WILKES NSG 526 FINAL EXAM 2026/2027 - CLINICAL MODALITIES ADVANCED PSYCH |
COMPREHENSIVE BUNDLE | ALL MODALITIES | Q&A; WITH EXPLANATIONS | PASS WITH
CONFIDENCE - A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=97 B=88 C=82 D=83 | 2026/2027 Bundle |
Final Exam: Comprehensive - All Clinical Modalities Advanced Psych
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Atypical antipsychotic - metabolic syndrome monitoring? (Case
1)
A. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
B. No labs
C. Only weight
D. No monitoring
Answer: A
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
2. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] EMDR phases - for PTSD? (Case 2)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. Only 1 phase
C. No phases
D. No use
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
3. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] EMDR phases - for PTSD? (Case 3)
A. No phases
B. No use
C. Only 1 phase
D. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
Answer: D
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
4. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Narrative therapy - externalization? (Case 4)
A. Externalize problem - person is not problem, problem is problem - re-author story
B. Blame person
C. Internalize problem
D. No externalization
Answer: A
Explanation: Narrative externalization: problem separate from person.
5. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 5)
A. Supportive therapy only
B. Psychoanalysis only
C. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
D. No therapy
Answer: C
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
6. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Motivational Interviewing principle OARS? (Case 6)
A. Confrontation
B. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
C. No principle
D. Closed questions only
Answer: B
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
7. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Pharmacology - SSRI first-line for depression - onset? (Case 7)
A. 1 hour
B. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
C. Immediate
D. No onset
Answer: B
,Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
8. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Substance use - Stages of Change - pre-contemplation? (Case 8)
A. Maintenance
B. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
C. Preparation
D. Action
Answer: B
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
9. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] CBT for depression focuses on? (Case 9)
A. Only meds
B. No focus
C. Cognitive triad negative views of self/world/future, cognitive distortions, behavioral activation
D. Unconscious conflicts only
Answer: C
Explanation: CBT depression: negative cognitive triad, distortions (catastrophizing, black-white), behavioral activation, automatic thoughts.
10. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Benzodiazepine long-term risks? (Case 10)
A. No dependence
B. No risks
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. Safe long-term
Answer: C
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
11. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] CBT for panic - catastrophic misinterpretation? (Case 11)
A. Only meds
B. No CBT
C. No misinterpretation
D. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
Answer: D
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
12. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] EMDR phases - for PTSD? (Case 12)
A. Only 1 phase
B. No use
C. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
D. No phases
Answer: C
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
13. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Group therapy Yalom curative factors - universality? (Case 13)
A. No universality
B. No factors
C. Only leader
D. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
Answer: D
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
14. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Cultural humility vs competence? (Case 14)
A. No humility
B. Competence assumes mastery
C. Same as stereotyping
D. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
Answer: D
Explanation: Cultural humility ongoing self-reflection, partnership.
15. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Interpersonal Therapy (IPT) for depression - 4 problem areas?
(Case 15)
A. Grief, role transition, role dispute, interpersonal deficits
B. Only grief
C. No areas
D. Only role
Answer: A
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
16. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Motivational Interviewing principle OARS? (Case 16)
A. Closed questions only
, B. Confrontation
C. No principle
D. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
Answer: D
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
17. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Exposure and Response Prevention (ERP) is first-line for? (Case
17)
A. Depression
B. Mania
C. Schizophrenia
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
18. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Atypical antipsychotic - metabolic syndrome monitoring? (Case
18)
A. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
B. Only weight
C. No labs
D. No monitoring
Answer: A
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
19. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Family therapy structural - Minuchin - focuses on? (Case 19)
A. No focus
B. Individual only
C. Only child
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
20. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Motivational Interviewing principle OARS? (Case 20)
A. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
B. Closed questions only
C. No principle
D. Confrontation
Answer: A
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
21. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Lithium therapeutic range and toxicity signs? (Case 21)
A. 5.0 therapeutic
B. No range
C. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
D. No toxicity
Answer: C
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
22. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Family therapy structural - Minuchin - focuses on? (Case 22)
A. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
B. Only child
C. Individual only
D. No focus
Answer: A
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
23. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Interpersonal Therapy (IPT) for depression - 4 problem areas?
(Case 23)
A. Only role
B. Grief, role transition, role dispute, interpersonal deficits
C. Only grief
D. No areas
Answer: B
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
24. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Trauma-informed care principles? (Case 24)
A. Force exposure
B. Confront trauma directly
, C. No principles
D. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
Answer: D
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
25. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Mental Status Exam - thought content vs process? (Case 25)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. Only content
C. No difference
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
26. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Which therapy modality is best for client with BPD and self-harm
- intense fear of abandonment? (Case 26)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. No therapy
C. Psychoanalysis only
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
27. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Exposure and Response Prevention (ERP) is first-line for? (Case
27)
A. Schizophrenia
B. OCD - exposure to feared stimuli without ritual, habituation
C. Mania
D. Depression
Answer: B
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
28. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Mental Status Exam - thought content vs process? (Case 28)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. Only content
C. No difference
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
29. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Pharmacology - SSRI first-line for depression - onset? (Case 29)
A. Immediate
B. No onset
C. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
D. 1 hour
Answer: C
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
30. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Cultural humility vs competence? (Case 30)
A. Competence assumes mastery
B. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
C. No humility
D. Same as stereotyping
Answer: B
Explanation: Cultural humility ongoing self-reflection, partnership.
31. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Benzodiazepine long-term risks? (Case 31)
A. No risks
B. Safe long-term
C. No dependence
D. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
Answer: D
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
32. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Solution-Focused Brief Therapy (SFBT) - miracle question?
(Case 32)
A. No solution
B. Past focused only
COMPREHENSIVE BUNDLE | ALL MODALITIES | Q&A; WITH EXPLANATIONS | PASS WITH
CONFIDENCE - A+ GRADED
Course: WILKES NSG 526 Clinical Modalities Advanced Psych | 350Q Mixed: A=97 B=88 C=82 D=83 | 2026/2027 Bundle |
Final Exam: Comprehensive - All Clinical Modalities Advanced Psych
Original 2026/2027 content for Wilkes NSG 526 - Advanced Psych Clinical Modalities. Based on DSM-5-TR, Wheeler Psychotherapy, Stahl Psychopharmacology. Mixed A/B/C/D keys.
For study purposes.
1. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Atypical antipsychotic - metabolic syndrome monitoring? (Case
1)
A. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
B. No labs
C. Only weight
D. No monitoring
Answer: A
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
2. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] EMDR phases - for PTSD? (Case 2)
A. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
B. Only 1 phase
C. No phases
D. No use
Answer: A
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
3. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] EMDR phases - for PTSD? (Case 3)
A. No phases
B. No use
C. Only 1 phase
D. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
Answer: D
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
4. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Narrative therapy - externalization? (Case 4)
A. Externalize problem - person is not problem, problem is problem - re-author story
B. Blame person
C. Internalize problem
D. No externalization
Answer: A
Explanation: Narrative externalization: problem separate from person.
5. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Which therapy modality is best for client with BPD and self-harm -
intense fear of abandonment? (Case 5)
A. Supportive therapy only
B. Psychoanalysis only
C. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
D. No therapy
Answer: C
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
6. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Motivational Interviewing principle OARS? (Case 6)
A. Confrontation
B. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
C. No principle
D. Closed questions only
Answer: B
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
7. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Pharmacology - SSRI first-line for depression - onset? (Case 7)
A. 1 hour
B. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
C. Immediate
D. No onset
Answer: B
,Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
8. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Substance use - Stages of Change - pre-contemplation? (Case 8)
A. Maintenance
B. Not yet acknowledging problem - no intent to change in 6 months - use MI to build discrepancy
C. Preparation
D. Action
Answer: B
Explanation: Pre-contemplation no awareness, contemplation ambivalent, preparation ready, action change, maintenance sustain.
9. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] CBT for depression focuses on? (Case 9)
A. Only meds
B. No focus
C. Cognitive triad negative views of self/world/future, cognitive distortions, behavioral activation
D. Unconscious conflicts only
Answer: C
Explanation: CBT depression: negative cognitive triad, distortions (catastrophizing, black-white), behavioral activation, automatic thoughts.
10. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Benzodiazepine long-term risks? (Case 10)
A. No dependence
B. No risks
C. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
D. Safe long-term
Answer: C
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
11. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] CBT for panic - catastrophic misinterpretation? (Case 11)
A. Only meds
B. No CBT
C. No misinterpretation
D. Catastrophic misinterpretation of bodily sensations - interoceptive exposure, cognitive restructuring
Answer: D
Explanation: Panic CBT: catastrophic interpretation of physical sensations, interoceptive exposure.
12. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] EMDR phases - for PTSD? (Case 12)
A. Only 1 phase
B. No use
C. 8 phases: history, preparation, assessment, desensitization, installation, body scan, closure, reevaluation - bilateral stimulation
D. No phases
Answer: C
Explanation: EMDR for trauma: 8 phases with bilateral stimulation to reprocess traumatic memories.
13. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Group therapy Yalom curative factors - universality? (Case 13)
A. No universality
B. No factors
C. Only leader
D. Universality - not alone, instillation of hope, altruism, catharsis, cohesiveness
Answer: D
Explanation: Yalom 11 curative factors: universality, hope, altruism, catharsis, cohesiveness, existential, etc.
14. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Cultural humility vs competence? (Case 14)
A. No humility
B. Competence assumes mastery
C. Same as stereotyping
D. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
Answer: D
Explanation: Cultural humility ongoing self-reflection, partnership.
15. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Interpersonal Therapy (IPT) for depression - 4 problem areas?
