NSG526 / NSG 526 EXAM 2
Clinical Modalities in Advanced Psychiatric Mental Health
Nursing Practice - Wilkes
Actual Questions and Answers
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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
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
