WILKES UNIVERSITY
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 1 Practice Question Bank
Academic Year:
Question 1
During a therapy session, a patient acts seductively and asks the nurse practitioner out
for dinner. As a professional response, the nurse practitioner should:
A. Accept the invitation to maintain rapport with the patient
B. Confront the patient about their inappropriate behavior
C. Explore the meaning of their own countertransference in this situation
D. Ignore the behavior and proceed with the session as planned
CORRECT ANSWER:
C. Explore the meaning of their own countertransference in this situation
RATIONALE:
When a patient acts seductively, the NP must recognize that this may reflect transference or
other therapeutic issues. The NP should explore their own countertransference to maintain
professional boundaries while understanding the therapeutic meaning of the patient's behavior.
Accepting or ignoring the invitation would be inappropriate, and confronting may damage the
therapeutic alliance.
, Question 2
According to Freud's theory of psychosexual development, which stage is characterized
by the child's focus on social relationships and skills rather than sexual interests?
A. Oral stage
B. Anal stage
C. Phallic stage
D. Latency stage
CORRECT ANSWER: D. Latency stage
RATIONALE:
The latency stage (ages 6-12) is characterized by a focus on social relationships, skills, and
intellectual development rather than sexual interests. Sexual urges are repressed, and children
interact mostly with same-sex peers.
Question 3
A patient consistently engages in behaviors that are problematic but expresses no
awareness or concern about changing these behaviors. According to the stages of
change model, which stage is this patient most likely in?
A. Precontemplation
B. Contemplation
C. Action
D. Maintenance
CORRECT ANSWER: A. Precontemplation
RATIONALE:
In the precontemplation stage, individuals are not yet acknowledging that there is a problem
behavior that needs to be changed. They have no intention of taking action in the foreseeable
future and may be unaware or under-aware of their problems.
, Question 4
A patient presents with anxiety-like symptoms. Which of the following conditions would
you be least likely to consider as a potential cause?
A. Hyperventilation Syndrome
B. Hypoglycemia
C. Hyperthyroidism
D. Bell's Palsy
CORRECT ANSWER: D. Bell's Palsy
RATIONALE:
Bell's Palsy is a neurological condition causing facial paralysis and is not typically associated with
anxiety symptoms. Hyperventilation syndrome, hypoglycemia, and hyperthyroidism can all
present with symptoms resembling anxiety.
Question 5
In the therapeutic nurse-client relationship, the nurse's role includes which of the
following?
A. Offering personal opinions about the patient's choices
B. Establishing trust and rapport with the patient
C. Keeping information confidential only when convenient
D. Avoiding discussions about the patient's feelings
CORRECT ANSWER: B. Establishing trust and rapport with the patient
RATIONALE:
Establishing trust and rapport is a fundamental role of the nurse in the therapeutic relationship.
Confidentiality must be maintained consistently, and discussing feelings is essential to
therapeutic communication.
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 1 Practice Question Bank
Academic Year:
Question 1
During a therapy session, a patient acts seductively and asks the nurse practitioner out
for dinner. As a professional response, the nurse practitioner should:
A. Accept the invitation to maintain rapport with the patient
B. Confront the patient about their inappropriate behavior
C. Explore the meaning of their own countertransference in this situation
D. Ignore the behavior and proceed with the session as planned
CORRECT ANSWER:
C. Explore the meaning of their own countertransference in this situation
RATIONALE:
When a patient acts seductively, the NP must recognize that this may reflect transference or
other therapeutic issues. The NP should explore their own countertransference to maintain
professional boundaries while understanding the therapeutic meaning of the patient's behavior.
Accepting or ignoring the invitation would be inappropriate, and confronting may damage the
therapeutic alliance.
, Question 2
According to Freud's theory of psychosexual development, which stage is characterized
by the child's focus on social relationships and skills rather than sexual interests?
A. Oral stage
B. Anal stage
C. Phallic stage
D. Latency stage
CORRECT ANSWER: D. Latency stage
RATIONALE:
The latency stage (ages 6-12) is characterized by a focus on social relationships, skills, and
intellectual development rather than sexual interests. Sexual urges are repressed, and children
interact mostly with same-sex peers.
Question 3
A patient consistently engages in behaviors that are problematic but expresses no
awareness or concern about changing these behaviors. According to the stages of
change model, which stage is this patient most likely in?
A. Precontemplation
B. Contemplation
C. Action
D. Maintenance
CORRECT ANSWER: A. Precontemplation
RATIONALE:
In the precontemplation stage, individuals are not yet acknowledging that there is a problem
behavior that needs to be changed. They have no intention of taking action in the foreseeable
future and may be unaware or under-aware of their problems.
, Question 4
A patient presents with anxiety-like symptoms. Which of the following conditions would
you be least likely to consider as a potential cause?
A. Hyperventilation Syndrome
B. Hypoglycemia
C. Hyperthyroidism
D. Bell's Palsy
CORRECT ANSWER: D. Bell's Palsy
RATIONALE:
Bell's Palsy is a neurological condition causing facial paralysis and is not typically associated with
anxiety symptoms. Hyperventilation syndrome, hypoglycemia, and hyperthyroidism can all
present with symptoms resembling anxiety.
Question 5
In the therapeutic nurse-client relationship, the nurse's role includes which of the
following?
A. Offering personal opinions about the patient's choices
B. Establishing trust and rapport with the patient
C. Keeping information confidential only when convenient
D. Avoiding discussions about the patient's feelings
CORRECT ANSWER: B. Establishing trust and rapport with the patient
RATIONALE:
Establishing trust and rapport is a fundamental role of the nurse in the therapeutic relationship.
Confidentiality must be maintained consistently, and discussing feelings is essential to
therapeutic communication.
