family therapy session, the mother of a child being treated for
truancy and emotional outbursts asks the nurse, "Why are you bothering to ask the
rest of us questions? My son is the one with the problems." The best response for
the nurse would be:
A) "We'll get more accurate information if the entire family is involved."
B) "It may seem strange to you, but we'll get better results doing it this way."
C) "When one family member is sick, the whole family system is sick as well."
D) "Every family member's perceptions are very important to the total picture."
-ANSWER- D) "Every family member's perceptions are very important to the total
picture."
An adolescent has not been living with her parents and in particular has difficulty
getting along with her mother. She describes her mother as constantly bragging
about imaginary accomplishments and demanding that other family members agree
with her in all matters. The nurse would most appropriately educate the client
about which of the following?
A) Antisocial personality disorder
B) Narcissistic personality disorder
C) Dependent personality disorder
D) Bipolar disorder
-ANSWER- B) Narcissistic personality disorder
1
,A patient expresses a belief that co-workers have been scheming against him and
takes the nurse's question "Do you think you might have a mental health issue?" as
a personal attack, but the patient does not have hallucinations. The nurse would
most appropriately consider exploring which of the following with the patient?
A) Paranoid schizophrenia
B) Paranoid personality disorder
C) Schizoid personality disorder
D) Social phobia
-ANSWER- B) Paranoid personality disorder
When working with a patient with a dependent personality disorder, a nurse would
most likely engage in which of the following therapeutic interventions?
A) Help the patient to verbalize feelings assertively and with confidence
B) Help the patient to complete tasks in a timely manner
C) Adopt a matter-of-fact tone in response to patient expressions of emotions
D) Clarify consequences for stealing from other patients
-ANSWER- A) Help the patient to verbalize feelings assertively and with
confidence
What nursing diagnosis might be given to a patient with schizoid personality
disorder?
A) Risk for self-directed violence related to unpredictable and erratic behavior as
evidenced by impulsivity
B) Risk for other-directed violence related to pervasive disregard for the rights of
others related to absence of empathy
C) Chronic low self-esteem related to identity disturbance as evidenced by fear of
abandonment
D) Impaired social interaction related to emotional detachment as evidenced by
disinterest in close relationships
-ANSWER- D) Impaired social interaction related to emotional detachment as
evidenced by disinterest in close relationships
A 5-year-old girl on a behavior modification program is admitted to the unit. The
nurse would expect to participate in which activity based on this approach?
A) Firmly challenging the child's irrational thoughts
B) Including the child in the creation of a behavioral contract
C) Family therapy with every member present for each session
2
,D) Play therapy with dolls representing every member of the family
-ANSWER- B) Including the child in the creation of a behavioral contract
A child was admitted to the children's unit, having been sexually abused by an
acquaintance of her family. The child refuses to talk and participate in unit
activities, choosing to stay in her room with her stuffed animals. Which therapeutic
intervention will best help the child release pent-up feelings about the abuse?
A) Family therapy
B) Play therapy
C) Individual communication with the nurse
D) Role-play with other children on the unit
-ANSWER- B) Play therapy
An adolescent was arrested for prostitution and assault on a parent. The adolescent
says, "I hate my parents. They focus all attention on my brother, who's perfect in
their eyes." Which type of therapy might promote the greatest change in the
adolescent's behavior?
A) Family therapy
B) Bibliotherapy
C) Play therapy
D) Art therapy
-ANSWER- A) Family therapy
While planning care for a preschool child who has been physically and sexually
abused, the nurse includes play therapy because it assists the child to:
A) Learn adaptive behaviors through acting
B) Express feelings that cannot easily be verbalized
C) Act out aggression in a socially acceptable manner
D) Interact with other children in the appropriate age group
-ANSWER- B) Express feelings that cannot easily be verbalized
Parents ask a nurse why their child will be engaged in play therapy, as "our child
can play at home." Which of the following is the most appropriate response?
A) "Play therapy is guided by the therapist, helping the child use specific toys to
work through specific issues."
B) "Play therapy involves the child and parents in a psychodynamic situation that
is observed by the therapist."
