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NSG 526/ NSG526 Exam 2 V2 – Advanced Psychiatric Mental Health Nursing Practice 2026/2027 | Wilkes | Latest Questions & Verified Answers

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NSG 526/ NSG526 Exam 2 V2 – Advanced Psychiatric Mental Health Nursing Practice 2026/2027 | Wilkes | Latest Questions & Verified Answers In an "open group": A) New members can join only at the start of the group session B) No new members are allowed to join after the group begins C) New members are added as others leave D) The group has a fixed number of participants throughout C) New members are added as others leave Yoga primarily promotes which of the following? A) Cardiovascular endurance B) Relaxation and stress reduction C) Increased muscle mass D) Rapid weight loss B) Relaxation and stress reduction What is the most therapeutic response to a patient who missed their Tuesday appointment and showed up for the next one? A) "Why didn't you come on Tuesday? We were expecting you." B) "You missed your appointment on Tuesday, I was wondering what happened?" C) "It's important to keep all scheduled appointments to stay on track." D) "I hope missing the appointment didn't cause any issues for you." B) "You missed your appointment on Tuesday, I was wondering what happened?" What is the most therapeutic response when a patient states she buys St. John's Wort from Walgreens to ensure consistent dosage? A) "That's great! It's good to know where your supplements come from." B) "There's no dosage standard for St. John's Wort, so dosages may vary." C) "Buying from a pharmacy doesn't guarantee the dosage." D) "You should only buy supplements that are recommended by a healthcare provider." B) "There's no dosage standard for St. John's Wort, so dosages may vary." A college student who failed an important test says, "I'll never find a good job now." This statement is an example of what? A) All-or-nothing thinking B) Overgeneralization C) Cognitive distortion D) Catastrophizing C) Cognitive distortion What is operant conditioning primarily characterized by? A) Classical conditioning B) Positive and negative reinforcement C) Observational learning D) Cognitive restructuring B) Positive and negative reinforcement In the situation where a lady expresses her embarrassment about stealing clothing and others discuss their problems with law enforcement and the consequences they learned from each other, this illustrates which therapeutic factor? A) Imparting information B) Universality C) Altruism D) Catharsis B) Universality How should the nurse assist a patient exhibiting dependent behavior to promote independence? A) Make decisions for the patient to ensure their safety. B) Encourage the patient to set small goals for independent tasks. C) Provide constant supervision to prevent mistakes. D) Discourage the patient from expressing their needs and desires.. B) Encourage the patient to set small goals for independent tasks Which one of the following is the focus of interpersonal therapy? A)Anxiety management B)Belief systems C)Faulty cognitions D)Social interaction D)Social interaction A patient tells the psychiatric advanced practice nurseshe is going to try supplementing her selectiveserotonin reuptake inhibitor with St. John's wort. Whichaction should the psychiatric advanced practice nursetake 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 antidepressan c)Advise her of the danger of serotonin syndrome. Which of the following is not a technique used in cognitivetherapy?A)Reattribution B)Role-playing C)Abreaction D)Developing alternatives C)Abreaction 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. a) connect consequences of his behavior with the behavior itself. In Cognitive Behavioral Therapy, it is often helpful to viewpeople as separate from their problems and behaviors. Thisempowers them to make changes in their thought patternsand behaviors. Which type of therapy would utilize thisapproach? A)Psychoanalysis B)Narrative Therapy C)Strategic Therapy D)Psychodynamic therapy B)Narrative Therapy Which theorist is considered the "father of Cognitive Behavioral Therapy (CBT)"? A) Carl Rogers B) Sigmund Freud C) Aaron Beck D) Albert Ellis C) Aaron Beck Who developed the Cognitive Rational Emotive Theory and the Theory of Behavior Change? A) Carl Rogers B) Sigmund Freud C) Albert Ellis D) Aaron Beck C) Albert Ellis Which of the following best describes the concept of operant conditioning? A) It focuses on the unconscious mind influencing behavior. B) It involves voluntary behaviors learned through consequences, where reinforcement increases the frequency of a behavior. C) It emphasizes the role of cognitive processes in shaping behavior. D) It explains behavior through observational learning and modeling. B) It involves voluntary behaviors learned through consequences, where reinforcement increases the frequency of a behavior Who created the theory of operant conditioning A) Ivan Pavlov B) B.F. Skinner C) Albert Bandura D) John Watson B) B.F. Skinner Who is credited with identifying the 12 factors that make