NSG 526 CLINICAL MODALITIES EXAM 3
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
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
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. Well get more accurate information if the entire family is involved.
b. It may seem strange to you, but well 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 members perceptions are very important to the total picture.
D. every family members perceptions are very important to the total picture
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 childs irrational thoughts
b. Including the child in the creation of a behavioral contract
c. Family therapy with every member present for each session
d. Play therapy with dolls representing every member of the family
B. including the child in the creation of a behavioral contract
1|Page
,A child was admitted to the childrens 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
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, whos perfect in their eyes. Which
type of
therapy might promote the greatest change in the adolescents behavior?
a. Family therapy
b. Bibliotherapy
c. Play therapy
d. Art therapy
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 sociably acceptable manner.
d. Interact with other children in the appropriate age group.
B. express feelings that cannot be easily 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
2|Page
,express verbally so that the therapist can help the child work through them."
D. "Play therapy encourages the child to verbalize thoughts and feelings as the therapist
asks the child whathis or her imaginative play means."
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 shou
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 and 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
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
C. Avoidant personality disorder
D. Borderline personality disorder
E. Narcissistic personality disorder
3|Page
, A. obsessive-compulsive personality disorder
C. avoidant personality disorder
When treating a patient with borderline personality disorder, the nurse might ethically
establish an anti-self- harm contract with that patient in order to: A. Establish legal
protection in case of patient self-harm.
B. Set up this patient to be a role model for other patients in a group home or inpatient
setting.
C. Empower the patient by allowing the patient to participate in setting expectations.
D. Reduce the risk of suicide so that the health care staff do not have to monitor the
patient as closely.
C. empower the patient by allowing the patient to participate in setting expectations
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
B. Narcissistic personality disorder
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
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
A. help the patient to verbalize feelings assertively and with confidence
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
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
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. Well get more accurate information if the entire family is involved.
b. It may seem strange to you, but well 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 members perceptions are very important to the total picture.
D. every family members perceptions are very important to the total picture
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 childs irrational thoughts
b. Including the child in the creation of a behavioral contract
c. Family therapy with every member present for each session
d. Play therapy with dolls representing every member of the family
B. including the child in the creation of a behavioral contract
1|Page
,A child was admitted to the childrens 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
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, whos perfect in their eyes. Which
type of
therapy might promote the greatest change in the adolescents behavior?
a. Family therapy
b. Bibliotherapy
c. Play therapy
d. Art therapy
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 sociably acceptable manner.
d. Interact with other children in the appropriate age group.
B. express feelings that cannot be easily 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
2|Page
,express verbally so that the therapist can help the child work through them."
D. "Play therapy encourages the child to verbalize thoughts and feelings as the therapist
asks the child whathis or her imaginative play means."
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 shou
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 and 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
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
C. Avoidant personality disorder
D. Borderline personality disorder
E. Narcissistic personality disorder
3|Page
, A. obsessive-compulsive personality disorder
C. avoidant personality disorder
When treating a patient with borderline personality disorder, the nurse might ethically
establish an anti-self- harm contract with that patient in order to: A. Establish legal
protection in case of patient self-harm.
B. Set up this patient to be a role model for other patients in a group home or inpatient
setting.
C. Empower the patient by allowing the patient to participate in setting expectations.
D. Reduce the risk of suicide so that the health care staff do not have to monitor the
patient as closely.
C. empower the patient by allowing the patient to participate in setting expectations
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
B. Narcissistic personality disorder
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
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
A. help the patient to verbalize feelings assertively and with confidence
4|Page
