NSG 526 Exam 2
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 in CBT states, "If I don't get a perfect evaluation, I'm a complete failure." Which
cognitive distortion is this?
A. Catastrophizing
B. Personalization
C. Mind reading
D. All-or-nothing thinking [CORRECT]
Correct Answer: D
Rationale: Correct because all-or-nothing thinking views situations in black-and-white categories
— perfect or complete failure.
Q2. A patient with depression states, "I'm worthless, the world is unfair, and nothing will ever
improve." This presentation reflects:
A. A panic attack
B. Beck's cognitive triad [CORRECT]
C. Yalom's universality
D. Tuckman's storming stage
Correct Answer: B
Rationale: Correct because Beck's cognitive triad involves negative views of the self, the world,
and the future.
,Q3. A patient says, "My supervisor didn't say good morning — I must have done something
wrong." Which distortion is present?
A. Personalization [CORRECT]
B. Catastrophizing
C. All-or-nothing thinking
D. Emotional reasoning
Correct Answer: A
Rationale: Correct because personalization involves blaming oneself for external events outside
one's control.
Q4. A patient states, "If I fail this one exam, my career is over forever." Which cognitive
distortion is this?
A. Personalization
B. All-or-nothing thinking
C. Catastrophizing [CORRECT]
D. Mind reading
Correct Answer: C
Rationale: Correct because catastrophizing involves automatically anticipating the worst-case
outcome.
Q5. A CBT intervention that records automatic thoughts and challenges them is called:
A. Thought log [CORRECT]
B. Behavioral activation
C. Systematic desensitization
D. Exposure therapy
Correct Answer: A
Rationale: Correct because thought logs are used to identify and challenge automatic negative
thoughts.
Q6. A patient avoids activities due to depression. Which CBT intervention is most appropriate?
A. Thought log
B. Cognitive restructuring
C. Systematic desensitization
D. Behavioral activation [CORRECT]
, Correct Answer: D
Rationale: Correct because behavioral activation increases engagement in rewarding activities to
counter depression-related withdrawal.
Q7. A patient with a phobia is gradually exposed to feared stimuli while practicing relaxation.
This is:
A. Cognitive restructuring
B. Systematic desensitization [CORRECT]
C. Behavioral activation
D. Thought stopping
Correct Answer: B
Rationale: Correct because systematic desensitization pairs gradual exposure with relaxation to
reduce phobic anxiety.
Q8. A group member realizes, "I'm not the only one who feels this way." This reflects which
Yalom factor?
A. Altruism
B. Imitative behavior
C. Universality [CORRECT]
D. Catharsis
Correct Answer: C
Rationale: Correct because universality involves realizing one is not alone in one's experience.
Q9. A group member gains therapeutic benefit by helping others in the group. This reflects:
A. Altruism [CORRECT]
B. Universality
C. Imitative behavior
D. Cohesiveness
Correct Answer: A
Rationale: Correct because altruism involves healing through helping others.
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 in CBT states, "If I don't get a perfect evaluation, I'm a complete failure." Which
cognitive distortion is this?
A. Catastrophizing
B. Personalization
C. Mind reading
D. All-or-nothing thinking [CORRECT]
Correct Answer: D
Rationale: Correct because all-or-nothing thinking views situations in black-and-white categories
— perfect or complete failure.
Q2. A patient with depression states, "I'm worthless, the world is unfair, and nothing will ever
improve." This presentation reflects:
A. A panic attack
B. Beck's cognitive triad [CORRECT]
C. Yalom's universality
D. Tuckman's storming stage
Correct Answer: B
Rationale: Correct because Beck's cognitive triad involves negative views of the self, the world,
and the future.
,Q3. A patient says, "My supervisor didn't say good morning — I must have done something
wrong." Which distortion is present?
A. Personalization [CORRECT]
B. Catastrophizing
C. All-or-nothing thinking
D. Emotional reasoning
Correct Answer: A
Rationale: Correct because personalization involves blaming oneself for external events outside
one's control.
Q4. A patient states, "If I fail this one exam, my career is over forever." Which cognitive
distortion is this?
A. Personalization
B. All-or-nothing thinking
C. Catastrophizing [CORRECT]
D. Mind reading
Correct Answer: C
Rationale: Correct because catastrophizing involves automatically anticipating the worst-case
outcome.
Q5. A CBT intervention that records automatic thoughts and challenges them is called:
A. Thought log [CORRECT]
B. Behavioral activation
C. Systematic desensitization
D. Exposure therapy
Correct Answer: A
Rationale: Correct because thought logs are used to identify and challenge automatic negative
thoughts.
Q6. A patient avoids activities due to depression. Which CBT intervention is most appropriate?
A. Thought log
B. Cognitive restructuring
C. Systematic desensitization
D. Behavioral activation [CORRECT]
, Correct Answer: D
Rationale: Correct because behavioral activation increases engagement in rewarding activities to
counter depression-related withdrawal.
Q7. A patient with a phobia is gradually exposed to feared stimuli while practicing relaxation.
This is:
A. Cognitive restructuring
B. Systematic desensitization [CORRECT]
C. Behavioral activation
D. Thought stopping
Correct Answer: B
Rationale: Correct because systematic desensitization pairs gradual exposure with relaxation to
reduce phobic anxiety.
Q8. A group member realizes, "I'm not the only one who feels this way." This reflects which
Yalom factor?
A. Altruism
B. Imitative behavior
C. Universality [CORRECT]
D. Catharsis
Correct Answer: C
Rationale: Correct because universality involves realizing one is not alone in one's experience.
Q9. A group member gains therapeutic benefit by helping others in the group. This reflects:
A. Altruism [CORRECT]
B. Universality
C. Imitative behavior
D. Cohesiveness
Correct Answer: A
Rationale: Correct because altruism involves healing through helping others.
