NSG 526 exam questions with correct answers@2026
Hildegard Peplau - ANSWERS💫✔️-Theory of Interpersonal Relations.
Earliest modern nursing theory
Enabled nursing to establish the groundwork for Advanced Practice Nursing.
Therapeutic communication.
Psychotherapy - ANSWERS💫✔️-Holistic treatment that relies on the nurse's processing of what the
patient is experiencing
During the psychotherapy process the Psych APN: - ANSWERS💫✔️-Addresses individual and family
problems with the patient
Assesses identified problems during the orientation phase of the therapeutic relationship
Determines the underlying healthcare issues with the patient
Collects psychiatric data
Establishes a trusting relationship
Interpersonal Therapy Goals - ANSWERS💫✔️-Focus on difficulties patients are experiencing in
current relationships and the ways relationships can be handled
Change pattern of communication
To alter expectations within relationships
To use social supports to help patients deal with stressors and improve their environment
To relieve symptoms
To build social skills
Interpersonal Therapy Indications - ANSWERS💫✔️-Complicated bereavement/grief
Marital and interpersonal conflicts such as role disputes
Life events such as role transitions
Isolation, lack of support, interpersonal deficits
,Early Phase of Interpersonal Therapy - ANSWERS💫✔️-Therapist identifies depressive symptoms,
evaluates patient, generates a diagnosis, takes an interpersonal inventory
-nature of interactions with others
-identification of reciprocal relationships and determination if needs were satisfied
-Discussion of satisfying and dissatisfying aspects of the relationship
-recent changes in key relationships
-changes patient desires in relationships
Middle Phase of Interpersonal Therapy - ANSWERS💫✔️-Patient and therapist derive more specific
strategies to deal with stressors
Termination Phase Interpersonal Therapy - ANSWERS💫✔️-Consolidate gains
Foster independence in the person
Review risk of relapse and reappearance of depressive symptoms
To contract again for continuation of treatment as needed
Group Therapy - ANSWERS💫✔️-The primary purpose of group therapy is to facilitate changes by the
patient in order to address identified problems
The group should be able to share the group experience and the leader should assure dominant
members are brought to the attention of the group so they are able to address issues within the
process.
A person explaining to the group ways that person is able to cope with things is called an "information
giver".
A technique where special favors or awards are given to assure patient participation and involvement
in group therapy is called Reinforcement
CBT - ANSWERS💫✔️-Works by having an active and questioning therapist. It involves homework
assignments, dream description, looking at ideas and beliefs the patient has about themselves with a
goal to increase subjectivity about thoughts governing their behavior. Some interventions to consider
when using CBT include encouraging the patient to analyze early parental relationships, the
underlying meaning of behavior, identification of negative thoughts, and the effect of thoughts on
feelings and behaviors
, Mnemonic to identify medical mimics - ANSWERS💫✔️-THINC MED
Tumors
Hormones
Infection
Nutrition
CNS
Miscellaneous
Electrolyte imbalances & Environmental toxins
Drugs
Tumors that mimic psych symptoms - ANSWERS💫✔️-Frontal lob tumors - abrupt change in
personality, flat affect, and/or euphoria
Occupation lobe tumors - visual hallucinations
Parietal lobe tumors - sensory disturbances, agnosia, lack of awareness appearing as denial
Temporal lobe tumors - mood & memory disturbances; hallucinations (all types), paranoid delusions
Pancreas tumors - severe depression, weight loss
Adrenal gland tumor (pheochromocytoma) - anxiety, panic attacks, sweating, rapid pulse, tremors
Hypothyroidism - ANSWERS💫✔️-fatigue, loss of energy, trouble thinking and depression, increased
weight
Hyperthyroidism - ANSWERS💫✔️-anxiety, depressive or manic episode, psychosis, weight loss,
increased activity
Children present as ADHD
Elderly present as dementia
Hypoparathyroidism - ANSWERS💫✔️-anxiety, irritability, hyperactivity
Hyperparathyroidism - ANSWERS💫✔️-anxiety, depression, fatigue, irritability
Hildegard Peplau - ANSWERS💫✔️-Theory of Interpersonal Relations.