groups therapeutic? A) Yalom B) Rogers C) Beck D) Ellis A) Yalom Which therapeutic factor identified by Yalom refers to the recognition of shared experiences and feelings among group members that helps remove a sense of isolation and validates their experiences? A) Altruism B) Universality C) Catharsis D) Imparting information B) Universality Which therapeutic factor identified by Yalom describes the experience of group members helping each other, which can enhance self-esteem and promote adaptive coping styles and interpersonal skills? A) Imparting information B) Altruism C) Catharsis D) Cohesion B) Altruism Which therapeutic factor identified by Yalom refers to the inspiration and encouragement that members in various stages of development or recovery can provide to one another? A) Interpersonal learning B) Universality C) Instillation of hope D) Catharsis C) Instillation of hope Which therapeutic factor identified by Yalom involves members learning factual information from each other, such as details about treatment or access to services? A) Altruism B) Imparting information C) Cohesion D) Catharsis Answer: B) Imparting information Which therapeutic factor identified by Yalom refers to the process where group members unconsciously identify the therapist and other members with their own family members, allowing for insights into childhood experiences and learning to avoid repeating unhelpful patterns? A) Universality B) Altruism C) Corrective recapitulation of primary family experience D) Catharsis C) Corrective recapitulation of primary family experience Which therapeutic factor describes how a group setting provides a safe and supportive environment for members to take risks and develop socializing techniques? A) Interpersonal learning B) Cohesion C) Development of socializing techniques D) Universality Answer: C) Development of socializing techniques Which therapeutic factor identified by Yalom describes the process where group members develop social skills by observing and imitating the behaviors of the therapist and other group members? A) Cohesion B) Altruism C) Imitating behavior D) Catharsis C) Imitating behavior Which therapeutic factor is described as the primary therapeutic element from which all others flow, emphasizing the instinctive need for belonging and the importance of personal development in an interpersonal context? A) Universality B) Cohesiveness C) Altruism D) Imparting information Answer: B) Cohesiveness Which therapeutic factor identified by Yalom involves learning to take responsibility for one's own life and the consequences of one's decisions? A) Universality B) Existential factors C) Cohesiveness D) Imparting information Answer: B) Existential factors Which therapeutic factor is defined as the experience of relief from emotional distress through the free and uninhibited expression of emotion, often referred to as "getting things off our chest"? A) Universality B) Altruism C) Catharsis D) Imparting information Answer: C) Catharsis Which therapeutic factor involves group members achieving greater self-awareness through interactions with others, who provide feedback on the member's behavior and its impact on the group? A) Universality B) Cohesiveness C) Interpersonal learning D) Corrective recapitulation of primary family experience Answer: C) Interpersonal learning Which therapeutic factor refers to achieving greater insight into the genesis of one's problems and the unconscious motivations underlying one's behavior, overlapping with interpersonal learning? A) Self-understanding B) Cohesiveness C) Universality D) Altruism Answer: A) Self-understanding What is considered the primary therapeutic factor of group therapy? A) Universality B) Catharsis C) Cohesiveness D) Interpersonal learning Answer: C) Cohesiveness A patient in a support group says, "I'm tired of being sick. Everyone always helps me, but I will be glad when I can help someone else." This statement reflects: A) Altruism B) Universality C) Cohesiveness D) Corrective recapitulation Answer: A) Altruism Which patient would the group co-leaders determine is demonstrating Yalom's therapeutic factor termed universality? A) Patient A, who states he realizes he is not the only person who has a problem with loneliness B) Patient B, who displays dysfunctional interaction patterns learned in his family of origin C) Patient C, who states he finally feels a strong sense of belonging D) Patient D, who openly expresses his anger about his work Answer: A) Patient A, who states he realizes he is not the only person who has a problem with loneliness. Today's cognitive therapy owes its origins to many great thinkers and researchers, most notably ____________ and ____________, each of whom independently developed cognitive approaches to the treatment of psychopathology. A) Carl Rogers and Sigmund Freud B) Albert Ellis and Aaron Beck C) B.F. Skinner and John Watson D) Ivan Pavlov and Albert Bandura Answer: B) Albert Ellis and Aaron Beck Who developed the cognitive model of depression and the concept that cognitive processing distortions underlie psychological