WILKES UNIVERSITY · SCHOOL OF NURSING
Clinical Modalities in Advanced Psychiatric Mental Health
Nursing
NSG 526 – Exam 3 Academic Year: 2026/2027
Comprehensive Question Bank
Question 1
The third phase of disaster management is the __________ effort, where the
focus is on healing the sick and injured, preventing complications, repairing
damages, and reconstructing the community.
A. recuperative
B. warning
C. impact
D. response
CORRECT ANSWER: A. recuperative
RATIONALE: The third phase of disaster management is the recuperative effort.
The focus here is to implement strategies for healing the sick and injured, preventing
complications of health problems, repairing damages, and reconstructing the
community.
, Question 2
The fourth module of DBT focuses on bearing pain skillfully, with acceptance
of reality understood as not approval of reality. It includes distracting, self-
soothing, improving the moment, and thinking of pros and cons.
Acceptance skills include radical acceptance, turning the mind toward
acceptance, and willingness versus __________.
A. willfulness
B. mindfulness
C. avoidance
D. denial
CORRECT ANSWER: A. willfulness
RATIONALE: This describes the Distress Tolerance module of DBT. It includes
distracting, self-soothing, improving the moment, and thinking of pros and cons.
Acceptance skills include radical acceptance, turning the mind toward acceptance,
and willingness versus willfulness.
Question 3
__________ personality disorder is the appropriate modality to use with this
disorder. (Schizoid PD benefits from individual psychotherapy.)
A. Schizoid
B. Paranoid
C. Schizotypal
D. Avoidant
CORRECT ANSWER: A. Schizoid
RATIONALE: Individual psychotherapy is the appropriate modality to use with
Schizoid personality disorder. Clients with Schizoid PD are isolated and withdrawn,
and individual therapy provides a safe, controlled environment for limited social
interaction.
, Question 4
In validation therapy, painful feelings that are expressed, acknowledged, and
validated by a trusted listener __________; painful feelings that are suppressed
gain __________.
A. diminish; strength
B. increase; weakness
C. disappear; intensity
D. fade; prominence
CORRECT ANSWER: A. diminish; strength
RATIONALE: In validation therapy, painful feelings that are expressed,
acknowledged, and validated by a trusted listener diminish. Painful feelings that are
suppressed gain strength. Empathy builds trust, reduces anxiety, and restores
dignity.
Question 5
Yalom's therapeutic factor involving achievement of greater insight into the
genesis of one's problems and the unconscious motivations that underlie
one's behavior is called __________.
A. self-understanding
B. interpersonal learning
C. catharsis
D. cohesiveness
CORRECT ANSWER: A. self-understanding
RATIONALE: Self-understanding overlaps with interpersonal learning but refers to
the achievement of greater levels of insight into the genesis of one's problems and
the unconscious motivations that underlie one's behavior. It is a deeper level of self-
awareness.
, Question 6
Cognitive behavioral approaches have been particularly successful in
treating problems associated with depression, conduct disorder, ADHD, and
__________ in children 7 and older.
A. anxiety
B. autism
C. eating disorders
D. schizophrenia
CORRECT ANSWER: A. anxiety
RATIONALE: Cognitive behavioral approaches have been particularly successful in
treating problems associated with depression, conduct disorder, ADHD, and anxiety
in children 7 and older. Behavioral techniques without the cognitive component are
used for 3- to 6-year-old children.
Question 7
In object-relations theory, infants are born with an innate biologic need for
__________.
A. relationships
B. food
C. sleep
D. stimulation
CORRECT ANSWER: A. relationships
RATIONALE: A major assumption of object-relations theory is that rather than
being driven simply by physical needs or instincts, infants have an innate biologic
need for relationships. These relationships increase in quality and complexity as a
child develops.
Clinical Modalities in Advanced Psychiatric Mental Health
Nursing
NSG 526 – Exam 3 Academic Year: 2026/2027
Comprehensive Question Bank
Question 1
The third phase of disaster management is the __________ effort, where the
focus is on healing the sick and injured, preventing complications, repairing
damages, and reconstructing the community.
A. recuperative
B. warning
C. impact
D. response
CORRECT ANSWER: A. recuperative
RATIONALE: The third phase of disaster management is the recuperative effort.
The focus here is to implement strategies for healing the sick and injured, preventing
complications of health problems, repairing damages, and reconstructing the
community.
, Question 2
The fourth module of DBT focuses on bearing pain skillfully, with acceptance
of reality understood as not approval of reality. It includes distracting, self-
soothing, improving the moment, and thinking of pros and cons.
Acceptance skills include radical acceptance, turning the mind toward
acceptance, and willingness versus __________.
A. willfulness
B. mindfulness
C. avoidance
D. denial
CORRECT ANSWER: A. willfulness
RATIONALE: This describes the Distress Tolerance module of DBT. It includes
distracting, self-soothing, improving the moment, and thinking of pros and cons.
Acceptance skills include radical acceptance, turning the mind toward acceptance,
and willingness versus willfulness.
Question 3
__________ personality disorder is the appropriate modality to use with this
disorder. (Schizoid PD benefits from individual psychotherapy.)
A. Schizoid
B. Paranoid
C. Schizotypal
D. Avoidant
CORRECT ANSWER: A. Schizoid
RATIONALE: Individual psychotherapy is the appropriate modality to use with
Schizoid personality disorder. Clients with Schizoid PD are isolated and withdrawn,
and individual therapy provides a safe, controlled environment for limited social
interaction.
, Question 4
In validation therapy, painful feelings that are expressed, acknowledged, and
validated by a trusted listener __________; painful feelings that are suppressed
gain __________.
A. diminish; strength
B. increase; weakness
C. disappear; intensity
D. fade; prominence
CORRECT ANSWER: A. diminish; strength
RATIONALE: In validation therapy, painful feelings that are expressed,
acknowledged, and validated by a trusted listener diminish. Painful feelings that are
suppressed gain strength. Empathy builds trust, reduces anxiety, and restores
dignity.
Question 5
Yalom's therapeutic factor involving achievement of greater insight into the
genesis of one's problems and the unconscious motivations that underlie
one's behavior is called __________.
A. self-understanding
B. interpersonal learning
C. catharsis
D. cohesiveness
CORRECT ANSWER: A. self-understanding
RATIONALE: Self-understanding overlaps with interpersonal learning but refers to
the achievement of greater levels of insight into the genesis of one's problems and
the unconscious motivations that underlie one's behavior. It is a deeper level of self-
awareness.
, Question 6
Cognitive behavioral approaches have been particularly successful in
treating problems associated with depression, conduct disorder, ADHD, and
__________ in children 7 and older.
A. anxiety
B. autism
C. eating disorders
D. schizophrenia
CORRECT ANSWER: A. anxiety
RATIONALE: Cognitive behavioral approaches have been particularly successful in
treating problems associated with depression, conduct disorder, ADHD, and anxiety
in children 7 and older. Behavioral techniques without the cognitive component are
used for 3- to 6-year-old children.
Question 7
In object-relations theory, infants are born with an innate biologic need for
__________.
A. relationships
B. food
C. sleep
D. stimulation
CORRECT ANSWER: A. relationships
RATIONALE: A major assumption of object-relations theory is that rather than
being driven simply by physical needs or instincts, infants have an innate biologic
need for relationships. These relationships increase in quality and complexity as a
child develops.
