WILKES NSG 526 EXAM 1 2026/2027 - CLINICAL MODALITIES ADVANCED PSYCH | DBT, CBT, ERP |
QUESTIONS & ANSWERS WITH EXPLANATIONS | A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=84 B=77 C=95 D=94 | 2026/2027 Bundle |
Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Pharmacology - SSRI first-line for depression - onset? (Case 1)
A. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
B. No onset
C. Immediate
D. 1 hour
Answer: A
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
2. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Interpersonal Therapy (IPT) for depression - 4 problem areas? (Case 2)
A. Grief, role transition, role dispute, interpersonal deficits
B. Only grief
C. No areas
D. Only role
Answer: A
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
3. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Group therapy Yalom curative factors - universality? (Case 3)
A. Only leader
B. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
C. No factors
D. No universality
Answer: B
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
4. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 4)
A. Supportive therapy only
B. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
C. No therapy
D. Psychoanalysis only
Answer: B
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
5. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Group therapy Yalom curative factors - universality? (Case 5)
A. No universality
B. No factors
C. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
D. Only leader
Answer: C
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
6. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 6)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. No therapy
C. Psychoanalysis only
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
7. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Exposure and Response Prevention (ERP) is first-line for? (Case 7)
A. Schizophrenia
B. Mania
C. Depression
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
,Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
8. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Cultural humility vs competence? (Case 8)
A. Same as stereotyping
B. No humility
C. Competence assumes mastery
D. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
Answer: D
Explanation: Cultural humility ongoing self-reflection, partnership.
9. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Substance use - Stages of Change - pre-contemplation? (Case 9)
A. Action
B. Preparation
C. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
D. Maintenance
Answer: C
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
10. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 10)
A. No dependence
B. No risks
C. Safe long-term
D. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
Answer: D
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
11. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] CBT for panic - catastrophic misinterpretation? (Case 11)
A. No CBT
B. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
C. Only meds
D. No misinterpretation
Answer: B
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
12. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Atypical antipsychotic - metabolic syndrome monitoring? (Case 12)
A. Only weight
B. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
C. No monitoring
D. No labs
Answer: B
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
13. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 13)
A. No risks
B. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
C. Safe long-term
D. No dependence
Answer: B
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
14. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 14)
A. No dependence
B. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
C. No risks
D. Safe long-term
Answer: B
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
15. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] CBT for depression focuses on? (Case 15)
A. Unconscious conflicts only
B. Cognitive triad negative views of self/world/future, cognitive distortions, behavioral activation
C. Only meds
D. No focus
Answer: B
Explanation: CBT depression: negative cognitive triad, distortions (catastrophizing, black-white), behavioral activation, automatic thoughts.
16. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 16)
A. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
B. Only child
, C. No focus
D. Individual only
Answer: A
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
17. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Substance use - Stages of Change - pre-contemplation? (Case 17)
A. Action
B. Preparation
C. Maintenance
D. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
Answer: D
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
18. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Motivational Interviewing principle OARS? (Case 18)
A. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
B. Closed questions only
C. No principle
D. Confrontation
Answer: A
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
19. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Solution-Focused Brief Therapy (SFBT) - miracle question? (Case 19)
A. No question
B. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
C. Past focused only
D. No solution
Answer: B
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
20. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Substance use - Stages of Change - pre-contemplation? (Case 20)
A. Action
B. Preparation
C. Maintenance
D. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
Answer: D
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
21. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 21)
A. Only child
B. Individual only
C. No focus
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
22. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Lithium therapeutic range and toxicity signs? (Case 22)
A. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
B. 5.0 therapeutic
C. No toxicity
D. No range
Answer: A
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
23. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Mental Status Exam - thought content vs process? (Case 23)
A. Same
B. No difference
C. Only content
D. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
Answer: D
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
24. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 24)
A. No dependence
B. Safe long-term
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. No risks
Answer: C
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
, 25. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 25)
A. Individual only
B. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
C. No focus
D. Only child
Answer: B
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
26. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Motivational Interviewing principle OARS? (Case 26)
A. Confrontation
B. No principle
C. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
D. Closed questions only
Answer: C
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
27. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Group therapy Yalom curative factors - universality? (Case 27)
A. Only leader
B. No factors
C. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
D. No universality
Answer: C
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
28. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 28)
A. No focus
B. Individual only
C. Only child
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
29. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 29)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. Psychoanalysis only
C. No therapy
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
30. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Solution-Focused Brief Therapy (SFBT) - miracle question? (Case 30)
A. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
B. No question
C. No solution
D. Past focused only
Answer: A
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
31. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Exposure and Response Prevention (ERP) is first-line for? (Case 31)
A. Depression
B. Schizophrenia
C. OCD - exposure to feared stimuli without ritual, habituation
D. Mania
Answer: C
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
32. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Solution-Focused Brief Therapy (SFBT) - miracle question? (Case 32)
A. No solution
B. Past focused only
C. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
D. No question
Answer: C
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
33. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Lithium therapeutic range and toxicity signs? (Case 33)
A. No range
QUESTIONS & ANSWERS WITH EXPLANATIONS | A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=84 B=77 C=95 D=94 | 2026/2027 Bundle |
Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Pharmacology - SSRI first-line for depression - onset? (Case 1)
A. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
B. No onset
C. Immediate
D. 1 hour
Answer: A
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
2. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Interpersonal Therapy (IPT) for depression - 4 problem areas? (Case 2)
A. Grief, role transition, role dispute, interpersonal deficits
B. Only grief
C. No areas
D. Only role
Answer: A
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
3. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Group therapy Yalom curative factors - universality? (Case 3)
A. Only leader
B. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
C. No factors
D. No universality
Answer: B
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
4. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 4)
A. Supportive therapy only
B. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
C. No therapy
D. Psychoanalysis only
Answer: B
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
5. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Group therapy Yalom curative factors - universality? (Case 5)
A. No universality
B. No factors
C. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
D. Only leader
Answer: C
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
6. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 6)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. No therapy
C. Psychoanalysis only
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
7. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Exposure and Response Prevention (ERP) is first-line for? (Case 7)
A. Schizophrenia
B. Mania
C. Depression
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
,Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
8. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Cultural humility vs competence? (Case 8)
A. Same as stereotyping
B. No humility
C. Competence assumes mastery
D. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
Answer: D
Explanation: Cultural humility ongoing self-reflection, partnership.
9. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Substance use - Stages of Change - pre-contemplation? (Case 9)
A. Action
B. Preparation
C. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
D. Maintenance
Answer: C
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
10. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 10)
A. No dependence
B. No risks
C. Safe long-term
D. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
Answer: D
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
11. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] CBT for panic - catastrophic misinterpretation? (Case 11)
A. No CBT
B. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
C. Only meds
D. No misinterpretation
Answer: B
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
12. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Atypical antipsychotic - metabolic syndrome monitoring? (Case 12)
A. Only weight
B. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
C. No monitoring
D. No labs
Answer: B
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
13. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 13)
A. No risks
B. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
C. Safe long-term
D. No dependence
Answer: B
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
14. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 14)
A. No dependence
B. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
C. No risks
D. Safe long-term
Answer: B
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
15. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] CBT for depression focuses on? (Case 15)
A. Unconscious conflicts only
B. Cognitive triad negative views of self/world/future, cognitive distortions, behavioral activation
C. Only meds
D. No focus
Answer: B
Explanation: CBT depression: negative cognitive triad, distortions (catastrophizing, black-white), behavioral activation, automatic thoughts.
16. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 16)
A. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
B. Only child
, C. No focus
D. Individual only
Answer: A
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
17. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Substance use - Stages of Change - pre-contemplation? (Case 17)
A. Action
B. Preparation
C. Maintenance
D. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
Answer: D
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
18. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Motivational Interviewing principle OARS? (Case 18)
A. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
B. Closed questions only
C. No principle
D. Confrontation
Answer: A
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
19. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Solution-Focused Brief Therapy (SFBT) - miracle question? (Case 19)
A. No question
B. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
C. Past focused only
D. No solution
Answer: B
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
20. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Substance use - Stages of Change - pre-contemplation? (Case 20)
A. Action
B. Preparation
C. Maintenance
D. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
Answer: D
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
21. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 21)
A. Only child
B. Individual only
C. No focus
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
22. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Lithium therapeutic range and toxicity signs? (Case 22)
A. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
B. 5.0 therapeutic
C. No toxicity
D. No range
Answer: A
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
23. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Mental Status Exam - thought content vs process? (Case 23)
A. Same
B. No difference
C. Only content
D. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
Answer: D
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
24. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Benzodiazepine long-term risks? (Case 24)
A. No dependence
B. Safe long-term
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. No risks
Answer: C
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
, 25. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 25)
A. Individual only
B. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
C. No focus
D. Only child
Answer: B
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
26. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Motivational Interviewing principle OARS? (Case 26)
A. Confrontation
B. No principle
C. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
D. Closed questions only
Answer: C
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
27. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Group therapy Yalom curative factors - universality? (Case 27)
A. Only leader
B. No factors
C. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
D. No universality
Answer: C
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
28. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Family therapy structural - Minuchin - focuses on? (Case 28)
A. No focus
B. Individual only
C. Only child
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
29. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 29)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. Psychoanalysis only
C. No therapy
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
30. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Solution-Focused Brief Therapy (SFBT) - miracle question? (Case 30)
A. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
B. No question
C. No solution
D. Past focused only
Answer: A
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
31. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Exposure and Response Prevention (ERP) is first-line for? (Case 31)
A. Depression
B. Schizophrenia
C. OCD - exposure to feared stimuli without ritual, habituation
D. Mania
Answer: C
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
32. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Solution-Focused Brief Therapy (SFBT) - miracle question? (Case 32)
A. No solution
B. Past focused only
C. Miracle question: If miracle happened tonight problem solved, what would be different? Scaling questions, exceptions
D. No question
Answer: C
Explanation: SFBT miracle question, scaling 0-10, exceptions when problem not present, future-oriented.
33. [Exam 1: Foundational Modalities - DBT, CBT, Psychodynamic] Lithium therapeutic range and toxicity signs? (Case 33)
A. No range