C) "Play therapy gives the child complete freedom to express emotions the child
cannot express verbally so that the therapist can help the child work through them."
3
, D) "Play therapy encourages the child to verbalize thoughts and feelings as the
therapist asks the child what his or her imaginative play means."
-ANSWER- C) "Play therapy gives the child complete freedom to express
emotions the child cannot express verbally so that the therapist can help the child
work through them."
In keeping with the mandate to treat patients in the least restrictive environment
possible, how should nursing staff respond when a patient with borderline
personality disorder erupts in anger and threatens to harm herself?
A) A single staff member should approach the patient to avoid startling or
intimidating her.
B) One member of the staff should distract the patient by shouting at her while
several others grab her from behind and wrestle her to the ground, where they pin
her until she calms down.
C) Several staff members should approach the patient and ask firmly that she
adhere to behavioral guidelines; if she does not, she should be placed in wrist and
ankle restraints and released when the nurse in charge determines the patient is no
longer at risk.
D) Several staff members should approach the patient and make clear they will not
allow her to harm herself; if she does not de-escalate her behavior, she should be
placed in restraints or seclusion sufficient to ensure her safety, and the nurse
should obtain an order for a restraint.
-ANSWER- D) Several staff members should approach the patient and make clear
they will not allow her to harm herself; if she does not de-escalate her behavior,
she should be placed in restraints or seclusion sufficient to ensure her safety, and
the nurse should obtain an order for a restraint.
Which of the following personality disorders have female gender as a risk factor?
A) Borderline personality disorder
B) Narcissistic personality disorder
C) Schizotypal personality disorder
D) Antisocial personality disorder
-ANSWER- A) Borderline personality disorder
A physician describes a patient as having a Cluster C personality disorder. The
patient could have which of the following? (Select all that apply.)
A) Obsessive-compulsive personality disorder
B) Paranoid personality disorder
4
with a comprehensive review of 300+ well-structured
questions with Correct answers/ NSG 526 Exam 3
Latest Review Test Bank| Wilkes | 2026-2027
During family therapy sessions, a nurse realizes that the mother frequently allies
with her daughter against the father. This is an example of which of Bowen's
concepts of family functioning?
A) Multigenerational transmission of anxiety
B) Differentiation of self
C) Emotional triangles
D) Genogram generation
-ANSWER- C) Emotional triangles
During the first family therapy session, the mother of a child being treated for
truancy and emotional outbursts asks the nurse, "Why are you bothering to ask the
rest of us questions? My son is the one with the problems." The best response for
the nurse would be:
A) "We'll get more accurate information if the entire family is involved."
B) "It may seem strange to you, but we'll get better results doing it this way."
C) "When one family member is sick, the whole family system is sick as well."
D) "Every family member's perceptions are very important to the total picture."
-ANSWER- D) "Every family member's perceptions are very important to the total
picture."
An adolescent has not been living with her parents and in particular has difficulty
getting along with her mother. She describes her mother as constantly bragging
about imaginary accomplishments and demanding that other family members agree
with her in all matters. The nurse would most appropriately educate the client
about which of the following?
A) Antisocial personality disorder
B) Narcissistic personality disorder
C) Dependent personality disorder
D) Bipolar disorder
-ANSWER- B) Narcissistic personality disorder
1
,A patient expresses a belief that co-workers have been scheming against him and
takes the nurse's question "Do you think you might have a mental health issue?" as
a personal attack, but the patient does not have hallucinations. The nurse would
most appropriately consider exploring which of the following with the patient?
A) Paranoid schizophrenia
B) Paranoid personality disorder
C) Schizoid personality disorder
D) Social phobia
-ANSWER- B) Paranoid personality disorder
When working with a patient with a dependent personality disorder, a nurse would
most likely engage in which of the following therapeutic interventions?
A) Help the patient to verbalize feelings assertively and with confidence
B) Help the patient to complete tasks in a timely manner
C) Adopt a matter-of-fact tone in response to patient expressions of emotions
D) Clarify consequences for stealing from other patients
-ANSWER- A) Help the patient to verbalize feelings assertively and with
confidence
What nursing diagnosis might be given to a patient with schizoid personality
disorder?
