NSG 526 Clinical Modalities Exams 1, 2,
and 3 practice tests with a review of 600
well-structured questions with Correct
answers/ NSG 526 Exams 1-3 Latest
Review Tests | Wilkes |
EXAM 1 — FOUNDATIONS OF PSYCHIATRIC MENTAL
HEALTH NURSING (Questions 1-200)
Domain 1: Psychotherapy Foundations & Theoretical Models
(Questions 1-50)
1. Cognitive Behavioral Therapy (CBT) is based on the cognitive model, which
holds that:
• A. Unconscious conflicts drive all behavior
• B. Distorted thinking leads to distressing emotions and behaviors
• C. Environmental factors are the sole determinants of mental illness
• D. Genetic predispositions are the primary cause of psychopathology
Rationale: CBT focuses on recognizing, challenging, and replacing cognitive distortions
with more realistic ones. The cognitive model posits that how individuals interpret
situations determines their emotional and behavioral responses.
2. According to Erik Erikson, the primary psychosocial crisis of adolescence is:
• A. Intimacy versus isolation
• B. Identity versus role confusion
• C. Generativity versus stagnation
• D. Ego integrity versus despair
,Rationale: Erikson's fifth stage involves developing a coherent sense of self and
personal identity. Successful resolution results in fidelity; failure leads to role confusion
and uncertainty about one's place in the world.
3. A patient unconsciously redirects feelings from a significant past relationship
onto the therapist. This phenomenon is called:
• A. Countertransference
• B. Transference
• C. Resistance
• D. Projection
Rationale: Transference is the unconscious redirection of feelings, attitudes, and
expectations from a significant past relationship onto the therapist. It is a fundamental
concept in psychodynamic therapy and a tool for exploration.
4. A therapist feels increasingly irritated with a patient who reminds them of a
difficult personal relationship. The therapist's reaction is best described as:
• A. Transference
• B. Countertransference
• C. Empathic failure
• D. Vicarious trauma
Rationale: Countertransference refers to the therapist's emotional reactions to the
patient, influenced by the therapist's own past experiences and unresolved conflicts.
Self-awareness and supervision are essential to manage it effectively.
5. According to Jean Piaget, the stage of cognitive development from birth to 2
years is called:
• A. Preoperational
• B. Sensorimotor
• C. Concrete operational
• D. Formal operational
Rationale: Piaget's sensorimotor stage occurs from birth to approximately 2 years of
age. During this stage, infants learn about the world through their senses and motor
activities.
6. The Strange Situation Test, used to classify children according to types of
attachment, was developed by:
, • A. Jean Piaget
• B. Erik Erikson
• C. Mary Ainsworth
• D. Sigmund Freud
Rationale: Mary Ainsworth developed the Strange Situation procedure, a laboratory-
based assessment used to observe attachment relationships between a caregiver and
child, typically in children aged 12-18 months.
7. Existential psychotherapy, as conceptualized by Irvin Yalom, focuses on:
• A. Analyzing dreams
• B. Exploring unconscious conflicts
• C. Addressing human suffering and the search for meaning
• D. Providing medication management
Rationale: Existential psychotherapy addresses fundamental human concerns including
death, freedom, isolation, and meaninglessness. Yalom identified these as core "ultimate
concerns" that underlie psychological distress.
8. A key concept in existential psychotherapy is:
• A. Free association
• B. The search for meaning in life
• C. Hypnosis
• D. Dream analysis
Rationale: The search for meaning is a central theme in existential psychotherapy,
reflecting the belief that individuals must find purpose and significance in their lives to
achieve psychological well-being.
9. Psychodynamic therapy differs from classical psychoanalysis primarily in that it:
• A. Requires the patient to free-associate on a couch
• B. Involves more therapist-patient interaction and focuses more on present-
day issues
• C. Avoids exploring the therapeutic relationship
• D. Is only used for personality disorders
Rationale: Psychodynamic therapy is typically face-to-face, less intensive, and more
interactive than classical psychoanalysis. While it still explores unconscious processes
and transference, it places greater emphasis on current life circumstances.
, 10. The id, according to Freudian theory:
• A. Operates on the reality principle
• B. Operates on the pleasure principle, seeking pleasure and avoiding pain
• C. Represents moral and ethical standards
• D. Mediates between internal drives and external reality
Rationale: The id is the primal component of personality that operates on the pleasure
principle, seeking immediate gratification of basic needs and drives. It is present from
birth and is entirely unconscious.
11. According to Freudian theory, the part of the psyche that mediates between
the id and the superego is the:
• A. Id
• B. Ego
• C. Superego
• D. Unconscious
Rationale: The ego operates on the reality principle, mediating between the demands
of the id and the constraints of the superego and external reality. It is the part of the
mind that deals with practical reality.
12. A patient who acknowledges that there may be a problem but has not yet
committed to change is in which stage of the Transtheoretical Model?
• A. Precontemplation
• B. Preparation
• C. Contemplation
• D. Action
Rationale: The contemplation stage of the Transtheoretical Model is characterized by
awareness that a problem exists and serious consideration of change, but without
commitment to action yet.
