NSG 526 Exam 2 Therapeutic Approach QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
Exam coverage
• Therapeutic approaches
• Communication skills
• Psychiatric assessment
• Group and family approaches
• Crisis intervention
• Behavioral interventions
• Medication support
• Boundaries
• Cultural factors
• Evaluation of therapeutic response
1. Which statement most accurately explains how the following principle should be applied
when an examiner presents a realistic professional scenario involving active listening?
A. active listening uses attention, reflection, clarification, and concise responses to
demonstrate understanding
,B. open-ended questions encourage fuller responses and are useful for exploring thoughts,
feelings, and experiences
C. reflection restates or mirrors content or emotion to encourage exploration without
imposing judgment
D. family approaches examine interaction patterns and communication while maintaining
appropriate confidentiality
Answer: A
The correct answer is A because active listening uses attention, reflection, clarification, and
concise responses to demonstrate understanding. The other choices describe different
concepts and therefore do not directly answer the principle tested.
2. In a scenario requiring careful application of established standards, which action best
reflects the principle of open-ended questions?
A. family approaches examine interaction patterns and communication while maintaining
appropriate confidentiality
B. clear professional boundaries protect patients and clinicians from role confusion and
exploitation
C. open-ended questions encourage fuller responses and are useful for exploring thoughts,
feelings, and experiences
,D. transference refers to feelings toward the clinician that may be influenced by relationships
or experiences outside the current encounter
Answer: C
The correct answer is C because open-ended questions encourage fuller responses and are
useful for exploring thoughts, feelings, and experiences. The other choices describe different
concepts and therefore do not directly answer the principle tested.
3. When reviewing a case that tests understanding of professional responsibilities, which
statement correctly describes reflection?
A. behavioral activation increases engagement in meaningful activities to address patterns
associated with depression
B. clear professional boundaries protect patients and clinicians from role confusion and
exploitation
C. countertransference describes clinician emotional responses that can affect therapeutic
interactions and require professional reflection
D. reflection restates or mirrors content or emotion to encourage exploration without
imposing judgment
Answer: D
The correct answer is D because reflection restates or mirrors content or emotion to
encourage exploration without imposing judgment. The other choices describe different
, concepts and therefore do not directly answer the principle tested.
4. An examinee is evaluating a situation involving silence. Which response demonstrates the
most accurate understanding of this concept?
A. transference refers to feelings toward the clinician that may be influenced by relationships
or experiences outside the current encounter
B. cultural humility requires ongoing self-reflection and respect for the patient's individual
meaning and context
C. group interventions require attention to confidentiality, norms, participation, and group
dynamics
D. therapeutic silence can give patients time to organize thoughts and emotions without
forcing a response
Answer: D
The correct answer is D because therapeutic silence can give patients time to organize
thoughts and emotions without forcing a response. The other choices describe different
concepts and therefore do not directly answer the principle tested.
5. During an assessment question about boundaries, which explanation is most consistent
with established professional practice?
A. active listening uses attention, reflection, clarification, and concise responses to
demonstrate understanding
RATIONALES
Exam coverage
• Therapeutic approaches
• Communication skills
• Psychiatric assessment
• Group and family approaches
• Crisis intervention
• Behavioral interventions
• Medication support
• Boundaries
• Cultural factors
• Evaluation of therapeutic response
1. Which statement most accurately explains how the following principle should be applied
when an examiner presents a realistic professional scenario involving active listening?
A. active listening uses attention, reflection, clarification, and concise responses to
demonstrate understanding
,B. open-ended questions encourage fuller responses and are useful for exploring thoughts,
feelings, and experiences
C. reflection restates or mirrors content or emotion to encourage exploration without
imposing judgment
D. family approaches examine interaction patterns and communication while maintaining
appropriate confidentiality
Answer: A
The correct answer is A because active listening uses attention, reflection, clarification, and
concise responses to demonstrate understanding. The other choices describe different
concepts and therefore do not directly answer the principle tested.
2. In a scenario requiring careful application of established standards, which action best
reflects the principle of open-ended questions?
A. family approaches examine interaction patterns and communication while maintaining
appropriate confidentiality
B. clear professional boundaries protect patients and clinicians from role confusion and
exploitation
C. open-ended questions encourage fuller responses and are useful for exploring thoughts,
feelings, and experiences
,D. transference refers to feelings toward the clinician that may be influenced by relationships
or experiences outside the current encounter
Answer: C
The correct answer is C because open-ended questions encourage fuller responses and are
useful for exploring thoughts, feelings, and experiences. The other choices describe different
concepts and therefore do not directly answer the principle tested.
3. When reviewing a case that tests understanding of professional responsibilities, which
statement correctly describes reflection?
A. behavioral activation increases engagement in meaningful activities to address patterns
associated with depression
B. clear professional boundaries protect patients and clinicians from role confusion and
exploitation
C. countertransference describes clinician emotional responses that can affect therapeutic
interactions and require professional reflection
D. reflection restates or mirrors content or emotion to encourage exploration without
imposing judgment
Answer: D
The correct answer is D because reflection restates or mirrors content or emotion to
encourage exploration without imposing judgment. The other choices describe different
, concepts and therefore do not directly answer the principle tested.
4. An examinee is evaluating a situation involving silence. Which response demonstrates the
most accurate understanding of this concept?
A. transference refers to feelings toward the clinician that may be influenced by relationships
or experiences outside the current encounter
B. cultural humility requires ongoing self-reflection and respect for the patient's individual
meaning and context
C. group interventions require attention to confidentiality, norms, participation, and group
dynamics
D. therapeutic silence can give patients time to organize thoughts and emotions without
forcing a response
Answer: D
The correct answer is D because therapeutic silence can give patients time to organize
thoughts and emotions without forcing a response. The other choices describe different
concepts and therefore do not directly answer the principle tested.
5. During an assessment question about boundaries, which explanation is most consistent
with established professional practice?
A. active listening uses attention, reflection, clarification, and concise responses to
demonstrate understanding