(Case 15)
A. Grief, role transition, role dispute, interpersonal deficits
B. Only grief
C. No areas
D. Only role
Answer: A
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
16. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Motivational Interviewing principle OARS? (Case 16)
A. Closed questions only
, B. Confrontation
C. No principle
D. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
Answer: D
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
17. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Exposure and Response Prevention (ERP) is first-line for? (Case
17)
A. Depression
B. Mania
C. Schizophrenia
D. OCD - exposure to feared stimuli without ritual, habituation
Answer: D
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
18. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Atypical antipsychotic - metabolic syndrome monitoring? (Case
18)
A. Weight, BMI, waist, BP, glucose/HbA1c, lipids, EPS, TD via AIMS - clozapine agranulocytosis ANC
B. Only weight
C. No labs
D. No monitoring
Answer: A
Explanation: Atypicals: metabolic syndrome - weight, BP, glucose, lipids. EPS, TD. Clozapine agranulocytosis needs ANC.
19. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Family therapy structural - Minuchin - focuses on? (Case 19)
A. No focus
B. Individual only
C. Only child
D. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
Answer: D
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
20. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Motivational Interviewing principle OARS? (Case 20)
A. Open questions, Affirmations, Reflective listening, Summaries - stages of change pre-contemplation to maintenance
B. Closed questions only
C. No principle
D. Confrontation
Answer: A
Explanation: MI OARS: Open questions, Affirmations, Reflective listening, Summaries. Roll with resistance, avoid argumentation.
21. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Lithium therapeutic range and toxicity signs? (Case 21)
A. 5.0 therapeutic
B. No range
C. 0.6-1.2 therapeutic, >1.5 toxicity - ataxia, slurred speech, coarse tremor, confusion, check renal/thyroid
D. No toxicity
Answer: C
Explanation: Lithium narrow therapeutic 0.6-1.2, toxicity coarse tremor, ataxia, confusion. Monitor kidney, thyroid, hydration.
22. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Family therapy structural - Minuchin - focuses on? (Case 22)
A. Family structure, subsystems, boundaries, enmeshment/disengagement, join and enact
B. Only child
C. Individual only
D. No focus
Answer: A
Explanation: Structural family therapy: structure, subsystems (parental, sibling), boundaries clear/diffuse/rigid, enmeshment vs disengagement.
23. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Interpersonal Therapy (IPT) for depression - 4 problem areas?
(Case 23)
A. Only role
B. Grief, role transition, role dispute, interpersonal deficits
C. Only grief
D. No areas
Answer: B
Explanation: IPT 4 areas: grief, role transition, role dispute, interpersonal deficits.
24. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Trauma-informed care principles? (Case 24)
A. Force exposure
B. Confront trauma directly
, C. No principles
D. Safety, trustworthiness, peer support, collaboration, empowerment, cultural issues - avoid re-traumatization
Answer: D
Explanation: Trauma-informed: safety, trust, peer support, collaboration, empowerment, cultural sensitivity.
25. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Mental Status Exam - thought content vs process? (Case 25)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. Only content
C. No difference
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
26. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Which therapy modality is best for client with BPD and self-harm
- intense fear of abandonment? (Case 26)
A. Dialectical Behavior Therapy (DBT) - distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
B. No therapy
C. Psychoanalysis only
D. Supportive therapy only
Answer: A
Explanation: DBT is gold standard for BPD, self-harm, emotion dysregulation. Skills: distress tolerance, emotion regulation, interpersonal
effectiveness, mindfulness.
27. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Exposure and Response Prevention (ERP) is first-line for? (Case
27)
A. Schizophrenia
B. OCD - exposure to feared stimuli without ritual, habituation
C. Mania
D. Depression
Answer: B
Explanation: ERP for OCD: exposure to obsessions without compulsions, prevents negative reinforcement.
28. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Mental Status Exam - thought content vs process? (Case 28)
A. Content what client thinks (delusions, SI/HI), Process how thoughts flow (loose, tangential, circumstantial, flight)
B. Only content
C. No difference
D. Same
Answer: A
Explanation: Thought content delusions/SI/HI, process loose associations, tangential, circumstantial.
29. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Pharmacology - SSRI first-line for depression - onset? (Case 29)
A. Immediate
B. No onset
C. 2-4 weeks full effect, watch for increased suicidal ideation in adolescents/young adults early
D. 1 hour
Answer: C
Explanation: SSRI 2-4 weeks, black box warning increased suicidality early in youth.
30. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Cultural humility vs competence? (Case 30)
A. Competence assumes mastery
B. Humility lifelong learning, self-reflection, partnership - not assuming competence - avoid stereotyping
C. No humility
D. Same as stereotyping
Answer: B
Explanation: Cultural humility ongoing self-reflection, partnership.
31. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Benzodiazepine long-term risks? (Case 31)
A. No risks
B. Safe long-term
C. No dependence
D. Dependence, tolerance, falls in elderly, cognitive impairment, withdrawal seizures - taper slowly
Answer: D
Explanation: Benzos dependence, tolerance, falls, cognitive decline, withdrawal seizures - short-term use, taper.
32. [Final Exam: Comprehensive - All Clinical Modalities Advanced Psych] Solution-Focused Brief Therapy (SFBT) - miracle question?
(Case 32)
A. No solution
B. Past focused only
