REVIEW TEST BANK (NRNP 6645): 90
HIGH- VALUE QUESTIONS AND
DETAILED RATIONALES
1. Stages of Learning
A novice psychiatric nurse recognizes their own incompetence as
they progress in psychotherapy training. According to the Stages
of Learning model, which stage are they in?
A. Unconscious
incompetence
B. Conscious
incompetence
C. Conscious
competence
D. Unconscious
competence
Answer: B. Conscious incompetence
Rationale: At this stage, the learner is aware of what they
don’t know. This recognition is a necessary step before
developing conscious competence
2. Freud’s Anal Stage
Failure to successfully accomplish independence and control
during Freud’s anal stage is most associated with:
A. Excessive dependency
B. Orderliness and rigidity
C. Sexual identity issues
D. Excessive guilt
,Answer: B. Orderliness and rigidity
Rationale: Freud theorized that unresolved conflict in the anal
stage (18 months–3 years) leads to traits such as orderliness,
stinginess, and obstinacy
,3. Standards of Care vs Practice Guidelines
Which of the following is correct?
A. Guidelines are legally binding; standards are
not
B. Standards of care are legally binding;
guidelines are not C. They are the same thing
D. Guidelines are fixed; standards are flexible
Answer: B. Standards of care are legally binding; guidelines are
not
Rationale: Standards of care define the minimum level of
professional practice required by law. Guidelines are evidence-
based best practices but not legally binding
4. CBT Cognitive Triad
The cognitive triad in CBT refers to maladaptive
thoughts about: A. Self, world, and future
B. Family, culture, and society
C. Past, present, and future
D. Thoughts, feelings, and behaviors
Answer: A. Self, world, and future
Rationale: Beck’s model emphasizes that depression stems from
negative views of self, world, and future
.
5. Yalom’s Therapeutic Factors
A group member realizes others share his feelings of
incompetency. This reflects which therapeutic factor?
, A. Altruism
B.
Universality