WILKES UNIVERSITY
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 2 Comprehensive Review
Academic Year:
Question 1
Which of the following is true of individual therapy and group therapy?
A. Change takes place at the same rate for each patient in a group, whereas patients in
individual therapy may change at different rates
B. Both are within the scope of practice for nurses with bachelor's degrees
C. Group therapy takes into account the patient's relationships with others, whereas individual
therapy considers the patient in isolation
D. In both, the therapist engages the patient(s) in evaluation of the direction and effectiveness
of the therapeutic approach
CORRECT ANSWER:
D. In both, the therapist engages the patient(s) in evaluation of the direction and
effectiveness of the therapeutic approach
RATIONALE:
In both individual and group therapy, the therapist engages the patient(s) in evaluating the
direction and effectiveness of the therapeutic approach. This collaborative evaluation is a key
component of effective therapy.
, Question 2
Which of the following is not a technique used in cognitive therapy?
A. Reattribution
B. Role-playing
C. Abreaction
D. Developing alternatives
CORRECT ANSWER: C. Abreaction
RATIONALE:
Abreaction is a psychoanalytic technique involving the release of repressed emotions. It is not a
technique used in cognitive therapy, which focuses on identifying and changing maladaptive
thoughts and behaviors.
Question 3
Who developed the cognitive rational emotive theory and theory of behavior change?
A. Aaron Beck
B. Albert Ellis
C. B.F. Skinner
D. Jean Piaget
CORRECT ANSWER: B. Albert Ellis
RATIONALE:
Albert Ellis developed Rational Emotive Therapy (RET), a form of cognitive-behavioral therapy.
RET focuses on identifying and disputing irrational beliefs that cause emotional problems.
, Question 4
Which of the following is a goal of cognitive rehabilitation therapy?
A. To change the way the patient perceives psychotic symptoms
B. To improve the patient's compliance with the medication schedule
C. To improve the patient's memory and thinking
D. To facilitate the patient's activities of daily living
CORRECT ANSWER: C. To improve the patient's memory and thinking
RATIONALE:
Cognitive rehabilitation therapy focuses on improving cognitive functions such as memory,
attention, and thinking skills. It is used to help patients with cognitive deficits resulting from
psychiatric or neurological conditions.
Question 5
A technique for dealing with an overtalkative client and silence from other participants
in a group during therapy is to:
A. Make an observation about the group's silence and invite the others to comment
B. Ignore the overtalkative client and focus on the silent members
C. End the group session early
D. Tell the overtalkative client to be quiet
CORRECT ANSWER:
A. Make an observation about the group's silence and invite the others to
comment
RATIONALE:
Making an observation about the group's silence and inviting others to comment is an effective
technique to balance participation and encourage quieter members to engage while indirectly
addressing the overtalkative member.
, Question 6
Which of the following is a characteristic of the preoperational stage of cognitive
development according to Piaget?
A. Children learn through sensory experiences and motor actions
B. Children begin to use language and engage in symbolic play
C. Children develop logical thinking about concrete events
D. Children develop abstract thinking and logical reasoning
CORRECT ANSWER:
B. Children begin to use language and engage in symbolic play
RATIONALE:
During the preoperational stage (2 to 7 years), children begin to use language and engage in
symbolic play, but their thinking is still egocentric and lacks logical operations.
Question 7
One of Yalom's therapeutic factors: The group setting provides a safe and supportive
environment for members to take risks by extending their repertoire of interpersonal
behavior and improving their social skills. This is called:
A. Development of socializing techniques
B. Imitative behavior
C. Cohesiveness
D. Interpersonal learning
CORRECT ANSWER: A. Development of socializing techniques
RATIONALE:
Development of socializing techniques occurs when the group setting provides a safe and
supportive environment for members to take risks by extending their interpersonal behavior and
improving social skills.
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 2 Comprehensive Review
Academic Year:
Question 1
Which of the following is true of individual therapy and group therapy?
A. Change takes place at the same rate for each patient in a group, whereas patients in
individual therapy may change at different rates
B. Both are within the scope of practice for nurses with bachelor's degrees
C. Group therapy takes into account the patient's relationships with others, whereas individual
therapy considers the patient in isolation
D. In both, the therapist engages the patient(s) in evaluation of the direction and effectiveness
of the therapeutic approach
CORRECT ANSWER:
D. In both, the therapist engages the patient(s) in evaluation of the direction and
effectiveness of the therapeutic approach
RATIONALE:
In both individual and group therapy, the therapist engages the patient(s) in evaluating the
direction and effectiveness of the therapeutic approach. This collaborative evaluation is a key
component of effective therapy.
, Question 2
Which of the following is not a technique used in cognitive therapy?
A. Reattribution
B. Role-playing
C. Abreaction
D. Developing alternatives
CORRECT ANSWER: C. Abreaction
RATIONALE:
Abreaction is a psychoanalytic technique involving the release of repressed emotions. It is not a
technique used in cognitive therapy, which focuses on identifying and changing maladaptive
thoughts and behaviors.
Question 3
Who developed the cognitive rational emotive theory and theory of behavior change?
A. Aaron Beck
B. Albert Ellis
C. B.F. Skinner
D. Jean Piaget
CORRECT ANSWER: B. Albert Ellis
RATIONALE:
Albert Ellis developed Rational Emotive Therapy (RET), a form of cognitive-behavioral therapy.
RET focuses on identifying and disputing irrational beliefs that cause emotional problems.
, Question 4
Which of the following is a goal of cognitive rehabilitation therapy?
A. To change the way the patient perceives psychotic symptoms
B. To improve the patient's compliance with the medication schedule
C. To improve the patient's memory and thinking
D. To facilitate the patient's activities of daily living
CORRECT ANSWER: C. To improve the patient's memory and thinking
RATIONALE:
Cognitive rehabilitation therapy focuses on improving cognitive functions such as memory,
attention, and thinking skills. It is used to help patients with cognitive deficits resulting from
psychiatric or neurological conditions.
Question 5
A technique for dealing with an overtalkative client and silence from other participants
in a group during therapy is to:
A. Make an observation about the group's silence and invite the others to comment
B. Ignore the overtalkative client and focus on the silent members
C. End the group session early
D. Tell the overtalkative client to be quiet
CORRECT ANSWER:
A. Make an observation about the group's silence and invite the others to
comment
RATIONALE:
Making an observation about the group's silence and inviting others to comment is an effective
technique to balance participation and encourage quieter members to engage while indirectly
addressing the overtalkative member.
, Question 6
Which of the following is a characteristic of the preoperational stage of cognitive
development according to Piaget?
A. Children learn through sensory experiences and motor actions
B. Children begin to use language and engage in symbolic play
C. Children develop logical thinking about concrete events
D. Children develop abstract thinking and logical reasoning
CORRECT ANSWER:
B. Children begin to use language and engage in symbolic play
RATIONALE:
During the preoperational stage (2 to 7 years), children begin to use language and engage in
symbolic play, but their thinking is still egocentric and lacks logical operations.
Question 7
One of Yalom's therapeutic factors: The group setting provides a safe and supportive
environment for members to take risks by extending their repertoire of interpersonal
behavior and improving their social skills. This is called:
A. Development of socializing techniques
B. Imitative behavior
C. Cohesiveness
D. Interpersonal learning
CORRECT ANSWER: A. Development of socializing techniques
RATIONALE:
Development of socializing techniques occurs when the group setting provides a safe and
supportive environment for members to take risks by extending their interpersonal behavior and
improving social skills.