disorders? A) Albert Ellis B) Carl Rogers C) Sigmund Freud D) Aaron Beck Answer: D) Aaron Beck When leading a discussion about cognitive theories of mental health, a nursing instructor would most appropriately mention the contributions of which of the following? A) Aaron Beck and Albert Ellis B) Kurt Lewin and Leon Festinger C) John Watson and Joseph Wolpe D) Alfred Adler and Carl Jung Answer: A) Aaron Beck and Albert Ellis According to Beck's theory, depression can develop, persist, and recur as a result of cognitive structures called: A) Schemas B) Archetypes C) Heuristics D) Paradigms Answer: A) Schemas According to Beck et al. (1979), depression can be understood via schemas, cognitive errors, and what else? A) Positive reinforcement B) Cognitive triad C) Behavioral patterns D) Emotional responses Answer: B) Cognitive triad What are the three components that make up Beck's cognitive triad? A) Positive views of self, the world, and the future B) Negative views of self, negative views of the world, and negative views of the future C) Neutral views of self, the world, and the future D) Negative views of others, positive views of self, and uncertain views of the future Answer: B) Negative views of self, negative views of the world, and negative views of the future. Which theories have roots in Greek Stoic philosophers? A) Behavioral theories B) Humanistic theories C) Cognitive theories D) Psychoanalytic theories Answer: C) Cognitive theories Which theory asserts that it is the way we think about a situation, rather than the situation itself, that leads us to feel a particular emotion and behave in a particular way? A) Behavioral theory B) Humanistic theory C) Cognitive theory D) Psychoanalytic theory Answer: C) Cognitive theory What was developed by Aaron T. Beck and is based on the philosophy that people can learn to be their own therapist, emphasizing the rearrangement of maladaptive processes of thinking, perception, and attitudes through an active, time-limited approach? A) Behavioral therapy B) Humanistic therapy C) Psychoanalytic therapy D) Cognitive therapy D) Cognitive therapy Which of the following is a goal of cognitive rehabilitation therapy? A) To change the way the patient perceives psychotic symptoms B) To improve the patient's compliance with the medication schedule C) To improve the patient's memory and thinking D) To facilitate the patient's activities of daily living C) To improve the patient's memory and thinking. Which measure consistent with the use of cognitive therapy could the nurse incorporate into the treatment plan of a chronically depressed patient? A) Approach the patient with cheerful affect and optimistic remarks. B) Ignore the patient's pessimistic statements; give attention for positive thinking. C) Identify negative evaluations and challenge pessimistic beliefs. D) Seek to uncover unconscious conflicts about significant relationships. Answer: C) Identify negative evaluations and challenge pessimistic beliefs. What is a tool developed by Beck that can be used to measure maladaptive emotions and beliefs, specifically symptoms of depression, using a series of questions to provide a score? A) Hamilton Anxiety Rating Scale B) Beck's Depression Inventory C) Mini-Mental State Examination D) State-Trait Anxiety Inventory Answer: B) Beck's Depression Inventory. What therapy is based on both cognitive psychology and behavioral theory and emphasizes the important role of thinking in how we feel and what we do? A) Psychodynamic therapy B) Humanistic therapy C) Cognitive-behavioral therapy (CBT) D) Dialectical behavior therapy Answer: C) Cognitive-behavioral therapy (CBT). Cognitive-behavioral therapy is based on the scientific fact that our ________ cause our feelings and behaviors, not external things, like people, situations, and events. A) Emotions B) Thoughts C) Experiences D) Memories Answer: B) Thoughts. true or false; CBT is brief and time-limited TRUE The nurse is working with a patient with an anxiety disorder whose treatment includes cognitive behavioral therapy. Which statement by the patient gives the nurse reason to assume that the patient has an understanding of the basis of this type of therapy? A) My abusive childhood has resulted in my overreaction to stress. B) My delusional thoughts of extreme anxiety are what cause my panic attacks. C) My brain chemistry causes me to overreact to common stress by getting so anxious. D) I've learned to react to my daily stress by having anxious thoughts and panic attacks. Answer: D) I've learned to react to my daily stress by having anxious thoughts and panic attacks Long-term prognosis for eating disorders is improved dramatically when treatment includes long-term cognitive-behavioral therapy. What statement provides the best explanation to the patient for this component of the treatment plan? A) This will help you identify a healthy, weight restoration diet. B) Medication alone will not help you from relapsing back to your old habits. C) In order to manage your disorder, you have to understand the root problems. D) Prognosis has been proven to be much better with both