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CLINICAL MODALITIES IN ADVANCED
PSYCH NURSING EXAM 3 / WILKES NSG 526
ACTUAL EXAM 3 CLINICAL MODALITIES
ADV PSYCH LATEST 2026/2027 COMPLETE
ACCURATE TEST REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) A NEW UPDATE
1. A PMHNP is treating a patient with borderline personality
disorder using a modality that focuses on validation,
dialectical thinking, and skills training. Which modality is this?
A) Cognitive Behavioral Therapy (CBT)
B) Motivational Interviewing (MI)
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C) Dialectical Behavior Therapy (DBT)
D) Supportive psychotherapy
Answer: C) DBT
Rationale: DBT combines acceptance (validation) and change
(skills training) with dialectics. It is first-line for borderline PD.
2. Which of the following is a core principle of motivational
interviewing?
A) Confrontation of denial
B) Expressing empathy
C) Identifying cognitive distortions
D) Free association
Answer: B) Expressing empathy
Rationale: MI uses empathy to build rapport and reduce
resistance, not confrontation.
3. A patient says, “I know I need to take my meds, but I just
can’t remember.” Using MI, what is the BEST response?
A) “You need to set an alarm.”
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B) “It sounds like remembering is hard for you.”
C) “Why don’t you care about your health?”
D) “Nonadherence will cause relapse.”
Answer: B) Reflective listening
Rationale: MI uses reflections to explore ambivalence without
judgment.
4. Which psychotherapy modality is most strongly supported
for chronic depression?
A) Interpersonal therapy (IPT)
B) Cognitive Behavioral Analysis System of Psychotherapy
(CBASP)
C) Psychoanalysis
D) Supportive therapy
Answer: B) CBASP
Rationale: CBASP was developed specifically for persistent
depressive disorder (dysthymia).
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5. A patient frequently misses sessions and blames the
therapist for not reminding her. This is most likely:
A) Resistance
B) Projection
C) Transference
D) Countertransference
Answer: C) Transference
Rationale: Patient redirects feelings from past relationships
onto the therapist.
6. A PMHNP feels irritated with a patient who reminds her of
her critical mother. This is:
A) Empathy
B) Transference
C) Countertransference
D) Rapport
CLINICAL MODALITIES IN ADVANCED
PSYCH NURSING EXAM 3 / WILKES NSG 526
ACTUAL EXAM 3 CLINICAL MODALITIES
ADV PSYCH LATEST 2026/2027 COMPLETE
ACCURATE TEST REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) A NEW UPDATE
1. A PMHNP is treating a patient with borderline personality
disorder using a modality that focuses on validation,
dialectical thinking, and skills training. Which modality is this?
A) Cognitive Behavioral Therapy (CBT)
B) Motivational Interviewing (MI)
,Page 2 of 146
C) Dialectical Behavior Therapy (DBT)
D) Supportive psychotherapy
Answer: C) DBT
Rationale: DBT combines acceptance (validation) and change
(skills training) with dialectics. It is first-line for borderline PD.
2. Which of the following is a core principle of motivational
interviewing?
A) Confrontation of denial
B) Expressing empathy
C) Identifying cognitive distortions
D) Free association
Answer: B) Expressing empathy
Rationale: MI uses empathy to build rapport and reduce
resistance, not confrontation.
3. A patient says, “I know I need to take my meds, but I just
can’t remember.” Using MI, what is the BEST response?
A) “You need to set an alarm.”
,Page 3 of 146
B) “It sounds like remembering is hard for you.”
C) “Why don’t you care about your health?”
D) “Nonadherence will cause relapse.”
Answer: B) Reflective listening
Rationale: MI uses reflections to explore ambivalence without
judgment.
4. Which psychotherapy modality is most strongly supported
for chronic depression?
A) Interpersonal therapy (IPT)
B) Cognitive Behavioral Analysis System of Psychotherapy
(CBASP)
C) Psychoanalysis
D) Supportive therapy
Answer: B) CBASP
Rationale: CBASP was developed specifically for persistent
depressive disorder (dysthymia).
, Page 4 of 146
5. A patient frequently misses sessions and blames the
therapist for not reminding her. This is most likely:
A) Resistance
B) Projection
C) Transference
D) Countertransference
Answer: C) Transference
Rationale: Patient redirects feelings from past relationships
onto the therapist.
6. A PMHNP feels irritated with a patient who reminds her of
her critical mother. This is:
A) Empathy
B) Transference
C) Countertransference
D) Rapport
