NSG 526 Exam 2
Clinical Modalities in Advanced Practice Psychiatric Nursing
2027/2028 | Newly Released
50 Q & A, With Expert Rationales
Guaranteed Pass | Graded A+ | Wilkes University
Q1. A depressed patient has withdrawn from hobbies and social contact. Which CBT
intervention is first-line?
A. Behavioral activation [CORRECT]
B. Cognitive restructuring
C. Systematic desensitization
D. Thought stopping
Correct Answer: A
Rationale: Correct because behavioral activation re-engages the patient in rewarding activity to
reverse depressive withdrawal.
Q2. A patient states, "My neighbor didn't wave back — she must hate me." This reflects which
distortion?
A. Catastrophizing
B. Personalization
C. Emotional reasoning
D. Mind reading [CORRECT]
Correct Answer: D
Rationale: Correct because mind reading assumes another person's thoughts or feelings without
evidence.
,Q3. A patient says, "I made one mistake on the project, so the whole thing is ruined." Which
distortion applies?
A. Catastrophizing [CORRECT]
B. Personalization
C. All-or-nothing thinking
D. Discounting the positive
Correct Answer: A
Rationale: Correct because catastrophizing magnifies a minor event into a catastrophic outcome.
Q4. A CBT therapist asks the patient to record the situation, automatic thought, emotion, and
evidence for and against the thought. This tool is a:
A. Behavioral activation plan
B. Systematic desensitization hierarchy
C. Thought record [CORRECT]
D. Exposure log
Correct Answer: C
Rationale: Correct because a thought record is the structured CBT tool for identifying and testing
automatic thoughts.
Q5. A patient in CBT says, "If I don't get an A on this exam, I'm a complete failure." Which
cognitive distortion is present?
A. Catastrophizing
B. All-or-nothing thinking [CORRECT]
C. Personalization
D. Mind reading
Correct Answer: B
Rationale: Correct because all-or-nothing thinking divides outcomes into absolute categories —
success or total failure.
, Q6. A patient with a phobia of elevators practices relaxation while progressively riding from
floor 1 to floor 10. This technique is:
A. Cognitive restructuring
B. Systematic desensitization [CORRECT]
C. Exposure therapy
D. Behavioral activation
Correct Answer: B
Rationale: Correct because systematic desensitization pairs a graded exposure hierarchy with
relaxation training.
Q7. A trauma survivor avoids driving and has intrusive images of the accident. Which
intervention is indicated?
A. Thought log
B. Behavioral activation
C. Cognitive restructuring
D. Exposure therapy [CORRECT]
Correct Answer: D
Rationale: Correct because exposure therapy targets trauma-related avoidance and intrusive
symptoms.
Q8. A group member says, "Hearing others describe the same fear made me feel normal." This
reflects which Yalom factor?
A. Altruism
B. Catharsis
C. Universality [CORRECT]
D. Imitative behavior
Correct Answer: C
Rationale: Correct because universality is the recognition that one is not alone in one's
experience.
Clinical Modalities in Advanced Practice Psychiatric Nursing
2027/2028 | Newly Released
50 Q & A, With Expert Rationales
Guaranteed Pass | Graded A+ | Wilkes University
Q1. A depressed patient has withdrawn from hobbies and social contact. Which CBT
intervention is first-line?
A. Behavioral activation [CORRECT]
B. Cognitive restructuring
C. Systematic desensitization
D. Thought stopping
Correct Answer: A
Rationale: Correct because behavioral activation re-engages the patient in rewarding activity to
reverse depressive withdrawal.
Q2. A patient states, "My neighbor didn't wave back — she must hate me." This reflects which
distortion?
A. Catastrophizing
B. Personalization
C. Emotional reasoning
D. Mind reading [CORRECT]
Correct Answer: D
Rationale: Correct because mind reading assumes another person's thoughts or feelings without
evidence.
,Q3. A patient says, "I made one mistake on the project, so the whole thing is ruined." Which
distortion applies?
A. Catastrophizing [CORRECT]
B. Personalization
C. All-or-nothing thinking
D. Discounting the positive
Correct Answer: A
Rationale: Correct because catastrophizing magnifies a minor event into a catastrophic outcome.
Q4. A CBT therapist asks the patient to record the situation, automatic thought, emotion, and
evidence for and against the thought. This tool is a:
A. Behavioral activation plan
B. Systematic desensitization hierarchy
C. Thought record [CORRECT]
D. Exposure log
Correct Answer: C
Rationale: Correct because a thought record is the structured CBT tool for identifying and testing
automatic thoughts.
Q5. A patient in CBT says, "If I don't get an A on this exam, I'm a complete failure." Which
cognitive distortion is present?
A. Catastrophizing
B. All-or-nothing thinking [CORRECT]
C. Personalization
D. Mind reading
Correct Answer: B
Rationale: Correct because all-or-nothing thinking divides outcomes into absolute categories —
success or total failure.
, Q6. A patient with a phobia of elevators practices relaxation while progressively riding from
floor 1 to floor 10. This technique is:
A. Cognitive restructuring
B. Systematic desensitization [CORRECT]
C. Exposure therapy
D. Behavioral activation
Correct Answer: B
Rationale: Correct because systematic desensitization pairs a graded exposure hierarchy with
relaxation training.
Q7. A trauma survivor avoids driving and has intrusive images of the accident. Which
intervention is indicated?
A. Thought log
B. Behavioral activation
C. Cognitive restructuring
D. Exposure therapy [CORRECT]
Correct Answer: D
Rationale: Correct because exposure therapy targets trauma-related avoidance and intrusive
symptoms.
Q8. A group member says, "Hearing others describe the same fear made me feel normal." This
reflects which Yalom factor?
A. Altruism
B. Catharsis
C. Universality [CORRECT]
D. Imitative behavior
Correct Answer: C
Rationale: Correct because universality is the recognition that one is not alone in one's
experience.
