NSG 526 Exam 3 Child and Adolescent Therapy Questions &
Answers 2026 | High-Yield PMHNP Review | Graded A+
1. Discuss how a crisis can lead to personal development in individuals.
A crisis can lead to personal development by challenging
individuals to adapt and find new ways to cope with stress.
A crisis usually has no impact on personal growth.
A crisis typically results in regression to previous behaviors.
A crisis often causes individuals to withdraw from social interactions.
2. What is the definition of a crisis in the context of mental health?
A situation of immediate danger to self or others
Belief of immediate danger to self or others or risk of serious
deterioration
All the listed.
Risk of serious deterioration in mental or physical health
3. What is the primary focus of family therapy in the context of child and
adolescent mental health?
Individual therapy for children only.
Medication management for parents.
Involvement of both parents and children in therapy sessions.
Group therapy for adolescents.
4. What are the key responsibilities of a PMH-APRN during a crisis situation?
Conducts family therapy sessions and prescribes medication.
, Focuses solely on cognitive behavioral therapy interventions.
Implements play therapy techniques and evaluates developmental
stages.
Provides support systems, facilitates coping skills, and assesses the
risk of suicide or homicide.
5. A nurse assesses an adult experiencing a crisis. An appropriate question for
the nurse to ask to determine situational support is:
Who can be helpful to you during this time?
Has anything upsetting occurred in the past few days?
What led you to seek help at this time?
How does this problem affect your life?
6. What do mental health professionals offer to children facing crises?
Educational tutoring
Physical therapy
Support, guidance, and coping strategies
Medication management
7. Discuss how setting boundaries in therapy can impact a client's emotional
state.
Setting boundaries encourages clients to express their feelings more
openly.
Setting boundaries can evoke negative emotions such as
humiliation, degradation, and emptiness in clients.
Setting boundaries has no significant impact on a client's emotional
state.
, Setting boundaries helps clients feel more secure and valued in
therapy.
8. In a scenario where a teenager faces academic pressure and family conflict,
what type of demand could potentially initiate a crisis?
Both internal and external demands
Neither internal nor external demands
Only internal demands
Only external demands
9. In your own words, explain why a crisis may still involve significant distress
even if it does not require immediate intervention.
A crisis is always manageable without professional help.
A crisis may involve significant distress due to overwhelming
emotions or situations, even if it doesn't pose an immediate threat to
safety.
A crisis is only distressing if it leads to a psychiatric emergency.
A crisis is less serious than a psychiatric emergency and does not
cause distress.
10. In a therapy session, a child begins to act out a traumatic event through play.
How should the therapist interpret this behavior in relation to abreaction?
The therapist should interpret this as a lack of interest in therapy.
The therapist should see this as an opportunity to introduce
medication.
The therapist should view this behavior as an instance of
abreaction, where the child is processing past experiences.
, The therapist should consider this behavior as a sign of regression.
11. When preparing to interview a patient diagnosed with narcissistic personality
disorder, a nurse can anticipate the assessment findings will include which of
the following?
Preoccupation with minute details; perfectionist
Charm, drama, seductiveness; seeking admiration
Difficulty being alone; indecisive, submissiveness
Grandiosity, self-importance, and a sense of entitlement
12. In a scenario where a 5-year-old child exhibits disruptive behavior in a
classroom, which therapeutic approach would be most appropriate to
implement immediately?
Behavioral techniques
Cognitive behavioral therapy
Play therapy
Family therapy
13. What are the foundational theories that underpin play therapy?
Behavioral and existential theories
Family systems and narrative theories
Cognitive-behavioral and humanistic theories
Psychodynamic, object-relations, and attachment theories
14. An 8-year-old child who was physically abused several years ago before
being removed from his home is in need of services to address anger issues.
Answers 2026 | High-Yield PMHNP Review | Graded A+
1. Discuss how a crisis can lead to personal development in individuals.
A crisis can lead to personal development by challenging
individuals to adapt and find new ways to cope with stress.
A crisis usually has no impact on personal growth.
A crisis typically results in regression to previous behaviors.
A crisis often causes individuals to withdraw from social interactions.
2. What is the definition of a crisis in the context of mental health?
A situation of immediate danger to self or others
Belief of immediate danger to self or others or risk of serious
deterioration
All the listed.
Risk of serious deterioration in mental or physical health
3. What is the primary focus of family therapy in the context of child and
adolescent mental health?
Individual therapy for children only.
Medication management for parents.
Involvement of both parents and children in therapy sessions.
Group therapy for adolescents.
4. What are the key responsibilities of a PMH-APRN during a crisis situation?
Conducts family therapy sessions and prescribes medication.
, Focuses solely on cognitive behavioral therapy interventions.
Implements play therapy techniques and evaluates developmental
stages.
Provides support systems, facilitates coping skills, and assesses the
risk of suicide or homicide.
5. A nurse assesses an adult experiencing a crisis. An appropriate question for
the nurse to ask to determine situational support is:
Who can be helpful to you during this time?
Has anything upsetting occurred in the past few days?
What led you to seek help at this time?
How does this problem affect your life?
6. What do mental health professionals offer to children facing crises?
Educational tutoring
Physical therapy
Support, guidance, and coping strategies
Medication management
7. Discuss how setting boundaries in therapy can impact a client's emotional
state.
Setting boundaries encourages clients to express their feelings more
openly.
Setting boundaries can evoke negative emotions such as
humiliation, degradation, and emptiness in clients.
Setting boundaries has no significant impact on a client's emotional
state.
, Setting boundaries helps clients feel more secure and valued in
therapy.
8. In a scenario where a teenager faces academic pressure and family conflict,
what type of demand could potentially initiate a crisis?
Both internal and external demands
Neither internal nor external demands
Only internal demands
Only external demands
9. In your own words, explain why a crisis may still involve significant distress
even if it does not require immediate intervention.
A crisis is always manageable without professional help.
A crisis may involve significant distress due to overwhelming
emotions or situations, even if it doesn't pose an immediate threat to
safety.
A crisis is only distressing if it leads to a psychiatric emergency.
A crisis is less serious than a psychiatric emergency and does not
cause distress.
10. In a therapy session, a child begins to act out a traumatic event through play.
How should the therapist interpret this behavior in relation to abreaction?
The therapist should interpret this as a lack of interest in therapy.
The therapist should see this as an opportunity to introduce
medication.
The therapist should view this behavior as an instance of
abreaction, where the child is processing past experiences.
, The therapist should consider this behavior as a sign of regression.
11. When preparing to interview a patient diagnosed with narcissistic personality
disorder, a nurse can anticipate the assessment findings will include which of
the following?
Preoccupation with minute details; perfectionist
Charm, drama, seductiveness; seeking admiration
Difficulty being alone; indecisive, submissiveness
Grandiosity, self-importance, and a sense of entitlement
12. In a scenario where a 5-year-old child exhibits disruptive behavior in a
classroom, which therapeutic approach would be most appropriate to
implement immediately?
Behavioral techniques
Cognitive behavioral therapy
Play therapy
Family therapy
13. What are the foundational theories that underpin play therapy?
Behavioral and existential theories
Family systems and narrative theories
Cognitive-behavioral and humanistic theories
Psychodynamic, object-relations, and attachment theories
14. An 8-year-old child who was physically abused several years ago before
being removed from his home is in need of services to address anger issues.
