NSG526 / NSG 526 EXAM 2
Clinical Modalities in Advanced Psychiatric
Mental Health Nursing Practice - Wilkes
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. Which of the following is not a technique used in cognitive therapy?
A) Reattribution
B) Role-playing
C) Abreaction
D) Developing alternatives
Answer: C) Abreaction
Explanation: Abreaction involves the release of pent-up emotions through reliving past traumatic events, which is
not a standard technique in cognitive therapy. Cognitive therapy focuses more on changing thought patterns than on
emotional release.
---
2. The psychiatric advanced practice nurse is developing the care plan for an 8-year-old child with intermittent
explosive disorder. Based on Piaget, which of the following goals would be appropriate? The child will:
A) Connect consequences of his behavior with the behavior itself.
B) Generalize the consequences of his anger and aggression to different situations.
C) Identify situations in which he is likely to feel abandoned.
D) Experience an increase in autonomous behavior.
Answer: A) Connect consequences of his behavior with the behavior itself.
Explanation: According to Piaget's theory of cognitive development, children in this age range are developing the
ability to connect actions with consequences. Helping the child understand the link between their behavior and its
outcomes is crucial.
3. Which one of the following is the focus of interpersonal therapy?
A) Anxiety management
B) Belief systems
C) Faulty cognitions
D) Social interaction
Answer: D) Social interaction
Explanation: Interpersonal therapy (IPT) primarily focuses on improving interpersonal relationships and social
functioning, which can impact mental health. It aims to help clients understand and manage their relationships and
social skills, addressing issues such as role disputes and grief.
,---
4. A patient tells the psychiatric advanced practice nurse she is going to try supplementing her selective serotonin
reuptake inhibitor with St. John's wort. Which action should the psychiatric advanced practice nurse take first?
A) Assess the patient for depression and risk for suicide.
B) Suggest that aromatherapy may produce even better results.
C) Advise her of the danger of serotonin syndrome.
D) Suggest she consider decreasing the dosage of her antidepressant.
Answer: C) Advise her of the danger of serotonin syndrome.
Explanation: St. John's wort can lead to serotonin syndrome when combined with SSRIs due to its ability to increase
serotonin levels. The immediate action should be educating the patient about this potentially life-threatening
condition.
5. In Cognitive Behavioral Therapy, it is often helpful to view people as separate from their problems and behaviors.
This empowers them to make changes in their thought patterns and behaviors. Which type of therapy would utilize
this approach?
A) Psychoanalysis
B) Narrative Therapy
C) Strategic Therapy
D) Psychodynamic therapy
Answer: B) Narrative Therapy
Explanation: Narrative therapy involves separating individuals from their problems, allowing clients to reauthor their
stories and create positive changes, fostering empowerment and agency.
---
6. Characteristics of cognitive-behavioral therapy include:
(Select all that apply.)
A) Not time-limited
B) Active
C) Directive
D) Collaborative
E) Unstructured
Answer: B) Active, C) Directive, D) Collaborative.
, Explanation: CBT is an active, structured, and collaborative therapeutic approach that seeks to change problematic
thinking and behavior. It typically has a defined timeframe but does not persist indefinitely.
---
7. What theorist is considered the "father of CBT"?
Answer: Aaron Beck
Explanation: Aaron Beck is widely recognized as the father of cognitive behavioral therapy due to his pioneering
work in developing the cognitive model of depression and identifying cognitive distortions.
---
8. Who developed the cognitive rational emotive theory and theory of behavior change?
Answer: Albert Ellis
Explanation: Albert Ellis is known for developing Rational Emotive Behavior Therapy (REBT), which emphasizes the
importance of rational thinking in emotional well-being.
---
9. Researched operant conditioning, in which voluntary behaviors are learned through consequences and behavioral
responses are elicited through reinforcement, which causes a behavior to occur more frequently.
Answer: Skinner
Explanation: B.F. Skinner's research centered on operant conditioning, demonstrating how behavior could be
shaped by reinforcement and punishment.
---
10. In this theory, Skinner proposed:
Answer: Operant conditioning
Explanation: Skinner's operant conditioning theory explains how behaviors are influenced by their consequences,
including positive and negative reinforcement, which can affect future behavior likelihood.
