WILKES UNIVERSITY
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 3 Comprehensive Review
Academic Year:
Question 1
The best response by the PMHNP when speaking with a client with BPD who has been in
counseling for management of self-harm behaviors who now wants to cut themselves is
to:
A. Assist the client to identify an appropriate coping strategy.
B. Tell the client to stop thinking about self-harm.
C. Place the client on immediate suicide watch.
D. Ignore the statement to avoid reinforcing the behavior.
CORRECT ANSWER: A. Assist the client to identify an appropriate coping strategy.
RATIONALE:
When a client with BPD expresses the urge to self-harm, the PMHNP should help the client
identify and use appropriate coping strategies. This validates the client's distress while providing
alternative ways to manage intense emotions.
Question 2
Which theoretical approach describes a family's progression through the lifecycle?
A. The Developmental Theoretical approach
B. The Behavioral approach
C. The Cognitive approach
D. The Psychodynamic approach
CORRECT ANSWER: A. The Developmental Theoretical approach
RATIONALE:
The Developmental Theoretical approach describes a family's progression through the lifecycle,
focusing on the predictable stages and transitions that families experience over time.
, Question 3
What is the priority intervention for any client who is a victim of a serious crime or
assault?
A. Providing a safe environment
B. Conducting a psychiatric evaluation
C. Beginning medication therapy
D. Debriefing the client about the event
CORRECT ANSWER: A. Providing a safe environment
RATIONALE:
Providing a safe environment is the priority for any client who is a victim of a serious crime or
assault. Safety needs must be addressed before any other therapeutic interventions can be
effective.
Question 4
Which modality can promote the greatest change in an adolescent's behavior?
A. Family therapy
B. Individual therapy
C. Group therapy
D. Pharmacotherapy
CORRECT ANSWER: A. Family therapy
RATIONALE:
Family therapy can promote the greatest change in an adolescent's behavior because it
addresses the family system and interaction patterns that maintain problematic behaviors,
providing support for sustainable change.
, Question 5
Bibliotherapy is best described as:
A. An expressive therapy using child and adolescent literature to help children express
feelings in a supportive environment
B. A form of cognitive therapy using books to teach problem-solving skills
C. A behavioral intervention using reading as a reward
D. A type of family therapy that uses storytelling
CORRECT ANSWER:
A. An expressive therapy using child and adolescent literature to help children
express feelings in a supportive environment
RATIONALE:
Bibliotherapy is an expressive therapy that uses child and adolescent literature to help children
express feelings in a supportive environment, gain insight into feelings and behavior, and learn
new ways to cope with difficult situations.
Question 6
Self-mutilation in clients with BPD is mainly due to:
A. Fear of abandonment or the increase of independence
B. A desire for attention
C. A psychotic episode
D. A manipulative gesture
CORRECT ANSWER: A. Fear of abandonment or the increase of independence
RATIONALE:
Self-mutilation in clients with BPD is mainly due to fear of abandonment or the increase of
independence. It often serves as a maladaptive coping mechanism to manage intense emotional
pain.
, Question 7
Which intervention is most helpful in evaluating outcomes of child therapy?
A. Objective observations
B. Subjective reports from the child
C. Parent satisfaction surveys
D. Therapist intuition
CORRECT ANSWER: A. Objective observations
RATIONALE:
Objective observations help the most in evaluating outcomes of child therapy because they
provide measurable, concrete evidence of behavioral change rather than relying on subjective
impressions.
Question 8
In the MCI Expectant category, which of the following is true?
A. Injuries are extensive and chances of survival are unlikely even with definitive care
B. Injuries are life-threatening but survivable with minimal intervention
C. Injuries are minor and treatment can be delayed
D. Injuries are significant but can wait hours without threat to life
CORRECT ANSWER:
A. Injuries are extensive and chances of survival are unlikely even with definitive
care
RATIONALE:
In the MCI Expectant category (Black), injuries are extensive and chances of survival are unlikely
even with definitive care. Persons in this group should be separated from other casualties, but
not abandoned. Comfort measures should be provided when possible.
