NSG 526 Exam 1| Wilkes University | Clinical Modalities in Advanced Practice Psychiatric Nursing |2026/2027 | 50 Q&A With Expert Rationales | Guaranteed Pass Graded A+

NSG 526 Exam 1
Clinical Modalities in Advanced Practice Psychiatric Nursing

2026/2027 | Latest
50 Q & A, With Expert Rationales
Guaranteed Pass | Graded A+ | Wilkes University


Q1. A patient says, "I don't see the point in trying anymore." What is the nurse's immediate next
step?

A. Reassure the patient that things will improve
B. Change the topic to reduce distress
C. Directly assess for suicidal ideation, intent, plan, means, and access [CORRECT]
D. Document the statement and continue

Correct Answer: C
Rationale: Correct because hopeless statements require immediate, direct suicide risk assessment
covering ideation, intent, plan, means, and access.



Q2. During an interview, the nurse says, "So you felt dismissed when your concerns were
ignored." Which technique is being used?

A. Clarification
B. Reflection [CORRECT]
C. Confrontation
D. Education

Correct Answer: B
Rationale: Correct because reflection restates the patient's feeling and content to demonstrate
understanding.

,Q3. A patient says, "You remind me of my sister — she always criticized me." This is an
example of:

A. Countertransference
B. Resistance
C. Projection
D. Transference [CORRECT]

Correct Answer: D
Rationale: Correct because transference occurs when a patient displaces feelings from a past
relationship onto the clinician.



Q4. The nurse recognizes feelings of frustration toward a patient who reminds them of a difficult
coworker. This is:

A. Countertransference [CORRECT]
B. Transference
C. Boundary crossing
D. Therapeutic alliance

Correct Answer: A
Rationale: Correct because countertransference is the clinician's unconscious emotional reaction
to the patient.



Q5. Which MSE component is subjective?

A. The nurse's observation of grooming
B. The nurse's observation of affect
C. The patient's own description of mood [CORRECT]
D. The nurse's observation of thought process

Correct Answer: C
Rationale: Correct because subjective data come from the patient's own report.



Q6. A patient's depression is linked to chronic conflict with their adult child. Which IPT problem
area applies?

A. Role dispute [CORRECT]
B. Grief
C. Role transition
D. Interpersonal deficits

, Correct Answer: A
Rationale: Correct because role disputes involve chronic interpersonal conflict with a significant
other.



Q7. A patient's depression began after a move to a new city and loss of social network. Which
IPT problem area applies?

A. Role dispute
B. Role transition [CORRECT]
C. Grief
D. Interpersonal deficits

Correct Answer: B
Rationale: Correct because role transition involves difficulty adjusting to a major change in
social or life status.



Q8. A patient has never been able to maintain friendships and reports lifelong isolation. Which
IPT problem area applies?

A. Grief
B. Role dispute
C. Role transition
D. Interpersonal deficits [CORRECT]

Correct Answer: D
Rationale: Correct because interpersonal deficits describe a baseline inability to initiate or sustain
close connections.



Q9. A patient's depression followed the death of a parent and remains unresolved after two years.
Which IPT problem area applies?

A. Grief [CORRECT]
B. Role dispute
C. Role transition
D. Interpersonal deficits

Correct Answer: A
Rationale: Correct because grief, including complicated bereavement, follows the death or
permanent loss of a loved one.