medication and therapy. Answer: C) In order to manage your disorder, you have to understand the root problems Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach? A) Behavioral B) Interpersonal C) Psychodynamic D) Cognitive-behavioral Answer: D) Cognitive-behavioral. What type of cognitive-behavioral therapy views people as separate from their problems and destructive behaviors, allowing clients to gain distance from their difficulties and see how these issues might be helping or protecting them? A) Traditional CBT B) Solution-Focused Therapy C) Narrative Therapy D) Dialectical Behavior Therapy Answer: C) Narrative Therapy. What kind of therapy is primarily focused on providing emotional support, encouragement, and validation during difficult life circumstances or psychological challenges? A) Cognitive Behavioral Therapy B) Psychodynamic Therapy C) Supportive Therapy D) Humanistic Therapy Answer: C) Supportive Therapy. What therapy is a comprehensive cognitive-behavioral treatment aimed at individuals who see little or no improvement with other therapy models, focusing on problem-solving and acceptance-based strategies within a framework of dialectical methods? A) Cognitive Behavioral Therapy (CBT) B) Acceptance and Commitment Therapy (ACT) C) Dialectical Behavior Therapy (DBT) D) Interpersonal Therapy (IPT) Answer: C) Dialectical Behavior Therapy (DBT) The family of a child diagnosed with an impulse control disorder needs help to function moreadaptively. Which aspect of the child's plan of care will be provided by an advanced practice nurse rather than a staff nurse? a. Leading an activity group b. Providing positive feedback c. Formulating nursing diagnosesd. d. Dialectical behavioral therapy (DBT) D. DBT What type of therapy is a cognitive-behavioral approach aimed at treating individuals diagnosed with borderline personality disorder or those who engage in self-destructive behavior or have suicidal thoughts, helping them regulate emotions and cope with conflict, negative feelings, and impulsivity? A) Cognitive Behavioral Therapy (CBT) B) Acceptance and Commitment Therapy (ACT) C) Dialectical Behavior Therapy (DBT) D) Schema Therapy Answer: C) Dialectical Behavior Therapy (DBT). What therapy is based on the assumption that changes in maladaptive behavior can occur without insight into the underlying cause, and works best when directed at specific problems with well-defined goals? A) Psychodynamic Therapy B) Behavioral Therapy C) Humanistic Therapy D) Cognitive Behavioral Therapy (CBT) Answer: B) Behavioral Therapy. Which of the following are the four types of behavioral therapy commonly summarized by the acronym MOSA? A) Modeling, Operant Conditioning, Systematic Desensitization, Aversion Therapy B) Mindfulness, Operant Conditioning, Supportive Therapy, Aversion Therapy C) Modeling, Observational Learning, Systematic Desensitization, Acceptance Therapy D) Motivational Interviewing, Operant Conditioning, Schema Therapy, Aversion Therapy A) Modeling, Operant Conditioning, Systematic Desensitization, Aversion Therapy. In which type of behavioral therapy does the nurse or therapist provide a role model for specific identified behaviors, allowing the client to learn through imitation? A) Operant Conditioning B) Systematic Desensitization C) Modeling D) Aversion Therapy Answer: C) Modeling. This form of behavioral therapy is the basis for behavior modification and uses positive reinforcement to increase desired behaviors. A) Classical Conditioning B) Cognitive Behavioral Therapy C) Operant Conditioning D) Systematic Desensitization Answer: C) Operant Conditioning. This form of behavioral therapy is a behavior modification therapy that involves the development of behavioral tasks customized to the client's specific fears; these tasks are presented to the client while using learned relaxation techniques. What is this therapy called? A) Aversion Therapy B) Cognitive Behavioral Therapy C) Systematic Desensitization D) Modeling Answer: C) Systematic Desensitization This form of therapy posits that psychiatric disorders are influenced by interpersonal interactions and aims to reduce symptoms, particularly depression, by improving social relationships. What is this therapy called? A) Cognitive Behavioral Therapy B) Interpersonal Psychotherapy C) Dialectical Behavior Therapy D) Supportive Psychotherapy Answer: B) Interpersonal Psychotherapy. Who founded Interpersonal Therapy (IPT)? A) Aaron Beck B) Sigmund Freud C) Adolph Meyer and Harry Stack Sullivan D) Albert Ellis C) Adolph Meyer and Harry Stack Sullivan What are the four identified problem areas addressed in Interpersonal Therapy (IPT)? A) Grief, role disputes, anxiety, and depression B) Grief, role disputes, role transition, and interpersonal deficit C) Substance abuse, role disputes, family conflict, and grief D) Role transition, interpersonal deficit, social anxiety, and grief Answer: B) Grief, role disputes, role transition, and interpersonal deficit. What therapy utilizes naturally occurring events in the environment as rich learning opportunities for clients? A) Cognitive Behavioral Therapy