Earliest modern nursing theory
Enabled nursing to establish the groundwork for Advanced Practice Nursing.
Therapeutic communication.
Psychotherapy - ANSWERS💫✔️-Holistic treatment that relies on the nurse's processing of what the
patient is experiencing
During the psychotherapy process the Psych APN: - ANSWERS💫✔️-Addresses individual and family
problems with the patient
Assesses identified problems during the orientation phase of the therapeutic relationship
Determines the underlying healthcare issues with the patient
Collects psychiatric data
Establishes a trusting relationship
Interpersonal Therapy Goals - ANSWERS💫✔️-Focus on difficulties patients are experiencing in
current relationships and the ways relationships can be handled
Change pattern of communication
To alter expectations within relationships
To use social supports to help patients deal with stressors and improve their environment
To relieve symptoms
To build social skills
Interpersonal Therapy Indications - ANSWERS💫✔️-Complicated bereavement/grief
Marital and interpersonal conflicts such as role disputes
Life events such as role transitions
Isolation, lack of support, interpersonal deficits
,Early Phase of Interpersonal Therapy - ANSWERS💫✔️-Therapist identifies depressive symptoms,
evaluates patient, generates a diagnosis, takes an interpersonal inventory
-nature of interactions with others
-identification of reciprocal relationships and determination if needs were satisfied
-Discussion of satisfying and dissatisfying aspects of the relationship
-recent changes in key relationships
-changes patient desires in relationships
Middle Phase of Interpersonal Therapy - ANSWERS💫✔️-Patient and therapist derive more specific
strategies to deal with stressors
Termination Phase Interpersonal Therapy - ANSWERS💫✔️-Consolidate gains
Foster independence in the person
Review risk of relapse and reappearance of depressive symptoms
To contract again for continuation of treatment as needed
Group Therapy - ANSWERS💫✔️-The primary purpose of group therapy is to facilitate changes by the
patient in order to address identified problems
The group should be able to share the group experience and the leader should assure dominant
members are brought to the attention of the group so they are able to address issues within the
process.
A person explaining to the group ways that person is able to cope with things is called an "information
giver".
A technique where special favors or awards are given to assure patient participation and involvement
in group therapy is called Reinforcement
CBT - ANSWERS💫✔️-Works by having an active and questioning therapist. It involves homework
assignments, dream description, looking at ideas and beliefs the patient has about themselves with a
goal to increase subjectivity about thoughts governing their behavior. Some interventions to consider
when using CBT include encouraging the patient to analyze early parental relationships, the
underlying meaning of behavior, identification of negative thoughts, and the effect of thoughts on
feelings and behaviors
, Mnemonic to identify medical mimics - ANSWERS💫✔️-THINC MED
Tumors
Hormones
Infection
Nutrition
CNS
Miscellaneous
Electrolyte imbalances & Environmental toxins
Drugs
Tumors that mimic psych symptoms - ANSWERS💫✔️-Frontal lob tumors - abrupt change in
personality, flat affect, and/or euphoria
Occupation lobe tumors - visual hallucinations
Parietal lobe tumors - sensory disturbances, agnosia, lack of awareness appearing as denial
Temporal lobe tumors - mood & memory disturbances; hallucinations (all types), paranoid delusions
Pancreas tumors - severe depression, weight loss
Adrenal gland tumor (pheochromocytoma) - anxiety, panic attacks, sweating, rapid pulse, tremors
Hypothyroidism - ANSWERS💫✔️-fatigue, loss of energy, trouble thinking and depression, increased
weight
Hyperthyroidism - ANSWERS💫✔️-anxiety, depressive or manic episode, psychosis, weight loss,
increased activity
Children present as ADHD
Elderly present as dementia
Hypoparathyroidism - ANSWERS💫✔️-anxiety, irritability, hyperactivity
Hyperparathyroidism - ANSWERS💫✔️-anxiety, depression, fatigue, irritability
