NSG 526: CLINICAL MODALITIES IN
ADVANCED PSYCHIATRIC/MENTAL
HEALTH NURSING PRACTICE
2026/2027/2028 TESTING CYCLE
100 VERIFIED Q & A, WITH EXPERT RATIONALES | GUARANTEED PASS
GRADED A+
Q1: A patient presents with impaired judgment, personality changes, and difficulty with working
memory. Which brain lobe is most likely affected?
A. Frontal lobe [CORRECT]
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe
Correct Answer: A
Rationale: The frontal lobe is responsible for executive functioning, working memory,
personality, and insight. Damage leads to impaired judgment and personality changes.
Q2: According to the DSM-5-TR, which diagnosis is listed first in a patient's chart?
A. The most severe diagnosis
B. The principal diagnosis [CORRECT]
C. The chronic diagnosis
D. The provisional diagnosis
Correct Answer: B
Rationale: The principal diagnosis is the primary reason for the visit or admission and is listed
first.
,Q3: In Peplau's theory, which phase involves setting boundaries and establishing a therapeutic
contract?
A. Working phase
B. Termination phase
C. Orientation phase [CORRECT]
D. Resolution phase
Correct Answer: C
Rationale: The orientation phase is when the nurse and patient establish trust, set boundaries, and
define the therapeutic contract.
Q4: A PMHNP is conducting a psychiatric interview. Which technique is considered non-
therapeutic?
A. Active listening
B. Open-ended questioning
C. Reflection
D. Giving advice [CORRECT]
Correct Answer: D
Rationale: Giving advice is non-therapeutic as it takes away from the patient's autonomy and
self-exploration.
Q5: Which of the following is a medical mimic that can present with psychiatric symptoms in
older adults?
A. Urinary tract infection [CORRECT]
B. Migraine headache
C. Asthma
D. Osteoarthritis
Correct Answer: A
Rationale: UTIs in older adults can cause confusion, agitation, and psychosis, mimicking
psychiatric disorders.
Q6: The PMHNP is assessing a patient who reports hearing voices. Which brain lobe is most
associated with auditory hallucinations?
, A. Frontal lobe
B. Temporal lobe [CORRECT]
C. Parietal lobe
D. Occipital lobe
Correct Answer: B
Rationale: The temporal lobe is involved in auditory processing and is associated with auditory
hallucinations.
Q7: In the DSM-5-TR, how is the manual organized developmentally?
A. By severity of symptoms
B. By axis system
C. Starting with neurodevelopmental disorders in childhood and progressing to neurocognitive
disorders in late adulthood [CORRECT]
D. Alphabetically by disorder name
Correct Answer: C
Rationale: The DSM-5-TR is organized developmentally, starting with disorders usually
diagnosed in childhood and ending with neurocognitive disorders.
Q8: Which of the following best describes transference?
A. The PMHNP projects feelings onto the patient
B. The patient projects feelings onto the PMHNP [CORRECT]
C. The patient refuses to engage in therapy
D. The PMHNP sets strict boundaries
Correct Answer: B
Rationale: Transference occurs when the patient projects feelings and attitudes from past
relationships onto the therapist.
Q9: A PMHNP is working with a patient who has borderline personality disorder. The patient
suddenly becomes angry and accuses the PMHNP of not caring. This is an example of:
A. Transference [CORRECT]
B. Countertransference
C. Resistance
D. Projective identification
ADVANCED PSYCHIATRIC/MENTAL
HEALTH NURSING PRACTICE
2026/2027/2028 TESTING CYCLE
100 VERIFIED Q & A, WITH EXPERT RATIONALES | GUARANTEED PASS
GRADED A+
Q1: A patient presents with impaired judgment, personality changes, and difficulty with working
memory. Which brain lobe is most likely affected?
A. Frontal lobe [CORRECT]
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe
Correct Answer: A
Rationale: The frontal lobe is responsible for executive functioning, working memory,
personality, and insight. Damage leads to impaired judgment and personality changes.
Q2: According to the DSM-5-TR, which diagnosis is listed first in a patient's chart?
A. The most severe diagnosis
B. The principal diagnosis [CORRECT]
C. The chronic diagnosis
D. The provisional diagnosis
Correct Answer: B
Rationale: The principal diagnosis is the primary reason for the visit or admission and is listed
first.
,Q3: In Peplau's theory, which phase involves setting boundaries and establishing a therapeutic
contract?
A. Working phase
B. Termination phase
C. Orientation phase [CORRECT]
D. Resolution phase
Correct Answer: C
Rationale: The orientation phase is when the nurse and patient establish trust, set boundaries, and
define the therapeutic contract.
Q4: A PMHNP is conducting a psychiatric interview. Which technique is considered non-
therapeutic?
A. Active listening
B. Open-ended questioning
C. Reflection
D. Giving advice [CORRECT]
Correct Answer: D
Rationale: Giving advice is non-therapeutic as it takes away from the patient's autonomy and
self-exploration.
Q5: Which of the following is a medical mimic that can present with psychiatric symptoms in
older adults?
A. Urinary tract infection [CORRECT]
B. Migraine headache
C. Asthma
D. Osteoarthritis
Correct Answer: A
Rationale: UTIs in older adults can cause confusion, agitation, and psychosis, mimicking
psychiatric disorders.
Q6: The PMHNP is assessing a patient who reports hearing voices. Which brain lobe is most
associated with auditory hallucinations?
, A. Frontal lobe
B. Temporal lobe [CORRECT]
C. Parietal lobe
D. Occipital lobe
Correct Answer: B
Rationale: The temporal lobe is involved in auditory processing and is associated with auditory
hallucinations.
Q7: In the DSM-5-TR, how is the manual organized developmentally?
A. By severity of symptoms
B. By axis system
C. Starting with neurodevelopmental disorders in childhood and progressing to neurocognitive
disorders in late adulthood [CORRECT]
D. Alphabetically by disorder name
Correct Answer: C
Rationale: The DSM-5-TR is organized developmentally, starting with disorders usually
diagnosed in childhood and ending with neurocognitive disorders.
Q8: Which of the following best describes transference?
A. The PMHNP projects feelings onto the patient
B. The patient projects feelings onto the PMHNP [CORRECT]
C. The patient refuses to engage in therapy
D. The PMHNP sets strict boundaries
Correct Answer: B
Rationale: Transference occurs when the patient projects feelings and attitudes from past
relationships onto the therapist.
Q9: A PMHNP is working with a patient who has borderline personality disorder. The patient
suddenly becomes angry and accuses the PMHNP of not caring. This is an example of:
A. Transference [CORRECT]
B. Countertransference
C. Resistance
D. Projective identification