A) Risk for self-directed violence related to unpredictable and erratic behavior as
evidenced by impulsivity
B) Risk for other-directed violence related to pervasive disregard for the rights of
others related to absence of empathy
C) Chronic low self-esteem related to identity disturbance as evidenced by fear of
abandonment
D) Impaired social interaction related to emotional detachment as evidenced by
disinterest in close relationships
-ANSWER- D) Impaired social interaction related to emotional detachment as
evidenced by disinterest in close relationships
A 5-year-old girl on a behavior modification program is admitted to the unit. The
nurse would expect to participate in which activity based on this approach?
A) Firmly challenging the child's irrational thoughts
B) Including the child in the creation of a behavioral contract
C) Family therapy with every member present for each session
2
,D) Play therapy with dolls representing every member of the family
-ANSWER- B) Including the child in the creation of a behavioral contract
A child was admitted to the children's unit, having been sexually abused by an
acquaintance of her family. The child refuses to talk and participate in unit
activities, choosing to stay in her room with her stuffed animals. Which therapeutic
intervention will best help the child release pent-up feelings about the abuse?
A) Family therapy
B) Play therapy
C) Individual communication with the nurse
D) Role-play with other children on the unit
-ANSWER- B) Play therapy
An adolescent was arrested for prostitution and assault on a parent. The adolescent
says, "I hate my parents. They focus all attention on my brother, who's perfect in
their eyes." Which type of therapy might promote the greatest change in the
adolescent's behavior?
A) Family therapy
B) Bibliotherapy
C) Play therapy
D) Art therapy
-ANSWER- A) Family therapy
While planning care for a preschool child who has been physically and sexually
abused, the nurse includes play therapy because it assists the child to:
A) Learn adaptive behaviors through acting
B) Express feelings that cannot easily be verbalized
C) Act out aggression in a socially acceptable manner
D) Interact with other children in the appropriate age group
-ANSWER- B) Express feelings that cannot easily be verbalized
Parents ask a nurse why their child will be engaged in play therapy, as "our child
can play at home." Which of the following is the most appropriate response?
A) "Play therapy is guided by the therapist, helping the child use specific toys to
work through specific issues."
B) "Play therapy involves the child and parents in a psychodynamic situation that
is observed by the therapist."
C) "Play therapy gives the child complete freedom to express emotions the child
cannot express verbally so that the therapist can help the child work through them."
3
, D) "Play therapy encourages the child to verbalize thoughts and feelings as the
therapist asks the child what his or her imaginative play means."
-ANSWER- C) "Play therapy gives the child complete freedom to express
emotions the child cannot express verbally so that the therapist can help the child
work through them."
In keeping with the mandate to treat patients in the least restrictive environment
possible, how should nursing staff respond when a patient with borderline
personality disorder erupts in anger and threatens to harm herself?
A) A single staff member should approach the patient to avoid startling or
intimidating her.
B) One member of the staff should distract the patient by shouting at her while
several others grab her from behind and wrestle her to the ground, where they pin
her until she calms down.
C) Several staff members should approach the patient and ask firmly that she
adhere to behavioral guidelines; if she does not, she should be placed in wrist and
ankle restraints and released when the nurse in charge determines the patient is no
longer at risk.
D) Several staff members should approach the patient and make clear they will not
allow her to harm herself; if she does not de-escalate her behavior, she should be
placed in restraints or seclusion sufficient to ensure her safety, and the nurse
should obtain an order for a restraint.
-ANSWER- D) Several staff members should approach the patient and make clear
they will not allow her to harm herself; if she does not de-escalate her behavior,
she should be placed in restraints or seclusion sufficient to ensure her safety, and
the nurse should obtain an order for a restraint.
Which of the following personality disorders have female gender as a risk factor?
A) Borderline personality disorder
B) Narcissistic personality disorder
C) Schizotypal personality disorder
D) Antisocial personality disorder
-ANSWER- A) Borderline personality disorder
A physician describes a patient as having a Cluster C personality disorder. The
patient could have which of the following? (Select all that apply.)
A) Obsessive-compulsive personality disorder
B) Paranoid personality disorder
4