NSG 526 — Clinical Modalities in Advanced Psychiatric Mental
Health Nursing Practice
Exam 3 Comprehensive Review
Academic Year:
Question 1
The best response by the PMHNP when speaking with a client with BPD who has been in
counseling for management of self-harm behaviors who now wants to cut themselves is
to:
A. Assist the client to identify an appropriate coping strategy.
B. Tell the client to stop thinking about self-harm.
C. Place the client on immediate suicide watch.
D. Ignore the statement to avoid reinforcing the behavior.
CORRECT ANSWER: A. Assist the client to identify an appropriate coping strategy.
RATIONALE:
When a client with BPD expresses the urge to self-harm, the PMHNP should help the client
identify and use appropriate coping strategies. This validates the client's distress while providing
alternative ways to manage intense emotions.
Question 2
Which theoretical approach describes a family's progression through the lifecycle?
A. The Developmental Theoretical approach
B. The Behavioral approach
C. The Cognitive approach
D. The Psychodynamic approach
CORRECT ANSWER: A. The Developmental Theoretical approach
RATIONALE:
The Developmental Theoretical approach describes a family's progression through the lifecycle,
focusing on the predictable stages and transitions that families experience over time.
, Question 3
What is the priority intervention for any client who is a victim of a serious crime or
assault?
A. Providing a safe environment
B. Conducting a psychiatric evaluation
C. Beginning medication therapy
D. Debriefing the client about the event
CORRECT ANSWER: A. Providing a safe environment
RATIONALE:
Providing a safe environment is the priority for any client who is a victim of a serious crime or
assault. Safety needs must be addressed before any other therapeutic interventions can be
effective.
Question 4
Which modality can promote the greatest change in an adolescent's behavior?
A. Family therapy
B. Individual therapy
C. Group therapy
D. Pharmacotherapy
CORRECT ANSWER: A. Family therapy
RATIONALE:
Family therapy can promote the greatest change in an adolescent's behavior because it
addresses the family system and interaction patterns that maintain problematic behaviors,
providing support for sustainable change.
, Question 5
Bibliotherapy is best described as:
A. An expressive therapy using child and adolescent literature to help children express
feelings in a supportive environment
B. A form of cognitive therapy using books to teach problem-solving skills
C. A behavioral intervention using reading as a reward
D. A type of family therapy that uses storytelling
CORRECT ANSWER:
A. An expressive therapy using child and adolescent literature to help children
express feelings in a supportive environment
RATIONALE:
Bibliotherapy is an expressive therapy that uses child and adolescent literature to help children
express feelings in a supportive environment, gain insight into feelings and behavior, and learn
new ways to cope with difficult situations.
Question 6
Self-mutilation in clients with BPD is mainly due to:
A. Fear of abandonment or the increase of independence
B. A desire for attention
C. A psychotic episode
D. A manipulative gesture
CORRECT ANSWER: A. Fear of abandonment or the increase of independence
RATIONALE:
Self-mutilation in clients with BPD is mainly due to fear of abandonment or the increase of
independence. It often serves as a maladaptive coping mechanism to manage intense emotional
pain.
, Question 7
Which intervention is most helpful in evaluating outcomes of child therapy?
A. Objective observations
B. Subjective reports from the child
C. Parent satisfaction surveys
D. Therapist intuition
CORRECT ANSWER: A. Objective observations
RATIONALE:
Objective observations help the most in evaluating outcomes of child therapy because they
provide measurable, concrete evidence of behavioral change rather than relying on subjective
impressions.
Question 8
In the MCI Expectant category, which of the following is true?
A. Injuries are extensive and chances of survival are unlikely even with definitive care
B. Injuries are life-threatening but survivable with minimal intervention
C. Injuries are minor and treatment can be delayed
D. Injuries are significant but can wait hours without threat to life
CORRECT ANSWER:
A. Injuries are extensive and chances of survival are unlikely even with definitive
care
RATIONALE:
In the MCI Expectant category (Black), injuries are extensive and chances of survival are unlikely
even with definitive care. Persons in this group should be separated from other casualties, but
not abandoned. Comfort measures should be provided when possible.
