NSG526 Final Exam V2 | NSG 526 Clinical
Modalities Adv. Psych | Wilkes University
1. Which component of Beck’s Cognitive Triad refers to a patient’s belief that they are
inherently flawed or inadequate?
A. Negative view of the world
B. Negative view of the future
C. Negative view of others
D. Negative view of the self
Answer: D
Rationale: The negative view of the self is one of the three pillars of Beck’s Cognitive Triad.
This concept suggests that individuals with depression often perceive themselves as
helpless or worthless. Identifying these views is a critical step in Cognitive Behavioral
Therapy to begin the restructuring of maladaptive thoughts.
2. When a psychiatric nurse practitioner experiences strong emotional reactions toward a
patient based on the nurse’s own past relationships, this is known as:
A. Transference
B. Countertransference
C. Projective Identification
,D. Empathy
Answer: B
Rationale: Countertransference occurs when the clinician projects their own unresolved
feelings or experiences onto the patient. It is essential for providers to remain self-aware
and utilize supervision to manage these reactions. If left unaddressed, countertransference
can hinder the therapeutic relationship and lead to boundary violations.
3. According to the ‘Duty to Warn’ established by the Tarasoff case, what is the primary
responsibility of a mental health professional?
A. Warn a specific, identifiable victim of a credible threat of harm
B. Notify law enforcement of any illegal drug use
C. Maintain patient confidentiality at all costs
D. Involuntarily commit any patient expressing anger
Answer: A
Rationale: The Tarasoff rule mandates that clinicians must protect individuals who are
being specifically threatened with bodily harm by a patient. This ethical and legal
obligation supersedes standard confidentiality requirements in cases of imminent danger.
Failure to warn the intended victim or notify the police can result in professional
negligence and legal liability.
, 4. In Trauma-Informed Care (TIC), the concept of ‘Resisting Re-traumatization’ involves which
of the following?
A. Forcing the patient to confront all traumatic memories immediately
B. Refusing to treat patients with complex trauma histories
C. Focusing exclusively on medication rather than therapy
D. Ensuring organizational practices do not inadvertently trigger past trauma
Answer: D
Rationale: Resisting re-traumatization is one of the key ‘4 R’s’ of Trauma-Informed Care. It
requires the clinician and the facility to evaluate their environment and procedures to
ensure they do not cause additional distress. By creating a safe and supportive atmosphere,
providers can help patients engage in the healing process without fear of further harm.
5. Which skill in Dialectical Behavior Therapy (DBT) is specifically designed to help patients
survive immediate crises without making them worse?
A. Emotional Regulation
B. Interpersonal Effectiveness
C. Distress Tolerance
D. Core Mindfulness
Answer: C
Modalities Adv. Psych | Wilkes University
1. Which component of Beck’s Cognitive Triad refers to a patient’s belief that they are
inherently flawed or inadequate?
A. Negative view of the world
B. Negative view of the future
C. Negative view of others
D. Negative view of the self
Answer: D
Rationale: The negative view of the self is one of the three pillars of Beck’s Cognitive Triad.
This concept suggests that individuals with depression often perceive themselves as
helpless or worthless. Identifying these views is a critical step in Cognitive Behavioral
Therapy to begin the restructuring of maladaptive thoughts.
2. When a psychiatric nurse practitioner experiences strong emotional reactions toward a
patient based on the nurse’s own past relationships, this is known as:
A. Transference
B. Countertransference
C. Projective Identification
,D. Empathy
Answer: B
Rationale: Countertransference occurs when the clinician projects their own unresolved
feelings or experiences onto the patient. It is essential for providers to remain self-aware
and utilize supervision to manage these reactions. If left unaddressed, countertransference
can hinder the therapeutic relationship and lead to boundary violations.
3. According to the ‘Duty to Warn’ established by the Tarasoff case, what is the primary
responsibility of a mental health professional?
A. Warn a specific, identifiable victim of a credible threat of harm
B. Notify law enforcement of any illegal drug use
C. Maintain patient confidentiality at all costs
D. Involuntarily commit any patient expressing anger
Answer: A
Rationale: The Tarasoff rule mandates that clinicians must protect individuals who are
being specifically threatened with bodily harm by a patient. This ethical and legal
obligation supersedes standard confidentiality requirements in cases of imminent danger.
Failure to warn the intended victim or notify the police can result in professional
negligence and legal liability.
, 4. In Trauma-Informed Care (TIC), the concept of ‘Resisting Re-traumatization’ involves which
of the following?
A. Forcing the patient to confront all traumatic memories immediately
B. Refusing to treat patients with complex trauma histories
C. Focusing exclusively on medication rather than therapy
D. Ensuring organizational practices do not inadvertently trigger past trauma
Answer: D
Rationale: Resisting re-traumatization is one of the key ‘4 R’s’ of Trauma-Informed Care. It
requires the clinician and the facility to evaluate their environment and procedures to
ensure they do not cause additional distress. By creating a safe and supportive atmosphere,
providers can help patients engage in the healing process without fear of further harm.
5. Which skill in Dialectical Behavior Therapy (DBT) is specifically designed to help patients
survive immediate crises without making them worse?
A. Emotional Regulation
B. Interpersonal Effectiveness
C. Distress Tolerance
D. Core Mindfulness
Answer: C
