NSG 526 CLINICAL MODALITIES EXAM 1
COMPREHENSIVE REVIEW TEST BANK WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027 |WILKES
A nurse recognizes that a patient feels anxious and withdrawn due to their recent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
1|Page
,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
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.
2|Page
,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 patient
employing?
A) Denial
B) Regression
C) Sublimation
D) Humor
D) Humor
In therapy, a patient reveals that they have a strong aversion to a coworker but cannot
articulate why. They frequently express this hatred towards their boss instead. This
behavior reflects which Freudian defense mechanism?
A) Reaction formation
B) Displacement
C) Rationalization
D) Regression
B) Displacement
Which theorist is responsible for CBT?
Aaron Beck
John, a 55-year-old man, has recently started volunteering at a local community center,
finding it to be a fulfilling way to give back. However, Paul, a 58-year-old acquaintance,
criticizes John's efforts and calls volunteering "a waste of time." According to Erik
Erikson's stages of psychosocial development, which stage are John and Paul most
likely displaying?
A) Identity vs. Role Confusion
B) Integrity vs. Despair
C) Generativity vs. Stagnation
D) Intimacy vs. Isolation
C) Generativity vs. Stagnation
A patient has lesions in the frontal lobe of their brain. Which of the following symptoms
would be least likely to present in this patient?
3|Page
, A) Panic
B) Apathy
C) Depression
D) Irritability
A) Panic
A patient presents with anxiety-like symptoms. Which of the following conditions would
you be least likely to consider as a potential cause?
A) Hyperventilation Syndrome
B) Hypoglycemia
C) Hyperthyroidism
D) Bell's Palsy
D) Bell's Palsy
A 45-year-old patient is diagnosed with Major Depressive Disorder (MDD), diabetes, and
has recently experienced the death of a family member. Which of the following is
the correct way to document these conditions according to DSM-5-TR standards?
A) MDD, diabetes, bereavement
B) Bereavement, MDD, diabetes
C) Diabetes, bereavement, MDD
D) MDD, bereavement, diabetes
A) MDD, diabetes, bereavement
A 3-year-old girl frequently says, "I can't do anything by myself!" when asked to
complete tasks. According to Erik Erikson's stages of psychosocial development, which
stage is she most likely struggling with?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
B) Autonomy vs. Shame and Doubt
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?
4|Page
COMPREHENSIVE REVIEW TEST BANK WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027 |WILKES
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
1|Page
,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
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.
2|Page
,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 patient
employing?
A) Denial
B) Regression
C) Sublimation
D) Humor
D) Humor
In therapy, a patient reveals that they have a strong aversion to a coworker but cannot
articulate why. They frequently express this hatred towards their boss instead. This
behavior reflects which Freudian defense mechanism?
A) Reaction formation
B) Displacement
C) Rationalization
D) Regression
B) Displacement
Which theorist is responsible for CBT?
Aaron Beck
John, a 55-year-old man, has recently started volunteering at a local community center,
finding it to be a fulfilling way to give back. However, Paul, a 58-year-old acquaintance,
criticizes John's efforts and calls volunteering "a waste of time." According to Erik
Erikson's stages of psychosocial development, which stage are John and Paul most
likely displaying?
A) Identity vs. Role Confusion
B) Integrity vs. Despair
C) Generativity vs. Stagnation
D) Intimacy vs. Isolation
C) Generativity vs. Stagnation
A patient has lesions in the frontal lobe of their brain. Which of the following symptoms
would be least likely to present in this patient?
3|Page
, A) Panic
B) Apathy
C) Depression
D) Irritability
A) Panic
A patient presents with anxiety-like symptoms. Which of the following conditions would
you be least likely to consider as a potential cause?
A) Hyperventilation Syndrome
B) Hypoglycemia
C) Hyperthyroidism
D) Bell's Palsy
D) Bell's Palsy
A 45-year-old patient is diagnosed with Major Depressive Disorder (MDD), diabetes, and
has recently experienced the death of a family member. Which of the following is
the correct way to document these conditions according to DSM-5-TR standards?
A) MDD, diabetes, bereavement
B) Bereavement, MDD, diabetes
C) Diabetes, bereavement, MDD
D) MDD, bereavement, diabetes
A) MDD, diabetes, bereavement
A 3-year-old girl frequently says, "I can't do anything by myself!" when asked to
complete tasks. According to Erik Erikson's stages of psychosocial development, which
stage is she most likely struggling with?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
B) Autonomy vs. Shame and Doubt
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?
4|Page