B) Milieu Therapy C) Psychoanalytic Therapy D) Humanistic Therapy Answer: B) Milieu Therapy. Founder of milieu therapy? Bruno Bettelheim What therapy, sometimes referred to as in vivo exposure therapy, is a form of behavior therapy used to treat phobias and anxiety disorders by exposing patients to their painful memories? A) Cognitive Behavioral Therapy B) Prolonged Exposure Therapy C) Flooding D) Systematic Desensitization Answer: C) Flooding. Who created flooding therapy? Thomas Stampfi What behavioral treatment for phobias involves prolonged exposure to a feared stimulus to maximize the opportunity for the conditioned fear response to be extinguished? A) Systematic Desensitization B) Flooding C) Cognitive Behavioral Therapy D) Aversion Therapy Answer: B) Flooding. What is the primary purpose of a method where individuals with a common purpose come together to give and receive feedback, facilitating changes to address identified problems? A) Individual Therapy B) Support Group C) Group Therapy D) Family Therapy Answer: C) Group Therapy. In group therapy, what term refers to all that is said in the group? A) Group Process B) Group Dynamics C) Group Content D) Group Norms Answer: C) Group Content. In group therapy, what term refers to the dynamics of interaction among the members, including who talks to whom, facial expressions, and body language? A) Group Content B) Group Structure C) Group Process D) Group Cohesion Answer: C) Group Process. In group therapy, what term describes the recurring ideas or feelings expressed by members that have a common thread, which the leader can clarify to help members recognize it more fully? A) Group Process B) Group Theme C) Group Content D) Group Dynamics Answer: B) Group Theme. In group therapy, what term refers to the process of letting group members know how they affect each other? A) Group Process B) Group Feedback C) Group Dynamics D) Group Theme Answer: B) Group Feedback In group therapy, what term refers to open disagreement among members, which is essential for positive conflict resolution and successful outcomes? A) Group Dynamics B) Group Feedback C) Group Conflict D) Group Cohesion Answer: C) Group Conflict. What term describes a group in which a range of differences exists among members? A) Homogeneous B) Heterogeneous C) Cohesive D) Structured Answer: B) Heterogeneous. What term describes a group in which all members share central traits, such as gender or a specific disorder? A) Homogeneous group B) Heterogeneous group C) Support group D) Mixed group Answer: A) Homogeneous group. What term describes a group in which membership is restricted and no new members are added when members leave? A) Open group B) Closed group C) Support group D) Heterogeneous group Answer: B) Closed group. What type of group leadership style exerts control over the group and does not encourage much interaction among members? A) Laissez-faire B) Democratic C) Autocratic D) Transformational Answer: C) Autocratic. What type of group leadership supports extensive group interaction in the process of problem solving and is most common in group therapy? A) Autocratic B) Laissez-faire C) Democratic D) Directive Answer: C) Democratic. Answer: C) Democratic. What type of group leader allows group members to behave in any way they choose and does not attempt to control the group discussion? A) Autocratic B) Laissez-faire C) Democratic D) Directive Answer: B) Laissez-faire Answer: B) Laissez-faire What are the three types of roles of group members in group therapy? 1. task roles 2. maintenance roles 3. individual roles Which remark by a group participant would the nurse expect during the working stage ofgroup therapy? a. My problems are very personal and private. How do I know people in this group will not tell others what you hear? b. I have enjoyed this group. It's hard to believe that a few weeks ago I couldn't even bring myself to talk here .c. One thing everyone seems to have in common is that sometimes its hard to be honest with those you love most. d. I don't think I agree with your action. It might help you, but it seems like it would upset your family. d. I don't think I agree with your action. It might help you, but it seems like it would upset your family. A nurse, leading an inpatient group dealing with womens issues, identifies a patient who isassuming the role of aggressor. Which behavior characterizes this role? a. Attempting to manipulate others b. Mediating conflicts and disagreements c. Criticizing the contributions of others d. Seeking a position between contending sides c. Criticizing the contributions of others Which of the following is true of individual therapy and group therapy? A. Change takes place at the same rate for each patient in a group, whereas patients in individual therapy may change at different rates B. Both are within the scope of practice for nurses with bachelor's degrees C. Group therapy takes into account the patient's relationships with others, whereas individual therapy considers the patient in isolation D. In both, the therapist engages the patient(s) in evaluation of the