NSG 526 Exam 2
Clinical Modalities in Advanced Practice Psychiatric Nursing
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 this promotion, I'm a worthless employee." Which
cognitive distortion is present?
A. All-or-nothing thinking [CORRECT]
B. Catastrophizing
C. Personalization
D. Mind reading
Correct Answer: A
Rationale: Correct because all-or-nothing thinking views outcomes in absolute categories —
either complete success or total worthlessness.
Q2. A patient says, "My friend didn't text me back. She must hate me." Which distortion is this?
A. Catastrophizing
B. Personalization
C. Mind reading [CORRECT]
D. Emotional reasoning
Correct Answer: C
Rationale: Correct because mind reading involves assuming others' thoughts or intentions
without evidence.
,Q3. A patient states, "I made one error on the report, so the whole project is ruined." This
reflects:
A. Personalization
B. Catastrophizing [CORRECT]
C. All-or-nothing thinking
D. Mind reading
Correct Answer: B
Rationale: Correct because catastrophizing involves anticipating the worst possible outcome
from a minor event.
Q4. A CBT therapist asks a patient to record a situation, automatic thought, emotion, and
evidence for and against the thought. This is:
A. Behavioral activation
B. Systematic desensitization
C. Thought record [CORRECT]
D. Exposure therapy
Correct Answer: D
Rationale: Correct because a thought record is a structured CBT tool for identifying and
challenging automatic thoughts.
Q5. A patient with depression has stopped attending church and seeing friends. Which CBT
intervention is most appropriate?
A. Behavioral activation [CORRECT]
B. Cognitive restructuring
C. Systematic desensitization
D. Thought stopping
Correct Answer: A
Rationale: Correct because behavioral activation increases engagement in rewarding and
meaningful activities.
, Q6. A patient with a specific phobia of elevators is gradually exposed to riding an elevator while
practicing relaxation. This is:
A. Cognitive restructuring
B. Systematic desensitization [CORRECT]
C. Behavioral activation
D. Thought log
Correct Answer: B
Rationale: Correct because systematic desensitization pairs gradual exposure with relaxation to
reduce phobic anxiety.
Q7. A patient who survived a car accident avoids driving and experiences intrusive memories.
Which CBT-based intervention is most appropriate?
A. Thought log
B. Behavioral activation
C. Exposure therapy [CORRECT]
D. Cognitive restructuring
Correct Answer: C
Rationale: Correct because exposure therapy is used for trauma-related avoidance and intrusive
symptoms.
Q8. A group member says, "I thought I was the only one who felt this way — hearing others
share helped me." This reflects:
A. Universality [CORRECT]
B. Altruism
C. Catharsis
D. Imitative behavior
Correct Answer: A
Rationale: Correct because universality involves realizing one is not alone in one's experience.
Clinical Modalities in Advanced Practice Psychiatric Nursing
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 this promotion, I'm a worthless employee." Which
cognitive distortion is present?
A. All-or-nothing thinking [CORRECT]
B. Catastrophizing
C. Personalization
D. Mind reading
Correct Answer: A
Rationale: Correct because all-or-nothing thinking views outcomes in absolute categories —
either complete success or total worthlessness.
Q2. A patient says, "My friend didn't text me back. She must hate me." Which distortion is this?
A. Catastrophizing
B. Personalization
C. Mind reading [CORRECT]
D. Emotional reasoning
Correct Answer: C
Rationale: Correct because mind reading involves assuming others' thoughts or intentions
without evidence.
,Q3. A patient states, "I made one error on the report, so the whole project is ruined." This
reflects:
A. Personalization
B. Catastrophizing [CORRECT]
C. All-or-nothing thinking
D. Mind reading
Correct Answer: B
Rationale: Correct because catastrophizing involves anticipating the worst possible outcome
from a minor event.
Q4. A CBT therapist asks a patient to record a situation, automatic thought, emotion, and
evidence for and against the thought. This is:
A. Behavioral activation
B. Systematic desensitization
C. Thought record [CORRECT]
D. Exposure therapy
Correct Answer: D
Rationale: Correct because a thought record is a structured CBT tool for identifying and
challenging automatic thoughts.
Q5. A patient with depression has stopped attending church and seeing friends. Which CBT
intervention is most appropriate?
A. Behavioral activation [CORRECT]
B. Cognitive restructuring
C. Systematic desensitization
D. Thought stopping
Correct Answer: A
Rationale: Correct because behavioral activation increases engagement in rewarding and
meaningful activities.
, Q6. A patient with a specific phobia of elevators is gradually exposed to riding an elevator while
practicing relaxation. This is:
A. Cognitive restructuring
B. Systematic desensitization [CORRECT]
C. Behavioral activation
D. Thought log
Correct Answer: B
Rationale: Correct because systematic desensitization pairs gradual exposure with relaxation to
reduce phobic anxiety.
Q7. A patient who survived a car accident avoids driving and experiences intrusive memories.
Which CBT-based intervention is most appropriate?
A. Thought log
B. Behavioral activation
C. Exposure therapy [CORRECT]
D. Cognitive restructuring
Correct Answer: C
Rationale: Correct because exposure therapy is used for trauma-related avoidance and intrusive
symptoms.
Q8. A group member says, "I thought I was the only one who felt this way — hearing others
share helped me." This reflects:
A. Universality [CORRECT]
B. Altruism
C. Catharsis
D. Imitative behavior
Correct Answer: A
Rationale: Correct because universality involves realizing one is not alone in one's experience.
