NSG 527 FINAL EXAM:
PSYCHOPATHOLOGY, THEORIES, AND
ADVANCED MODALITIES
1. A patient presents with a persistent pattern of detachment from social relationships and a
restricted range of expression of emotions in interpersonal settings. They prefer solitary
activities and lack close friends. According to the DSM-5, which personality disorder is most
likely?
A. Avoidant Personality Disorder
B. Schizotypal Personality Disorder
C. Schizoid Personality Disorder
D. Antisocial Personality Disorder
Answer: C
Conceptual Explanation: Schizoid personality disorder is characterized by a lack of
interest in social relationships and a limited range of emotional expression, unlike avoidant
personality disorder where the individual desires relationships but fears rejection.
,2. In Dialectical Behavior Therapy (DBT), which of the following best describes the concept of
‘Dialectics’?
A. The use of logic to debunk irrational thoughts
B. The synthesis of opposites, specifically acceptance and change
C. The focus on childhood trauma and its impact on adult behavior
D. The behavioral reinforcement of positive coping strategies
Answer: B
Conceptual Explanation: Dialectics in DBT refers to the balance and integration of two
seemingly opposing strategies: acceptance of the patient as they are and the necessity for
change.
3. According to Irvin Yalom, which curative factor involves the realization that one is not
alone in their suffering and that others share similar problems?
A. Catharsis
B. Universality
C. Altruism
D. Imitative behavior
Answer: B
Conceptual Explanation: Universality is the recognition that one’s experiences and
feelings are shared by others, which reduces feelings of isolation and shame.
, 4. A 28-year-old female experiences sudden, intense fear accompanied by palpitations,
sweating, and a feeling of impending doom. These episodes peak within minutes. Between
episodes, she worries constantly about having another attack. This is characteristic of:
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Specific Phobia
D. Social Anxiety Disorder
Answer: B
Conceptual Explanation: Panic disorder is defined by recurrent unexpected panic attacks
and at least one month of persistent concern about additional attacks or their
consequences.
5. In Bowenian Family Systems Theory, ‘triangulation’ is best described as:
A. A process where a two-person system draws in a third person to relieve tension
B. The healthy interaction between three family members
C. The method of mapping family history through three generations
D. A technique used to identify the ‘identified patient’ in a family
Answer: A
PSYCHOPATHOLOGY, THEORIES, AND
ADVANCED MODALITIES
1. A patient presents with a persistent pattern of detachment from social relationships and a
restricted range of expression of emotions in interpersonal settings. They prefer solitary
activities and lack close friends. According to the DSM-5, which personality disorder is most
likely?
A. Avoidant Personality Disorder
B. Schizotypal Personality Disorder
C. Schizoid Personality Disorder
D. Antisocial Personality Disorder
Answer: C
Conceptual Explanation: Schizoid personality disorder is characterized by a lack of
interest in social relationships and a limited range of emotional expression, unlike avoidant
personality disorder where the individual desires relationships but fears rejection.
,2. In Dialectical Behavior Therapy (DBT), which of the following best describes the concept of
‘Dialectics’?
A. The use of logic to debunk irrational thoughts
B. The synthesis of opposites, specifically acceptance and change
C. The focus on childhood trauma and its impact on adult behavior
D. The behavioral reinforcement of positive coping strategies
Answer: B
Conceptual Explanation: Dialectics in DBT refers to the balance and integration of two
seemingly opposing strategies: acceptance of the patient as they are and the necessity for
change.
3. According to Irvin Yalom, which curative factor involves the realization that one is not
alone in their suffering and that others share similar problems?
A. Catharsis
B. Universality
C. Altruism
D. Imitative behavior
Answer: B
Conceptual Explanation: Universality is the recognition that one’s experiences and
feelings are shared by others, which reduces feelings of isolation and shame.
, 4. A 28-year-old female experiences sudden, intense fear accompanied by palpitations,
sweating, and a feeling of impending doom. These episodes peak within minutes. Between
episodes, she worries constantly about having another attack. This is characteristic of:
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Specific Phobia
D. Social Anxiety Disorder
Answer: B
Conceptual Explanation: Panic disorder is defined by recurrent unexpected panic attacks
and at least one month of persistent concern about additional attacks or their
consequences.
5. In Bowenian Family Systems Theory, ‘triangulation’ is best described as:
A. A process where a two-person system draws in a third person to relieve tension
B. The healthy interaction between three family members
C. The method of mapping family history through three generations
D. A technique used to identify the ‘identified patient’ in a family
Answer: A