direction and effectiveness of the therapeutic approach D. In both, the therapist engages the patient(s) in evaluation of the direction and effectiveness of the therapeutic approach What is a form of integrative care that places the client at the center, focuses on prevention and wellness, and addresses the client's physical, mental, and spiritual needs? A. Conventional medicine B. Palliative care C. Complimentary and Alternative Medicine (CAM) D. Emergency care Answer: C. Complimentary and Alternative Medicine (CAM) What organization supports fair and scientific evaluation of integrative therapies and disseminates information to help healthcare providers make informed decisions about the safety and appropriateness of complementary and alternative medicine (CAM)? A. World Health Organization (WHO) B. National Center for Complementary and Integrative Health (NCCIH) C. American Medical Association (AMA) D. Food and Drug Administration (FDA) B. National Center for Complementary and Integrative Health (NCCIH What is a key difference between Western medicine and complementary and alternative medicine (CAM)? A. Western medicine focuses on holistic healing, while CAM emphasizes disease treatment. B. CAM relies on scientifically validated methods, whereas Western medicine does not. C. Western medicine typically addresses symptoms and diseases through pharmaceuticals and surgery, while CAM often focuses on prevention, wellness, and holistic approaches. D. CAM is only practiced in non-Western cultures, while Western medicine is universal. C. Western medicine typically addresses symptoms and diseases through pharmaceuticals and surgery, while CAM often focuses on prevention, wellness, and holistic approaches. What is the term for the use of external equipment or feedback methods that inform an individual about their psychophysiological processes and state of arousal? A. Neurofeedback B. Biofeedback C. Psychometrics D. Psychotherapy B. Biofeedback A patient reports little change in her blood pressure even though she has been doing thebiofeedback exercises stating that, The machine has not been successful. The nurse will observethe next session being aware that: A.) There are several different components that need to be mastered in order toachieve successful biofeedback results. B.) The machine is a critical component of biofeedback during all phases and itsresponse needs to be monitored by a professional. C.) A patients relaxation skills need to be excellent because muscle responses play a large role in determining the success of biofeedback. D. The patients mood and emotional stability affects ones ability to alterphysiological results and thus affect positive results from biofeedback. A. there are several different components that need to be mastered in order to achieve successful biofeedback results During a group therapy session, the nurse notices that one client is dominating the conversation, leaving other participants silent. What technique should the nurse use to engage the quieter members of the group? a. Directly ask the over-talkative client to stop speaking. b. Make an observation about the group's silence and invite others to share their thoughts. c. Change the topic to something more lighthearted to encourage interaction. d. Ignore the silence and allow the session to continue as it is. Correct Answer: b. Make an observation about the group's silence and invite others to share their thoughts. What therapy requires consideration of the client's social, economic, and cultural status? Mileu Therapy Unrealistic and irrational beliefs cause many emotional problems. The purpose of _______ therapy is to identify an irrational belief and dispute it through active, philosophical, confrontational therapy. A. Cognitive Behavioral Therapy (CBT) B. Rational Emotive Behavior Therapy (REBT) C. Interpersonal Therapy (IPT) D. Humanistic Therapy Answer: B. Rational Emotive Behavior Therapy (REBT) An assumption of _______ therapy states that people make themselves sick anytime they escalate a desire or preference into a demand or absolute must. (People become who they become based on their beliefs). A. Cognitive Behavioral Therapy (CBT) B. Rational Emotive Behavior Therapy (REBT) C. Psychodynamic Therapy D. Solution-Focused Therapy Answer: B. Rational Emotive Behavior Therapy (REBT) who invented theory of cognitive development? Piaget What are the four stages of cognitive development according to Jean Piaget? A) Sensorimotor, Preoperational, Concrete Operational, Formal Operational B) Preoperational, Operational, Post-operational, Logical C) Sensory, Cognitive, Operational, Formal D) Infancy, Childhood, Adolescence, Adulthood Correct Answer: A) Sensorimotor, Preoperational, Concrete Operational, Formal Operational A) Sensorimotor, Preoperational, Concrete Operational, Formal Operational What is the first stage of cognitive development according to Jean Piaget? A) Preoperational Stage B) Sensorimotor Stage C) Concrete Operational Stage D) Formal Operational Stage Correct Answer: B) Sensorimotor Stage .. key components - circular reactions, object permanence

