WILKES UNIVERSITY
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 1 Practice Question Bank
Academic Year:
Question 1
This is the advance practice psychiatric mental health nurse's unconscious, personal
response to the client. For instance, if the client reminds the nurse of someone the nurse
does not like, the nurse may unconsciously react as if the client were that individual.
What is this called?
A. Countertransference
B. Transference
C. Projection
D. Displacement
CORRECT ANSWER: A. Countertransference
RATIONALE:
Countertransference is the healthcare provider's unconscious emotional reaction to the patient
based on the provider's own personal history and feelings. It can interfere with therapeutic
effectiveness if not recognized and managed appropriately.
, Question 2
Which documentation of a patient's behavior best demonstrates a psychiatric advanced
practice nurse's professional observations regarding the patient's psychotic symptoms?
A. Isolates self from others. Frequently fell asleep during group. Vital signs stable.
B. Calmer; more cooperative. Participated actively in group. No evidence of psychotic
thinking.
C. Appeared to hallucinate. Frequently increased volume on television, causing conflict with
others.
D. Wore four layers of clothing. States, "I need protection from evil bacteria trying to pierce
my skin."
CORRECT ANSWER:
D. Wore four layers of clothing. States, "I need protection from evil bacteria trying
to pierce my skin."
RATIONALE:
This documentation provides specific, objective behavioral observations (wearing multiple layers)
and directly quotes the patient's delusional thinking ("evil bacteria piercing my skin"). It
demonstrates the nurse's professional observation of psychotic symptoms.
Question 3
How does Freud's theory address the theoretical issue of adaptation?
A. Psychoanalysis offers a reliable method for overcoming unconscious psychological conflict.
B. Adaptation is achieved through behavioral conditioning.
C. Adaptation involves developing new defense mechanisms.
D. Freud's theory does not address adaptation.
CORRECT ANSWER:
A. Psychoanalysis offers a reliable method for overcoming unconscious
psychological conflict.
RATIONALE:
Freud's theory addresses adaptation through the process of psychoanalysis, which helps
individuals resolve unconscious conflicts and reduce psychological distress. By bringing
repressed conflicts to conscious awareness, individuals can achieve better psychological
adaptation and reduce the impact of neurotic symptoms.
, Question 4
This scale can be done to examine/measure psychotropic medication-induced motor
side effects. What is this scale?
A. AIMS
B. BARS
C. SAS
D. EPS
CORRECT ANSWER: A. AIMS
RATIONALE:
The Abnormal Involuntary Movement Scale (AIMS) is used to assess and monitor psychotropic
medication-induced motor side effects, particularly tardive dyskinesia. It evaluates involuntary
movements in various body regions.
Question 5
In this phase of Peplau's nurse-client relationship theory, the nurse and client establish
rapport and trust, set parameters of the relationship, determine the purpose of the
meeting, establish a formal or informal contract, and discuss confidentiality. Termination
begins in this phase. Which phase is this?
A. Working/Exploitation phase
B. Orientation/Identification phase
C. Termination phase
D. Assessment phase
CORRECT ANSWER: B. Orientation/Identification phase
RATIONALE:
The Orientation/Identification phase is the first phase where the nurse and client establish the
foundation of the relationship. This includes setting expectations, defining roles, and developing
trust through open communication about confidentiality and mutual goals.
, Question 6
What is the main characteristic of a secondary trait?
A. It reveals personal preferences.
B. It is the most dominant aspect of personality.
C. It is consistent across all situations.
D. It is determined solely by genetics.
CORRECT ANSWER: A. It reveals personal preferences.
RATIONALE:
According to Allport, secondary traits are less pervasive and less consistent than cardinal or
central traits. They represent personal preferences, attitudes, and specific reactions that are
exhibited in certain situations or in response to particular stimuli, but do not define the overall
personality.
Question 7
What are the fundamental aspects that all theories of personality must address?
A. Description, dynamics, and development
B. Nature, nurture, and culture
C. Traits, states, and types
D. Conscious, preconscious, and unconscious
CORRECT ANSWER: A. Description, dynamics, and development
RATIONALE:
All comprehensive personality theories must describe what personality is (description), explain
how it functions and changes (dynamics), and account for how it evolves over time
(development). These three components form the essential framework for any complete theory.
