Clinical Modalities NSG 526 Exam
1 prep test bank with a
comprehensive review of 200
well-structured questions with
Correct answers/ NSG 526 Exam 1
Latest Review Test Bank| Wilkes |
Section 1: Peplau's Interpersonal Relations
Theory (Questions 1-15)
Question 1
According to Hildegard Peplau's theory of interpersonal relations in nursing,
which phase of the nurse-patient relationship involves the patient identifying
and exploring specific problems while the nurse facilitates pattern
recognition and promotes expression of feelings?
A. Orientation phase
B. Identification phase
C. Exploitation phase
D. Resolution phase
Correct Answer: C. Exploitation phase
Rationale: Peplau's four phases of the therapeutic nurse-patient
relationship are: (1) Orientation—patient seeks help, nurse establishes
rapport, roles are clarified; (2) Identification—patient responds to nurse as
helper, develops trust, begins to feel belonging; (3) Exploitation—patient
makes full use of available services, explores feelings, works through
problems, nurse facilitates pattern recognition and promotes expression; (4)
Resolution—patient's needs are met, relationship terminates. The
exploitation phase is where the active therapeutic work occurs .
,Question 2
Hildegard Peplau expanded upon Harry Stack Sullivan's interpersonal theory
by emphasizing the importance of which specific aspect in nursing practice?
A. The unconscious mind
B. Psychosexual stages of development
C. The nurse-client relationship
D. Behavioral conditioning
Correct Answer: C. The nurse-client relationship
Rationale: Peplau's theory focuses on the nurse-patient relationship as the
foundation of psychiatric nursing practice. She emphasized that the
therapeutic relationship itself is the primary vehicle for healing and growth,
building on Sullivan's interpersonal theory but applying it specifically to
nursing .
Question 3
According to Peplau's model, the nurse's role in the working phase of the
relationship involves which of the following?
A. Establishing rapport
B. Identifying patient needs and goals
C. Evaluating the outcomes of the patient's treatment
D. Providing education on medication management
Correct Answer: B. Identifying patient needs and goals
Rationale: In Peplau's working phase, the nurse identifies patient needs and
goals, helps the patient explore feelings, and facilitates pattern recognition.
Establishing rapport occurs in the orientation phase, while evaluation occurs
in the resolution phase .
Question 4
Which phase of the nurse-client relationship involves the nurse assessing the
patient's needs and setting mutual goals?
,A. Orientation phase
B. Working phase
C. Termination phase
D. Assessment phase
Correct Answer: A. Orientation phase
Rationale: During the orientation phase, the nurse assesses the patient's
needs, establishes trust, sets mutual goals, and clarifies roles. This phase
sets the foundation for the therapeutic relationship .
Question 5
In the resolution (termination) phase of the nurse-client relationship, which of
the following actions is most appropriate for the nurse to take?
A. Discuss personal feelings about the patient's progress
B. Reflect on the progress made and summarize the outcomes
C. Avoid discussing the end of the relationship to prevent distress
D. Suggest that the patient find a new therapist
Correct Answer: B. Reflect on the progress made and summarize the
outcomes
Rationale: The termination phase involves reflecting on progress made,
summarizing outcomes, and evaluating whether goals were met. The nurse
helps the patient consolidate gains, review relapse risk, and foster
independence .
Question 6
According to Peplau's theory, the exploitation phase is characterized by:
A. The patient's passive acceptance of care
B. The patient making full use of professional services and exploring
alternatives
C. Termination of the therapeutic relationship
D. The nurse making all decisions for the patient
, Correct Answer: B. The patient making full use of professional
services and exploring alternatives
Rationale: In the exploitation phase, the patient feels like an integral part of
the helping environment and makes full use of professional services. The
nurse helps the patient exploit all avenues of help as progress is made
toward the final phase. The nurse uses interview techniques to explore,
understand, and adequately deal with the underlying problem .
Question 7
What is the primary focus of Peplau's interpersonal relations theory?
A. Biological determinants of mental illness
B. The therapeutic nurse-patient relationship
C. Pharmacological interventions
D. Cognitive restructuring
Correct Answer: B. The therapeutic nurse-patient relationship
Rationale: Peplau's theory emphasizes the importance of the nurse-patient
relationship in promoting healing and growth. She viewed nursing as an
interpersonal process where the relationship itself is the therapeutic agent .
