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: Therapeutic Alliance & Foundational Concepts
(Questions 1-50)
1. Which nursing intervention would be appropriately addressed during the
orientation phase of the nurse-patient relationship?
• A. Self-reflection by the nurse regarding personal biases about the patient
• B. Establishing the contract between the nurse and the patient regarding
mutual needs and expectations
• C. Patient works at prioritizing personal needs and develops realistic expected
outcomes
• D. Patient commits to reinforcement of positive personal characteristics while
working on problems
Rationale: A contract or agreement is established during the orientation phase of the
relationship. The contract defines limits and expectations of both the patient and the
nurse. Self-reflection occurs during the pre-orientation phase, while the remaining
options are addressed during the working phase .
,2. The greatest negative outcome resulting from a nurse's fear of a mentally ill
patient is that the:
• A. Nurse will reinforce negative stereotyping of the mentally ill
• B. Patient will experience increased bias against the nursing staff
• C. Public's fearfulness of the mentally ill will continue to be exaggerated
• D. Therapeutic alliance between the nurse and patient will not develop
effectively
Rationale: Unrealistic preconceived images, stereotyping, and biases have an effect on
nurses that, when resulting in fear, will negatively impact the therapeutic effectiveness of
the nurse and the care provided. This has the greatest priority impact on quality patient
care .
3. The nurse is effectively facilitating the nurse-patient relationship when:
• A. Sharing with an angry patient who is verbally abusive that, "Although I
can accept that you are angry, I cannot and will not accept your verbal
abuse."
• B. Focusing on the patient's life experience without relating to the similarities of
one's own experiences
• C. Objectively providing constructive criticism that is directed to helping the
patient identify inappropriate behaviors
• D. Refraining from abandoning the patient regardless of the frustration the
interaction causes
Rationale: Setting appropriate boundaries while validating the patient's feelings
maintains the therapeutic relationship without accepting abusive behavior .
4. Which interactions are likely outcomes of a well-established therapeutic
alliance? (Select all that apply)
• A. The nurse states, "I'm not here to judge but rather to help."
• B. The patient states, "I really think I can handle this problem now."
• C. The patient asks his abusive father to attend counseling with him
• D. The nurse sets boundaries for a patient who has few social skills
• E. The patient with anger issues voluntarily goes into the seclusion room
Rationale: A well-established therapeutic alliance is characterized by trust, mutual
respect, and the patient's willingness to engage in therapeutic work. The nurse's non-
judgmental stance, the patient's expression of confidence, and the patient's active
engagement in treatment are positive indicators .
,5. Florence Nightingale was instrumental in the holistic approach to nursing care,
whereas ____________ practice was centered on institutional care of the mentally ill.
• A. Hildegard Peplau
• B. Linda Richards
• C. Dorothea Dix
• D. Clara Barton
Rationale: Linda Richards was a pioneer in psychiatric nursing who focused on
institutional care of the mentally ill .
6. ___________ is considered the founder of modern psychiatric-mental health
nursing.
• A. Hildegard Peplau
• B. Joyce Travelbee
• C. Florence Nightingale
• D. Mary Mahoney
Rationale: Peplau's 1952 book "Interpersonal Relationships in Nursing" established the
foundation for modern psychiatric-mental health nursing practice .
Domain 2: Developmental Theories & Defense Mechanisms
(Questions 7-30)
7. According to 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 .
8. A fourth-grade boy teases a girl in class. This behavior should be identified as
indicative of which defense mechanism?
• A. Displacement
, • B. Projection
• C. Reaction formation
• D. Sublimation
Rationale: Reaction formation is a defense mechanism in which an individual expresses
behaviors opposite to their true feelings. The boy's teasing may mask underlying
interest or affection .
9. When a client uses alcohol excessively, and her husband yells at her for it, what
alerts the nurse to the client's use of denial?
• A. The client hides liquor bottles
• B. The client yells at her son
• C. The client burns dinner on purpose
• D. The client says, "I don't drink too much!"
Rationale: Denial is characterized by refusing to accept the reality of one's situation. By
claiming not to drink excessively, the client is using denial to avoid confronting a
possible alcohol use problem .
10. 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 .
11. 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 .
