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 states, "Everyone would be relieved if I just disappeared." What is the nurse's
immediate next step?
A. Document the statement and continue the interview
B. Reassure the patient that people care about them
C. Change the subject to reduce distress
D. Directly assess for suicidal ideation, intent, plan, means, and access [CORRECT]
Correct Answer: D
Rationale: Correct because a vague statement suggesting the patient's death would relieve others
requires immediate, direct suicide risk assessment covering ideation, intent, plan, means, and
access.
Q2. The nurse responds to a patient by saying, "You're saying you feel invisible at home." 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 tells the nurse, "You're cold and distant, just like my father was." This is best
identified as:
A. Transference [CORRECT]
B. Countertransference
C. Resistance
D. Projection
Correct Answer: A
Rationale: Correct because transference occurs when a patient displaces feelings from a past
relationship onto the clinician.
Q4. The nurse feels protective and overly invested in a patient who reminds them of a younger
sibling. This is:
A. Transference
B. Boundary crossing
C. Countertransference [CORRECT]
D. Therapeutic alliance
Correct Answer: C
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 speech
B. The patient's own report of their mood [CORRECT]
C. The nurse's observation of affect
D. The nurse's observation of thought process
Correct Answer: B
Rationale: Correct because subjective data come from the patient's own report. Speech, affect,
and thought process are clinician observations.
, Q6. A patient's depression is linked to ongoing conflict with their partner. Which IPT problem
area applies?
A. Grief
B. Role transition
C. Role dispute [CORRECT]
D. Interpersonal deficits
Correct Answer: C
Rationale: Correct because role disputes involve chronic interpersonal conflict with a significant
other.
Q7. A patient's depression began after being laid off and losing their professional identity. Which
IPT problem area applies?
A. Role transition [CORRECT]
B. Role dispute
C. Grief
D. Interpersonal deficits
Correct Answer: A
Rationale: Correct because role transition involves difficulty adjusting to a major change in
vocational or life status.
Q8. A patient reports never having had a close friend and describes 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.
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 states, "Everyone would be relieved if I just disappeared." What is the nurse's
immediate next step?
A. Document the statement and continue the interview
B. Reassure the patient that people care about them
C. Change the subject to reduce distress
D. Directly assess for suicidal ideation, intent, plan, means, and access [CORRECT]
Correct Answer: D
Rationale: Correct because a vague statement suggesting the patient's death would relieve others
requires immediate, direct suicide risk assessment covering ideation, intent, plan, means, and
access.
Q2. The nurse responds to a patient by saying, "You're saying you feel invisible at home." 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 tells the nurse, "You're cold and distant, just like my father was." This is best
identified as:
A. Transference [CORRECT]
B. Countertransference
C. Resistance
D. Projection
Correct Answer: A
Rationale: Correct because transference occurs when a patient displaces feelings from a past
relationship onto the clinician.
Q4. The nurse feels protective and overly invested in a patient who reminds them of a younger
sibling. This is:
A. Transference
B. Boundary crossing
C. Countertransference [CORRECT]
D. Therapeutic alliance
Correct Answer: C
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 speech
B. The patient's own report of their mood [CORRECT]
C. The nurse's observation of affect
D. The nurse's observation of thought process
Correct Answer: B
Rationale: Correct because subjective data come from the patient's own report. Speech, affect,
and thought process are clinician observations.
, Q6. A patient's depression is linked to ongoing conflict with their partner. Which IPT problem
area applies?
A. Grief
B. Role transition
C. Role dispute [CORRECT]
D. Interpersonal deficits
Correct Answer: C
Rationale: Correct because role disputes involve chronic interpersonal conflict with a significant
other.
Q7. A patient's depression began after being laid off and losing their professional identity. Which
IPT problem area applies?
A. Role transition [CORRECT]
B. Role dispute
C. Grief
D. Interpersonal deficits
Correct Answer: A
Rationale: Correct because role transition involves difficulty adjusting to a major change in
vocational or life status.
Q8. A patient reports never having had a close friend and describes 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.
