NSG 526 Exam 3 - Clinical Modalities 2025 - Wilkes University
1. Which cognitive distortion involves a patient believing they know what others
are thinking without evidence?
A. Personalization
B. Mind Reading
C. Catastrophizing
D. Emotional Reasoning
Answer: B
Rationale: Mind reading is a cognitive distortion where the individual assumes they know
the thoughts or motives of others without objective proof.
2. According to Irvin Yalom, which curative factor involves the realization that
one is not alone in their suffering?
A. Altruism
B. Catharsis
C. Universality
D. Imparting Information
Answer: C
Rationale: Universality is the recognition that other group members share similar feelings,
thoughts, and problems.
,3. In Dialectical Behavior Therapy (DBT), what is the primary goal of Stage 1
treatment?
A. Behavioral control and stability
B. Increasing self-respect
C. Reducing post-traumatic stress
D. Achieving joy and completeness
Answer: A
Rationale: Stage 1 of DBT focuses on stabilizing the patient and achieving behavioral
control, specifically addressing life-threatening behaviors.
4. Which family therapy concept describes a person’s ability to distinguish
between their own intellectual processes and their feelings?
A. Triangulation
B. Differentiation of Self
C. Enmeshment
D. Emotional Cutoff
Answer: B
Rationale: Differentiation of self is a core concept in Bowenian therapy referring to the
capacity to maintain one’s individuality while staying connected to the family.
5. In Solution-Focused Brief Therapy (SFBT), the question ‘If you woke up
tomorrow and the problem was gone, how would you know?’ is called:
A. The Scaling Question
B. The Exception Question
C. The Relationship Question
D. The Miracle Question
Answer: D
Rationale: The Miracle Question is a technique used in SFBT to help clients visualize a
future without the problem and identify goals.
, 6. Interpersonal Therapy (IPT) primarily focuses on which of the following
areas?
A. Childhood trauma and the unconscious
B. Existential dread and meaninglessness
C. Cognitive schemas and core beliefs
D. Grief, role disputes, and role transitions
Answer: D
Rationale: IPT is a time-limited treatment that focuses on interpersonal issues: grief,
interpersonal disputes, role transitions, and interpersonal deficits.
7. Structural Family Therapy, developed by Salvador Minuchin, emphasizes the
importance of:
A. Boundaries and hierarchies within the family
B. The family’s multigenerational history
C. Identifying ‘the miracle’
D. Paradoxical interventions
Answer: A
Rationale: Structural Family Therapy focuses on the family’s organization, specifically the
boundaries between subsystems and the hierarchy of power.
8. A patient becomes angry at the therapist because the therapist reminds them
of their controlling father. This is an example of:
A. Countertransference
B. Transference
C. Resistance
D. Projection
Answer: B
Rationale: Transference occurs when a patient displaces feelings for a significant person in
their past onto the therapist.
1. Which cognitive distortion involves a patient believing they know what others
are thinking without evidence?
A. Personalization
B. Mind Reading
C. Catastrophizing
D. Emotional Reasoning
Answer: B
Rationale: Mind reading is a cognitive distortion where the individual assumes they know
the thoughts or motives of others without objective proof.
2. According to Irvin Yalom, which curative factor involves the realization that
one is not alone in their suffering?
A. Altruism
B. Catharsis
C. Universality
D. Imparting Information
Answer: C
Rationale: Universality is the recognition that other group members share similar feelings,
thoughts, and problems.
,3. In Dialectical Behavior Therapy (DBT), what is the primary goal of Stage 1
treatment?
A. Behavioral control and stability
B. Increasing self-respect
C. Reducing post-traumatic stress
D. Achieving joy and completeness
Answer: A
Rationale: Stage 1 of DBT focuses on stabilizing the patient and achieving behavioral
control, specifically addressing life-threatening behaviors.
4. Which family therapy concept describes a person’s ability to distinguish
between their own intellectual processes and their feelings?
A. Triangulation
B. Differentiation of Self
C. Enmeshment
D. Emotional Cutoff
Answer: B
Rationale: Differentiation of self is a core concept in Bowenian therapy referring to the
capacity to maintain one’s individuality while staying connected to the family.
5. In Solution-Focused Brief Therapy (SFBT), the question ‘If you woke up
tomorrow and the problem was gone, how would you know?’ is called:
A. The Scaling Question
B. The Exception Question
C. The Relationship Question
D. The Miracle Question
Answer: D
Rationale: The Miracle Question is a technique used in SFBT to help clients visualize a
future without the problem and identify goals.
, 6. Interpersonal Therapy (IPT) primarily focuses on which of the following
areas?
A. Childhood trauma and the unconscious
B. Existential dread and meaninglessness
C. Cognitive schemas and core beliefs
D. Grief, role disputes, and role transitions
Answer: D
Rationale: IPT is a time-limited treatment that focuses on interpersonal issues: grief,
interpersonal disputes, role transitions, and interpersonal deficits.
7. Structural Family Therapy, developed by Salvador Minuchin, emphasizes the
importance of:
A. Boundaries and hierarchies within the family
B. The family’s multigenerational history
C. Identifying ‘the miracle’
D. Paradoxical interventions
Answer: A
Rationale: Structural Family Therapy focuses on the family’s organization, specifically the
boundaries between subsystems and the hierarchy of power.
8. A patient becomes angry at the therapist because the therapist reminds them
of their controlling father. This is an example of:
A. Countertransference
B. Transference
C. Resistance
D. Projection
Answer: B
Rationale: Transference occurs when a patient displaces feelings for a significant person in
their past onto the therapist.
