NSG 526 EXAM 1 CLINICAL
MODALITIES ADV. PSYCH QUESTIONS
WITH VERIFIED ANSWERS 2026/2027
1. A patient tells the PMHNP, ‘You are exactly like my mother, always judging every move I
make.’ This is an example of which clinical phenomenon?
A. Transference
B. Countertransference
C. Projection
D. Splitting
Answer: A
Conceptual Explanation: Transference occurs when a patient displaces feelings and
attitudes originally associated with significant others from their past onto the therapist.
2. During a session, the PMHNP feels an overwhelming sense of frustration and boredom
whenever a specific patient speaks. The therapist realizes this reminds them of a difficult
relationship with a former colleague. This is known as:
A. Negative reinforcement
,B. Projective Identification
C. Countertransference
D. Empathy
Answer: C
Conceptual Explanation: Countertransference is the therapist’s emotional reaction to the
patient, often based on the therapist’s own past experiences or unresolved issues.
3. Which therapeutic technique in Cognitive Behavioral Therapy (CBT) involves the therapist
asking a series of questions to help the patient discover their own cognitive distortions?
A. Socratic questioning
B. Free association
C. Paradoxical intention
D. Externalization
Answer: A
Conceptual Explanation: Socratic questioning is a core CBT technique used to help
patients identify and challenge their own automatic thoughts and irrational beliefs through
guided discovery.
4. In Minuchin’s Structural Family Therapy, which term describes the invisible barriers that
regulate contact between family members?
A. Boundaries
, B. Triangles
C. Genograms
D. Coalitions
Answer: A
Conceptual Explanation: Boundaries are the rules defining who participates and how in a
family system, ranging from rigid to diffuse.
5. Irvin Yalom identified several ‘curative factors’ in group therapy. Which factor describes
the realization that others share similar problems and feelings?
A. Universality
B. Altruism
C. Catharsis
D. Imitative behavior
Answer: A
Conceptual Explanation: Universality is the recognition that one is not alone in their
suffering and that others have similar struggles, which helps reduce isolation.
6. A patient who is unconsciously angry at their boss comes home and yells at their spouse.
Which defense mechanism is being utilized?
A. Reaction Formation
B. Sublimation
MODALITIES ADV. PSYCH QUESTIONS
WITH VERIFIED ANSWERS 2026/2027
1. A patient tells the PMHNP, ‘You are exactly like my mother, always judging every move I
make.’ This is an example of which clinical phenomenon?
A. Transference
B. Countertransference
C. Projection
D. Splitting
Answer: A
Conceptual Explanation: Transference occurs when a patient displaces feelings and
attitudes originally associated with significant others from their past onto the therapist.
2. During a session, the PMHNP feels an overwhelming sense of frustration and boredom
whenever a specific patient speaks. The therapist realizes this reminds them of a difficult
relationship with a former colleague. This is known as:
A. Negative reinforcement
,B. Projective Identification
C. Countertransference
D. Empathy
Answer: C
Conceptual Explanation: Countertransference is the therapist’s emotional reaction to the
patient, often based on the therapist’s own past experiences or unresolved issues.
3. Which therapeutic technique in Cognitive Behavioral Therapy (CBT) involves the therapist
asking a series of questions to help the patient discover their own cognitive distortions?
A. Socratic questioning
B. Free association
C. Paradoxical intention
D. Externalization
Answer: A
Conceptual Explanation: Socratic questioning is a core CBT technique used to help
patients identify and challenge their own automatic thoughts and irrational beliefs through
guided discovery.
4. In Minuchin’s Structural Family Therapy, which term describes the invisible barriers that
regulate contact between family members?
A. Boundaries
, B. Triangles
C. Genograms
D. Coalitions
Answer: A
Conceptual Explanation: Boundaries are the rules defining who participates and how in a
family system, ranging from rigid to diffuse.
5. Irvin Yalom identified several ‘curative factors’ in group therapy. Which factor describes
the realization that others share similar problems and feelings?
A. Universality
B. Altruism
C. Catharsis
D. Imitative behavior
Answer: A
Conceptual Explanation: Universality is the recognition that one is not alone in their
suffering and that others have similar struggles, which helps reduce isolation.
6. A patient who is unconsciously angry at their boss comes home and yells at their spouse.
Which defense mechanism is being utilized?
A. Reaction Formation
B. Sublimation