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: Therapeutic Alliance & Foundational Concepts
(Questions 1-50)
1. Which nursing intervention would be appropriately addressed during the
orientation phase of the nurse-patient relationship?
• A. Self-reflection by the nurse regarding personal biases about the patient
• B. Establishing the contract between the nurse and the patient regarding
mutual needs and expectations
• C. Patient works at prioritizing personal needs and develops realistic expected
outcomes
• D. Patient commits to reinforcement of positive personal characteristics while
working on problems
Rationale: A contract or agreement is established during the orientation phase of the
relationship. The contract defines limits and expectations of both the patient and the
nurse. Self-reflection occurs during the pre-orientation phase, while the remaining
options are addressed during the working phase .
,2. The greatest negative outcome resulting from a nurse's fear of a mentally ill
patient is that the:
• A. Nurse will reinforce negative stereotyping of the mentally ill
• B. Patient will experience increased bias against the nursing staff
• C. Public's fearfulness of the mentally ill will continue to be exaggerated
• D. Therapeutic alliance between the nurse and patient will not develop
effectively
Rationale: Unrealistic preconceived images, stereotyping, and biases have an effect on
nurses that, when resulting in fear, will negatively impact the therapeutic effectiveness of
the nurse and the care provided. This has the greatest priority impact on quality patient
care .
3. The nurse is effectively facilitating the nurse-patient relationship when:
• A. Sharing with an angry patient who is verbally abusive that, "Although I
can accept that you are angry, I cannot and will not accept your verbal
abuse."
• B. Focusing on the patient's life experience without relating to the similarities of
one's own experiences
• C. Objectively providing constructive criticism that is directed to helping the
patient identify inappropriate behaviors
• D. Refraining from abandoning the patient regardless of the frustration the
interaction causes
Rationale: Setting appropriate boundaries while validating the patient's feelings
maintains the therapeutic relationship without accepting abusive behavior .
4. Which interactions are likely outcomes of a well-established therapeutic
alliance? (Select all that apply)
• A. The nurse states, "I'm not here to judge but rather to help."
• B. The patient states, "I really think I can handle this problem now."
• C. The patient asks his abusive father to attend counseling with him
• D. The nurse sets boundaries for a patient who has few social skills
• E. The patient with anger issues voluntarily goes into the seclusion room
Rationale: A well-established therapeutic alliance is characterized by trust, mutual
respect, and the patient's willingness to engage in therapeutic work. The nurse's non-
judgmental stance, the patient's expression of confidence, and the patient's active
engagement in treatment are positive indicators .
,5. Florence Nightingale was instrumental in the holistic approach to nursing care,
whereas ____________ practice was centered on institutional care of the mentally ill.
• A. Hildegard Peplau
• B. Linda Richards
• C. Dorothea Dix
• D. Clara Barton
Rationale: Linda Richards was a pioneer in psychiatric nursing who focused on
institutional care of the mentally ill .
6. ___________ is considered the founder of modern psychiatric-mental health
nursing.
• A. Hildegard Peplau
• B. Joyce Travelbee
• C. Florence Nightingale
• D. Mary Mahoney
Rationale: Peplau's 1952 book "Interpersonal Relationships in Nursing" established the
foundation for modern psychiatric-mental health nursing practice .
Domain 2: Developmental Theories & Defense Mechanisms
(Questions 7-30)
7. According to 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 .
8. A fourth-grade boy teases a girl in class. This behavior should be identified as
indicative of which defense mechanism?
• A. Displacement
, • B. Projection
• C. Reaction formation
• D. Sublimation
Rationale: Reaction formation is a defense mechanism in which an individual expresses
behaviors opposite to their true feelings. The boy's teasing may mask underlying
interest or affection .
9. When a client uses alcohol excessively, and her husband yells at her for it, what
alerts the nurse to the client's use of denial?
• A. The client hides liquor bottles
• B. The client yells at her son
• C. The client burns dinner on purpose
• D. The client says, "I don't drink too much!"
Rationale: Denial is characterized by refusing to accept the reality of one's situation. By
claiming not to drink excessively, the client is using denial to avoid confronting a
possible alcohol use problem .
10. 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 .
11. 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 .