Question 8
According to Harry Stack Sullivan, the development of the self-concept is
largely influenced by:
A. Biological factors
B. Early childhood experiences
C. Interpersonal relationships and feedback from others
D. Environmental stressors
Correct Answer: C. Interpersonal relationships and feedback from
others
Rationale: Sullivan's interpersonal theory emphasizes that personality
develops through interpersonal interactions and relationships. The self-
1 prep test bank with a
comprehensive review of 200
well-structured questions with
Correct answers/ NSG 526 Exam 1
Latest Review Test Bank| Wilkes |
Section 1: Peplau's Interpersonal Relations
Theory (Questions 1-15)
Question 1
According to Hildegard Peplau's theory of interpersonal relations in nursing,
which phase of the nurse-patient relationship involves the patient identifying
and exploring specific problems while the nurse facilitates pattern
recognition and promotes expression of feelings?
A. Orientation phase
B. Identification phase
C. Exploitation phase
D. Resolution phase
Correct Answer: C. Exploitation phase
Rationale: Peplau's four phases of the therapeutic nurse-patient
relationship are: (1) Orientation—patient seeks help, nurse establishes
rapport, roles are clarified; (2) Identification—patient responds to nurse as
helper, develops trust, begins to feel belonging; (3) Exploitation—patient
makes full use of available services, explores feelings, works through
problems, nurse facilitates pattern recognition and promotes expression; (4)
Resolution—patient's needs are met, relationship terminates. The
exploitation phase is where the active therapeutic work occurs .
,Question 2
Hildegard Peplau expanded upon Harry Stack Sullivan's interpersonal theory
by emphasizing the importance of which specific aspect in nursing practice?
A. The unconscious mind
B. Psychosexual stages of development
C. The nurse-client relationship
D. Behavioral conditioning
Correct Answer: C. The nurse-client relationship
Rationale: Peplau's theory focuses on the nurse-patient relationship as the
foundation of psychiatric nursing practice. She emphasized that the
therapeutic relationship itself is the primary vehicle for healing and growth,
building on Sullivan's interpersonal theory but applying it specifically to
nursing .
Question 3
According to Peplau's model, the nurse's role in the working phase of the
relationship involves which of the following?
A. Establishing rapport
B. Identifying patient needs and goals
C. Evaluating the outcomes of the patient's treatment
D. Providing education on medication management
Correct Answer: B. Identifying patient needs and goals
Rationale: In Peplau's working phase, the nurse identifies patient needs and
goals, helps the patient explore feelings, and facilitates pattern recognition.
Establishing rapport occurs in the orientation phase, while evaluation occurs
in the resolution phase .
Question 4
Which phase of the nurse-client relationship involves the nurse assessing the
patient's needs and setting mutual goals?
,A. Orientation phase
B. Working phase
C. Termination phase
D. Assessment phase
Correct Answer: A. Orientation phase
Rationale: During the orientation phase, the nurse assesses the patient's
needs, establishes trust, sets mutual goals, and clarifies roles. This phase
sets the foundation for the therapeutic relationship .
Question 5
In the resolution (termination) phase of the nurse-client relationship, which of
the following actions is most appropriate for the nurse to take?
A. Discuss personal feelings about the patient's progress
B. Reflect on the progress made and summarize the outcomes
C. Avoid discussing the end of the relationship to prevent distress
D. Suggest that the patient find a new therapist
Correct Answer: B. Reflect on the progress made and summarize the
outcomes
Rationale: The termination phase involves reflecting on progress made,
summarizing outcomes, and evaluating whether goals were met. The nurse
helps the patient consolidate gains, review relapse risk, and foster
independence .
Question 6
According to Peplau's theory, the exploitation phase is characterized by:
A. The patient's passive acceptance of care
B. The patient making full use of professional services and exploring
alternatives
C. Termination of the therapeutic relationship
D. The nurse making all decisions for the patient
, Correct Answer: B. The patient making full use of professional
services and exploring alternatives
Rationale: In the exploitation phase, the patient feels like an integral part of
the helping environment and makes full use of professional services. The
nurse helps the patient exploit all avenues of help as progress is made
toward the final phase. The nurse uses interview techniques to explore,
understand, and adequately deal with the underlying problem .
Question 7
What is the primary focus of Peplau's interpersonal relations theory?
A. Biological determinants of mental illness
B. The therapeutic nurse-patient relationship
C. Pharmacological interventions
D. Cognitive restructuring
Correct Answer: B. The therapeutic nurse-patient relationship
Rationale: Peplau's theory emphasizes the importance of the nurse-patient
relationship in promoting healing and growth. She viewed nursing as an
interpersonal process where the relationship itself is the therapeutic agent .
Question 8
According to Harry Stack Sullivan, the development of the self-concept is
largely influenced by:
A. Biological factors
B. Early childhood experiences
C. Interpersonal relationships and feedback from others
D. Environmental stressors
Correct Answer: C. Interpersonal relationships and feedback from
others
Rationale: Sullivan's interpersonal theory emphasizes that personality
develops through interpersonal interactions and relationships. The self-