13. The Holmes and Rahe Social Readjustment Rating Scale measures:
• A. The severity of depressive symptoms
• B. The patient's readiness for change
• C. Cognitive distortions related to stress
• D. Life change units that predict the risk of stress-related illness
and 3 practice tests with a review of 600
well-structured questions with Correct
answers/ NSG 526 Exams 1-3 Latest
Review Tests | Wilkes |
EXAM 1 — FOUNDATIONS OF PSYCHIATRIC MENTAL
HEALTH NURSING (Questions 1-200)
Domain 1: Psychotherapy Foundations & Theoretical Models
(Questions 1-50)
1. Cognitive Behavioral Therapy (CBT) is based on the cognitive model, which
holds that:
• A. Unconscious conflicts drive all behavior
• B. Distorted thinking leads to distressing emotions and behaviors
• C. Environmental factors are the sole determinants of mental illness
• D. Genetic predispositions are the primary cause of psychopathology
Rationale: CBT focuses on recognizing, challenging, and replacing cognitive distortions
with more realistic ones. The cognitive model posits that how individuals interpret
situations determines their emotional and behavioral responses.
2. According to Erik Erikson, the primary psychosocial crisis of adolescence is:
• A. Intimacy versus isolation
• B. Identity versus role confusion
• C. Generativity versus stagnation
• D. Ego integrity versus despair
,Rationale: Erikson's fifth stage involves developing a coherent sense of self and
personal identity. Successful resolution results in fidelity; failure leads to role confusion
and uncertainty about one's place in the world.
3. A patient unconsciously redirects feelings from a significant past relationship
onto the therapist. This phenomenon is called:
• A. Countertransference
• B. Transference
• C. Resistance
• D. Projection
Rationale: Transference is the unconscious redirection of feelings, attitudes, and
expectations from a significant past relationship onto the therapist. It is a fundamental
concept in psychodynamic therapy and a tool for exploration.
4. A therapist feels increasingly irritated with a patient who reminds them of a
difficult personal relationship. The therapist's reaction is best described as:
• A. Transference
• B. Countertransference
• C. Empathic failure
• D. Vicarious trauma
Rationale: Countertransference refers to the therapist's emotional reactions to the
patient, influenced by the therapist's own past experiences and unresolved conflicts.
Self-awareness and supervision are essential to manage it effectively.
5. According to Jean Piaget, the stage of cognitive development from birth to 2
years is called:
• A. Preoperational
• B. Sensorimotor
• C. Concrete operational
• D. Formal operational
Rationale: Piaget's sensorimotor stage occurs from birth to approximately 2 years of
age. During this stage, infants learn about the world through their senses and motor
activities.
6. The Strange Situation Test, used to classify children according to types of
attachment, was developed by:
, • A. Jean Piaget
• B. Erik Erikson
• C. Mary Ainsworth
• D. Sigmund Freud
Rationale: Mary Ainsworth developed the Strange Situation procedure, a laboratory-
based assessment used to observe attachment relationships between a caregiver and
child, typically in children aged 12-18 months.
7. Existential psychotherapy, as conceptualized by Irvin Yalom, focuses on:
• A. Analyzing dreams
• B. Exploring unconscious conflicts
• C. Addressing human suffering and the search for meaning
• D. Providing medication management
Rationale: Existential psychotherapy addresses fundamental human concerns including
death, freedom, isolation, and meaninglessness. Yalom identified these as core "ultimate
concerns" that underlie psychological distress.
8. A key concept in existential psychotherapy is:
• A. Free association
• B. The search for meaning in life
• C. Hypnosis
• D. Dream analysis
Rationale: The search for meaning is a central theme in existential psychotherapy,
reflecting the belief that individuals must find purpose and significance in their lives to
achieve psychological well-being.
9. Psychodynamic therapy differs from classical psychoanalysis primarily in that it:
• A. Requires the patient to free-associate on a couch
• B. Involves more therapist-patient interaction and focuses more on present-
day issues
• C. Avoids exploring the therapeutic relationship
• D. Is only used for personality disorders
Rationale: Psychodynamic therapy is typically face-to-face, less intensive, and more
interactive than classical psychoanalysis. While it still explores unconscious processes
and transference, it places greater emphasis on current life circumstances.
, 10. The id, according to Freudian theory:
• A. Operates on the reality principle
• B. Operates on the pleasure principle, seeking pleasure and avoiding pain
• C. Represents moral and ethical standards
• D. Mediates between internal drives and external reality
Rationale: The id is the primal component of personality that operates on the pleasure
principle, seeking immediate gratification of basic needs and drives. It is present from
birth and is entirely unconscious.
11. According to Freudian theory, the part of the psyche that mediates between
the id and the superego is the:
• A. Id
• B. Ego
• C. Superego
• D. Unconscious
Rationale: The ego operates on the reality principle, mediating between the demands
of the id and the constraints of the superego and external reality. It is the part of the
mind that deals with practical reality.
12. A patient who acknowledges that there may be a problem but has not yet
committed to change is in which stage of the Transtheoretical Model?
• A. Precontemplation
• B. Preparation
• C. Contemplation
• D. Action
Rationale: The contemplation stage of the Transtheoretical Model is characterized by
awareness that a problem exists and serious consideration of change, but without
commitment to action yet.
13. The Holmes and Rahe Social Readjustment Rating Scale measures:
• A. The severity of depressive symptoms
• B. The patient's readiness for change
• C. Cognitive distortions related to stress
• D. Life change units that predict the risk of stress-related illness