---
Clinical Modalities in Advanced Psychiatric
Mental Health Nursing Practice - Wilkes
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. Which of the following is not a technique used in cognitive therapy?
A) Reattribution
B) Role-playing
C) Abreaction
D) Developing alternatives
Answer: C) Abreaction
Explanation: Abreaction involves the release of pent-up emotions through reliving past traumatic events, which is
not a standard technique in cognitive therapy. Cognitive therapy focuses more on changing thought patterns than on
emotional release.
---
2. The psychiatric advanced practice nurse is developing the care plan for an 8-year-old child with intermittent
explosive disorder. Based on Piaget, which of the following goals would be appropriate? The child will:
A) Connect consequences of his behavior with the behavior itself.
B) Generalize the consequences of his anger and aggression to different situations.
C) Identify situations in which he is likely to feel abandoned.
D) Experience an increase in autonomous behavior.
Answer: A) Connect consequences of his behavior with the behavior itself.
Explanation: According to Piaget's theory of cognitive development, children in this age range are developing the
ability to connect actions with consequences. Helping the child understand the link between their behavior and its
outcomes is crucial.
3. Which one of the following is the focus of interpersonal therapy?
A) Anxiety management
B) Belief systems
C) Faulty cognitions
D) Social interaction
Answer: D) Social interaction
Explanation: Interpersonal therapy (IPT) primarily focuses on improving interpersonal relationships and social
functioning, which can impact mental health. It aims to help clients understand and manage their relationships and
social skills, addressing issues such as role disputes and grief.
,---
4. A patient tells the psychiatric advanced practice nurse she is going to try supplementing her selective serotonin
reuptake inhibitor with St. John's wort. Which action should the psychiatric advanced practice nurse take first?
A) Assess the patient for depression and risk for suicide.
B) Suggest that aromatherapy may produce even better results.
C) Advise her of the danger of serotonin syndrome.
D) Suggest she consider decreasing the dosage of her antidepressant.
Answer: C) Advise her of the danger of serotonin syndrome.
Explanation: St. John's wort can lead to serotonin syndrome when combined with SSRIs due to its ability to increase
serotonin levels. The immediate action should be educating the patient about this potentially life-threatening
condition.
5. In Cognitive Behavioral Therapy, it is often helpful to view people as separate from their problems and behaviors.
This empowers them to make changes in their thought patterns and behaviors. Which type of therapy would utilize
this approach?
A) Psychoanalysis
B) Narrative Therapy
C) Strategic Therapy
D) Psychodynamic therapy
Answer: B) Narrative Therapy
Explanation: Narrative therapy involves separating individuals from their problems, allowing clients to reauthor their
stories and create positive changes, fostering empowerment and agency.
---
6. Characteristics of cognitive-behavioral therapy include:
(Select all that apply.)
A) Not time-limited
B) Active
C) Directive
D) Collaborative
E) Unstructured
Answer: B) Active, C) Directive, D) Collaborative.
, Explanation: CBT is an active, structured, and collaborative therapeutic approach that seeks to change problematic
thinking and behavior. It typically has a defined timeframe but does not persist indefinitely.
---
7. What theorist is considered the "father of CBT"?
Answer: Aaron Beck
Explanation: Aaron Beck is widely recognized as the father of cognitive behavioral therapy due to his pioneering
work in developing the cognitive model of depression and identifying cognitive distortions.
---
8. Who developed the cognitive rational emotive theory and theory of behavior change?
Answer: Albert Ellis
Explanation: Albert Ellis is known for developing Rational Emotive Behavior Therapy (REBT), which emphasizes the
importance of rational thinking in emotional well-being.
---
9. Researched operant conditioning, in which voluntary behaviors are learned through consequences and behavioral
responses are elicited through reinforcement, which causes a behavior to occur more frequently.
Answer: Skinner
Explanation: B.F. Skinner's research centered on operant conditioning, demonstrating how behavior could be
shaped by reinforcement and punishment.
---
10. In this theory, Skinner proposed:
Answer: Operant conditioning
Explanation: Skinner's operant conditioning theory explains how behaviors are influenced by their consequences,
including positive and negative reinforcement, which can affect future behavior likelihood.
---