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NSG 526/ NSG526 Exam 2 V2 – Advanced
Psychiatric Mental Health Nursing Practice
2026/2027 | Wilkes | Latest Questions &
Verified Answers


In an "open group":

A) New members can join only at the start of the group session

B) No new members are allowed to join after the group begins

C) New members are added as others leave

D) The group has a fixed number of participants throughout

C) New members are added as others leave




Yoga primarily promotes which of the following?

A) Cardiovascular endurance

B) Relaxation and stress reduction

C) Increased muscle mass

D) Rapid weight loss

B) Relaxation and stress reduction




What is the most therapeutic response to a patient who missed their Tuesday appointment and
showed up for the next one?

A) "Why didn't you come on Tuesday? We were expecting you."

B) "You missed your appointment on Tuesday, I was wondering what happened?"

C) "It's important to keep all scheduled appointments to stay on track."

D) "I hope missing the appointment didn't cause any issues for you."

,B) "You missed your appointment on Tuesday, I was wondering what happened?"




What is the most therapeutic response when a patient states she buys St. John's Wort from
Walgreens to ensure consistent dosage?

A) "That's great! It's good to know where your supplements come from."

B) "There's no dosage standard for St. John's Wort, so dosages may vary."

C) "Buying from a pharmacy doesn't guarantee the dosage."

D) "You should only buy supplements that are recommended by a healthcare provider."

B) "There's no dosage standard for St. John's Wort, so dosages may vary."




A college student who failed an important test says, "I'll never find a good job now." This
statement is an example of what?

A) All-or-nothing thinking

B) Overgeneralization

C) Cognitive distortion

D) Catastrophizing

C) Cognitive distortion




What is operant conditioning primarily characterized by?

A) Classical conditioning

B) Positive and negative reinforcement

C) Observational learning

D) Cognitive restructuring

B) Positive and negative reinforcement

, In the situation where a lady expresses her embarrassment about stealing clothing and others
discuss their problems with law enforcement and the consequences they learned from each
other, this illustrates which therapeutic factor?

A) Imparting information

B) Universality

C) Altruism

D) Catharsis

B) Universality




How should the nurse assist a patient exhibiting dependent behavior to promote independence?

A) Make decisions for the patient to ensure their safety.

B) Encourage the patient to set small goals for independent tasks.

C) Provide constant supervision to prevent mistakes.

D) Discourage the patient from expressing their needs and desires..

B) Encourage the patient to set small goals for independent tasks




Which one of the following is the focus of interpersonal therapy?

A)Anxiety management

B)Belief systems

C)Faulty cognitions

D)Social interaction

D)Social interaction




A patient tells the psychiatric advanced practice nurseshe is going to try supplementing her
selectiveserotonin reuptake inhibitor with St. John's wort. Whichaction should the psychiatric
advanced practice nursetake first?a)Assess the patient for depression and risk for suicide.

b)Suggest that aromatherapy may produce even better results.

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