NSG526 Final Exam V3 | NSG 526 Clinical
Modalities Adv. Psych | Wilkes University
1. In Cognitive Behavioral Therapy (CBT), what is the primary purpose of identifying cognitive
distortions?
A. To recognize irrational thought patterns that negatively influence emotions and
behaviors.
B. To uncover repressed childhood memories and resolve past conflicts.
C. To establish a hierarchical relationship between the therapist and the client.
D. To promote a state of mindfulness through deep breathing techniques.
Correct Answer: A
Expert Explanation: Identifying cognitive distortions is a central technique in CBT used to
help patients understand how their thoughts affect their mood. By recognizing these
patterns, the patient can work on restructuring their thoughts into more balanced and
realistic perspectives. This process is essential for reducing symptoms of depression and
anxiety.
2. When utilizing Crisis Intervention, which action is considered the nurse’s highest priority?
A. Conducting a detailed long-term personality assessment.
B. Assessing the client’s immediate safety and risk for self-harm.
C. Referring the client to a vocational rehabilitation program.
,D. Exploring the client’s early childhood development milestones.
Correct Answer: B
Expert Explanation: The first step in crisis intervention is always ensuring the safety of
the individual and others. The nurse must assess for suicidal or homicidal ideation to
determine the necessary level of care. Stabilization is the immediate goal before any long-
term therapeutic work can begin.
3. In Dialectical Behavior Therapy (DBT), the concept of ‘Wise Mind’ refers to:
A. The integration of the ‘Reasonable Mind’ and the ‘Emotional Mind.’
B. The state of being completely driven by intense emotional responses.
C. The ability to use logic and reason exclusively to solve problems.
D. A specialized meditative state achieved only after years of practice.
Correct Answer: A
Expert Explanation: Wise Mind represents the synthesis of logic and emotion, allowing for
a balanced perspective on reality. It is a core concept in DBT that helps patients make
decisions that are both rational and intuitive. Developing this skill is vital for emotional
regulation and interpersonal effectiveness.
4. According to Murray Bowen’s Family Systems Theory, what is ‘triangulation’?
A. A healthy method of resolving conflict between two family members.
B. The process of a third person being pulled into a two-person conflict to reduce anxiety.
, C. A technique used to map out three generations of family health history.
D. The physical arrangement of chairs during a family therapy session.
Correct Answer: B
Expert Explanation: Triangulation occurs when tension between two people leads them
to involve a third person to stabilize the relationship. While it reduces immediate anxiety, it
prevents the original pair from resolving their conflict directly. Bowen argued that
reducing triangulation is key to increasing individual differentiation within the family.
5. Which of Yalom’s curative factors of group therapy is defined as the realization that one is
not alone in their suffering?
A. Altruism
B. Imitative behavior
C. Universality
D. Catharsis
Correct Answer: C
Expert Explanation: Universality allows group members to feel a sense of relief when they
discover that others share similar thoughts, feelings, and experiences. This factor helps to
decrease feelings of isolation and stigma associated with mental health struggles. It
provides a powerful validation that is unique to the group therapy format.
Modalities Adv. Psych | Wilkes University
1. In Cognitive Behavioral Therapy (CBT), what is the primary purpose of identifying cognitive
distortions?
A. To recognize irrational thought patterns that negatively influence emotions and
behaviors.
B. To uncover repressed childhood memories and resolve past conflicts.
C. To establish a hierarchical relationship between the therapist and the client.
D. To promote a state of mindfulness through deep breathing techniques.
Correct Answer: A
Expert Explanation: Identifying cognitive distortions is a central technique in CBT used to
help patients understand how their thoughts affect their mood. By recognizing these
patterns, the patient can work on restructuring their thoughts into more balanced and
realistic perspectives. This process is essential for reducing symptoms of depression and
anxiety.
2. When utilizing Crisis Intervention, which action is considered the nurse’s highest priority?
A. Conducting a detailed long-term personality assessment.
B. Assessing the client’s immediate safety and risk for self-harm.
C. Referring the client to a vocational rehabilitation program.
,D. Exploring the client’s early childhood development milestones.
Correct Answer: B
Expert Explanation: The first step in crisis intervention is always ensuring the safety of
the individual and others. The nurse must assess for suicidal or homicidal ideation to
determine the necessary level of care. Stabilization is the immediate goal before any long-
term therapeutic work can begin.
3. In Dialectical Behavior Therapy (DBT), the concept of ‘Wise Mind’ refers to:
A. The integration of the ‘Reasonable Mind’ and the ‘Emotional Mind.’
B. The state of being completely driven by intense emotional responses.
C. The ability to use logic and reason exclusively to solve problems.
D. A specialized meditative state achieved only after years of practice.
Correct Answer: A
Expert Explanation: Wise Mind represents the synthesis of logic and emotion, allowing for
a balanced perspective on reality. It is a core concept in DBT that helps patients make
decisions that are both rational and intuitive. Developing this skill is vital for emotional
regulation and interpersonal effectiveness.
4. According to Murray Bowen’s Family Systems Theory, what is ‘triangulation’?
A. A healthy method of resolving conflict between two family members.
B. The process of a third person being pulled into a two-person conflict to reduce anxiety.
, C. A technique used to map out three generations of family health history.
D. The physical arrangement of chairs during a family therapy session.
Correct Answer: B
Expert Explanation: Triangulation occurs when tension between two people leads them
to involve a third person to stabilize the relationship. While it reduces immediate anxiety, it
prevents the original pair from resolving their conflict directly. Bowen argued that
reducing triangulation is key to increasing individual differentiation within the family.
5. Which of Yalom’s curative factors of group therapy is defined as the realization that one is
not alone in their suffering?
A. Altruism
B. Imitative behavior
C. Universality
D. Catharsis
Correct Answer: C
Expert Explanation: Universality allows group members to feel a sense of relief when they
discover that others share similar thoughts, feelings, and experiences. This factor helps to
decrease feelings of isolation and stigma associated with mental health struggles. It
provides a powerful validation that is unique to the group therapy format.