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 1 Practice Question Bank
Academic Year:
Question 1
This is the advance practice psychiatric mental health nurse's unconscious, personal
response to the client. For instance, if the client reminds the nurse of someone the nurse
does not like, the nurse may unconsciously react as if the client were that individual.
What is this called?
A. Countertransference
B. Transference
C. Projection
D. Displacement
CORRECT ANSWER: A. Countertransference
RATIONALE:
Countertransference is the healthcare provider's unconscious emotional reaction to the patient
based on the provider's own personal history and feelings. It can interfere with therapeutic
effectiveness if not recognized and managed appropriately.
, Question 2
Which documentation of a patient's behavior best demonstrates a psychiatric advanced
practice nurse's professional observations regarding the patient's psychotic symptoms?
A. Isolates self from others. Frequently fell asleep during group. Vital signs stable.
B. Calmer; more cooperative. Participated actively in group. No evidence of psychotic
thinking.
C. Appeared to hallucinate. Frequently increased volume on television, causing conflict with
others.
D. Wore four layers of clothing. States, "I need protection from evil bacteria trying to pierce
my skin."
CORRECT ANSWER:
D. Wore four layers of clothing. States, "I need protection from evil bacteria trying
to pierce my skin."
RATIONALE:
This documentation provides specific, objective behavioral observations (wearing multiple layers)
and directly quotes the patient's delusional thinking ("evil bacteria piercing my skin"). It
demonstrates the nurse's professional observation of psychotic symptoms.
Question 3
How does Freud's theory address the theoretical issue of adaptation?
A. Psychoanalysis offers a reliable method for overcoming unconscious psychological conflict.
B. Adaptation is achieved through behavioral conditioning.
C. Adaptation involves developing new defense mechanisms.
D. Freud's theory does not address adaptation.
CORRECT ANSWER:
A. Psychoanalysis offers a reliable method for overcoming unconscious
psychological conflict.
RATIONALE:
Freud's theory addresses adaptation through the process of psychoanalysis, which helps
individuals resolve unconscious conflicts and reduce psychological distress. By bringing
repressed conflicts to conscious awareness, individuals can achieve better psychological
adaptation and reduce the impact of neurotic symptoms.
, Question 4
This scale can be done to examine/measure psychotropic medication-induced motor
side effects. What is this scale?
A. AIMS
B. BARS
C. SAS
D. EPS
CORRECT ANSWER: A. AIMS
RATIONALE:
The Abnormal Involuntary Movement Scale (AIMS) is used to assess and monitor psychotropic
medication-induced motor side effects, particularly tardive dyskinesia. It evaluates involuntary
movements in various body regions.
Question 5
In this phase of Peplau's nurse-client relationship theory, the nurse and client establish
rapport and trust, set parameters of the relationship, determine the purpose of the
meeting, establish a formal or informal contract, and discuss confidentiality. Termination
begins in this phase. Which phase is this?
A. Working/Exploitation phase
B. Orientation/Identification phase
C. Termination phase
D. Assessment phase
CORRECT ANSWER: B. Orientation/Identification phase
RATIONALE:
The Orientation/Identification phase is the first phase where the nurse and client establish the
foundation of the relationship. This includes setting expectations, defining roles, and developing
trust through open communication about confidentiality and mutual goals.
, Question 6
What is the main characteristic of a secondary trait?
A. It reveals personal preferences.
B. It is the most dominant aspect of personality.
C. It is consistent across all situations.
D. It is determined solely by genetics.
CORRECT ANSWER: A. It reveals personal preferences.
RATIONALE:
According to Allport, secondary traits are less pervasive and less consistent than cardinal or
central traits. They represent personal preferences, attitudes, and specific reactions that are
exhibited in certain situations or in response to particular stimuli, but do not define the overall
personality.
Question 7
What are the fundamental aspects that all theories of personality must address?
A. Description, dynamics, and development
B. Nature, nurture, and culture
C. Traits, states, and types
D. Conscious, preconscious, and unconscious
CORRECT ANSWER: A. Description, dynamics, and development
RATIONALE:
All comprehensive personality theories must describe what personality is (description), explain
how it functions and changes (dynamics), and account for how it evolves over time
(development). These three components form the essential framework for any complete theory.
