NSG 526 Exam 1
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
First Principle of Psychotherapy
Correct Answer: Viewing a new patient as a whole person with a unique
personality and lifestyle, aiming to uncover personal strengths.
Question 2.
Second Principle of Psychotherapy
Correct Answer: Requiring a good match between the patient and the
therapist, with strong rapport-building skills and communication at the
patient's level.
Question 3.
Common Myth in Psychotherapy
Correct Answer: Psychologists can read minds, (behavior is complex and the
actual problem faced by the patient may differ significantly from the one
initially described).
Question 4.
Assessment of Readiness to Change
Correct Answer: The therapist assessing each patient, being attentive to signs
of openness or resistance.
Question 5.
Patient's Desire for Change
Correct Answer: The assumption that patients deeply desire change, despite
any resistance exhibited, and the importance of cultivating hope and
encouraging positive change.
Question 6.
Role of the Patient in Change
Correct Answer: The patient being responsible for initiating and implementing
change, while the therapist facilitates the process and provides support.
Question 7.
Belief in Growth Potential
,Correct Answer: Operating from the principle that each person has the
capacity for psychological growth, viewing problems as opportunities for
growth and believing in the potential for continuous improvement.
• Teaching Techniques and Procedures -✓✓Therapists teaching to help
patients manage their issues, such as: relaxation exercises, scheduling
positive activities, challenging negative thinking patterns, and learning social
skills.
Question 8.
Activation/Inhibition Coordination
Correct Answer: Helping patients initiate positive actions and thoughts while
inhibiting blockages to change.
Question 9.
Hope in Psychotherapy
Correct Answer: The necessity for patients and therapists to maintain hope,
especially when therapists understand their patients and therapy
scientifically.
Question 10.
Understanding Patients for Instilling Hope
Correct Answer: Therapists who understand their patients and therapy
scientifically can better instill hope by providing appropriate support and
guidance.
Question 11.
Four Core Principles in Ethical Reasoning in Healthcare
Correct Answer: Autonomy, justice, beneficence, and nonmaleficence.
Question 12.
Fifth Core Principle in Ethical Reasoning Framework
Correct Answer: Fidelity, added by Kitchener to the ethical reasoning
framework.
Question 13.
Foundational Principles in Ethical Guidelines for Counselors
Correct Answer: Considered vital in ethical guidelines for counselors.
,Question 14.
Purpose of Reviewing Ethical Principles in Counseling
Correct Answer: To clarify issues involved in a given situation.
Question 15.
Importance of Autonomy, Justice, Beneficence, Nonmaleficence, and Fidelity in
Counseling
Correct Answer: Vital for establishing a healthy counseling relationship and
understanding conflicting issues.
• Principle of Autonomy -✓✓Respect for independence and self-
determination, allowing individuals the freedom of choice and action.
Question 16.
Essence of the Autonomy Principle
Correct Answer: Allowing individuals the freedom of choice and action, with
the importance of helping clients understand societal context and the ability
to make sound decisions.
Question 17.
Justice in Ethical Counseling Practice
Correct Answer: Treating equals equally and unequals unequally but in
proportion to their relevant differences, including providing accommodations
and adaptations for individuals with disabilities.
Question 18.
Beneficence in Counseling Practice
Correct Answer: The counselor's responsibility to contribute to the welfare of
the client.
Question 19.
Nonmaleficence in Ethical Counseling Practice
Correct Answer: The concept of not causing harm to others, often summarized
as 'do no harm,' reflecting the idea of not inflicting intentional harm and not
engaging in actions that risk harming others.
Question 20.
Fidelity in Counseling Ethics
Correct Answer: Loyalty, faithfulness, and honoring commitments within the
therapeutic relationship, ensuring trust and faith in the therapeutic
, relationship, facilitating growth for the client.
Question 21.
Examining Ethical Dilemmas in Counseling
Correct Answer: To understand how ethical principles apply to specific cases,
working through the steps of an ethical decision-making model, typically
involving seven steps and considering multiple perspectives.
Question 22.
Ethical Decision-Making Model
Correct Answer: Involving seven steps, considering the worldview of clients
and others affected by the decision, and incorporating works by various
authors into the model.
• Importance of Multiple Perspectives in Ethical Decision-Making - ✓✓To
ensure fairness and inclusivity in the decision-making process.
Question 23.
First Step in the Ethical Decision-Making Model
Correct Answer: Identifying the problem, gathering specific and objective
facts, and asking specific questions to clarify the ethical, legal, professional,
or clinical nature of the problem.
Question 24.
Second Step in the Ethical Decision-Making Model
Correct Answer: Applying the ACA Code of Ethics, considering multicultural
perspectives and implications of technology, and proceeding with further
steps if the problem is not resolved.
Question 25.
Third Step in the Ethical Decision-Making Model
Correct Answer: Determining the nature and dimensions of the dilemma,
examining the implications for foundational principles, reviewing relevant
professional literature, consulting with experienced counselors/supervisors,
and contacting professional associations.
Question 26.
Fourth Step in the Ethical Decision-Making Model
Correct Answer: Generating potential courses of action, evaluating each
option, eliminating those with undesirable outcomes, and selecting the best
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
First Principle of Psychotherapy
Correct Answer: Viewing a new patient as a whole person with a unique
personality and lifestyle, aiming to uncover personal strengths.
Question 2.
Second Principle of Psychotherapy
Correct Answer: Requiring a good match between the patient and the
therapist, with strong rapport-building skills and communication at the
patient's level.
Question 3.
Common Myth in Psychotherapy
Correct Answer: Psychologists can read minds, (behavior is complex and the
actual problem faced by the patient may differ significantly from the one
initially described).
Question 4.
Assessment of Readiness to Change
Correct Answer: The therapist assessing each patient, being attentive to signs
of openness or resistance.
Question 5.
Patient's Desire for Change
Correct Answer: The assumption that patients deeply desire change, despite
any resistance exhibited, and the importance of cultivating hope and
encouraging positive change.
Question 6.
Role of the Patient in Change
Correct Answer: The patient being responsible for initiating and implementing
change, while the therapist facilitates the process and provides support.
Question 7.
Belief in Growth Potential
,Correct Answer: Operating from the principle that each person has the
capacity for psychological growth, viewing problems as opportunities for
growth and believing in the potential for continuous improvement.
• Teaching Techniques and Procedures -✓✓Therapists teaching to help
patients manage their issues, such as: relaxation exercises, scheduling
positive activities, challenging negative thinking patterns, and learning social
skills.
Question 8.
Activation/Inhibition Coordination
Correct Answer: Helping patients initiate positive actions and thoughts while
inhibiting blockages to change.
Question 9.
Hope in Psychotherapy
Correct Answer: The necessity for patients and therapists to maintain hope,
especially when therapists understand their patients and therapy
scientifically.
Question 10.
Understanding Patients for Instilling Hope
Correct Answer: Therapists who understand their patients and therapy
scientifically can better instill hope by providing appropriate support and
guidance.
Question 11.
Four Core Principles in Ethical Reasoning in Healthcare
Correct Answer: Autonomy, justice, beneficence, and nonmaleficence.
Question 12.
Fifth Core Principle in Ethical Reasoning Framework
Correct Answer: Fidelity, added by Kitchener to the ethical reasoning
framework.
Question 13.
Foundational Principles in Ethical Guidelines for Counselors
Correct Answer: Considered vital in ethical guidelines for counselors.
,Question 14.
Purpose of Reviewing Ethical Principles in Counseling
Correct Answer: To clarify issues involved in a given situation.
Question 15.
Importance of Autonomy, Justice, Beneficence, Nonmaleficence, and Fidelity in
Counseling
Correct Answer: Vital for establishing a healthy counseling relationship and
understanding conflicting issues.
• Principle of Autonomy -✓✓Respect for independence and self-
determination, allowing individuals the freedom of choice and action.
Question 16.
Essence of the Autonomy Principle
Correct Answer: Allowing individuals the freedom of choice and action, with
the importance of helping clients understand societal context and the ability
to make sound decisions.
Question 17.
Justice in Ethical Counseling Practice
Correct Answer: Treating equals equally and unequals unequally but in
proportion to their relevant differences, including providing accommodations
and adaptations for individuals with disabilities.
Question 18.
Beneficence in Counseling Practice
Correct Answer: The counselor's responsibility to contribute to the welfare of
the client.
Question 19.
Nonmaleficence in Ethical Counseling Practice
Correct Answer: The concept of not causing harm to others, often summarized
as 'do no harm,' reflecting the idea of not inflicting intentional harm and not
engaging in actions that risk harming others.
Question 20.
Fidelity in Counseling Ethics
Correct Answer: Loyalty, faithfulness, and honoring commitments within the
therapeutic relationship, ensuring trust and faith in the therapeutic
, relationship, facilitating growth for the client.
Question 21.
Examining Ethical Dilemmas in Counseling
Correct Answer: To understand how ethical principles apply to specific cases,
working through the steps of an ethical decision-making model, typically
involving seven steps and considering multiple perspectives.
Question 22.
Ethical Decision-Making Model
Correct Answer: Involving seven steps, considering the worldview of clients
and others affected by the decision, and incorporating works by various
authors into the model.
• Importance of Multiple Perspectives in Ethical Decision-Making - ✓✓To
ensure fairness and inclusivity in the decision-making process.
Question 23.
First Step in the Ethical Decision-Making Model
Correct Answer: Identifying the problem, gathering specific and objective
facts, and asking specific questions to clarify the ethical, legal, professional,
or clinical nature of the problem.
Question 24.
Second Step in the Ethical Decision-Making Model
Correct Answer: Applying the ACA Code of Ethics, considering multicultural
perspectives and implications of technology, and proceeding with further
steps if the problem is not resolved.
Question 25.
Third Step in the Ethical Decision-Making Model
Correct Answer: Determining the nature and dimensions of the dilemma,
examining the implications for foundational principles, reviewing relevant
professional literature, consulting with experienced counselors/supervisors,
and contacting professional associations.
Question 26.
Fourth Step in the Ethical Decision-Making Model
Correct Answer: Generating potential courses of action, evaluating each
option, eliminating those with undesirable outcomes, and selecting the best
